A nurse is assisting with teaching a class on professionalism. The nurse should include that which of the following is an example of accountability?
Following the rights of medication administration to administer a medication to a client.
Supporting a client's right to refuse a medication.
Ensuring a client understands the adverse effects of their medication.
Acting as a mediator between the client and the provider.
The Correct Answer is A
A. This demonstrates accountability, as the nurse is taking responsibility for their actions and outcomes by adhering to safety standards and ensuring accurate medication administration. Accountability means the nurse answers for their own decisions and practices to maintain client safety and professional integrity.
B. This reflects advocacy, where the nurse protects and supports the client’s autonomy and right to make informed health decisions.
C. This is an example of client education, a key nursing role, but it focuses on teaching rather than personal accountability.
D. This demonstrates advocacy or collaboration, not accountability. It involves facilitating communication to ensure the client’s concerns are addressed, rather than taking responsibility for personal nursing actions.
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Related Questions
Correct Answer is C
Explanation
A. This scenario demonstrates false imprisonment, not negligence. The nurse is unlawfully restricting the client’s freedom of movement despite the client being competent and making an informed decision.
B. This represents assault, not negligence. The nurse is making a threat to physically restrain the client, which can cause fear or anxiety, fulfilling the definition of assault.
C. This is negligence because the nurse failed to take timely action when a critical finding was identified. The absence of a peripheral pulse in a casted limb indicates compromised circulation and possible compartment syndrome, a medical emergency that requires immediate intervention. Delaying notification to the provider places the client at risk for permanent tissue damage or loss of limb, meeting the definition of negligence — failure to act as a reasonably prudent nurse would under similar circumstances.
D. This describes battery, not negligence. Battery occurs when a nurse intentionally touches or treats a client without consent, even if the intent is beneficial. It violates the client’s right to autonomy and informed consent.
Correct Answer is D
Explanation
A. A black tag indicates a client who is deceased or expected to die due to catastrophic injuries. These clients receive comfort measures only, as survival is unlikely even with treatment.
B. A yellow tag is for clients with serious but not life-threatening injuries. Treatment can be delayed without immediate risk of death.
C. A green tag indicates minor injuries (often called “walking wounded”). These clients are stable and can wait for care until more urgent cases are treated.
D. A red tag identifies clients who have life-threatening but potentially survivable injuries that require immediate intervention. These clients are the highest priority during triage, as prompt treatment can significantly improve survival outcomes.
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