Nursing Jurisprudence and Ethics for Texas Nurses Practice Exam

Under Texas law, what must a nurse obtain before proceeding with certain procedures?

1. Patient's verbal approval

2. Informed consent

3. Written documentation from a physician

4. A waiver form from the hospital

The correct answer is: Informed consent

In Texas, before a nurse can proceed with certain medical procedures, it is essential to obtain informed consent from the patient. Informed consent is a legal and ethical requirement that ensures the patient is fully aware of and understands the nature of the procedure, its potential risks and benefits, and any alternatives available. This process involves providing sufficient information to the patient, allowing them to ask questions, and ensuring they have the capacity to make an informed decision about their healthcare. Informed consent is particularly important because it respects the patient's autonomy and right to make decisions regarding their own body and treatment. It emphasizes the collaborative relationship between the healthcare provider and the patient, where the nurse plays a crucial role in educating the patient and ensuring their comfort with the procedure. Obtaining just verbal approval or documentation from a physician does not fulfill the legal obligations for informed consent. Additionally, while hospital waiver forms may be used in some situations, they typically do not substitute for the comprehensive informed consent process that highlights the patient’s understanding and agreement to proceed. Thus, informed consent stands out as the correct and necessary requirement before a nurse can conduct certain procedures.