A patient has been diagnosed with uterine and ovarian cancer. The nurse is preparing her for surgery prior to her hysterectomy and oophorectomy. The nurse is witnessing the patient's signature on a consent form. Which comment by the patient would best indicate informed consent?
Explanation & Rationale
Choice A reason: This statement reflects trust in the surgeon's expertise but does not demonstrate an understanding of the procedure or its specific risks. Informed consent requires the patient to comprehend the nature of the surgery and potential complications rather than simply relying on the provider's professional history or reputation. Choice B reason: Acknowledging postoperative pain indicates an understanding of the recovery process, but it does not encompass the surgical scope or the specific risks associated with the removal of reproductive organs. It is a general expectation for any major surgery and does not confirm specific informed consent for this procedure. Choice C reason: This statement confirms that the patient understands the anatomical scope of the surgery (hysterectomy and oophorectomy) and has been informed of at least one major potential complication (bleeding). This reflects the core requirements of informed consent: understanding the procedure, its necessity, and the associated risks. Choice D reason: This statement is factually incorrect and indicates a total lack of informed consent. An oophorectomy involves the removal of the ovaries, which results in surgical menopause and infertility. This comment proves the patient does not understand the surgery, necessitating immediate further education by the surgeon before signing.