A nurse manager is discussing advocacy with nursing staff.
Which of the following is an example of a nurse displaying advocacy?
Assisting a client to discuss her wishes about breast reconstruction with the provider.
Teaching carbohydrate counting to the parents of children who have diabetes mellitus.
Offering advice to families of clients who have cancer.
Documenting client care accurately and thoroughly.
The Correct Answer is A
Choice A rationale
Advocacy in nursing involves supporting and protecting a client's rights, preferences, and well-being, particularly when they may be vulnerable or unable to do so themselves. Assisting a client to articulate their desires regarding breast reconstruction directly empowers them to participate in shared decision-making with their healthcare provider, upholding their autonomy and promoting patient-centered care.
Choice B rationale
Teaching carbohydrate counting is a crucial educational intervention aimed at disease management and health promotion for clients with diabetes mellitus. While essential for improving health outcomes and self-management skills, this activity primarily falls under the nursing role of educator rather than directly representing client advocacy in the context of upholding their expressed wishes.
Choice C rationale
Offering advice to families of clients with cancer, while a supportive gesture, can be problematic if it oversteps professional boundaries or infringes on the family's right to seek diverse opinions. Advocacy focuses on empowering the client and family to make their own informed decisions, not on providing unsolicited advice which may compromise their autonomy.
Choice D rationale
Accurate and thorough documentation is a fundamental aspect of professional nursing practice and is essential for continuity of care, legal protection, and quality assurance. While good documentation indirectly supports client safety and effective care delivery, it does not directly embody the act of speaking or acting on behalf of a client's specific wishes or rights.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Resubmitting work previously published in a local magazine constitutes self-plagiarism, which is unethical. This practice is considered a violation of academic and professional integrity as it misrepresents previously published material as new original content, even if the author is the same, undermining the principles of novelty and originality in scholarly work.
Choice B rationale
Listing numerous secondary sources as references is not an appropriate action to avoid plagiarism; in fact, it can sometimes indicate a lack of original thought or excessive reliance on others' interpretations. While secondary sources can be used, the focus should be on integrating them with proper citation and original analysis rather than just listing many.
Choice C rationale
Presenting new ideas to supplement referenced material is an appropriate action to avoid plagiarism. This demonstrates original thought and analysis, where the nurse builds upon existing knowledge by adding their unique insights, interpretations, or applications, ensuring that the work is a synthesis of others' ideas and the author's original contribution, all properly cited.
Choice D rationale
Quoting extensively without proper citation is a direct form of plagiarism. Plagiarism involves using others' words or ideas without giving credit, regardless of whether direct quotes are used. Extensive quoting, even with citation, can suggest a lack of original synthesis; however, lacking citation altogether is a clear breach of academic integrity.
Correct Answer is ["C","D","E"]
Explanation
Choice A rationale
Taking on additional responsibilities typically increases workload and demands, which can significantly escalate stress levels rather than reduce them. Stress reduction strategies focus on managing existing stressors and incorporating activities that promote relaxation and well-being, not adding more pressure. This choice directly contradicts effective stress management principles by increasing physiological and psychological demands.
Choice B rationale
Limiting vacation time is counterproductive to stress reduction. Vacations provide essential opportunities for physical and mental rejuvenation, allowing individuals to step away from daily stressors, recover from work-related fatigue, and engage in activities that promote well-being. Reducing this restorative period can lead to burnout and increased chronic stress levels, negatively impacting overall health.
Choice C rationale
Being a good listener facilitates effective communication and strengthens interpersonal relationships, which are vital components of social support. Social support networks act as a buffer against stress by providing emotional, informational, and tangible assistance. Engaging actively in listening can also reduce personal rumination by focusing on others, thus promoting a more balanced mental state.
Choice D rationale
Wearing comfortable clothing can directly influence physiological and psychological comfort. Restrictive or uncomfortable attire can contribute to physical tension, discomfort, and even pain, which can exacerbate stress. Conversely, comfortable clothing promotes relaxation and a sense of ease, reducing superficial irritants that can contribute to overall stress levels and improving body image.
Choice E rationale
Maintaining contact with friends provides a crucial social support system. Strong social connections offer emotional support, opportunities for shared experiences, and a sense of belonging, all of which are protective factors against stress. Engaging with friends can alleviate feelings of isolation, provide different perspectives, and offer a positive outlet for processing emotions, thereby reducing the burden of stress.
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