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Nursing A Concept Based Approach to Learning 1st Edition Volume 2 NCCLEB Test Bank

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Nursing A Concept Based Approach to Learning 1st Edition Volume 2 NCCLEB Test Bank

ISBN-13: 978-0135103517

ISBN-10: 0135103517

 

Description

Nursing A Concept Based Approach to Learning 1st Edition Volume 2 NCCLEB Test Bank

ISBN-13: 978-0135103517

ISBN-10: 0135103517

 

 

 

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Free Nursing Test Questions:

CONCEPT 41: ADVOCACY

 

About Advocacy

 

 

  1. Parents of a terminally ill child have decided to remove their child from life support, a decision that has met with much opposition. The nurse best advocates for the family by:

 

  1. Showing respect for the family.
  2. Respecting the parents’ decision.
  3. Referring the parents to social services.
  4. Asking to be assigned to a different client.

 

Answer:

  1. Respecting the parents’ decision.

 

Rationale:

The nurse best advocates for the family by supporting the family’s right to make this decision. A nurse can show respect for the family without respecting the decision of the parents. Referring the parents to another entity points to feelings of unease about the parents’ choice. Asking to be assigned to another client does not honor the right of patients and families to make decisions about health care.

Nursing Process: Evaluation

Client Need: Psychosocial Integrity

Cognitive Level: Analyzing

Learning Outcome: 1. Provide examples of the nurse performing in the role of advocate.

 

 

  1. A nurse is working with a local agency to provide care to the inadequately insured by helping to staff an after-hours clinic. This nurse is demonstrating which value of client advocacy?

 

  1. The client has the right to make choices and decisions.
  2. The client has the right to expect a nurse–client relationship based on shared respect.
  3. The nurse has the responsibility to ensure the client has access to health care services
  4. The nurse has the responsibility to to make choices and decisions.

 

Answer:

  1. The nurse has the responsibility to ensure the client has access to health care services

 

Rationale:

The nurse has the responsibility to ensure the client has access

to health care services that meet health needs. While the client does have the right to make choices and decisions, the nurse working with an agency to provide health care to the underinsured does not demonstrate this value. While the client does have the right to expect a nurse–client relationship based on shared respect, the nurse working with an agency to provide health care to the underinsured does not demonstrate this value. The nurse’s responsibility to make choices and decision is not one of the values basic to client advocacy.

Nursing Process: Implementation

Client Need: Health Maintenance and Promotion

Cognitive Level: Analyzing

Learning Outcome: 2. Describe the values basic to client advocacy.

 

 

  1. A charge nurse notices that the 66-year-old nurse who works the shift has come to work with a black eye. The charge nurse is aware that the nurse lives with an adult grandson who has caused problems in the past. The charge nurse should:

 

  1. Ignore the situation until the nurse shows a willingness to talk.
  2. Notify security to approach the nurse about the situation.
  3. Discuss the situation with the nurse in a private setting.
  4. Ask the other staff members if abuse is involved.

 

Answer:

  1. Discuss the situation with the nurse in a private setting.

 

Rationale:

The charge nurse should discuss the situation with the nurse in private and offer options of help. The charge nurse should not ignore the situation and should advocate for the nurse. Security cannot address situations that do not occur on hospital grounds. It would be a breach of confidentiality to talk to the rest of the staff.

Nursing Process: Implementation

Client Need: Physiological Integrity

Cognitive Level: Analyzing

Learning Outcome: 3. List strategies for advocating in different care settings.

 

 

  1. The home health nurse is assessing the family’s ability to change a dressing on a wound that the client cannot reach. The nurse asks the family to change the dressing while the nurse watches. When the family member finishes, the nurse might say:

 

  1. “You are not doing it right. Let me show you how to do it.”
  2. “This wound will never heal at this rate.”
  3. “I’ll come and do it every day so that the wound will heal more quickly.”
  4. “You did well. Let me show you one technique to make it easier.”

 

Answer:

  1. “You did well. Let me show you one technique to make it easier.”

 

Rationale:

In order to facilitate the client and family member, the nurse evaluates their efforts and gently helps them make some changes. This empowers the family and increases the chances of healing. Saying that the family is doing it wrong is demoralizing. Sarcasm only lowers the self esteem of the family member. Offering to do it every day sends the message that the nurse does not trust the family’s ability to learn the proper procedure.

Nursing Process: Evaluation

Client Need: Psychosocial Integrity

Cognitive Level: Analyzing

Learning Outcome: 4. Explain the importance of, and the method for, empowering the client.

 

 

  1. The nurse is working in a low-income neighborhood as a home health nurse. The nurse notes that the children’s playground has broken equipment, which the children continue to play on. What action might the nurse take as a public advocate?

 

  1. Call the police to report the owner’s neglect.
  2. Contact the owner of the playground about safety issues.
  3. Alert the parents to keep the children off the playground.
  4. No action is required; this is a civil problem beyond the realm of the nurse.

 

Answer:

  1. Contact the owner of the playground about safety issues.

 

Rationale:

Prevention of injury to clients is very much a part of nursing. The nurse should initially contact the owner, and if that does not work, write an article or talk to a town council person. The police are a protection against crime and are not likely to do anything about the situation. Alerting the parents is a possibility, but the objective here is to make the playground safe. Civil problem or not, the nurse has an obligation to protect the neighborhood children from injury and should act on it.

Nursing Process: Implementation

Client Need: Safe, Effective Care Environment

Cognitive Level: Applying

Learning Outcome: 5. Differentiate between professional and public advocacy and provide examples of each.

 

 

  1. A nurse working in a long-term care facility notes that during the evening meal, the unlicensed assistive person (UAP) takes a tray to a client with Parkinson’s who is unable to cut up and eat the food. The nurse helps the client with dinner and plans which of the following to advocate for the client?

 

  1. Notify the physician
  2. Call the client’s family
  3. Discuss the situation with the director of nursing
  4. Talk to the UAP

 

Answer:

  1. Discuss the situation with the director of nursing

 

Rationale:

The nurse would advocate getting the client’s plan changed because the goal is to have someone available to help the client eat for every meal. Notifying the doctor will not help the client. The family might be able to help at times but cannot be expected to come for every meal. The nurse assesses that this happens at every meal and seeks to change how this client is cared for, not just changing one health care worker.

Nursing Process: Implementation

Client Need: Physiological Integrity

Cognitive Level: Evaluating

Learning Outcome: 6. Contrast the need for advocacy among members of vulnerable populations versus general populations.

 

 

  1. A client on the psychiatric unit has become highly agitated and is threatening other clients and some of the staff. The nurse escorts the client to the isolation room, leaves the door open, and tells the client:

 

  1. “I can’t believe you behaved in this manner and upset everyone else”
  2. “If you do not calm down, we will sedate you for your own safety.”
  3. “You scared the other clients and I must now help them.”
  4. “I’m going to sit right here in case you need to talk.”

 

Answer:

  1. “I’m going to sit right here in case you need to talk.”

 

Rationale:

The nurse offers support to the client by offering to listen if the client wants to talk about the episode. Telling the client that the nurse does not believe the behavior is not effective communication at this point. Threatening the client with medication is not allowed. The psychiatric client may not be aware enough to realize the impact of behavior on the other clients.

Nursing Process: Implementation

Client Need: Psychosocial Integrity

Cognitive Level: Analyzing

Learning Outcome: 7. Explain the importance of advocacy when caring for clients with alterations in mental health.

 

 

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