Question 1

The nurse educator is presenting a lecture regarding advocacy in nursing.Which interventions will the nurse include as they exemplify client advocacy? Select all that apply.&#10;A) Educating clients and their families about their legal rights&#10;B) Ensuring that clients have the necessary information to make an informed decision or give informed consent&#10;C) Speaking out for safe practice conditions when threatened by budget cutbacks&#10;D) Supporting medical authority&#10;E) Questioning other healthcare professionals when they provide care that is based on stereotypic ideas rather than on an assessment of the individual client's needs

Accepted Answer

A) Clients must understand their rights in order to be able to defend them. As an advocate, the nurse provides clients with the information they need to make informed decisions and supports the clients' rights to make their own healthcare decisions. A nurse should understand that advocacy may require political action. Conflicts may arise over issues that require consultation, confrontation, or negotiation between the nurse and administrative personnel or between the nurse and primary care providers. Nursing advocates should respect the diversity of all clients and promote equal care for all clients.
B) Clients must understand their rights in order to be able to defend them. As an advocate, the nurse provides clients with the information they need to make informed decisions and supports the clients' rights to make their own healthcare decisions. A nurse should understand that advocacy may require political action. Conflicts may arise over issues that require consultation, confrontation, or negotiation between the nurse and administrative personnel or between the nurse and primary care providers. Nursing advocates should respect the diversity of all clients and promote equal care for all clients.
C) Clients must understand their rights in order to be able to defend them. As an advocate, the nurse provides clients with the information they need to make informed decisions and supports the clients' rights to make their own healthcare decisions. A nurse should understand that advocacy may require political action. Conflicts may arise over issues that require consultation, confrontation, or negotiation between the nurse and administrative personnel or between the nurse and primary care providers. Nursing advocates should respect the diversity of all clients and promote equal care for all clients.
D) Clients must understand their rights in order to be able to defend them. As an advocate, the nurse provides clients with the information they need to make informed decisions and supports the clients' rights to make their own healthcare decisions. A nurse should understand that advocacy may require political action. Conflicts may arise over issues that require consultation, confrontation, or negotiation between the nurse and administrative personnel or between the nurse and primary care providers. Nursing advocates should respect the diversity of all clients and promote equal care for all clients.
E) Clients must understand their rights in order to be able to defend them. As an advocate, the nurse provides clients with the information they need to make informed decisions and supports the clients' rights to make their own healthcare decisions. A nurse should understand that advocacy may require political action. Conflicts may arise over issues that require consultation, confrontation, or negotiation between the nurse and administrative personnel or between the nurse and primary care providers. Nursing advocates should respect the diversity of all clients and promote equal care for all clients.

Question 2

The home health nurse is assigned to care for a client who requires wound care.The nurse is assessing the family's ability to change a wound dressing that the client cannot reach.The nurse asks the family to change the dressing during the visit.After the family demonstrates the dressing change,which response by the nurse is appropriate?

A) "Great job! Let me show you a technique that can make the dressing change more effective."
B) "This wound will never heal if you change the dressing that way."
C) "I'll come and do it every day so that the wound will heal more quickly."
D) "You are not doing it right. I will just have to come every day until you learn how."

"Great job! Let me show you a technique that can make the dressing change more effective."

Accepted Answer

A) To facilitate the client and family member learning this skill, the nurse evaluates their efforts and gently helps them make some changes. This empowers the family and increases the chances of healing. Saying that the family is doing it wrong is demoralizing. Sarcasm only lowers the self-esteem of the family member. Offering to do it every day sends the message that the nurse does not trust the family's ability to learn the proper procedure.
B) To facilitate the client and family member learning this skill, the nurse evaluates their efforts and gently helps them make some changes. This empowers the family and increases the chances of healing. Saying that the family is doing it wrong is demoralizing. Sarcasm only lowers the self-esteem of the family member. Offering to do it every day sends the message that the nurse does not trust the family's ability to learn the proper procedure.
C) To facilitate the client and family member learning this skill, the nurse evaluates their efforts and gently helps them make some changes. This empowers the family and increases the chances of healing. Saying that the family is doing it wrong is demoralizing. Sarcasm only lowers the self-esteem of the family member. Offering to do it every day sends the message that the nurse does not trust the family's ability to learn the proper procedure.
D) To facilitate the client and family member learning this skill, the nurse evaluates their efforts and gently helps them make some changes. This empowers the family and increases the chances of healing. Saying that the family is doing it wrong is demoralizing. Sarcasm only lowers the self-esteem of the family member. Offering to do it every day sends the message that the nurse does not trust the family's ability to learn the proper procedure.

