A nurse is assisting with teaching a class about client advocacy. The nurse should include which of the following as an example of client advocacy?
A nurse protects a client’s personal health information.
A nurse keeps a promise to return to a client’s room.
A nurse accepts responsibility for their own actions.
A nurse communicates a client’s wishes to their provider.
The Correct Answer is D
Choice A reason: This statement is incorrect because protecting a client’s personal health information is not an example of client advocacy, but a legal and ethical obligation of the nurse. The nurse should follow the principles of confidentiality and privacy, and only share the client’s information with authorized persons or entities, or with the client’s consent.
Choice B reason: This statement is incorrect because keeping a promise to return to a client’s room is not an example of client advocacy, but a professional and courteous behavior of the nurse. The nurse should be honest, reliable, and respectful to the client, and follow through with their commitments and expectations.
Choice C reason: This statement is incorrect because accepting responsibility for their own actions is not an example of client advocacy, but a personal and professional accountability of the nurse. The nurse should be aware of their scope of practice, standards of care, and code of ethics, and act accordingly. The nurse should also admit their mistakes, report errors, and seek help when needed.
Choice D reason: This statement is correct because communicating a client’s wishes to their provider is an example of client advocacy. The nurse should act as a liaison between the client and the provider, and ensure that the client’s needs, preferences, and values are respected and considered in the decision-making process. The nurse should also support the client’s right to self-determination and informed consent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This statement is correct because the nurse should use objective terminology when documenting the occurrence. Objective terminology means using factual, unbiased, and verifiable information, such as the date, time, location, witnesses, and events of the occurrence. The nurse should avoid using subjective, opinionated, or judgmental language, such as blaming, criticizing, or speculating about the occurrence.
Choice B reason: This statement is incorrect because the nurse should not wait at least 12 hours to report the occurrence. The nurse should report the occurrence as soon as possible, preferably within an hour of the incident. The nurse should also notify the appropriate personnel, such as the charge nurse, the provider, and the risk manager. Delaying the report may compromise the client's safety and wellbeing, and the accuracy and completeness of the documentation.
Choice C reason: This statement is incorrect because the nurse should not omit the name of the individuals involved in the occurrence. The nurse should include the name of the client, the staff, and any other relevant parties, such as family members or visitors. The nurse should also document the role and actions of each individual, and their response to the occurrence. Omitting the name of the individuals may affect the accountability and follow-up of the occurrence.
Choice D reason: This statement is incorrect because the nurse should not document completion of the report in the client’s medical record. The nurse should document the occurrence report separately from the client’s medical record, and follow the facility's policy and procedure for filing and storing the report. The nurse should also document the occurrence in the client’s medical record, but only the facts and the nursing actions, not the details or the existence of the report. Documenting completion of the report in the client’s medical record may expose the facility to legal liability or litigation.
Correct Answer is A
Explanation
Choice A: This is the correct answer. An electronic health record (EHR) is a digital version of a client's medical history and other health information that can be accessed by authorized providers and the client. A personal health record (PHR) is a subset of an EHR that allows the client to view and manage their own health information, such as medications, allergies, test results, and appointments. A PHR can enhance the client's satisfaction, engagement, and empowerment in their health care.
Choice B: This is incorrect. Provides providers client information to track for research studies is not a benefit of an electronic health record, but a potential use of it. EHRs can facilitate health research by providing large and diverse data sets that can be analyzed for various purposes, such as clinical trials, epidemiology, and quality improvement. However, this use of EHRs must comply with ethical and legal standards, such as informed consent, privacy, and confidentiality.
Choice C: This is incorrect. Grants significant other access to client information is not a benefit of an electronic health record, but a matter of the client's preference and consent. EHRs must protect the client's privacy and confidentiality rights, and only disclose their information to authorized parties, such as health care providers, insurers, or public health agencies. The client can choose to share their information with their significant other or anyone else, but they must give explicit permission to do so.
Choice D: This is incorrect. Coordinates all healthcare client has received into one platform is not a benefit of an electronic health record, but a goal of it. EHRs aim to improve the coordination and continuity of care by allowing multiple providers to access and update the same information, enabling real-time collaboration, and providing decision support tools. However, this goal is not fully achieved yet, as there are still challenges and barriers to the interoperability and integration of EHRs across different settings and systems.
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