The nurse educator is instructing newly hired nurses about client rights and the legal obligations of hospital staff. Which of the following would be an example to use when describing an assault in a clinical situation?
The nurse threatens to apply restraints to a client who is exhibiting aggressive behavior.
The client requests to be discharged, but the nurse physically forces the client to stay.
The charge nurse sends an email to a staff member that includes a poor performance evaluation about another person.
The nurse overhears the provider make derogatory remarks to a client about the nurse's level of competency.
The Correct Answer is A
Choice A reason: This statement describes assault because it involves a threat of harm. In this case, the nurse is threatening to apply restraints to a client, which can cause the client to fear imminent physical contact or harm. Assault does not necessarily involve physical contact, but the threat or attempt to cause harm.
Choice B reason: This statement describes battery rather than assault. Battery involves actual physical contact or harm. Physically forcing the client to stay after they request to be discharged constitutes battery, as it involves unwanted physical contact.
Choice C reason: This statement does not describe assault. Sending an email with a poor performance evaluation about another person is an issue of professional conduct and confidentiality but does not involve a threat of harm or physical contact.
Choice D reason: This statement does not describe assault. Making derogatory remarks about someone’s competency is an issue of professional behavior and respect but does not involve a threat or act of physical harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Reassessing the client when the provider arrives to obtain the informed consent may be necessary, but it is not the priority action. The nurse needs to ensure that the provider is aware of the client's current mental status before any attempt to obtain informed consent is made.
Choice B reason: Notifying the provider of the client's orientation is the priority action. The client's intermittent confusion indicates that she may not have the capacity to provide informed consent. The provider needs to be aware of this to take appropriate steps, such as involving a legal representative or family member, to obtain consent.
Choice C reason: Calling the nursing supervisor to give consent for the surgery is not appropriate. The nursing supervisor does not have the legal authority to provide consent on behalf of the client.
Choice D reason: Asking another nurse to witness the informed consent does not address the issue of the client's mental status and ability to provide informed consent. This action is not appropriate given the client's intermittent confusion.
Correct Answer is ["A","C","E"]
Explanation
Choice A reason:
A nurse advocate ensures that the voices of clients and their families are heard within the healthcare system. This includes communicating concerns, preferences, and values to other members of the healthcare team. Advocacy in this context is vital for addressing issues such as treatment plans, potential misunderstandings, and patient rights. When nurses take an active role in expressing client concerns, it fosters better collaboration among team members and leads to improved care outcomes. This task aligns with the core principles of advocacy, which focus on acting as a mediator for clients who may not feel empowered to voice their concerns independently.
Choice B reason:
Obtaining consent for procedures is not typically the direct role of a nurse advocate. While nurses play an essential part in explaining procedures and answering questions to support informed decision-making, the responsibility for obtaining informed consent usually lies with the healthcare provider performing the procedure. The nurse advocate's role in this situation would be to ensure that the client fully understands the procedure and its implications rather than formally securing consent.
Choice C reason:
Informing the healthcare team of a client’s do-not-resuscitate (DNR) status is a critical component of nurse advocacy. By doing so, the nurse ensures that the healthcare team is aware of and respects the client’s wishes. This step prevents unnecessary interventions that might conflict with the client’s preferences and aligns the care plan with ethical and legal standards. Acting as a link between the client’s directives and the healthcare team is a fundamental advocacy task.
Choice D reason:
While verifying client understanding of a procedure is an important nursing responsibility, it does not fall solely under the role of advocacy. This task is part of patient education and aligns with ensuring informed consent. Nurse advocates support the process but do not primarily focus on understanding verification. The distinction between education and advocacy roles is significant, and the nurse advocate concentrates on protecting patient rights and facilitating informed decision-making.
Choice E reason:
Ensuring that clients have all the information needed to make informed decisions is a central responsibility of a nurse advocate. Advocacy involves empowering clients by helping them understand their options, the potential risks and benefits of treatment, and alternative choices. This ensures that clients are active participants in their care, which is fundamental to respecting autonomy and delivering patient-centered care. By fulfilling this role, nurse advocates help clients navigate complex healthcare systems and make choices that align with their values and goals.
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