Advocacy – Flashcard

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question
A nurse is caring for a client who is being prepared for surgery. The client hands the nurse information about advance directives and states, "Here, I don't need this. I am too young to worry about life sustaining measures and what I want done for me." Which of the following actions should the nurse take? a. return the papers to the admitting department with a note stating that the client does not wish to address the issue at this time b. explain to the client that you never know what can happen during surgery and that he should fill the papers out "just in case." c. contact a client representative to talk with the client and offer additional information about the purpose of advance directives d. inform the client that surgery cannot be conducted unless he completes the advance directives forms.
answer
c. the nurse should advocate for the client by ensuring that the client understands the purpose of advance directives.
question
A nurse is serving as a preceptor to a newly licensed nurse and is explaining the role of the nurse as advocate. Which of the following situations illustrates the advocacy role? select all a. verifying that a client understands what is done during a cardiac cath b. discussing treatment options for a terminal diagnosis c. informing members of the healthcare team that the client has a DNR status d. reporting that a health team member on the previous shift did not provide care as prescribed e. assisting a client to make a decision about his care based on the nurse's recommendations
answer
a. ensuring the client has given informed consent c. ensuring that the client's care is consistent with DNR d. ensuring that all clients receive proper care b. discussing tx options is not within RN scope of practice e. the nurse should support the client in making his own decisions
question
A nurse demonstrates patient advocacy by becoming involved in which of the following activities? a. Engaging in nursing research to justify nursing care delivery b. Teaching in a school of nursing to help decrease the nursing shortage c. Taking a public stand on quality issues and educating the public on "public interest" issues d. Supporting the status quo when changes are pending
answer
c. taking a public stand
question
The Patient's Bill of Rights affects nursing care delivery by requiring which of the following? a. The right to the least-restrictive care available for mental health conditions b. The right to refuse treatment; the right to make medical decisions; the right to confidentiality c. The right to have someone other than the client make decisions about health care d. The right to the lowest-cost care available for medical conditions
answer
b. refuse tx, make decisions, confidentiality
question
In the role of patient advocate, the nurse would do which of the following? a. Support a patient's decision, even if it is not the decision desired by the nurse. b. Override a patient's decision when the patient refuses the recommended treatment. c. Foster patient dependence on health care providers for decision making. d. Emphasize the need for cost-containment measures when making health care decisions.
answer
a. support a patient's decision
question
The nurse is functioning as a patient advocate. Which of the following would be the first step the nurse should take when functioning in this role? a. Ensure that the nursing process is complete and includes active participation by the patient and family. b. Help the patient understand the need for preventive health care. c. Empower the patient by providing needed information and support. d. Become creative in meeting patient needs.
answer
a. Ensuring that the nursing process is complete and includes active patient and family/significant other participation is the crucial first step.
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