A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements should the nurse include in the Inservice?
“A nurse can disclose information to a family member with the client’s permission”
“A nurse is responsible for informing clients about treatment options”
"A nurse can apply restraints on a PRN basis”
“A nurse can administer medications without consent to a client as part of a research study”
The Correct Answer is A
- Rationale for A: Client confidentiality is a fundamental part of nursing ethics and legal practice. A nurse may disclose information to a family member only if the client has given permission, ensuring respect for the client's autonomy and privacy.
- Rationale for B: While it is true that nurses play a crucial role in patient education, the primary responsibility for informing clients about treatment options lies with the attending physician or healthcare provider.
- Rationale for C: The use of restraints is highly regulated in healthcare settings. Restraints can only be applied based on specific criteria and orders that are not on a PRN (as needed) basis, to protect the safety and rights of the client.
- Rationale for D: Administering medications without consent, even as part of a research study, is unethical and illegal unless specific and stringent consent procedures are followed, which include informed consent and approval by an institutional review board (IRB).
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Related Questions
Correct Answer is C
Explanation
a. Pharmacist: While a pharmacist may assist with medication-related concerns, they may not be able to address broader financial issues or access to resources.
b. Child protective services: Child protective services are not relevant in this scenario as there is no indication of child neglect or abuse.
c. Social worker: Social workers are trained to assist individuals and families with various social and financial issues, including accessing resources for medical needs.
d. Respiratory therapist: While a respiratory therapist may provide education and support related to asthma management, they may not be able to address the parent's financial concerns directly.
Correct Answer is A
Explanation
a. Cutaneous anthrax is typically treated with antibiotics, so preparing to administer antibiotics to the client is the appropriate action.
b. While respiratory protection may be necessary in certain situations, such as when dealing with airborne pathogens, anthrax exposure typically does not require an N95 respirator mask.
c. Anthrax is caused by a bacterium, not a virus, so administering an antiviral medication would not be effective in treating the infection.
d. Placing a surgical mask on the client during transfer may not be necessary unless there are specific concerns about the spread of respiratory droplets. However, the primary treatment for cutaneous anthrax is antibiotics, not respiratory precautions.
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