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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Protective eyewear is primarily used to protect the eyes from splashes of bodily fluids during procedures like suctioning or surgeries. Since the pressure ulcer is nondraining, there is no risk of fluid exposure, making this precaution unnecessary in this scenario.
Choice B rationale
Wearing a mask is essential to prevent the spread of airborne infections like tuberculosis. MRSA spreads through direct contact or contaminated surfaces, not airborne transmission. Thus, a mask is not indicated for dressing changes of nondraining pressure ulcers.
Choice C rationale
HEPA filtration systems are used to remove airborne contaminants in controlled environments, such as isolation rooms for patients with tuberculosis. MRSA does not require airborne precautions, so turning on a HEPA filtration system is not relevant.
Choice D rationale
Dedicated equipment prevents cross-contamination between patients when managing infections like MRSA. Items like thermometers and stethoscopes should be exclusive to the infected patient, reducing the spread of resistant bacteria to others.
Correct Answer is A
Explanation
Choice A rationale
Autonomy supports the client’s decision-making capacity, allowing them to determine their care preferences, including discontinuing enteral feedings. Respecting autonomy aligns with ethical nursing practice, prioritizing the client’s informed choices and independence.
Choice B rationale
Fidelity relates to maintaining commitments and professional promises but does not directly address respecting client decisions regarding care. While trust is essential, autonomy is more applicable in this context.
Choice C rationale
Justice emphasizes fairness and equal treatment, which is vital in resource distribution and ethical practice. However, it does not directly pertain to honoring a client’s individual decisions.
Choice D rationale
Beneficence involves promoting the client’s well-being, which might conflict with their decision to discontinue treatment. Supporting autonomy takes precedence when clients make informed choices. .
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