Consent and Capacity in Nursing Practice Flashcards
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Read the first 7 Consent and Capacity in Nursing Practice flashcards as text
Under Ontario's Health Care Consent Act, who is ultimately responsible for obtaining informed consent for a proposed treatment?
Answer: The regulated health professional proposing the treatment
Under the HCCA, the health professional proposing a treatment bears responsibility for obtaining informed consent before proceeding.
Which of the following elements is NOT required for consent to be considered informed under Ontario's Health Care Consent Act?
Answer: The cost of the treatment
Informed consent requires disclosure of the nature, expected benefits, material risks, side effects, and alternatives — cost is not a legislated requirement.
Under the Health Care Consent Act, how is capacity to consent assessed for a client with dementia who requires multiple procedures?
Answer: Specifically for each treatment decision being made
Capacity is decision-specific under the HCCA; a person may be capable of consenting to some treatments but incapable of consenting to others.
According to the Health Care Consent Act, a person is presumed to be capable of making treatment decisions unless:
Answer: There are reasonable grounds to believe otherwise
The HCCA establishes a presumption of capacity that can only be set aside when there are reasonable grounds to believe the person lacks capacity for the specific decision.
A capable client refuses a treatment the nurse believes is in the client's best interest. What is the nurse's most appropriate response?
Answer: Respect the refusal, document it, and report to the team
A capable client has the legal and ethical right to refuse any treatment, and the nurse must respect and document this decision even when it may result in harm.
Which of the following best describes 'implied consent' in nursing practice?
Answer: Consent inferred from a client's actions or behavior
Implied consent is inferred from a client's voluntary actions, such as extending an arm for a blood pressure check, indicating agreement to the procedure.
A client asks 'What is this medication for?' before the nurse administers it. What is the nurse's primary obligation?
Answer: Provide clear information about the medication to support ongoing informed consent
Nurses have a professional obligation to provide clients with information about medications and treatments to support ongoing, meaningful informed consent throughout care.
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