A nurse on a medical unit is planning care for several clients. Which of the following clients should benefit MOST from the nurse acting as an advocate?
A client who makes an informed decision not to participate in chemotherapy treatment.
A client who has been educated on treatment options and chooses alternative treatments.
An older adult client who has no family and is uncertain about moving to assisted living.
A client who has previously undergone a procedure that is to be performed for a second time.
The Correct Answer is C
Choice A reason: Informed refusal of chemotherapy reflects autonomy, needing less advocacy than an uncertain, isolated client. Assuming this client needs most advocacy risks overlooking vulnerable clients, potentially neglecting those with greater decision-making support needs, critical to avoid in ensuring equitable nursing advocacy.
Choice B reason: Choosing alternative treatments after education shows autonomy, unlike an uncertain, family-less client needing advocacy. Assuming this client needs most advocacy risks misprioritizing, potentially neglecting vulnerable clients, critical to prevent in ensuring targeted advocacy for those with decision-making challenges in medical care.
Choice C reason: An older adult without family, uncertain about assisted living, benefits most from advocacy to navigate options and ensure informed decisions. This is critical for protecting vulnerable clients, supporting autonomy, and ensuring access to resources, essential in nursing advocacy on medical units for isolated clients.
Choice D reason: A client with prior procedure experience is less vulnerable than an uncertain, isolated client needing advocacy. Assuming this client needs most advocacy risks misdirecting support, potentially overlooking those with greater needs, critical to avoid in ensuring effective advocacy in medical care planning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Battery involves non-consensual physical contact, like catheter insertion after refusal, causing injury, making the nurse liable. This is critical for legal accountability, ensuring respect for autonomy, preventing harm, and upholding ethical standards in nursing practice, essential when clients suffer procedure-related injuries without consent.
Choice B reason: Invasion of privacy involves violating personal boundaries, not physical harm from non-consensual catheter insertion, which is battery. Assuming privacy is the tort risks mislabeling the violation, potentially minimizing physical harm, critical to avoid in addressing legal accountability for nursing actions causing injury.
Choice C reason: Assault involves threatening harm, not actual contact like catheter insertion, which constitutes battery. Assuming assault is correct risks misidentifying the tort, potentially confusing legal accountability, critical to prevent in ensuring proper legal response to non-consensual procedures causing client injury in nursing.
Choice D reason: Dereliction of duty implies negligence, not intentional non-consensual contact like catheter insertion, which is battery. Assuming dereliction is the tort risks understating the violation, potentially overlooking autonomy breaches, critical to avoid in addressing legal accountability for harmful nursing actions in practice.
Correct Answer is D
Explanation
Choice A reason: A 7 am diuretic dose increases urination earlier, not at night, unlike a 7 pm dose, which causes nocturia. Assuming morning dosing is riskiest risks missing nighttime impact, potentially neglecting sleep disruption, critical to avoid in assessing nocturia risk in clients on diuretics.
Choice B reason: Daytime naps may affect sleep but don’t directly cause nocturia, unlike a 7 pm diuretic, which increases nighttime urination. Assuming naps are the primary risk risks overlooking urinary patterns, critical to prevent in accurately identifying nocturia causes in clients with sleep issues.
Choice C reason: Sleeping pills promote sleep but don’t cause nocturia, unlike a 7 pm diuretic, which increases nighttime urine output. Assuming pills are the highest risk risks missing diuretic effects, potentially neglecting urinary causes, critical to avoid in assessing nocturia in clients on medications.
Choice D reason: A diuretic at 7 pm increases urine production at night, causing nocturia, disrupting sleep, and posing the highest risk among options. This is critical for adjusting medication timing, ensuring rest, and preventing sleep disturbances, essential in managing clients with diuretic therapy and nocturia risk.
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