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Chapter 1 The Vista of Nursing
10. The physician is planning to take the patient to surgery in the morning and leaves an order
for the nurse to get the patient to sign the surgical permit. The physicians note indicates that
the patient has been educated on the procedure. However, the patient tells the nurse, I have no
idea what hes going to do. He rushed in and rushed out so fast, I couldnt ask any questions.
The nurse does not allow the patient to sign the permit and calls the physician to inform him
of the patients statement. This is an example of the nurse acting as
Patient advocate.
Patient educator.
Manager.
Clinical nurse specialist.
ANS: A
As a patient advocate, the nurse protects the patients human and legal rights, including the
right of the patient to understand procedures before signing permits. Although nurses can be
educators, it is the responsibility of the surgeon to provide education for the patient in
preparation for surgery, and it is the nurses responsibility to notify the physician if the patient
is not properly educated. Managers coordinate the activities of members of the nursing staff in
delivering nursing care, and clinical nurse specialists are experts in a specialized area of
nursing practice in a variety of settings.
11. The patient requires routine gynecological services after giving birth to her son, and while
seeing the nurse midwife, she asks for a referral to a pediatrician for the newborn. The nurse
midwife should
Provide the referral as requested.
Offer to provide the newborn care.
Refer the patient to the supervising physician.