NURS 114 FINAL EXAM PREP 2025-
2026|260+QS&AS|MONTGOMERY COUNTY COMM
COLLEGE
Advocacy
The nurse is caring for a terminally ill pediatric client. The parents have
decided to remove their child from life support. Which action by the nurse
displays the role of client advocate?
a. Respecting the parents' decision
b. Telling the parents they are making the right decision
c. Asking to be assigned to a different client
d. Referring the parents to social services
a. Respecting the parents' decision
Advocacy
By providing volunteer client care to an inadequately insured population, the
nurse is demonstrating which value of client advocacy?
a. The client has the right to make choices and decisions.
b. The nurse has the responsibility to ensure the client has access to healthcare
services.
c. The client has the right to expect a nurse-client relationship based on shared
respect.
,d. The nurse has the responsibility to make choices and decisions.
b. The nurse has the responsibility to ensure the client has access to healthcare
services.
Advocacy
A charge nurse notices that a client has a black eye that was not present when
admitted to the facility. Which action by the charge nurse is appropriate in this
situation?
a. Ask a staff nurse to question the client about the situation.
b. Discuss the situation with the client in a private setting.
c. Ask the other staff members if abuse is involved.
d. Ignore the situation until the client shows a willingness to talk.
b. Discuss the situation with the client in a private setting.
Advocacy
Which of the following is an advocacy intervention that a nurse may perform?
a. Following organizational policies and procedures in all cases without
question.
b. Deciding whether clients need to know information regarding their care.
c. Ensuring that clients and their families understand their legal rights.
d. Leaving monitoring of clients' care to the clients themselves.
c. Ensuring that clients and their families understand their legal rights
,Advocacy
The nurse notices that there is broken equipment on the playground in a
neighborhood where care is provided to low-income residents. The nurse tries
unsuccessfully to get the owner to address this safety issue. Which additional
action is most consistent with the role of the nurse as a public advocate?
a. Write an article in the local newspaper to gain public attention.
b. No action is required; this is a civil problem beyond the realm of the nurse
c. Call the police to report the owner's neglect.
d. Tell the parents they should not pay their rent until the playground is fixed.
a. Write an article in the local newspaper to gain public attention.
Advocacy
The nurse has been working in a long-term care facility for 1 week. The nurse
notes that during the evening meal, an unlicensed assistive personnel (UAP)
gives a tray to a client who is unable to cut up and eat the food independently,
and then leaves. After the nurse assists the client with eating the meal, which
action is appropriate to advocate for this client?
a. Report the UAP for neglect.
b. Notify the healthcare provider.
c. Call the client's family to have them assist with evening meals.
d. Discuss the situation with the director of nursing.
d. Discuss the situation with the director of nursing.
Advocacy
, The nurse is caring for a client on a mental health unit who is yelling at other
clients and some of the staff. Which verbal intervention by the nurse is most
consistent with the concept of advocacy?
a. "You should be ashamed of your behavior. No wonder you ended up on a
mental health unit."
b. "You seem upset. Can you tell me what you think might help to calm you
down?"
c. "You need to behave. If this doesn't stop you are going to be placed in
restraints."
d. "You are out of control. You have no choice but to take more medication."
b. "You seem upset. Can you tell me what you think might help to calm you
down?"
Advocacy
An older adult client with metastasized breast cancer informs the nurse that
her doctor is insisting that she participate in a course of chemotherapy, even
though the client does not want to have any further treatment. Which actions
by the nurse exemplify advocacy for this client? Select all that apply.
a. Tell the client that it is in her best interest to follow the doctor's advice.
b. Inform the doctor about the client's clear wishes not to have further
chemotherapy.
c. Ascertain whether or not the client has an advance care directive and, if not,
assist her in creating one.
d. Discuss the implications of various choices with the client.
e. Avoid interfering in the doctor-client relationship.
b. Inform the doctor about the client's clear wishes not to have further
chemotherapy.
