# Drag each action in an interpreted procedural-consent encounter to the team member with primary responsibility.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=395495&lang=en  
> language: en  
> subject: Informed Consent  
> category: MOC

## Question

Drag each action in an interpreted procedural-consent encounter to the team member with primary responsibility.

**1.** Explain the procedure's material risks, expected benefits, and reasonable alternatives

Select a category
RN
Procedural clinician
Qualified medical interpreter

**2.** Answer the client's new question about a procedure-specific complication

Select a category
RN
Procedural clinician
Qualified medical interpreter

**3.** Verify that the client is signing voluntarily after the explanation and witness the signature if policy permits

Select a category
RN
Procedural clinician
Qualified medical interpreter

**4.** Pause the process and notify the clinician when the client appears sedated or asks unanswered clinical questions

Select a category
RN
Procedural clinician
Qualified medical interpreter

**5.** Interpret the full risk-benefit discussion accurately and impartially in the client's preferred language

Select a category
RN
Procedural clinician
Qualified medical interpreter

**6.** Preserve tone and meaning without adding advice, omitting details, or answering for the client

Select a category
RN
Procedural clinician
Qualified medical interpreter

## Explanation

The procedural clinician explains the procedure, material risks, benefits, alternatives, and answers procedure-specific questions. The RN verifies voluntariness and completion, witnesses the signature if policy permits, and stops the process when questions, coercion, sedation, or capacity concerns arise. The qualified interpreter accurately and impartially conveys the full exchange without replacing the clinician's explanation.

## In-depth explanation

Quick answer
Clinician explains; RN verifies and protects the process; qualified interpreter conveys accurately.

Why this is correct
A signature alone is not informed consent. The client needs understandable information, voluntariness, capacity, and an opportunity to ask questions. Language assistance protects rather than transfers the client's decision-making authority.

NCLEX decision rule
If the client asks a new procedure-specific question or appears coerced, confused, or impaired, pause and notify the procedural clinician. Never ask the interpreter to independently explain clinical risks or decide what can be omitted.References
1HHS Section 1557 language-access guidance
2NCSBN 2026 NCLEX-RN Test PlanInformed consent and client rights

## Clinical scenario

Procedural consent with language assistance
An adult with decision-making capacity prefers Spanish. The facility uses a qualified medical interpreter. The procedural clinician, RN, and interpreter each retain a distinct role; facility policy governs signature witnessing.

## Key concepts

- **Informed Consent** — A voluntary decision made by a person with capacity after understandable disclosure of relevant risks, benefits, and alternatives.
- **Decision-Making Capacity** — The ability to understand relevant information, appreciate consequences, reason about options, and communicate a choice.
- **Voluntariness** — A consent condition in which the person's choice is made without coercion or improper pressure.

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