The nurse educator is reviewing the role of a nurse advocate with a group of newly hired nurses to the hospital. Which of the following statements indicate the newly hired nurses understand the roles of a nurse advocate? (Select All That Apply)

"A nurse advocate should communicate client and family concerns to the healthcare team."

"A nurse advocate should obtain consent for procedures."

"A nurse advocate should inform members of the healthcare team of a client's do-not-resuscitate status."

"A nurse advocate should verify the client understands the procedure."

"A nurse advocate should ensure clients have the information they need to make informed decisions."

Answer and Explanation

Correct Answer : A,C,E

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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Correct Answer is A

Explanation

Choice A reason: This response is appropriate because it maintains client confidentiality by suggesting to move away from the crowded area before discussing private information. It shows respect for the client's privacy and adheres to HIPAA regulations.

Choice B reason: While this response directs the health care provider to the appropriate person, it does not address the immediate need for privacy. It is important to ensure that any discussion about the client is done in a confidential manner.

Choice C reason: This response is not ideal because it can come across as dismissive and does not offer to address the situation appropriately. Ensuring client confidentiality should remain a priority even if the nurse is off duty.

Choice D reason: This response violates client confidentiality by sharing information about the client's condition in a public setting. It is crucial to discuss such details in a private area to protect the client's privacy.

A. Reassess the client when the provider arrives to obtain the informed consent. B. Notify the provider of the client's orientation. C. Call the nursing supervisor to give consent for the surgery. D. Ask another nurse to witness the informed consent.

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.

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The nurse educator is reviewing the role of a nurse advocate with a group of newly hired nurses to the hospital. Which of the following statements indicate the newly hired nurses understand the roles of a nurse advocate? (Select All That Apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is eating lunch in the hospital cafeteria, which is crowded with visitors and other staff. A health care provider approaches the nurse and asks, "How is my client Ms. Jones in room 312 doing?" Which response by the nurse would be most appropriate?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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