NUR 111 Advocacy 43 – Flashcards
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Advocacy
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Defined as protecting by expressing and defending the cause of another
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Client advocate
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Asked to protect the client and defend the client from harm. Is a primary role for every nurse
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Holistic
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The client is a holistic, autonomus being who is the right to make choices and decisions
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Being an effective advocate the nurse must do the following
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1. Be assertive 2. Recognize that the rights and values of the clients and families must take
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Being an effective advocate the nurse must do the following
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1. Be assertive 2. Recognize that the rights and values of the clients and families must take precedence when they conflict with those of healthcare providers 3. Be aware that conflict may arise over issues that require consultation, confrontation, or negotiation between the nurse and the administrative personnel between the nurse and primary care provider 4. Work with community agencies and lay practitioners 5. Understand that advocacy may require political action-communicating a clients health care needs to the government and other officials who have the authority to do something about these needs
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Four steps of advocacy
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1. Being a client advocate 2. Following through or following up 3. Providing resources 4. Going above and beyond
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A gravely ill client wishes to establish a relationship with the nurse so that the nurse may act as an advocate when the clients health declines. Which goal exemplifies advocating for client? 1. Make decisions for the client 2. Protect the clients rights 3. Talk to client out of the decision if it differs from the nurses opinion 4. Report to clients decisions to the family
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2. The nurse advocate must recognize that the rights in values of clients and families take precedence with the conflict with those of healthcare providers
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A home care client is noncompliant with changing his dressing. The nurses next action will be to? 1. Ask the physical therapist to do the dressing change 2. Discuss with the client his personal values and resource allocation needs at home 3. Tell the client he will be discharged from Homecare services if he does not comply 4. Call the primary care provider for new orders that match with a client is doing
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2. Discuss with the client his personal values and resource allocation needs at home
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The school nurse identify the need for a vaccination program in the school district. The nurse is acting in which rule? 1. Advocate 2. Opponent 3. Reactionary 4. Adversary
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1. Advocate
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The family of a dying client is having a difficult time because the client is refusing food and is losing weight. Acting as advocate for the patient the nurse states: 1: The family should make the clients favorite foods 2. The family should force the client to eat 3. Food can actually cause painful problems at the end of life 4. The family should ignore the issue
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3. Food can actually cause painful problems at the end of life
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A nurse desires career advancement public advocacy. The nurse plans to: 1. Contact the local congressman about a new health law 2. Conduct educational classes for the unit respiratory therapists 3. Obtain a masters degree in nursing 4. Become a preceptor on the unit
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1. Political activism is away for a nurse to become a public advocate. The nurse reads propose laws and then contacts politicians to give opinions of the impact the new laws will have on healthcare and in the public
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The nurse oversees care of mentally challenged adult clients who live in a group home but work part time. The funding to transport his client is being cut. The nurse advocate against this to protect: 1. The job of the nurse 2. The person who drives the van 3. The liability of the house manager 4. The dignity of the clients
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4. The dignity of the clients
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A client in the mental health unit is experiencing escalating agitation. As an advocate for this client what's the nurses initial action? 1. Remove the client to quieter setting 2. Tell the client to call down immediately 3. Take away the privileges the client has earned 4. Give the client an emergency sedated shot
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1. Remove the client to quieter setting
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A nurse acting as a client advocate understands that the values basic to client advocacy includes all except? 1. The nurse has the responsibility to ensure the client has access to healthcare services that meet health needs 2. The client is a holistic, autonomous being who has the right to make choices and decisions 3. The client has the right to expect in nurse client relationship that is based on shared respect trust and collaboration 4. The client is a dependent being who requires a durable power of attorney
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4. The client is a dependent being who requires a durable power of attorney
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Which statement reflects the nurse acting in the advocacy intervention role? 1. I want to make sure you understand what procedure you are about to have done 2. Can you tell me what year it is and where you are right now 3. I am going to start your IV now and start the antibiotics that the doctor ordered 4. I'm going to listen to your heart and lungs now
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1. I want to make sure you understand what procedure you are about to have done
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A nurse suspects a coworker of engaging in illegal, immoral, or unethical conduct. What is the appropriate action by the nurse? 1. Ignoring the coworkers behavior 2. Inform other coworkers of the nurses suspicions 3. Notify the public health department 4. Following establish procedures at the facility at which the nurse is employed
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4. Following establish procedures at the facility at which the nurse is employed
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Ethical dilemmas. Client rights.
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Ethics is a system of moral principles or standards governing behaviors and relationships that is based on professional beliefs and values. The role of advocate is to upholdThe ethics in any situation. Nurses acting as advocates of shit honor the moral principles and standards and respect clients right to make their own choices based on nurses on professional believes and values and those of the client
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Standard of care. Nurse practice act's. Hipaa. Mandatory reporting.
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Legal issues encompass the rights, the responsibilities, and scope of nursing practice through regulation. All clients have the right to expect component nursing practice. The nurse advocate should uphold the rights of the client in any situation and also promote the confidence of those caring for the clients. The nurse has an obligation to report any suspicious behavior by another nurse, staff member, or other provider.
