A nurse is assisting with the admission of a client to an inpatient unit. Which of the following sources of information should the nurse use as a primary source of accurate data about the client?
Family information
Client concerns
Progress note
Medical history
The Correct Answer is B
A. Family information is considered a secondary source because it provides supportive data but may not fully reflect the client’s own experience or symptoms.
B. Client concerns are the primary source of accurate data because the client is the best authority on their own health, symptoms, feelings, and experiences.
C. Progress notes are secondary sources that document observations and interventions by healthcare providers, but they are not firsthand information from the client.
D. Medical history provides valuable background but is also a secondary source, as it is typically gathered from records or other providers rather than directly from the client at the time of admission.
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Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is A
Explanation
A. Witnessing the client’s signature on the informed consent form is the nurse’s role, ensuring that the client signed voluntarily and was competent at the time of signing.
B. Obtaining the client’s consent is the responsibility of the provider (surgeon or physician), not the nurse.
C. Describing the consequences of refusing treatment is also the provider’s duty as part of the informed consent process.
D. Explaining the risks and benefits of the procedure must be done by the provider performing the procedure, not by the nurse.
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