A charge nurse is conducting an in-service on advocacy for a group of newly licensed nurses. Which of the following examples should the charge nurse include in the teaching as a demonstration of client advocacy? (Select all that apply.)
A nurse refuses to administer dialysis to a client who has a terminal diagnosis.
A nurse reports a procedure was completed incorrectly by another nurse to the charge nurse.
A nurse refuses to use a multi-dose vial of medication for the same client.
A nurse arranges for an interpreter for a client who speaks a different language.
A nurse administers medication in applesauce after a client refuses the medication.
Correct Answer : B,C,D
Rationale:
A. This option is incorrect because refusing to administer dialysis based solely on a client’s terminal diagnosis is not advocacy; it could constitute abandonment or negligence unless it aligns with the client’s advance directives or expressed wishes. Advocacy requires supporting the client’s rights and choices, not withholding necessary care without justification.
B. This option is correct because reporting a procedure that was completed incorrectly by another nurse demonstrates advocacy for client safety. The nurse is taking action to protect the client from potential harm and ensuring that proper standards of care are upheld.
C. This option is correct because refusing to use a multi-dose vial of medication for the same client helps prevent cross-contamination and infection. The nurse is advocating for the client’s safety and well-being by following safe medication administration practices.
D. This option is correct because arranging for an interpreter ensures that the client can understand their care, make informed decisions, and provide consent. Supporting the client’s right to effective communication is a key aspect of advocacy.
E. This option is incorrect because administering medication in a way the client refuses (e.g., hiding it in applesauce) violates the client’s autonomy and informed consent. Advocacy involves respecting client preferences and rights, not overriding them.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. This option is correct because the nurse’s first and highest priority is to ensure the client’s safety and assess for actual or potential injury. When a client reports a fall and pain, the nurse must immediately perform a focused assessment, checking for pain, swelling, deformity, range of motion, bleeding, or signs of head or spinal injury. This assessment guides all further actions and helps prevent worsening of a possible injury.
B. This option is incorrect because notifying the risk management department is an administrative and follow-up responsibility. While it is important for documentation and quality improvement, it should only be done after the client has been assessed, stabilized, and appropriate care has been initiated.
C. This option is incorrect because moving the client back to bed without first assessing for injuries could exacerbate a fracture, dislocation, or spinal injury. The nurse must determine whether it is safe to move the client and whether additional help or equipment is required before repositioning.
D. This option is incorrect because addressing the environmental hazard, such as drying the floor and posting warning signs, helps prevent future incidents but does not address the immediate needs of the injured client. Client assessment and safety take priority over environmental and preventive measures.
Correct Answer is A
Explanation
Rationale:
A. This option is correct because democratic leadership encourages staff participation in decision-making, collaboration, and shared responsibility. By involving personnel in discussions about unit practices and quality improvement, the nurse manager fosters motivation, accountability, and a sense of ownership, which can lead to improved client care outcomes.
B. This option is incorrect because transactional leadership focuses on rewards and punishments to achieve compliance. While it can maintain order, it may not inspire staff motivation or engagement in continuous quality improvement initiatives.
C. This option is incorrect because laissez-faire leadership provides minimal guidance or direction. Staff may feel unsupported or unclear about expectations, which can negatively affect client care and unit performance.
D. This option is incorrect because authoritarian leadership involves strict control and decision-making by the manager with little input from staff. While it may ensure compliance in urgent situations, it generally decreases staff motivation, creativity, and engagement, which can hinder efforts to improve quality of care.
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