A nurse is conducting an in-service about the nursing code of ethics with a group of newly licensed nurses. Which of the following information should the nurse include in the teaching as an example of advocacy?
Suggesting a client's partner attend a support group for emotional support
Recommending a referral for a client who requires physical therapy
Evaluating a client's home for safety hazards
Completing an incident report following a medication error
The Correct Answer is B
Rationale:
A. Suggesting that a client’s partner attend a support group is supportive, but it is not an example of advocacy, which focuses on acting in the client’s best health interest.
B. Advocacy means speaking up for and protecting the client’s rights and needs. Recommending a referral for physical therapy ensures the client receives necessary services to support recovery.
C. Evaluating a client’s home for safety hazards is an example of beneficence and safety promotion, not advocacy.
D. Completing an incident report is part of accountability and quality improvement, but it does not represent advocacy for the client.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. The SBAR communication tool is used for structured communication among health care providers, not for measuring outcomes.
B. Flowcharts are used to map processes and identify where problems may occur, but they do not measure outcomes.
C. Clinical indicators are measurable items that reflect the quality of care provided (e.g., infection rates, fall rates, readmission rates). They are the appropriate tool for evaluating outcomes in quality improvement.
D. Cause-and-effect diagrams (Ishikawa or fishbone diagrams) are used to identify potential causes of a problem, not to measure outcomes.
Correct Answer is D
Explanation
Rationale:
A. Requesting orientation is appropriate, but it is not the first step when being floated for a single shift.
B. Referring to the resource nurse for client assignments is helpful, but assignments should first be based on demonstrated competencies.
C. Informing the nursing supervisor of lack of experience may be necessary if unsafe assignments are made, but the first action should be to clarify what tasks and skills the nurse is competent to perform.
D. Clarifying competencies with the charge nurse ensures that client assignments are safe and appropriate to the nurse’s skill set, making this the priority action.
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