A client scheduled for a tubal ligation procedure starts to cry as she is wheeled into the surgical suite. Which of the following nursing statements is an appropriate nursing response?

A. While yearly budget planning is important, being rigid can be counterproductive. The healthcare environment is dynamic, and a rigid budget does not allow for flexibility to adjust to changing circumstances, unexpected needs, or variations in client acuity.
B. Budget planning that is confined to senior leadership may lack input from frontline staff who are directly involved in day-to-day operations and understand the actual needs and resource usage.
C. Proper documentation of client services is crucial for cost containment. Accurate documentation ensures that all services provided are recorded and billed appropriately, which helps prevent errors and overbilling. It also supports accurate tracking of resource use and client care, which can identify areas where costs can be reduced or managed more effectively.
D. Increasing the unit budget above expected needs does not demonstrate cost containment; rather, it can lead to inefficiencies and unnecessary spending. Effective cost containment focuses on managing and optimizing existing resources rather than increasing the budget without a justified need.

A. Documenting a client's refusal to take prescribed medication is an important aspect of client advocacy. It respects the client’s right to refuse treatment and ensures that their decision is clearly recorded in their medical record.
B. Obtaining an interpreter for a client who speaks a different language is a key example of client advocacy. It ensures that the client can understand and participate in their own care, which is essential for informed consent and effective communication.
C. Providing written information about palliative care supports client advocacy by ensuring that the client is informed about their care options. This helps the client make informed decisions about their care, which is a crucial aspect of advocacy.
D. Implementing a plan of care based on nursing goals is part of routine nursing practice but does not directly reflect client advocacy unless those goals are specifically aligned with the client's preferences and needs.
E. Initiating IV access on a client who has dementia while they are sleeping does not exemplify client advocacy. Informed consent and respect for the client’s comfort and awareness are crucial, especially for clients with cognitive impairments.