Professional Responsibility State Practice Exam

What action should a nurse take if they cannot obtain consent from a patient due to health conditions?

1. Discuss the patient’s condition with colleagues

2. Contact the patient's family without permission

3. Identify a nominated person to receive information

4. Assume consent based on past practices

The correct answer is: Identify a nominated person to receive information

When a nurse is faced with a situation where they cannot obtain direct consent from a patient due to health conditions, identifying a nominated person to receive information is the appropriate course of action. This choice reflects established legal and ethical principles around patient autonomy and informed consent. In healthcare settings, if a patient is unable to communicate their wishes—potentially due to unconsciousness, confusion, or other health issues—medical professionals are advised to identify a legally authorized representative. This could be a family member, a designated healthcare proxy, or a legal guardian who can make healthcare decisions on behalf of the patient. This practice ensures that any medical care provided aligns with the patient's known wishes or best interests. In contrast, discussing the patient’s condition with colleagues could lead to potential breaches of confidentiality if done without the patient's consent, especially if the information is sensitive. Contacting the patient's family without permission could violate privacy laws and ethical guidelines, as the nurse must have appropriate consent to share patient information. Assuming consent based on past practices is also fraught with risk, as it disregards the current context and potential changes in the patient's wishes or condition. Therefore, by identifying a nominated person to receive information, the nurse facilitates the continuation of care while respecting the patient’s rights and ensuring that