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How should an illiterate adult patient sign the surgical informed consent?

  1. By verbal consent

  2. By marking with an "X" and having a witness verify

  3. By having a guardian sign

  4. By using a signature stamp

The correct answer is: By marking with an "X" and having a witness verify

An illiterate adult patient can effectively sign the surgical informed consent by marking with an "X" and having a witness verify this action. This method is recognized as an acceptable way for individuals who cannot write to provide consent. The process ensures that the patient's intent to agree to the surgery is documented properly, while the witness serves to validate the patient's decision and confirm that the consent was freely given. This approach adheres to legal guidelines regarding informed consent, ensuring both the patient's rights and the healthcare provider's obligations are met. Using verbal consent does not provide a tangible record of consent and may lead to misunderstandings or disputes later. Having a guardian sign may be appropriate in cases where the patient is unable to give consent due to incapacity; however, if the patient is an adult and mentally competent to understand the procedure, their direct consent is still needed. A signature stamp may not be universally accepted in all jurisdictions, and it may raise questions about the authenticity of consent if not verified properly. Thus, marking with an "X" and having a witness ensures clarity and compliance with legal requirements in the context of informed consent.