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Components of professionalism in nursing
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Nurses hold a public trust as professionals. One of the rules of the professional nurses to advocate for the client. The nurse at continuously advocate for the client in a professional manner
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Values and beliefs. Venerable populations. Social differences. Developing cultural competence.
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Culture refers to the patterns of behavior and thinking that people living in social groups learn, develop, and share. Diversity is the unique variations among and between individuals. Each client has the right to choose diversity and maintain that diversity as desired. The nurse should practice culturally competent care by respecting the cultural values of the client and advocating for those rights as needed. Nursing advocates should respect the diversity of all clients and promote equal care for all clients
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Access to healthcare
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The complexities of the healthcare system or difficult to maneuver even for people who are well educated. The nurse should support the client within the healthcare system by advocating for their rights to equal care.
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Values basic to client advocacy
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The client is a holistic, autonomous being who has the right to make choices and decisions. The client has the right to expect nurse-client relationship that is based on shared respect, trust, collaboration and solving problems related to health and healthcare needs, and consideration of his or her thoughts and feelings. The nurse has the responsibility to ensure that client has access to healthcare services that meet health needs.
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An advocate
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Provides clients with the information they need to make informed decisions and supports all clients rights to make their own healthcare decisions. Even if not shared by the provider or the nurse
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If a client lacks decision-making capacity, is legally incompetent, or is a minor,
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These rights can be exercised on the clients behalf by a designated healthcare Serica or legal guardian.
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Client control over healthcare decisions is a
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Westernview and not necessarily accepted by other cultures. In other cultures these decisions would normally be made by the head of the family or a member of the community
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PNAS
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Protected nursing advocacy scale
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PNAS was developed
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And validated measuring nursing advocacy beliefs and actions from a protective perspective
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Enabling also involves the nurse
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Through coaching, informing, explaining, supporting, assisting, guiding, focusing, and validating. Even providing substitutive care
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The most vulnerable population includes
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Infants, children, pregnant women, and older adults
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Areas nurses should promote for advocacy across the lifespan include
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Dimension of disease, growth and development, nutrition, exercise, and stress management. Additionally immunizations good nutrition and safety are very important
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Healthcare providers should be educated so that they can intern educate
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And provide appropriate care to their clients
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The role of advocacyand nursing extends to
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Professional organizations which advocate at the state and national levels for profession of nursing, its members, and for those who benefit from the services that nurses provide.
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As an advocate to protect children and family
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Dinners must also take action related to any potential or actual incidence of incompetent, unethical, or illegal practices by any member of the healthcare team. The nurse also must ensure that the policies and resources of health care agencies meet the psychosocial needs of children and their family
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Americans with disabilities act
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ADA enacted in 1990 intended to extend federal protection to individuals with physical and or mental health disabilities for access to public services, employment, and benefits.
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Patient self-determination act
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PSTA enacted in 1990 enacted to protect the rights of clients to except or reject aspects of their medical care
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Clients with mental health disorders
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Particularly Vulnerable to both physical and psychological abuse and often do not have the ability to defend themselves
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Hope use in inappropriate stuff behaviors include the following
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Supplying clients with drugs or alcohol in return for favors. Making privileges contingent on favors from clients. Slapping and kicking clients when staff members feel frustrated. Using restraints when other, less intrusive alternatives are available. Verbal harassment, including threats, sarcasm, and other putdowns. General threats of harm if clients do not behave. Inhumane physical facilities. Sexual misconduct.
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Identified causes that may lead to client and Buse include
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Unsuitability of certain staff members who do not have the patience for understanding to work with clients having trouble with self-control. Burn out. Lack of knowledge about other means of interacting with clients in on a high stress situation.
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Designing in conducting advocacy interventions
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Assess the clients ability to collaborate and make decisions. This is the reliability of information provided by the client. Assess the clients medical history and family situation.
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Clients experience greater improvement in their health out comes when nurses not only partner with family members but also teach the family members to be advocates
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Educate clients and their families about their legal rights. Monitor treatment planning and delivery of service for the abuse of client rights. Evaluate policies and procedures regarding infringement of client rights. Ensure that the clients have the necessary information to make an informed decision or get informed consent. Question other healthcare professionals when they are providehere that is based on stereo typical ideas rather than on an assessment of the individual clients needs. Speak out for say practice conditions when threatened by budget cuts
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Nurses have responsibility to communicate and collaborate
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Clear communication by all members of the clients healthcare team ensures client safety, enhances client care, and increases the likelihood of positive outcomes for the client
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Nurses are advocates for all clients
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Not just the individuals in their care.
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Nurses have a legal responsibility
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To report any professional him they suspect of engaging in illegal, immoral, or unethical activities.
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Impairment of a coworker or team member
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Is the most common situation encountered by healthcare professionals
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A nurse who observes or suspects impairment in another professional
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Is obligated to immediately reported to a supervisor
