A nurse is discussing advocacy with a newly licensed nurse. Which of the following examples should the newly licensed nurse identify as nursing advocacy?
Devoting equal time to a client who has depressive disorder as to one who has an anxiety disorder.
Spending extra time with a client who is grieving the loss of their spouse.
Explaining the adverse effects of a new prescription to a client who has schizophrenia.
Speaking on behalf of the client with the provider about the client’s wish to refuse electroconvulsive therapy.
The Correct Answer is D
Choice A reason: Equal time allocation is part of equitable care but does not reflect advocacy, which involves active representation of client interests.
Choice B reason: Providing emotional support is compassionate but not advocacy unless it involves acting on the client’s behalf.
Choice C reason: Educating clients is essential but is a standard nursing role. Advocacy involves going beyond education to ensure client preferences are honored.
Choice D reason: Speaking on behalf of the client to ensure their treatment preferences are respected exemplifies advocacy. It protects autonomy and supports informed decision-making.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Muscle rigidity is a hallmark symptom of serotonin syndrome, often accompanied by hyperreflexia, tremors, and autonomic instability. It requires immediate intervention.
Choice B reason: Constipation is not associated with serotonin syndrome. It may be a side effect of other medications but is not diagnostic.
Choice C reason: Lethargy is nonspecific and may occur in many conditions. Serotonin syndrome typically presents with agitation and hyperactivity rather than sedation.
Choice D reason: Bradycardia is not typical of serotonin syndrome. Tachycardia and hypertension are more common due to autonomic dysregulation.
Correct Answer is C
Explanation
Choice A reason: Nurses have a legal and ethical duty to warn identifiable third parties if a client poses a serious threat. Avoiding this warning may result in liability.
Choice B reason: Discussing treatment with a partner without consent violates confidentiality, regardless of admission status. Involuntary admission does not waive privacy rights.
Choice C reason: Clients retain the right to refuse medications unless a court order or emergency situation overrides this. Involuntary status does not eliminate this right.
Choice D reason: Clients admitted via emergency commitment retain legal rights, including access to counsel. Denying this violates due process protections.
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