Question 3

The nurse is caring for a terminally ill pediatric client.The parents have decided to remove their child from life support.This decision was met with much opposition from other nurses on the unit.Which action by the nurse displays the role of client advocate?

A) Respecting the parents' decision
B) Telling the parents they are making the right decision
C) Asking to be assigned to a different client
D) Referring the parents to social services

Accepted Answer

A) The nurse best advocates for the family by supporting the family's right to make this decision. Telling the clients they are making the right decision is inappropriate and does not support advocacy. Referring the parents to another entity points to feelings of unease about the parents' choice. Asking to be assigned to another client does not honor the right of clients and families to make decisions about health care.
B) The nurse best advocates for the family by supporting the family's right to make this decision. Tell the clients they are making the right decision is inappropriate and does not support advocacy. Referring the parents to another entity points to feelings of unease about the parents' choice. Asking to be assigned to another client does not honor the right of clients and families to make decisions about health care.
C) The nurse best advocates for the family by supporting the family's right to make this decision. Tell the clients they are making the right decision is inappropriate and does not support advocacy. Referring the parents to another entity points to feelings of unease about the parents' choice. Asking to be assigned to another client does not honor the right of clients and families to make decisions about health care.
D) The nurse best advocates for the family by supporting the family's right to make this decision. Tell the clients they are making the right decision is inappropriate and does not support advocacy. Referring the parents to another entity points to feelings of unease about the parents' choice. Asking to be assigned to another client does not honor the right of clients and families to make decisions about health care.

Question 4

The nurse client advocate wants to teach staff nurses how to implement client advocacy in daily practice.Which value,which is basic to client advocacy,should the nurse advocate use to begin the teaching session with the staff nurses?

A) The client is a holistic, autonomous being who has the right to make choices and decisions.
B) The nurse has the responsibility to ensure the client's spirituality is respected.
C) The client has the right to refuse care.
D) The client is a dependent being who has the right to expect the nurse to solve all healthcare needs.

Accepted Answer

A) Clients deserve advocates who can help them navigate healthcare bureaucracy and help them access required and needed resources. Values basic to client advocacy include: the client is a holistic, autonomous being who has the right to make choices and decisions; the client has the right to expect a nurse-client relationship that is based on shared respect, trust, collaboration in solving problems related to health and healthcare needs, and consideration of his or her thoughts and feelings; and the nurse has the responsibility to ensure the client has access to healthcare services that meet health needs.
B) Clients deserve advocates who can help them navigate healthcare bureaucracy and help them access required and needed resources. Values basic to client advocacy include: the client is a holistic, autonomous being who has the right to make choices and decisions; the client has the right to expect a nurse-client relationship that is based on shared respect, trust, collaboration in solving problems related to health and healthcare needs, and consideration of his or her thoughts and feelings; and the nurse has the responsibility to ensure the client has access to healthcare services that meet health needs.
C) Clients deserve advocates who can help them navigate healthcare bureaucracy and help them access required and needed resources. Values basic to client advocacy include: the client is a holistic, autonomous being who has the right to make choices and decisions; the client has the right to expect a nurse-client relationship that is based on shared respect, trust, collaboration in solving problems related to health and healthcare needs, and consideration of his or her thoughts and feelings; and the nurse has the responsibility to ensure the client has access to healthcare services that meet health needs.
D) Clients deserve advocates who can help them navigate healthcare bureaucracy and help them access required and needed resources. Values basic to client advocacy include: the client is a holistic, autonomous being who has the right to make choices and decisions; the client has the right to expect a nurse-client relationship that is based on shared respect, trust, collaboration in solving problems related to health and healthcare needs, and consideration of his or her thoughts and feelings; and the nurse has the responsibility to ensure the client has access to healthcare services that meet health needs.

