Consents

A general consent form is: (A) a form authorizing all treatments or procedures (B) a form for all patients having general anesthesia (C) a form for all patients having hazardous therapy (D) another name for an operative permit

A

The patient is premedicated and brought to the operating room (OR) for a cystoscopy and an open reduction of the wrist. Upon arrival in the OR it is observed that the patient has only signed for the cystoscopy. The correct procedure would be to: (A) cancel surgery until a valid permission can be obtained (B) have the patient sign for the additional procedure in the OR (C) ask the patient verbally for consent and have witnesses attest to it (D) let the surgeon make the decision as to whether surgery could be done

A

The patient must receive information regarding consent, the patient must understand the procedure. If the patient does not fully understand what the physician informed them about due to language barrier, and something gorse wrong during the procedure, this could constitute: (A) assault and battery (B) atonement (C) neglect (D) defamation of character

A

Implied consent: (A) is the preferred option for consents (B) is allowed by law in emergencies when no other authorized person may be contacted (C) is never legally valid (D) is the permission for surgical action

B

The patient is scheduled for an appendectomy. After completing this procedure, the surgeon decides to remove a mole from the shoulder while the patient is still under anesthesia. No permission was obtained for this. The circulating nurse should: (A) report it to the anesthesiologist (B) report it to the chief of surgery (C) report it to the supervisor or proper administrative authority (D) let the surgeon proceed because it is his or her responsibility to obtain the consent

C

The ultimate responsibility for obtaining consent lies with the: (A) OR supervisor (B) circulating nurse (C) surgeon (D) unit charge nurse

C

Which document allows the patient to give instructions regarding their medical care in the event they become incapacitated and cannot speak for themselves: (A) living will (B) power of attorney (C) advanced directive (D) DNR

C

An informed consent: (A) authorizes routine duties carried out at the hospital (B) protects patient from unratified or unwanted procedures (C) protects the surgeon and the hospital from claims of an unauthorized operation (D) Both B and C

D

Conditions of signing a consent form include: (A) signed voluntarily (B) patient must be competent (C) patient must sign before preoperative medications are given (D) All of the above

D

Consents are required for: (A) anesthesia (B) blood and blood products (C) experimental treatments (D) All of the above

D

Examples of a living will include: (A) feeding tube (B) ventilator (c) IV (D) All of the above

D

In the event that a child needs emergency surgery, and the parents cannot be located to sign the permission: (A) no permission is necessary (B) permission is signed by a court of law (C) permission is signed by the physician (D) a written consultation by two physicians other than the surgeon will suffice

D

The surgical consent form can be witnessed by each of the following EXCEPT (A) the surgeon (B) a nurse (C) an authorized hospital employee (D) the patient's spouse

D

The surgical consent is signed: (A) before induction (B) in the holding area (C) the morning of surgery (D) before administration of preoperative medications

D

What is the protocol for an illiterate person who cannot write and the consent form: (A) the closest relative can sign for them (B) explain the situation and omit a signature (C) two physicians unrelated to the case but in agreement surgery is required (D) they can sign with an X

D

Which statement regarding the withdrawal of a consent by a patient is NOT true? (A) The surgeon informs the patient of the dangers if the procedure is not carried out (B) The surgeon informs the hospital administration of the patient's refusal (C) The surgeon obtains a written refusal from the patient (D) The surgeon may do the procedure if he documents that it is necessary as a lifesaving measure

D