Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

What indicates implied consent to a procedure?

1. The Patient Consents in Writing

2. The Patient Voluntarily Submits to the Procedure

3. The Patient Orally Consents

4. The Patient Consents Orally and in Writing

The correct answer is: The Patient Voluntarily Submits to the Procedure

Implied consent to a procedure is indicated when a patient voluntarily submits to the procedure, as this demonstrates their willingness to undergo the intervention without requiring explicit verbal or written acknowledgment. In clinical settings, such as when a patient presents themselves for a treatment or procedure and takes the necessary steps to participate, it is assumed that their actions indicate consent. This form of consent is often recognized in situations where immediate action is needed, and it is reasonable to conclude that the patient understands and agrees to the treatment based on their behavior or circumstances, like positioning for a physical exam or allowing a healthcare provider to start a procedure. In contrast, the other options refer to explicit forms of consent. Written consent, oral consent, or a combination of both are considered explicit forms of consent, which are necessary in situations where the risks, benefits, and alternatives must be clearly explained and agreed upon. Therefore, while these forms of consent are important for legality and ethical practice, they do not represent implied consent, which is based on the assumption drawn from a patient’s voluntary actions.