Question 5

The nurse has been working in a long-term care facility for 1 week.The nurse notes that during the evening meal,an unlicensed assistive personnel (UAP)takes a tray to a client who is unable to cut up and eat the food independently.After the nurse assists the client with eating the meal,which action is appropriate to advocate for this client?

A) Report the UAP for neglect.
B) Notify the healthcare provider.
C) Call the client's family to have them assist with evening meals.
D) Discuss the situation with the director of nursing.

Accepted Answer

A) The nurse would advocate getting the client's plan changed because the goal is to have someone available to help the client eat for every meal. Notifying the doctor will not help the client. The family might be able to help at times but cannot be expected to come for every meal. The nurse assesses that this happens at every meal and seeks to change how this client is cared for, not just changing one healthcare worker. The UAP is not neglecting the client. The UAP is assigned tasks by the nurse in charge of the client.
B) The nurse would advocate getting the client's plan changed because the goal is to have someone available to help the client eat for every meal. Notifying the doctor will not help the client. The family might be able to help at times but cannot be expected to come for every meal. The nurse assesses that this happens at every meal and seeks to change how this client is cared for, not just changing one healthcare worker. The UAP is not neglecting the client. The UAP is assigned tasks by the nurse in charge of the client.
C) The nurse would advocate getting the client's plan changed because the goal is to have someone available to help the client eat for every meal. Notifying the doctor will not help the client. The family might be able to help at times but cannot be expected to come for every meal. The nurse assesses that this happens at every meal and seeks to change how this client is cared for, not just changing one healthcare worker. The UAP is not neglecting the client. The UAP is assigned tasks by the nurse in charge of the client.
D) The nurse would advocate getting the client's plan changed because the goal is to have someone available to help the client eat for every meal. Notifying the doctor will not help the client. The family might be able to help at times but cannot be expected to come for every meal. The nurse assesses that this happens at every meal and seeks to change how this client is cared for, not just changing one healthcare worker. The UAP is not neglecting the client. The UAP is assigned tasks by the nurse in charge of the client.

Question 6

An older adult client with metastasized breast cancer informs the nurse that her doctor is insisting that she participate in a course of chemotherapy,even though the client does not want to have any further treatment.Which actions by the nurse exemplify advocacy for this client? Select all that apply.

A) Tell the client that it is in her best interest to follow the doctor's advice.
B) Inform the doctor about the client's clear wishes not to have further chemotherapy.
C) Ascertain whether or not the client has an advanced care directive and, if not, assist her in creating one.
D) Discuss the implications of various choices with the client.
E) Avoid interfering in the doctor-patient relationship.

Accepted Answer

A) Nurses acting as advocates should honor the moral principles and standards and respect clients' right to make their own choices. The nurse should continuously advocate for the client in a professional manner. The nurse serves as both a teacher and an advocate by informing clients about their rights. When the client makes decisions about his or her treatment other than what is recommended, it is the nurse's role to ensure that the client is making an informed decision and, if so, to advocate for the client's right to make autonomous choices.
B) Nurses acting as advocates should honor the moral principles and standards and respect clients' right to make their own choices. The nurse should continuously advocate for the client in a professional manner. The nurse serves as both a teacher and an advocate by informing clients about their rights. When the client makes decisions about his or her treatment other than what is recommended, it is the nurse's role to ensure that the client is making an informed decision and, if so, to advocate for the client's right to make autonomous choices.
C) Nurses acting as advocates should honor the moral principles and standards and respect clients' right to make their own choices. The nurse should continuously advocate for the client in a professional manner. The nurse serves as both a teacher and an advocate by informing clients about their rights. When the client makes decisions about his or her treatment other than what is recommended, it is the nurse's role to ensure that the client is making an informed decision and, if so, to advocate for the client's right to make autonomous choices.
D) Nurses acting as advocates should honor the moral principles and standards and respect clients' right to make their own choices. The nurse should continuously advocate for the client in a professional manner. The nurse serves as both a teacher and an advocate by informing clients about their rights. When the client makes decisions about his or her treatment other than what is recommended, it is the nurse's role to ensure that the client is making an informed decision and, if so, to advocate for the client's right to make autonomous choices.
E) Nurses acting as advocates should honor the moral principles and standards and respect clients' right to make their own choices. The nurse should continuously advocate for the client in a professional manner. The nurse serves as both a teacher and an advocate by informing clients about their rights. When the client makes decisions about his or her treatment other than what is recommended, it is the nurse's role to ensure that the client is making an informed decision and, if so, to advocate for the client's right to make autonomous choices.

