After bilateral knee replacement surgery, an elderly client wants to go to a rehabilitation facility for additional physical therapy. That facility refuses to admit this client for insurance reasons. The nurse then calls the insurance company and strongly explains why this client needs to go to a rehabilitation facility. This is an example of:
responsibility.
confidentiality.
social justice.
advocacy
The Correct Answer is D
A. Responsibility: Responsibility refers to the duty or obligation to fulfill one's role or tasks appropriately. While advocating for the client may be considered a responsibility of the nurse, the specific action described in the scenario—calling the insurance company to strongly explain the client's need for rehabilitation—is more accurately categorized as advocacy.
B. Confidentiality: Confidentiality pertains to protecting the privacy and confidentiality of patient information. The scenario does not involve the disclosure of confidential information but rather advocating for the client's needs regarding their rehabilitation placement.
C. Social justice: Social justice involves promoting fairness, equality, and equitable access to resources and opportunities for all members of society. While advocating for the client may align with principles of social justice, the specific action described in the scenario—calling the insurance company to argue for the client's rehabilitation placement—is more directly related to individual advocacy rather than addressing broader societal inequalities.
D. Advocacy: Advocacy refers to actively supporting and speaking up for the rights, needs, and interests of others. In this scenario, the nurse advocates for the elderly client by calling the insurance company to strongly explain why the client needs to go to a rehabilitation facility despite the facility's refusal. This action demonstrates the nurse's commitment to ensuring the client receives appropriate care and support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Daily weights, vital signs, and fluid intake and output: These are essential nursing assessments and interventions that can be implemented without a physician's order to monitor the client's fluid volume deficit and hypovolemia. Daily weights help assess changes in fluid status, vital signs provide information on the client's hemodynamic stability, and monitoring fluid intake and output helps track fluid balance.
B. Monitoring temperature, fluid intake and output, and administering IV fluids: While monitoring temperature and fluid intake and output are important aspects of nursing care, administering IV fluids typically requires a physician's order, especially in the context of hypovolemia. The nurse should collaborate with the healthcare team to determine the need for IV fluid therapy.
C. Auscultation of lung sounds, monitoring urine color, and placing an indwelling urinary catheter in the client: Auscultation of lung sounds and monitoring urine color are relevant assessments for fluid volume status, but placing an indwelling urinary catheter typically requires a physician's order unless there is a specific nursing protocol in place allowing nurses to insert catheters under certain circumstances.
D. Daily weights, diuretics, and waist measurement: While daily weights are appropriate for assessing fluid status, administering diuretics should be based on a physician's order and assessment findings. Waist measurement is not typically used to assess fluid volume deficit and hypovolemia.
Correct Answer is A
Explanation
A. Poor time management: This option is the correct answer. Poor time management occurs when a nurse fails to allocate sufficient time to complete essential nursing tasks, such as assessments and medication administration, due to excessive focus on non-priority activities, such as providing emotional and spiritual support. In this scenario, Nurse Z's inability to plan and allocate adequate time for essential nursing duties indicates poor time management skills.
B. Neglect: Neglect involves the failure to provide necessary care or attention to a client's needs, resulting in harm or potential harm. While Nurse Z's excessive focus on emotional and spiritual support may lead to neglect of other essential nursing responsibilities, the primary issue in this scenario is poor time management rather than deliberate neglect.
C. Fraud: Fraud involves intentional deception or misrepresentation for personal gain. There is no indication in the scenario that Nurse Z's actions involve deceit or manipulation for personal benefit, so fraud is not applicable in this context.
D. Intentional tort: Intentional torts involve deliberate actions that result in harm to another person. Nurse Z's failure to plan enough time for assessments and medication administration appears to stem from poor time management rather than intentional harm, so an intentional tort is not applicable in this scenario.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.