A nurse is present when a patient, clearly experiencing cognitive impairment, signs a consent form for a major surgical procedure. The nurse observes that the patient appears confused and is simply nodding along without fully grasping the explanation. What is the nurse’s ethical duty in this moment?

  • Allow the signing to proceed, assuming the physician has assessed capacity.
  • Obtain a second signature from a family member.
  • Stop the signing process and inform the physician that the patient's capacity for informed consent appears compromised.
  • Document that the patient signed the form.
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