Question 7

A nurse is volunteering at a local free clinic.By providing client care to an inadequately insured population,the nurse is demonstrating which value of client advocacy?&#10;A) The client has the right to make choices and decisions.&#10;B) The nurse has the responsibility to ensure the client has access to healthcare services.&#10;C) The client has the right to expect a nurse-client relationship based on shared respect.&#10;D) The nurse has the responsibility to make choices and decisions.

Accepted Answer

A) The nurse has the responsibility to ensure the client has access to healthcare services that meet health needs. Although the client does have the right to make choices and decisions, the nurse volunteering at a free clinic to provide health care to the underinsured does not demonstrate this value. Although the client does have the right to expect a nurse-client relationship based on shared respect, the nurse volunteering at a free clinic to provide health care to the underinsured does not demonstrate this value. The nurse's responsibility to make choices and decisions is not one of the values basic to client advocacy.
B) The nurse has the responsibility to ensure the client has access to healthcare services that meet health needs. Although the client does have the right to make choices and decisions, the nurse volunteering at a free clinic to provide health care to the underinsured does not demonstrate this value. Although the client does have the right to expect a nurse-client relationship based on shared respect, the nurse volunteering at a free clinic to provide health care to the underinsured does not demonstrate this value. The nurse's responsibility to make choices and decisions is not one of the values basic to client advocacy.
C) The nurse has the responsibility to ensure the client has access to healthcare services that meet health needs. Although the client does have the right to make choices and decisions, the nurse volunteering at a free clinic to provide health care to the underinsured does not demonstrate this value. Although the client does have the right to expect a nurse-client relationship based on shared respect, the nurse volunteering at a free clinic to provide health care to the underinsured does not demonstrate this value. The nurse's responsibility to make choices and decisions is not one of the values basic to client advocacy.
D) The nurse has the responsibility to ensure the client has access to healthcare services that meet health needs. Although the client does have the right to make choices and decisions, the nurse volunteering at a free clinic to provide health care to the underinsured does not demonstrate this value. Although the client does have the right to expect a nurse-client relationship based on shared respect, the nurse volunteering at a free clinic to provide health care to the underinsured does not demonstrate this value. The nurse's responsibility to make choices and decisions is not one of the values basic to client advocacy.

Question 8

The nurse is working in a low-income neighborhood as a home health nurse.During one of the home care visits,the nurse notes that the children's playground has broken equipment,which the children continue to play on.The nurse has already contacted the owner of the playground about the issue.What action might the nurse take as a public advocate?

A) Write an article to the local newspaper to gain public attention.
B) No action is required; this is a civil problem beyond the realm of the nurse.
C) Call the police to report the owner's neglect.
D) Tell the parents they should not pay their rent until the playground is fixed.

