Before a client decides whether to undergo a procedure, who is responsible for leading the informed-consent discussion?
5 Informed Consent and Client Decisions Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Informed Consent and Client Decisions, test your knowledge, and prepare for your next test or exam.
True or false: A client’s signature on a consent form, by itself, establishes that the client understood the information and chose freely.
- A
True
- B
False
What is the name of the communication process in which a client voluntarily authorizes a specific health care intervention?
A client may ask questions, refuse a proposed intervention, or .
A client lacks capacity for a specific treatment decision, and a relative offers to decide. What should the care team do before treating that relative as the surrogate?
- A
Accept the relative’s decision because relatives automatically have authority
- B
Determine whether the relative is authorized under applicable law and policy
- C
Let the relative decide only if the client disagrees with the treatment
- D
Ask the nurse to appoint the relative as surrogate
Decision-making capacity is assessed for a particular at a particular .
Which abilities are part of decision-making capacity for a particular health care decision? Select all that apply.
- A
Understand the relevant information
- B
Appreciate how the information applies to their situation
- C
Agree with the clinician’s recommended treatment
- D
Compare options in light of their values
- E
Communicate a choice
Which information should the responsible clinician explain as part of informed consent? Select all that apply.
- A
The intervention’s purpose and what it involves
- B
Only the expected benefits, without significant risks
- C
Significant risks and burdens
- D
Only the recommended option, without alternatives
- E
A guarantee that the intervention will succeed
True or false: If a client disagrees with the recommended treatment, that disagreement by itself establishes that the client lacks decision-making capacity.
- A
True
- B
False
Name one type of document that may identify a person to make health care decisions for a client who later lacks capacity.
When may treatment sometimes proceed without prior consent under the limited emergency exception?
- A
Whenever a client is confused, regardless of the circumstances
- B
Whenever treatment would be more convenient without consent
- C
In a true emergency when the client cannot decide and an authorized surrogate is unavailable, subject to law and policy
- D
Whenever the client has not signed a consent form
True or false: When a nurse witnesses a consent signature, the nurse is thereby confirming that they personally supplied or verified every element of the clinician’s consent discussion.
- A
True
- B
False
Before a procedure, a client says they do not understand a major risk and asks whether there are alternatives. The consent form is already signed. What should the nurse do before the procedure proceeds?
A clinician has explained a proposed intervention’s purpose, benefits, and significant risks. Before the client decides, what important information should the clinician also discuss?
- A
Ask the client to decide based only on the benefits and risks already explained.
- B
Explain reasonable alternatives, including declining or postponing treatment and their likely consequences.
- C
Ask a relative to choose the intervention for the client.
- D
Proceed because the client has already heard the major risks.
What decision-making principle should a surrogate use when the client’s wishes cannot reasonably be determined?
A client needs language or communication support to understand information about a proposed intervention. Which nursing action best supports informed consent?
- A
Press the client to sign so care is not delayed.
- B
Arrange qualified interpretation or communication assistance as needed.
- C
Ask a relative to explain the intervention regardless of the client’s wishes.
- D
Sign the consent form on the client’s behalf.
A nurse is asked to witness a client’s consent-form signature. What does witnessing generally confirm?
- A
That the nurse verified every risk and alternative discussed by the clinician
- B
That the signing process occurred, according to facility policy
- C
That the client agreed with the clinician’s recommendation
- D
That the client will not later withdraw consent
A surrogate uses the client’s known wishes, values, and prior statements to make the decision the client would have made. What is this principle called?
When should a surrogate use substituted judgment rather than best-interests reasoning?
- A
Use best-interests reasoning whenever the surrogate personally disagrees with the client’s known preference.
- B
Use substituted judgment when the client’s wishes and values are known; use best-interests reasoning when they cannot reasonably be determined.
- C
Use the surrogate’s own values in place of the client’s, regardless of what the client previously said.
- D
Always choose the option with the fewest burdens, without considering the client’s values.
Immediately before a planned intervention, a client says they are unsure and still have an unanswered question. What should the nurse do?
- A
Notify the responsible clinician and follow policy before the intervention proceeds.
- B
Encourage the client to sign so the planned care is not delayed.
- C
Answer all questions about the intervention independently and proceed.
- D
Ask a family member to persuade the client to agree.