A client's health insurance has just expired though the client is still in the recovery stages of a serious exacerbation of chronic obstructive pulmonary disease. Backdating the paperwork by only 2 days will spare the client the out-of-pocket expense of home oxygen therapy. Which action by the nurse best exemplifies veracity?

Backdating the paperwork because it will clearly maximize the client's well-being at a nominal cost to the insurer.

Refusing to backdate the paperwork because to do so would be considered untruthful.

Refusing to backdate the paperwork because to do so would be an unjust act toward the insurance company.

Backdating the paperwork to ensure that the client does not sustain harm from having to go without oxygen therapy.

Answer and Explanation

The Correct Answer is B

A. Backdating the paperwork because it will clearly maximize the client's well-being at a nominal cost to the insurer: This option prioritizes the client's well-being and demonstrates veracity by ensuring that the client receives necessary care. However, backdating the paperwork may still be considered unethical or fraudulent.

B. Refusing to backdate the paperwork because to do so would be considered untruthful: This option aligns with veracity by adhering to truthfulness and honesty. It acknowledges the ethical implications of backdating paperwork, even if it could benefit the client.

C. Refusing to backdate the paperwork because to do so would be an unjust act toward the insurance company: While refusing to backdate the paperwork may uphold honesty, it places the interests of the insurance company above those of the client, which may not align with ethical nursing practice.

D. Backdating the paperwork to ensure that the client does not sustain harm from having to go without oxygen therapy: This option prioritizes the client's well-being and demonstrates veracity by ensuring the client receives necessary care. However, it still involves an unethical action of backdating paperwork, which may have legal and professional consequences.

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Correct Answer is ["A","C","D"]

Explanation

A. Offer the client options in the health care provided to him or her: This intervention recognizes the client's autonomy and empowers them to make choices about their healthcare. By offering options, the nurse respects the client's preferences and allows them to participate in decision-making, which can enhance their sense of control and satisfaction with their care.

B. Defer to the client in all matters of health care: While it's important to respect the client's autonomy and involve them in decision-making, deferring to the client in all matters of healthcare may not always be appropriate. Healthcare decisions should be made collaboratively, considering the client's preferences along with the healthcare provider's expertise and evidence-based practice.

C. Ask open-ended questions to determine health knowledge: Open-ended questions encourage the client to express their thoughts, concerns, and preferences freely. By asking open-ended questions, the nurse can gain insight into the client's level of health literacy, understanding of their condition, and preferences for care. This information can inform the development of a tailored care plan that meets the client's individual needs.

D. Encourage the client to join the resident council: Joining the resident council allows the client to actively participate in decision-making processes within the long-term care facility. It provides them with a platform to voice their opinions, advocate for their needs, and contribute to the improvement of facility policies and practices. This involvement can enhance the client's sense of empowerment, social connectedness, and overall satisfaction with their living environment.

E. Inform the client that the healthcare provider has the final say in care: While healthcare providers play a crucial role in guiding and implementing healthcare decisions, it's essential to emphasize shared decision-making and collaborative care. Informing the client that the healthcare provider has the final say may undermine their autonomy and discourage active participation in decision-making. Instead, the focus should be on fostering a partnership between the client and healthcare team, where decisions are made collaboratively based on mutual respect, trust, and shared goals.

A. "It is normal to expect a gradual loss of memory and intelligence with age." B. "Older adults' motor skills get progressively slower as they age." C. "A lot of the physical changes that accompany aging are inevitable D. "Older people seem to have many more chronic health problems than younger people."

Correct Answer is A

Explanation

A. "It is normal to expect a gradual loss of memory and intelligence with age." - This statement reflects a negative stereotype about older adults, suggesting that memory decline and decreased intelligence are typical aspects of aging. While some cognitive changes may occur with age, such as slower processing speed, memory decline is not an inevitable part of aging for all older adults. The nurse manager should intervene to address and correct this misconception.

B. "Older adults' motor skills get progressively slower as they age." - This statement acknowledges a common physiological change associated with aging. While motor skills may decline to some extent with age, it is not necessarily negative or inaccurate to recognize this change. However, it is essential to ensure that such statements are not presented in a demeaning or stigmatizing manner.

C. "A lot of the physical changes that accompany aging are inevitable." - This statement acknowledges the reality of physical changes that occur with aging, which is generally accurate. However, it is essential to emphasize that while some changes may be common, they are not necessarily inevitable for all older adults. Intervening to provide a balanced perspective and address any misconceptions would still be beneficial.

D. "Older people seem to have many more chronic health problems than younger people." - This statement reflects a factual observation about the prevalence of chronic health conditions in older adults compared to younger age groups. While it may seem negative, it is generally accurate and does not necessarily require intervention from the nurse manager unless it is presented in a stigmatizing or discriminatory manner.

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","C","D"]

Explanation

A nurse manager at a long-term care facility is engaged in efforts to change many staff members' inaccurate and negative views of older adults. When talking with the staff, which statement indicates the need for the nurse manager to intervene?

Correct Answer is A

Explanation

A gerontological nurse is conducting a program for a group of nurses who work with older adults. During the program, one of the nurses asks, "Everybody gets old. Why do we need to understand the aging process?" Which response by the nurse would be appropriate?

During a busy shift, a registered nurse directed an unlicensed care provider to change a dressing and perform wound care on an older adult client's surgical incision. This action exists outside of the unlicensed care provider's scope of practice. Which concept would apply to this situation?

A nurse is teaching a 90-year-old client about a new medication regimen. Which principle would be most important for the nurse to integrate into the teaching session?

A nurse is providing care to an older adult who is experiencing stress incontinence. The nurse explains effective methods of controlling this condition to the client. Which role is the nurse assuming?