A nurse is caring for a client who has early-stage Alzheimer's disease. In which of the following actions is the nurse acting as a client advocate?

Requesting a referral for the client to attend reminiscence therapy sessions

Performing an updated cognitive assessment on the client

Providing assistance for the client when ambulating down the hall

Reorienting the client several times throughout the day

Answer and Explanation

The Correct Answer is A

Choice A reason: Reminiscence therapy is a type of intervention that helps clients with Alzheimer's disease recall and share their past experiences, memories, and emotions. This can enhance their self-esteem, mood, and quality of life. By requesting a referral for this therapy, the nurse is advocating for the client's psychosocial needs and preferences.

Choice B reason: Performing an updated cognitive assessment on the client is not an example of advocacy, but rather a standard nursing practice. Cognitive assessments are used to monitor the client's cognitive status and progression of the disease. They do not necessarily reflect the client's wishes or interests.

Choice C reason: Providing assistance for the client when ambulating down the hall is not an example of advocacy, but rather a safety measure. The nurse is helping the client prevent falls and injuries, which are common risks for clients with Alzheimer's disease. This does not imply that the nurse is speaking up for the client or protecting their rights.

Choice D reason: Reorienting the client several times throughout the day is not an example of advocacy, but rather a therapeutic communication technique. The nurse is helping the client cope with confusion and disorientation, which are common symptoms of Alzheimer's disease. This does not indicate that the nurse is supporting the client's goals or values.

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Correct Answer is D

Explanation

Choice A reason: A multigravida client with preeclampsia receiving misoprostol for induction of labor requires specialized obstetrical care due to the complexity of preeclampsia management, which includes monitoring blood pressure, administering antihypertensive agents, and managing potential complications. Misoprostol is used for cervical ripening and labor induction, which involves close monitoring for uterine activity and fetal well-being.

Choice B reason: A client with gestational diabetes undergoing biweekly nonstress tests would benefit from a nurse with obstetrical expertise. Gestational diabetes management includes monitoring blood glucose levels, dietary modifications, and possibly medication administration. Nonstress tests are performed to assess fetal well-being and require interpretation of fetal heart rate patterns in response to fetal movements.

Choice C reason: A client at 32 weeks of gestation with premature rupture of membranes (PROM) needs specialized obstetrical care. Management of PROM may involve expectant management or immediate delivery based on gestational age and fetal and maternal conditions. The risk of infection and complications necessitates obstetrical expertise.

Choice D reason: A primigravida client who is 1 day postoperative following a Cesarean section with a PCA pump is the most suitable assignment for an RN from a medical-surgical unit. Postoperative care involves monitoring vital signs, incision site, and managing pain with the PCA pump, which is within the scope of medical-surgical nursing practice.

A. A middle adult client who leaves the facility against medical advice. B. A young adult client who is participating in a medical research study. C. An older adult client who has advance directives on file. D. An adolescent client whose parents refuse a blood transfusion for religious reasons.

Correct Answer is D

Explanation

Choice A reason: A middle adult client who leaves the facility against medical advice does not require the involvement of the ethics committee. The nurse should document the client's decision, inform the provider, and provide discharge instructions.

Choice B reason: A young adult client who is participating in a medical research study does not require the involvement of the ethics committee. The nurse should ensure that the client has given informed consent and is aware of the potential risks and benefits of the study.

Choice C reason: An older adult client who has advance directives on file does not require the involvement of the ethics committee. The nurse should respect the client's wishes and follow the directives in case of a life-threatening situation.

Choice D reason: An adolescent client whose parents refuse a blood transfusion for religious reasons requires the involvement of the ethics committee. The nurse should consult the ethics committee to help resolve the conflict between the parents' beliefs and the client's best interests. The ethics committee can also provide guidance on the legal and ethical implications of the situation.

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A nurse is caring for a client who has early-stage Alzheimer's disease. In which of the following actions is the nurse acting as a client advocate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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