Advocacy PrepU
The client with end-stage cancer wishes to use hospice services and die at home. The client's family wants everything done for the client and are trying to convince the client to go to the hospital. The home health nurse speaks with the family about the client's wishes. Which role is the home health nurse fulfilling? a) Client advocate b) Family educator c) Caregiver d) Coordinator of services
Client advocate Explanation: The home health nurse is being a client advocate by supporting the client's rights to choose to die at home.
A 17-year-old high school senior calls the clinic because she thinks she might have gonorrhea. She wants to be seen but wants assurances that no one will know. Which is the most appropriate response by the nurse? a) "We can see you without your parents' consent but have to report any positive results to the public health department." b) "We can see you and will not share your results with anyone." c) "Because you are underage, we will need your parent's consent to treat you." d) "We can treat you without your parents' consent, but they have the right to review your medical record."
A)"We can see you without your parents' consent but have to report any positive results to the public health department." While some areas may specify a minimum age for treatment (usually 12 to 14 years), generally adolescents have the right to seek treatment for sexually transmitted infections without their parents' permission. These records are not shared with parents without the client's permission. However, adolescents must be made aware that certain infections, including gonorrhea, must be reported by law to public health agencies. Partner notification will also take place, but methods vary.
A client with cancer-related pain has been prescribed a narcotic analgesic to be given around the clock. The client is competent and has been actively involved in decisions regarding care. What should the nurse do if the client refuses the next dose of analgesia? a) Emphasize the rationale for taking the medication now as ordered. b) Ask the client's spouse wife to hold the client's hands while the nurse puts the pill under the tongue. c) Try to persuade the client to take the medication as ordered by the doctor. d) Document the client's choice and re-assess pain in 1 hour.
D.) Document the client's choice and re-assess pain in 1 hour. Explanation: A client has the right to choose whether to take medication. The nurse should assess the client's pain regularly and educate the client that taking the medication before the pain gets out of control will be a better pain management plan. The other options do not reflect an understanding of the client's right to choice including the refusal of pain medication.
When planning the care for a client who is being abused, which of the following measures is most important to include? a) Explaining to the client her personal and legal rights. b) Being compassionate and empathetic. c) Helping the client develop a safety plan. d) Teaching the client about abuse and the cycle of violence.
Helping the client develop a safety plan. Explanation: The client's safety, including the need to stay alive, is crucial. Therefore, helping the client develop a safety plan is most important to include in the plan of care to ensure the client's safety. Being empathetic, teaching about abuse, and explaining the person's rights are also important after safety is ensured.
An infant who has been in foster care since birth requires a blood transfusion. Who is authorized to give written, informed consent for the procedure? a) The foster mother b) The nurse manager c) The registered nurse caring for the infant d) The social worker who placed the infant in the foster home
The foster mother Explanation: When children are minors and aren't emancipated, their parents or designated legal guardians are responsible for providing consent for medical procedures. Therefore, the foster mother is authorized to give consent for the blood transfusion. The social worker, the nurse, and the nurse manager have no legal rights to give consent in this scenario.
