Author Question: Which of the following statements is true regarding the implications of the nurse's signature as a ... (Read 44 times)

segrsyd · **on:** Jul 23, 2018

Which of the following statements is true regarding the implications of the nurse's signature as a witness for a client's consent? (Select all that apply.)

1. Client signed voluntarily.
2. The signature is authentic.
3. Client appears to be competent.
4. Client appears knowledgeable about the procedure.
5. The nurse has discussed the possible risks of the procedure.
6. The nurse has discussed possible post procedure nursing care.

Question 2

Regarding hours worked and frequency of errors, recent research has shown that nurses working more than 12.5 hours per shift and more than a 40-hour week are:

1. Reporting more physical illnesses than those working only 40 hours per week
2. Three times more likely to commit an error in nursing judgment related to client care
3. Experiencing more physical injuries than those working only 40 hours per week
4. Experiencing signs of emotional burn out' more frequently than those working only 40 hours per week

af · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1, 2, 3, 4
The nurse's signature witnessing the consent means that the client voluntarily gave consent, that the client's signature is authentic, and that the client appears to be competent to give consent. When nurses provide consent forms for clients to sign, nurses must ask the clients if they under-stand the procedure for which they are giving consent. If clients deny understanding or you sus-pect they do not understand, notify the physician or nursing supervisor. Nursing care post pro-cedure should be discussed but is not inferred by a nurse's signature as a witness. Discussing possible risk factors is the physician's responsibility.

Answer to Question 2

ANS: 2
Results showed that nurses who worked shifts lasting 12.5 hours or more had a three times greater likelihood of making an error. Overtime increased the odds of making at least one error regardless of length of original shift scheduled. The remaining options are not supported by re-search data.