Accepted Answer

A) Prevention of injury to client is very much a part of nursing. The nurse should initially contact the owner. Because this was ineffective it is appropriate for the nurse to write an article or talk to an individual on the town council. The police are a protection against crime and are not likely to do anything about the situation. Telling the parents not to pay their rent until the playground is fixed is not appropriate. Civil problem or not, the nurse has an obligation to protect the neighborhood children from injury and should act on it.
B) Prevention of injury to client is very much a part of nursing. The nurse should initially contact the owner. Because this was ineffective it is appropriate for the nurse to write an article or talk to an individual on the town council. The police are a protection against crime and are not likely to do anything about the situation. Telling the parents not to pay their rent until the playground is fixed is not appropriate. Civil problem or not, the nurse has an obligation to protect the neighborhood children from injury and should act on it.
C) Prevention of injury to client is very much a part of nursing. The nurse should initially contact the owner. Because this was ineffective it is appropriate for the nurse to write an article or talk to an individual on the town council. The police are a protection against crime and are not likely to do anything about the situation. Telling the parents not to pay their rent until the playground is fixed is not appropriate. Civil problem or not, the nurse has an obligation to protect the neighborhood children from injury and should act on it.
D) Prevention of injury to client is very much a part of nursing. The nurse should initially contact the owner. Because this was ineffective it is appropriate for the nurse to write an article or talk to an individual on the town council. The police are a protection against crime and are not likely to do anything about the situation. Telling the parents not to pay their rent until the playground is fixed is not appropriate. Civil problem or not, the nurse has an obligation to protect the neighborhood children from injury and should act on it.

Question 9

A charge nurse notices that a staff nurse assigned for the evening shift has come to work with a black eye.Which action by the charge nurse is appropriate in this situation?&#10;A) Notify security to approach the nurse about the situation.&#10;B) Discuss the situation with the nurse in a private setting.&#10;C) Ask the other staff members if abuse is involved.&#10;D) Ignore the situation until the nurse shows a willingness to talk.

Accepted Answer

A) The charge nurse should discuss the situation with the nurse in private and offer options of help. The charge nurse should not ignore the situation and should advocate for the nurse. Security cannot address situations that do not occur on hospital grounds. It would be a breach of confidentiality to talk to the rest of the staff.
B) The charge nurse should discuss the situation with the nurse in private and offer options of help. The charge nurse should not ignore the situation and should advocate for the nurse. Security cannot address situations that do not occur on hospital grounds. It would be a breach of confidentiality to talk to the rest of the staff.
C) The charge nurse should discuss the situation with the nurse in private and offer options of help. The charge nurse should not ignore the situation and should advocate for the nurse. Security cannot address situations that do not occur on hospital grounds. It would be a breach of confidentiality to talk to the rest of the staff.
D) The charge nurse should discuss the situation with the nurse in private and offer options of help. The charge nurse should not ignore the situation and should advocate for the nurse. Security cannot address situations that do not occur on hospital grounds. It would be a breach of confidentiality to talk to the rest of the staff.

Question 10

An operating room (OR)nurse notices that the nurse-anesthesiologist for the next scheduled surgery seems to be unsteady.When the OR nurses comes closer to the anesthesiologist,a strong odor of alcohol is noted.Which actions by the OR nurse are appropriate? Select all that apply.

A) Assume that the surgeon is handling any problem.
B) Immediately report it to a supervisor.
C) Respect the privacy of the anesthesiologist.
D) Decide that a professional coworker is unlikely to come to the OR impaired.
E) Follow the state board guidelines.

