A new graduate nurse asks their manager for guidance on how to respond to a patient who refuses to sign a surgical consent form. The patient says that she won’t sign because she wishes to explore other options. Which of the following responses made by the manager are most appropriate? (Select all that apply)

“The patient must consent because the procedure is necessary for survival.”

“Consent should not be forced.”

“If the surgery is life-saving, we can proceed regardless of what the patient says.”

“Sometimes patients refuse because they are anxious. Give them a sedative, then ask again.”

“The patient has every right to refuse.”