A patient with limited literacy is asked to sign consent for a procedure. Which nursing action best supports ethical consent?

Correct answer: C. Use plain language and ask the patient to explain the information back

  • A. Ask the patient to sign because the form is available
  • B. Read the form quickly and point to the signature line
  • C. Use plain language and ask the patient to explain the information back
  • D. Ask a relative to sign instead of the patient

Explanation

Teach-back checks whether the patient understands the purpose, risks and alternatives rather than merely producing a signature. The nurse should support understanding and notify the responsible clinician if the consent process remains incomplete.

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Nursing ethics examines autonomy, beneficence, non-maleficence, justice, fidelity, veracity, confidentiality and respect for dignity. It covers informed consent, patient advocacy, privacy, refusal of treatment, end-of-life decisions and ethical dilemmas, while distinguishing ethical duties from legal requirements and personal beliefs.

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