The nurse has agreed to serve as a client’s advocate at the meeting of the hospital ethics committee, which was called to address an ethical dilemma involving the client. To successfully represent the client, which action is essential for the nurse to take?

Educate the client about current nursing literature findings related to the client’s ethical dilemma.

Develop self-awareness of the nurse’s personal values to avoid imposing these values on the client.

Listen to the ethics committee’s recommendations.

Challenge members of the healthcare team whose opinions differ from the wishes of the client.

Answer and Explanation

The Correct Answer is B

Choice A reason: Educating the client about nursing literature may inform them but is not essential for advocacy. Advocacy requires prioritizing the client’s wishes, which demands the nurse’s neutrality. Personal value awareness ensures the nurse represents the client’s perspective without bias, making it more critical than providing literature-based education.

Choice B reason: Developing self-awareness of personal values prevents the nurse from imposing biases, ensuring advocacy reflects the client’s wishes. This is essential for ethical representation, as unrecognized biases can skew advocacy. Self-awareness aligns with nursing ethics, enabling the nurse to uphold the client’s autonomy during the committee’s deliberations.

Choice C reason: Listening to the ethics committee’s recommendations is important but not the nurse’s primary advocacy role. Advocacy requires actively representing the client’s wishes, which hinges on value neutrality. Self-awareness ensures the nurse prioritizes the client’s perspective over committee opinions, making it a more essential action for effective advocacy.

Choice D reason: Challenging differing opinions may be part of advocacy but is not the foundational step. Self-awareness of personal values ensures the nurse’s advocacy remains client-centered, avoiding bias. Challenging others without this awareness risks prioritizing personal beliefs over the client’s wishes, undermining the nurse’s role as an ethical advocate.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: Consulting the palliative care team is valuable for end-stage heart failure but not the first step. Clarifying the client’s definition of “heroic measures” ensures her wishes are accurately understood before involving specialists. Misinterpretation could lead to care misaligned with her preferences, delaying appropriate planning and support.

Choice B reason: Setting up a family conference is secondary to understanding the client’s wishes directly. Family discussions are important but premature without clarifying what “heroic measures” means to the client. Her autonomy must guide care, and miscommunication risks family conflict or decisions not reflecting her true preferences.

Choice C reason: Obtaining a DNR prescription is premature without confirming the client’s intent. “Heroic measures” may include more than resuscitation, such as ventilation or dialysis. Acting without clarification risks violating autonomy, as the client’s wishes may not align with a DNR, potentially leading to inappropriate care decisions.

Choice D reason: Discussing the meaning of “heroic measures” ensures the client’s wishes are clearly understood, respecting her autonomy. This clarifies whether she means no resuscitation, ventilation, or other interventions, guiding accurate documentation and care planning. This step is critical to align subsequent actions, like DNR orders, with her preferences.

A. Implement a 24-hour schedule of routine administration of prescribed analgesic. B. Encourage increased fluid intake and measure urinary output every 8 hours. C. Assist the client to ambulate as much as possible during waking hours. D. Provide comfort measures such as topical warm application and tactile massage. E. Determine client’s subjective measure of pain using a numerical scale.

Correct Answer is ["B","C","D"]

Explanation

Choice A reason: A 24-hour routine analgesic schedule may lead to overmedication or undermedication, as pain varies. PRN dosing based on pain assessment (e.g., numerical scale) is more appropriate. Routine administration disregards individual pain patterns, risking adverse effects or inadequate relief, making this intervention less suitable for inclusion.

Choice B reason: Encouraging fluid intake and measuring urinary output promotes hydration and monitors renal function, critical for clients with systemic issues or medications affecting kidneys. This intervention supports physiological stability, prevents complications like dehydration, and provides data for care adjustments, making it essential for the plan of care.

Choice C reason: Assisting with ambulation enhances circulation, prevents complications like thrombosis, and supports recovery. For clients with mobility limitations, guided ambulation during waking hours improves strength and independence. This intervention aligns with rehabilitation goals, making it a key component of a comprehensive care plan.

Choice D reason: Comfort measures like warm application and tactile massage reduce pain and stress non-pharmacologically. These interventions improve client comfort, promote relaxation, and complement other pain management strategies. Including them in the care plan supports holistic care, addressing both physical and emotional needs effectively.

Choice E reason: Using a numerical pain scale quantifies subjective pain, guiding tailored interventions. Regular assessment ensures timely analgesic administration and evaluates treatment efficacy. This intervention is critical for pain management, aligning with evidence-based practice to optimize client comfort and recovery, making it essential for the care plan.

View Question and Answer

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

The nurse has agreed to serve as a client’s advocate at the meeting of the hospital ethics committee, which was called to address an ethical dilemma involving the client. To successfully represent the client, which action is essential for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult woman with end-stage heart disease is hospitalized for severe heart failure (HF). She is alert, oriented, and requests that no heroic measures are implemented if her breathing stops. Which action should the nurse take first?

Correct Answer is D

Explanation

After reviewing the admission assessment of a client, which intervention(s) should the nurse include in this client’s plan of care? (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

The nurse observes an open skin lesion across the right zygomatic bone of a client receiving oxygen per nasal cannula at 4 L/minute. The client’s oxygen saturation level is 92%. Which intervention should the nurse implement?

A client arrives to a clinic appointment reporting sexual dysfunction for the past three months. Which condition should the nurse expect to see in the client’s medical record?

The nurse is providing education to an older adult client about activity and exercise. Which statement made by the client indicates a need for further teaching?

An older adult man comes to the clinic with a painful rash over his left abdomen. He tells the nurse that he has tried a variety of creams and ointments, but none of them have relieved his symptoms. Which action is most important for the nurse to take?

When identifying the goals to be included in a client’s plan of care, the nurse should take which action?

After a client voids, 150 ml of residual urine is noted. Which nursing problem should be included in the client’s plan of care?

Which is the best method for the nurse to use to prepare the skin prior to administration of a topical ointment?