What is the nurse's role in informed consent?

• A. Respect patient autonomy, ensure consent is obtained where required, provide necessary information, and document consent or refusal.
• B. Decide for the patient if they are unable to consent.
• C. Obtain consent only for invasive procedures, not for routine care.
• D. Provide legal advice to the patient.

Answer: (A)

Facilitating informed consent centers on honoring a patient’s autonomy by ensuring they understand what will be done, why it’s recommended, the risks and benefits, and any alternatives, including the option to refuse. The nurse’s role includes confirming that consent is obtained where required by policy and law, helping ensure the patient actually understands the information provided by the physician or other licensed practitioner, and supporting questions or clarification within the nursing scope. Documentation is key: the nurse records that informed consent was obtained or that the patient refused, including any notes about questions asked and information clarified.

The nurse does not decide for the patient or provide legal advice. If a patient cannot consent, someone legally authorized to do so should, and the nurse should notify the clinician and document the situation. This approach protects patient rights while ensuring that the consent process is thorough, voluntary, and properly recorded.