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?
An older adult client who has no family and is uncertain about moving to assisted living.
A client who makes an informed decision not to participate in chemotherapy treatment.
A client who has previously undergone a procedure that is to be performed for a second time.
A client who has been educated on treatment options and chooses alternative treatments.
The Correct Answer is A
Choice A rationale
An older adult client without family support who is uncertain about a significant life change like moving to assisted living is particularly vulnerable. The nurse advocate can help this client understand their options, express their concerns, and ensure their wishes are considered, as they may lack the resources or confidence to navigate this process independently, making advocacy crucial for their well-being and autonomy.
Choice B rationale
A client who makes an informed decision to refuse chemotherapy is exercising their autonomy. While the nurse supports this decision, the client is already empowered and making their own choices based on understanding, thus requiring less direct advocacy in the sense of ensuring their voice is heard or their rights are upheld against potential opposition.
Choice C rationale
A client undergoing a repeat procedure is likely familiar with the process and has presumably consented previously. While the nurse ensures they are still informed and comfortable, the need for strong advocacy to ensure their wishes are respected against external pressures is less pronounced compared to a vulnerable client facing a new and uncertain situation.
Choice D rationale
A client who chooses alternative treatments after being educated on conventional options is also exercising their autonomy based on their values and understanding. The nurse's role is to ensure this decision is informed, but the client is already acting as their own advocate by making a conscious choice, reducing the immediate need for external advocacy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
"If I could just live long enough to attend my son's graduation, I would be satisfied" represents bargaining, the third stage of grief according to Kübler-Ross. In this stage, the individual attempts to negotiate or make deals to postpone the inevitable.
Choice B rationale
"I believe there has been a mistake. I should have gotten a second opinion" is a classic example of denial, the first stage of grief. Denial is a defense mechanism where the individual refuses to accept the reality of the situation, often seeking alternative explanations or contradicting information.
Choice C rationale
"I know I am depressed and I can't stop crying" exemplifies depression, the fourth stage of grief. This stage is characterized by feelings of sadness, hopelessness, and withdrawal as the reality of the loss begins to sink in.
Choice D rationale
"I am very angry and mad. This is not fair" represents anger, the second stage of grief. In this stage, the individual expresses frustration, resentment, and outrage at the situation and may direct these feelings towards others. .
Correct Answer is D
Explanation
Choice A rationale
Discouraging the family from talking about death can hinder their grieving process and may prevent the dying client from having important conversations and finding closure. Open communication about death and dying is often therapeutic for both the client and their family members, allowing them to express emotions and support each other.
Choice B rationale
Informing the family that the client may soon be out of danger when the client is actively dying of renal failure is providing false reassurance and can erode trust between the nurse and the family. It is crucial to be honest and compassionate about the client's prognosis, preparing the family for the impending death rather than offering false hope.
Choice C rationale
While rest is important for a dying client, encouraging the family to leave the client alone may deprive both the client and the family of valuable time for connection and saying goodbye. The presence and support of loved ones can provide comfort to the dying person and begin the grieving process for the family.
Choice D rationale
Informing the family that it is time to bid farewell acknowledges the reality of the situation and provides an opportunity for the family to express their love, say their goodbyes, and find closure. This supportive action respects the dying process and the emotional needs of the family members as they face the imminent loss of their loved one. .
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