Saunders Q & A Review For The Nclex-Rn® Examination (Chapter 7: Safe And Effective Care Environment Practice Questions )

CHAPTER 7: SAFE AND EFFECTIVE CARE ENVIRONMENT PRACTICE QUESTIONS 1. The nurse is developing an educational session on client advocacy for the nursing staff. The nurse would include which interventions as examples of the nurse acting as a client advocate? Select all that apply. 1. Obtaining an informed consent for a surgical procedure 2. Providing information necessary for a client to make informed decisions 3. Providing assistance in asserting the client’s human and legal rights if the need arises 4. Including the client’s religious or cultural beliefs when assisting the client in making an informed decision 5. Defending the client’s rights by speaking out against policies or actions that might endanger the client’s well-being Level of Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Clinical Judgment/Cognitive Skills: Generate Solutions Integrated Process: Teaching and Learning Content Area: Leadership/Management: Ethical/Legal Health Problems: N/A Priority Concepts: Caregiving; Professional Identity Answer: 2, 3, 4, 5 Rationale: In the role of client advocate, the nurse protects the client’s human and legal rights and provides assistance in asserting those rights if the need arises. The nurse advocates for the client by providing information needed so that the client can make an informed decision. The nurse needs to consider the client’s religion and culture when functioning as an advocate and when providing care. The nurse would include the client’s religious or cultural beliefs in discussions about treatment plans so that an informed decision can be made. The nurse also defends clients’ rights in a general way by speaking out against policies or actions that might endanger the client’s well-being or conflict with the client’s rights. Informed consent is part of the primary health care provider–client relationship; in most situations, obtaining the client’s informed consent does not fall within the nursing duty. Even though the nurse assumes the responsibility for witnessing the client’s signature on the consent form, the nurse does not legally assume the duty of obtaining informed consent. Test-Taking Strategy: Focus on the subject, examples of the nurse acting as a client advocate. Read each option carefully and recall the definition of a client advocate. Remembering that in this role the nurse protects the client’s human and legal rights and provides assistance in asserting those rights if the need arises will assis