A nurse is caring for a client who states, "I am leaving this hospital because I'm frustrated with my therapy.”. Which of the following actions should the nurse take?
Arrange for the client to speak with other clients who are undergoing the same therapy.
Tell the client that they cannot leave without a discharge prescription from their provider.
Explain to the client that no additional treatment will be provided if they choose to come back.
Ask the provider to speak with the client in person regarding their plan of care.
The Correct Answer is D
Choice A rationale
Speaking with other clients may inadvertently breach confidentiality. Additionally, client frustration with therapy often needs individualized attention to explore concerns, address misunderstandings, and rebuild trust.
Choice B rationale
Telling the client they cannot leave without a discharge prescription could infringe on their right to autonomy. Clients have the right to leave AMA (against medical advice) after understanding associated risks.
Choice C rationale
Informing the client that no additional treatment will be provided upon return is coercive and unprofessional. Healthcare professionals must maintain open access to care, even if the client initially refuses recommended therapy.
Choice D rationale
Having the provider discuss the care plan directly with the client can address misunderstandings about therapy and promote collaboration. This approach respects the client’s autonomy while clarifying potential risks of leaving.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Veracity is the ethical principle of truth-telling, emphasizing honesty and transparency in nurse-client interactions. Upholding veracity fosters trust and supports informed decision-making, ensuring ethical and professional care delivery.
Choice B rationale
Beneficence refers to actions that promote the well-being of clients, focusing on doing good rather than fairness or impartiality. The provided statement incorrectly defines beneficence, highlighting a misunderstanding of ethical principles.
Choice C rationale
Fidelity relates to loyalty and faithfulness in upholding commitments, such as maintaining client confidentiality or honoring care promises. The statement erroneously attributes harm prevention to fidelity, reflecting a lack of clarity in ethical definitions.
Choice D rationale
Nonmaleficence is the principle of avoiding harm to clients, emphasizing actions that prioritize safety and prevent injury. The statement conflates nonmaleficence with doing good, which aligns more closely with beneficence, indicating an inaccurate understanding. .
Correct Answer is B
Explanation
Choice A rationale
Inserting an indwelling urinary catheter is within the scope of practice for licensed practical nurses (LPNs) when properly trained. This task does not require reassignment to an RN.
Choice B rationale
Suctioning a new tracheostomy requires advanced assessment and intervention skills to manage potential complications like airway obstruction. This critical task necessitates reassignment to an RN for proper execution.
Choice C rationale
Administering heparin subcutaneously is a routine medication task that LPNs are typically trained to perform within their scope of practice. No reassignment is necessary.
Choice D rationale
Collecting a stool specimen is a basic task that LPNs and assistive personnel can perform, depending on facility policies. This does not require RN-level expertise. .
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