A charge nurse is providing an in-service about clients' rights to a group of staff nurses. Which of the following responses by a staff nurse indicates an understanding of the teaching?
"A client may change their mind about having a procedure."
"A client who is admitted requires completion of a living will."
"A client who is confused can refuse a physical restraint."
"A client must provide informed consent before any emergency procedure."
The Correct Answer is A
A. Clients have the right to withdraw consent and refuse treatment at any time, even after initially agreeing to a procedure. This reflects an understanding of autonomy and informed decision-making.
B. Clients are not required to complete a living will upon admission. They should be offered the opportunity to do so, but it is voluntary.
C. A confused client’s ability to refuse restraints depends on their mental capacity. If the client lacks decision-making capacity and poses a safety risk, restraints may be used as a last resort with appropriate justification and documentation.
D. In emergency situations where delaying treatment would pose a threat to life or safety, informed consent is not required—treatment may proceed under implied consent.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Closing the door to the client’s room helps contain the fire and prevent the spread of smoke and flames; however, this occurs after activating the alarm.
B. Using a fire extinguisher is appropriate only after the alarm has been activated and the fire is small and manageable; it is not the next immediate action.
C. Ensuring all windows are closed is not part of the priority sequence in fire response and is not required at this stage.
D. Pulling the fire alarm is the next priority action after rescuing the client, as it alerts others and initiates the facility’s emergency response system according to the RACE protocol (Rescue, Alarm, Contain, Extinguish).
Correct Answer is C
Explanation
A.Staffing ratio audits evaluate staffing levels but do not directly measure client outcomes.
B.Completion of care plans reflects process adherence, not client outcomes.
C.Surgical site infection rates are a direct indicator of client outcomes and quality of care.
D.Documentation audits assess compliance with guidelines but do not measure outcome improvements directly.
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