Accepted Answer

A) A nurse who suspects a colleague of engaging in illegal, immoral, or unethical conduct and fails to act is in direct violation of the ANA Code of Ethics for Nurses. Nurses have a legal responsibility to report any professional whom they suspect of engaging in illegal, immoral, or unethical activities. Although an impaired healthcare provider may view this intervention as an invasion of privacy, such prompt action will safeguard the client from harm, while at the same time offer the impaired healthcare provider a chance at recovery. Impairment of a coworker or team member is the most common situation encountered by healthcare professionals. Nurses should follow guidelines set forth by the board of nursing for the state in which they work.
B) A nurse who suspects a colleague of engaging in illegal, immoral, or unethical conduct and fails to act is in direct violation of the ANA Code of Ethics for Nurses. Nurses have a legal responsibility to report any professional whom they suspect of engaging in illegal, immoral, or unethical activities. Although an impaired healthcare provider may view this intervention as an invasion of privacy, such prompt action will safeguard the client from harm, while at the same time offer the impaired healthcare provider a chance at recovery. Impairment of a coworker or team member is the most common situation encountered by healthcare professionals. Nurses should follow guidelines set forth by the board of nursing for the state in which they work.
C) A nurse who suspects a colleague of engaging in illegal, immoral, or unethical conduct and fails to act is in direct violation of the ANA Code of Ethics for Nurses. Nurses have a legal responsibility to report any professional whom they suspect of engaging in illegal, immoral, or unethical activities. Although an impaired healthcare provider may view this intervention as an invasion of privacy, such prompt action will safeguard the client from harm, while at the same time offer the impaired healthcare provider a chance at recovery. Impairment of a coworker or team member is the most common situation encountered by healthcare professionals. Nurses should follow guidelines set forth by the board of nursing for the state in which they work.
D) A nurse who suspects a colleague of engaging in illegal, immoral, or unethical conduct and fails to act is in direct violation of the ANA Code of Ethics for Nurses. Nurses have a legal responsibility to report any professional whom they suspect of engaging in illegal, immoral, or unethical activities. Although an impaired healthcare provider may view this intervention as an invasion of privacy, such prompt action will safeguard the client from harm, while at the same time offer the impaired healthcare provider a chance at recovery. Impairment of a coworker or team member is the most common situation encountered by healthcare professionals. Nurses should follow guidelines set forth by the board of nursing for the state in which they work.
E) A nurse who suspects a colleague of engaging in illegal, immoral, or unethical conduct and fails to act is in direct violation of the ANA Code of Ethics for Nurses. Nurses have a legal responsibility to report any professional whom they suspect of engaging in illegal, immoral, or unethical activities. Although an impaired healthcare provider may view this intervention as an invasion of privacy, such prompt action will safeguard the client from harm, while at the same time offer the impaired healthcare provider a chance at recovery. Impairment of a coworker or team member is the most common situation encountered by healthcare professionals. Nurses should follow guidelines set forth by the board of nursing for the state in which they work.

Question 11

The nurse taking care of a Vietnamese client knows to respect the client's cultural views and honor traditions regarding healthcare decision making.In order to be an effective advocate,which factors are important to the nurse? Select all that apply.

A) Being assertive and recognizing the rights and values of clients and families
B) Being aware that conflicts may arise
C) Understanding that advocacy may require political action
D) Evaluating advocacy decisions
E) Honoring societal differences

Accepted Answer

The answer of The nurse taking care of a Vietnamese...

Question 12

The nurse is caring for a group of clients on a psychiatric unit.One client has become highly agitated and is threatening other clients and some of the staff.The nurse escorts the client to the isolation room,leaving the door open.Which statement by the nurse is most appropriate?

A) "I can't believe you behaved in this manner and upset everyone else."
B) "I'm going to stay here with you in case you want to talk about what happened."
C) "If you do not calm down, I will sedate you for your own safety."
D) "You scared the other clients."

Accepted Answer

The answer of The nurse is caring for a group...

Question 13

The home health nurse is providing palliative care to a client.When sorting the client's narcotic pain medications for the week,the nurse notes that there is two weeks' worth of medication missing from the client's current prescription.The client says that the only individuals with access to the medication include the client and one other home healthcare nurse.The nurse suspects that the other home healthcare nurse took the missing mediation.Which action by the nurse is appropriate?

A) Call the state board of nursing.
B) Tell the client to confront the other nurse.
C) Call the authorities immediately.
D) Have the client file a police report.

Accepted Answer

The answer of The home health nurse is providing palliative...

Question 14

A school nurse,who is concerned about an increase in sports injuries related to ineffective protective equipment,decides to participate in a child fatality prevention committee.Which advocacy activities is this nurse demonstrating? Select all that apply.

A) Advocating for vulnerable populations
B) Advocating for fair and equitable access to high-quality care for all clients
C) Ensuring that clients have the necessary information to make an informed decision or give informed consent
D) Informing the public about issues and concerns
E) Speaking publicly for the health, welfare, and safety of their clients

Accepted Answer

The answer of A school nurse,who is concerned about an...

Deck 43: Advocacy