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 D

Explanation

Choice A reason: A client who had open reduction and internal fixation of a femur fracture 3 days ago is likely to need ongoing monitoring and care to ensure proper healing and prevent complications. Discharging this client could risk worsening their condition or causing new issues to arise.

Choice B reason: A client admitted last night with community-acquired pneumonia is still in the early stages of treatment and may require close observation and medication adjustments to effectively manage their condition and prevent deterioration.

Choice C reason: An older adult client in the observation unit for evaluation of chest pain may still be at risk for serious conditions such as a heart attack. Releasing this client without a definitive diagnosis or proper management plan could endanger their health.

Choice D reason: A client on the medical unit for wound care for a stage 2 wound to the lower extremity is generally considered stable and appropriate for discharge, provided they have the necessary support and resources to continue wound care at home. This client does not require intensive monitoring or treatment that would necessitate hospital admission.

A. Providing nasopharyngeal suctioning for a client with pneumonia B. Assisting a client who is 24 hours post-operative to use an incentive spirometer C. Teaching a new client who has asthma to use a metered-dose inhaler D. Collecting a clean catch urine from an ambulatory client with a wound

Correct Answer is C

Explanation

Choice A reason: Providing nasopharyngeal suctioning for a client with pneumonia is within the scope of practice for an LPN. This task involves performing a procedure to clear the airway, which is a common responsibility for LPNs.

Choice B reason: Assisting a client who is 24 hours post-operative to use an incentive spirometer is appropriate for an LPN. This task involves helping a client with breathing exercises to prevent post-operative complications, which is a standard part of post-operative care.

Choice C reason: Teaching a new client who has asthma to use a metered-dose inhaler requires educational and assessment skills that typically fall within the scope of practice for a registered nurse (RN). While LPNs can reinforce education, the initial teaching and assessment of a client's understanding should be done by an RN.

Choice D reason: Collecting a clean catch urine from an ambulatory client with a wound is within the scope of practice for an LPN. This task involves obtaining a urine sample, which is a routine procedure that LPNs are trained to perform.

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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

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Correct Answer is D

Explanation

An experienced charge nurse is providing mentoring to a new charge nurse. The new charge nurse is making the shift assignment for a licensed practical nurse (LPN). Which assignment requires intervention by the experienced nurse?

Correct Answer is C

Explanation

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