A nurse is providing care to an older adult who is experiencing stress incontinence. The nurse explains effective methods of controlling this condition to the client. Which role is the nurse assuming?

Educator

Caregiver

Advocate

Innovator

Answer and Explanation

The Correct Answer is A

A. Educator:

In this role, the nurse imparts knowledge and teaches the client about their health condition, including its causes, symptoms, management strategies, and preventive measures. The nurse provides information in a clear and understandable manner, tailoring the education to the client's individual needs and preferences. In the context of stress incontinence, the nurse may teach the client about pelvic floor exercises, bladder training, lifestyle modifications, and other techniques to manage the condition effectively.

B. Caregiver:

In the role of a caregiver, the nurse provides direct physical care and assistance to the client, such as helping with activities of daily living, administering medications, and providing emotional support. While caring for a client with stress incontinence may involve assisting with hygiene and addressing related concerns, such as skin care, the primary focus of the nurse in this scenario is on educating the client about managing the condition rather than providing hands-on care.

C. Advocate:

As an advocate, the nurse acts on behalf of the client to ensure their rights, preferences, and needs are respected and addressed within the healthcare system. This may involve advocating for appropriate treatment options, facilitating communication between the client and healthcare providers, and helping the client make informed decisions about their care. While advocacy is an important aspect of nursing practice, it may not be the primary role in this scenario, where the focus is on educating the client about managing stress incontinence.

D. Innovator:

The role of an innovator involves implementing new ideas, approaches, or technologies to improve patient care and outcomes. While nurses may engage in innovative practices to address various healthcare challenges, such as developing new treatment protocols or implementing evidence-based interventions, the act of educating a client about managing stress incontinence does not necessarily involve innovation in this context. Instead, it primarily involves applying established knowledge and best practices to meet the client's needs.

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Correct Answer is B

Explanation

A. Fidelity:

Fidelity refers to the ethical principle of faithfulness, loyalty, and honoring commitments in the nurse-patient relationship. It involves keeping promises, maintaining confidentiality, and advocating for the patient's best interests. While fidelity is important in building trust and rapport with patients, it is not directly relevant to the colleague's caution about the potential harm of administering morphine in this scenario.

B. Nonmaleficence:

Nonmaleficence is the ethical principle that emphasizes the duty to do no harm to the patient. It involves avoiding actions that could cause harm or exacerbate the patient's condition. In this scenario, the colleague's caution about the potential risk of respiratory depression and harm from administering morphine aligns with the principle of nonmaleficence, as it prioritizes the safety and well-being of the client by warning against the potential harms of the intervention.

C. Justice:

Justice refers to the ethical principle of fairness and equitable distribution of resources and treatment. It involves ensuring that all individuals receive fair and equal treatment and that healthcare resources are allocated fairly. While justice is an important ethical principle in healthcare, it is not directly relevant to the colleague's caution about the potential respiratory depression from administering morphine in this scenario.

D. Beneficence:

Beneficence is the ethical principle that emphasizes the duty to do good and promote the well-being of the patient. It involves taking actions to benefit the patient and enhance their welfare. While administering morphine to relieve the client's pain would align with the principle of beneficence by aiming to alleviate suffering and improve comfort, the colleague's caution highlights the potential harm that could result from the intervention, thus focusing more on the principle of nonmaleficence.

A. Teaching an older adult how to best deal with a daughter trying to gain power of attorney prematurely. B. Providing an environment in which the restoration of a client's mobility post-stroke can be realized. C. Developing new techniques for the wound care of venous ulcers in an older adult. D. Teaching licensed care staff to perform appropriate assessment of lower limb circulation.

Correct Answer is A

Explanation

A. Teaching an older adult how to best deal with a daughter trying to gain power of attorney prematurely: Advocacy involves supporting and empowering individuals to make informed decisions about their care and well-being. In this scenario, the nurse is advocating for the older adult's autonomy and rights by providing guidance on navigating a potentially challenging situation involving family dynamics and legal matters.

B. Providing an environment in which the restoration of a client's mobility post-stroke can be realized: Advocacy can also involve creating conducive environments for clients to achieve their health goals. In this case, the nurse is advocating for the client's recovery and functional independence by ensuring access to resources and interventions that support mobility rehabilitation post-stroke.

C. Developing new techniques for the wound care of venous ulcers in an older adult: This action is more aligned with innovation and research rather than advocacy. While it may ultimately benefit older adults with venous ulcers, advocacy typically involves more direct support or action on behalf of individual clients or groups to address their immediate needs or rights.

D. Teaching licensed care staff to perform appropriate assessment of lower limb circulation: This action is focused on education and skill development among healthcare staff rather than advocacy for individual clients. It aims to improve the quality of care provided to older adults but does not directly involve advocating for their rights or needs.

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A nurse is providing care to an older adult who is experiencing stress incontinence. The nurse explains effective methods of controlling this condition to the client. Which role is the nurse assuming?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A gerontological nurse is assuming the role of an advocate. Which action would exemplify this role?

Correct Answer is A

Explanation

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