A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?

Choice A reason: Reassigning the AP to other clients on the unit is not an appropriate action for the nurse to take. This action does not address the issue of the breach of client confidentiality, and it may disrupt the continuity of care for the clients. The nurse should not punish the AP without giving them feedback and education.

Choice B reason: Instructing the AP to discontinue the conversation is an appropriate action for the nurse to take. This action stops the violation of client confidentiality and protects the client's privacy and dignity. The nurse should also remind the AP of the ethical and legal principles of confidentiality, and the consequences of violating them.

Choice C reason: Completing an incident report about the breach of client confidentiality is not an appropriate action for the nurse to take. This action is not necessary, as the breach was not intentional or harmful to the client. The nurse should document the incident in the AP's performance evaluation, and provide guidance and coaching to prevent future occurrences.

Choice D reason: Notifying the client's provider about the incident is not an appropriate action for the nurse to take. This action is not relevant, as the provider is not responsible for the AP's behavior or education. The nurse should notify the AP's supervisor or manager, and collaborate with them to address the issue.

Choice A reason: Documenting a client's refusal to take a prescribed medication is an example of client advocacy because it respects the client's right to make informed decisions about their health care. The nurse should also explain the risks and benefits of the medication and offer alternatives if possible.

Choice B reason: Providing written information to a client regarding palliative care is an example of client advocacy because it educates the client about their options and supports their quality of life. The nurse should also discuss the information with the client and answer any questions they may have.

Choice C reason: Implementing a client's plan of care based on nursing goals is not an example of client advocacy because it does not reflect the client's preferences and values. The nurse should collaborate with the client and the health care team to develop a plan of care that meets the client's needs and goals.

Choice D reason: Obtaining an interpreter for a client who speaks a different language than the nurse is an example of client advocacy because it facilitates effective communication and understanding between the nurse and the client. The nurse should use a professional interpreter or a translation device if available and avoid using family members or friends as interpreters.

Choice E reason: Initiating IV access on a client who has dementia while he is sleeping is not an example of client advocacy because it violates the client's autonomy and consent. The nurse should obtain informed consent from the client or their legal representative before performing any invasive procedure and explain the purpose and risks of the procedure.