2026|260+QS&AS|MONTGOMERY COUNTY COMM
COLLEGE
Advocacy
The nurse is caring for a terminally ill pediatric client. The parents have
decided to remove their child from life support. Which action by the nurse
displays the role of client advocate?
a. Respecting the parents' decision
b. Telling the parents they are making the right decision
c. Asking to be assigned to a different client
d. Referring the parents to social services
a. Respecting the parents' decision
Advocacy
By providing volunteer client care to an inadequately insured population, the
nurse is demonstrating which value of client advocacy?
a. The client has the right to make choices and decisions.
b. The nurse has the responsibility to ensure the client has access to healthcare
services.
c. The client has the right to expect a nurse-client relationship based on shared
respect.
,d. The nurse has the responsibility to make choices and decisions.
b. The nurse has the responsibility to ensure the client has access to healthcare
services.
Advocacy
A charge nurse notices that a client has a black eye that was not present when
admitted to the facility. Which action by the charge nurse is appropriate in this
situation?
a. Ask a staff nurse to question the client about the situation.
b. Discuss the situation with the client in a private setting.
c. Ask the other staff members if abuse is involved.
d. Ignore the situation until the client shows a willingness to talk.
b. Discuss the situation with the client in a private setting.
Advocacy
Which of the following is an advocacy intervention that a nurse may perform?
a. Following organizational policies and procedures in all cases without
question.
b. Deciding whether clients need to know information regarding their care.
c. Ensuring that clients and their families understand their legal rights.
d. Leaving monitoring of clients' care to the clients themselves.
c. Ensuring that clients and their families understand their legal rights
,Advocacy
The nurse notices that there is broken equipment on the playground in a
neighborhood where care is provided to low-income residents. The nurse tries
unsuccessfully to get the owner to address this safety issue. Which additional
action is most consistent with the role of the nurse as a public advocate?
a. Write an article in the local newspaper to gain public attention.
b. No action is required; this is a civil problem beyond the realm of the nurse
c. Call the police to report the owner's neglect.
d. Tell the parents they should not pay their rent until the playground is fixed.
a. Write an article in the local newspaper to gain public attention.
Advocacy
The nurse has been working in a long-term care facility for 1 week. The nurse
notes that during the evening meal, an unlicensed assistive personnel (UAP)
gives a tray to a client who is unable to cut up and eat the food independently,
and then leaves. After the nurse assists the client with eating the meal, which
action is appropriate to advocate for this client?
a. Report the UAP for neglect.
b. Notify the healthcare provider.
c. Call the client's family to have them assist with evening meals.
d. Discuss the situation with the director of nursing.
d. Discuss the situation with the director of nursing.
Advocacy
, The nurse is caring for a client on a mental health unit who is yelling at other
clients and some of the staff. Which verbal intervention by the nurse is most
consistent with the concept of advocacy?
a. "You should be ashamed of your behavior. No wonder you ended up on a
mental health unit."
b. "You seem upset. Can you tell me what you think might help to calm you
down?"
c. "You need to behave. If this doesn't stop you are going to be placed in
restraints."
d. "You are out of control. You have no choice but to take more medication."
b. "You seem upset. Can you tell me what you think might help to calm you
down?"
Advocacy
An older adult client with metastasized breast cancer informs the nurse that
her doctor is insisting that she participate in a course of chemotherapy, even
though the client does not want to have any further treatment. Which actions
by the nurse exemplify advocacy for this client? Select all that apply.
a. Tell the client that it is in her best interest to follow the doctor's advice.
b. Inform the doctor about the client's clear wishes not to have further
chemotherapy.
c. Ascertain whether or not the client has an advance care directive and, if not,
assist her in creating one.
d. Discuss the implications of various choices with the client.
e. Avoid interfering in the doctor-client relationship.
b. Inform the doctor about the client's clear wishes not to have further
chemotherapy.
