A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)
Initiating IV access on a client who has dementia while he is sleeping
Implementing a client's plan of care based upon nursing goals
Providing written information to a client regarding palliative care
Obtaining an interpreter for a client who speaks a different language than the nurse
Documenting a client's refusal to take a prescribed medication
Correct Answer : C,D,E
Rationale:
A. Initiating IV access while a client with dementia is sleeping violates autonomy and informed consent—this is not advocacy.
B. Implementing a plan of care based on nursing goals reflects nursing practice, but advocacy focuses on protecting the client’s rights and wishes, not just following nursing objectives.
C. Providing written information about palliative care supports informed decision-making, which is a key aspect of advocacy.
D. Obtaining an interpreter ensures the client understands their care and can make informed decisions, which is an advocacy action.
E. Documenting a client’s refusal of medication respects and upholds the client’s autonomy, which is a form of advocacy.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. A living will provides instructions for end-of-life care but does not authorize emergency surgical procedures.
B. The Good Samaritan Act protects healthcare providers who give emergency care outside a healthcare setting, not in-hospital surgical consent.
C. Joint liability refers to shared legal responsibility and is not related to consent for treatment.
D. Implied consent allows healthcare providers to perform emergency procedures when a client is unconscious or unable to give consent, and no legal representative is available, making it the correct legal guideline in this scenario.
Correct Answer is C
Explanation
Rationale:
A. Documenting the pain is important but does not address the client’s immediate need for pain relief.
B. Waiting to re-evaluate in 1 hour delays intervention and does not prioritize the client’s current high pain level.
C. Asking the client what has helped relieve their pain in the past allows the nurse to assess effective interventions and tailor immediate pain management, making this the first action.
D. Obtaining a prescription may be necessary, but the nurse should first assess the client’s response to previous interventions and preferences before taking further steps.
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