A nurse is caring for a client who is desiring their wound care to be provided at 1400.
The nurse returns at 1400 to perform wound care for the client.
Which of the following ethical principles is the nurse demonstrating?

Choice A rationale:

The role of the Board of Nursing (BON) includes regulating and monitoring laws set by the Nurse Practice Act. The BON ensures that nurses practice within the legal framework established by the state's Nurse Practice Act, which defines the scope of nursing practice, licensing requirements, and standards of care. This helps maintain the safety and quality of nursing care in the state.

Choice B rationale:

Establishing a protocol for care to provide for a specific health problem is typically not within the role of the Board of Nursing (BON). The BON focuses on setting and enforcing broader standards of nursing practice and licensure requirements, rather than creating specific protocols for individual health problems. Protocols are often developed by healthcare institutions or professional organizations.

Choice C rationale:

Promoting excellence in nursing education is an important goal, but it is not the primary role of the Board of Nursing (BON). While the BON may have some involvement in accrediting nursing education programs, its primary responsibility is to regulate nursing practice and ensure public safety through licensing and adherence to the Nurse Practice Act.

Choice D rationale:

Determining competencies for nurses to achieve before licensure is a role of the Board of Nursing (BON). The BON sets the standards and requirements that nurses must meet to become licensed, which includes establishing the necessary competencies and qualifications. This helps ensure that nurses entering the profession are adequately prepared to provide safe and competent care.

Choice A rationale:

Guiding the client away from background noise is a helpful suggestion for a client with hearing loss, but in the context of reviewing discharge instructions, it may not be sufficient. The primary issue is not background noise but the ability of the client to hear and understand the nurse's instructions.

Choice B rationale:

Providing a copy of the instructions printed in Braille is not appropriate for a client with hearing loss. Braille is a tactile reading and writing system for people who are blind or visually impaired. It does not address the client's hearing loss.

Choice C rationale:

Standing next to the client when speaking is the most appropriate action for a nurse when reviewing discharge instructions with a client who has hearing loss. This allows the client to see the nurse's facial expressions, lip movements, and gestures, which can aid in understanding. It also minimizes the distance between the nurse's mouth and the client's ears, making it easier for the client to hear.

Choice D rationale:

While repeating phrases that the client misunderstands is a helpful communication strategy, it should be used in conjunction with standing close to the client, not as the sole method. Standing close and speaking clearly should be the primary approach to facilitate effective communication with a client who has hearing loss.