C HAPTER 06: P ATIENT , S UBORDINATE ,
W ORKPLACE , AND P ROFESSIONAL
A DVOCACY
1. The nurse-manager of a hospital unit has set a goal of increasing client
advocacy. What activities are likel y to help the manager attain this goal?
Select all that apply.
a. Staffing the unit with a sufficient number of care providers
b. Orienting staff on the safe u se of a new mechanical lift
c. Providing an in-service on culturall y meeting clients’ end -of-life
needs
d. Arranging for a client to have a meeting with a member of the
financial office
e. Organizing an equitable system for distributing vacation time to
staff
ANS: A, B, C, D
Feedback:
Common areas for managers to advocate for clients include distribution
of resources, use of technology, end -of-life decisions, and health -care
reimbursement. Issues around scheduling and vacation are areas where
the manager could advocate for subordinates, but this matter has little
direct impact on clients.
, PTS: 1 DIF: Difficult REF: Page: 141 OBJ: 8
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 06: Title:
Display 6.4 Common Are as Requiring Nurse–Patient Advocacy
KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Anal yze NOT: Multiple Selection
2. The nurse is reviewing the provisions of legislation that relates to nursing
practice in the jurisdiction where the nurse p rovides care. The nurse
should identify what primary purpose of this legislation?
a. Protecting clients’ rights and safet y
b. Organizing the overall structure of the health -care system
c. Promoting a unique role for nursing in promoting wellness
d. Ensuring nurses pro vide care that is ethical and moral
ANS: A
Feedback:
The legislative controls of nursing practice primaril y protect the rights
of clients. Legislation is not primaril y aimed at organizing the health
s ystem, which is an administrative role, not a legis lative function.
Legislation is not aimed at promoting the role of nursing. Ethical
practice is addressed primaril y by codes of ethics, not binding
legislation.
PTS: 1 DIF: Easy REF: Page: 144 OBJ: 1 NAT:
Client Needs: Safe and Effective Care Environment : Management
of Care TOP: Chapter Number: 06: Title: Patient Rights
, KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Understand NOT: Multiple Choice
3. A nurse feels strongly that a proposed piece of legislation would be
contrary to the interests of clients. How can the nurse most effectivel y
oppose this legislation?
a. Address the issue on social media sites as often as possible.
b. Send e-mails to legislators’ offices expressing concerns.
c. Collaborate with a group of professionals who feel the sam e way.
d. Contact media outlets and ask to be interviewed.
ANS: C
Feedback:
Collective action is generall y considered to be more effective than
individual action. E -mails are easy to ignore and are less effective than
personalized letters. Addressing the issue on social media may make
more people aware of the issue, but it may or may not result in action
change. Media outlets normall y initiate interest in news interviews;
they rarel y respond to people’s requests to be interviewed.
PTS: 1 DIF: Moderate REF: Page: 152 OBJ: 10
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 06: Title:
Nursing's Advocacy Role in Legislation and Public Policy
KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Appl y NOT: Multiple Choice
W ORKPLACE , AND P ROFESSIONAL
A DVOCACY
1. The nurse-manager of a hospital unit has set a goal of increasing client
advocacy. What activities are likel y to help the manager attain this goal?
Select all that apply.
a. Staffing the unit with a sufficient number of care providers
b. Orienting staff on the safe u se of a new mechanical lift
c. Providing an in-service on culturall y meeting clients’ end -of-life
needs
d. Arranging for a client to have a meeting with a member of the
financial office
e. Organizing an equitable system for distributing vacation time to
staff
ANS: A, B, C, D
Feedback:
Common areas for managers to advocate for clients include distribution
of resources, use of technology, end -of-life decisions, and health -care
reimbursement. Issues around scheduling and vacation are areas where
the manager could advocate for subordinates, but this matter has little
direct impact on clients.
, PTS: 1 DIF: Difficult REF: Page: 141 OBJ: 8
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 06: Title:
Display 6.4 Common Are as Requiring Nurse–Patient Advocacy
KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Anal yze NOT: Multiple Selection
2. The nurse is reviewing the provisions of legislation that relates to nursing
practice in the jurisdiction where the nurse p rovides care. The nurse
should identify what primary purpose of this legislation?
a. Protecting clients’ rights and safet y
b. Organizing the overall structure of the health -care system
c. Promoting a unique role for nursing in promoting wellness
d. Ensuring nurses pro vide care that is ethical and moral
ANS: A
Feedback:
The legislative controls of nursing practice primaril y protect the rights
of clients. Legislation is not primaril y aimed at organizing the health
s ystem, which is an administrative role, not a legis lative function.
Legislation is not aimed at promoting the role of nursing. Ethical
practice is addressed primaril y by codes of ethics, not binding
legislation.
PTS: 1 DIF: Easy REF: Page: 144 OBJ: 1 NAT:
Client Needs: Safe and Effective Care Environment : Management
of Care TOP: Chapter Number: 06: Title: Patient Rights
, KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Understand NOT: Multiple Choice
3. A nurse feels strongly that a proposed piece of legislation would be
contrary to the interests of clients. How can the nurse most effectivel y
oppose this legislation?
a. Address the issue on social media sites as often as possible.
b. Send e-mails to legislators’ offices expressing concerns.
c. Collaborate with a group of professionals who feel the sam e way.
d. Contact media outlets and ask to be interviewed.
ANS: C
Feedback:
Collective action is generall y considered to be more effective than
individual action. E -mails are easy to ignore and are less effective than
personalized letters. Addressing the issue on social media may make
more people aware of the issue, but it may or may not result in action
change. Media outlets normall y initiate interest in news interviews;
they rarel y respond to people’s requests to be interviewed.
PTS: 1 DIF: Moderate REF: Page: 152 OBJ: 10
NAT: Client Needs: Safe and Effective Care Environment:
Management of Care TOP: Chapter Number: 06: Title:
Nursing's Advocacy Role in Legislation and Public Policy
KEY: Integrated Process: Nursing Process BLM:
Cognitive Level: Appl y NOT: Multiple Choice
