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?

Performing an updated cognitive assessment on the client

Reorienting the client several times throughout the day

Requesting a referral for the client to attend reminiscent therapy sessions

Providing assistance for the client when ambulating down the hall

Answer and Explanation

The Correct Answer is C

Rationale:
A. Performing a cognitive assessment is part of the nurse’s routine assessment responsibilities. While important for care planning, it is not an example of advocacy because it does not directly support the client’s rights or access to services.

B. Reorienting the client is an intervention to support safety and reduce confusion, but it is a direct care activity rather than advocacy.

C. Requesting a referral for reminiscent therapy sessions is an example of client advocacy. The nurse is acting on the client’s behalf to access services that enhance quality of life, promote cognitive stimulation, and support emotional well-being. Advocacy involves ensuring the client’s needs and preferences are addressed within the healthcare system, especially when they may not be able to request these services independently.

D. Providing assistance with ambulation is a safety intervention and part of basic nursing care. While it supports the client, it does not represent advocacy, which focuses on supporting the client’s rights, choices, and access to resources.

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Correct Answer is D

Explanation

Rationale:

A. A client cannot be denied insurance based on genetic information due to protections under the Genetic Information Nondiscrimination Act (GINA). This statement reflects a misunderstanding of clients’ rights.

B. Clients at risk for self-harm may have their rights limited for safety. Restraints can be legally and ethically applied without the client’s consent if necessary to prevent harm, so this statement is incorrect.

C. Completion of a living will is not required for hospital admission. Advance directives are optional, and clients have the right to decide whether or not to complete them.

D. Clients have the right to receive the visitors they wish to see, consistent with patients’ rights to privacy and visitation. This includes the right to accept or refuse visitors, unless restricted for safety or facility policy reasons.

A. Instruct the client's family to contact the insurance provider about the oxygen equipment. B. Contact social services about the delivery of the oxygen equipment. C. Notify the provider about the delayed oxygen tank delivery. D. Send an oxygen tank from the facility home with the client.

Correct Answer is C

Explanation

Rationale:
A. Asking the client’s family to contact the insurance provider may delay timely resolution. While insurance approval may be necessary, coordinating delivery is the responsibility of the healthcare team to ensure client safety.

B. Contacting social services may help with long-term arrangements, but it is not the immediate priority when the client requires oxygen for safe discharge. Social services can assist in arranging resources, but the provider must first be informed.

C. Notifying the provider about the delayed oxygen tank delivery is the appropriate action. The provider needs to be aware because the client cannot be safely discharged without the prescribed oxygen, and alternative arrangements, such as delaying discharge or providing temporary in-hospital oxygen, may be required. This ensures client safety and adherence to discharge orders.

D. Sending an oxygen tank from the facility home with the client is not allowed. Hospital oxygen tanks are for facility use and are regulated; transferring them offsite is unsafe and typically prohibited by policy and law.

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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

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Correct Answer is C

Explanation

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