A nurse is caring for a client who asks for information regarding terminating their treatment against their partner's wishes. By providing this information, the nurse is acting in which of the following roles for this client?
Conflict manager
Advocate
Social worker
Negotiator
The Correct Answer is B
A. Conflict manager: A conflict manager helps parties resolve disagreements and mediate disputes. In this scenario, the nurse is not mediating between the client and their partner but is providing guidance directly to the client.
B. Advocate: Acting as a client advocate involves supporting the client’s rights, choices, and best interests, even when others may disagree. By providing information about treatment termination, the nurse empowers the client to make informed decisions independently.
C. Social worker: A social worker provides counseling, resources, and support for psychosocial needs. While the nurse may offer similar guidance, the role described focuses on protecting client rights rather than providing social services.
D. Negotiator: A negotiator facilitates agreement between parties through discussion or compromise. The nurse is not negotiating with the partner but is supporting the client’s autonomy, which aligns with advocacy rather than negotiation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Refrain from using a tether strap on the car seat for children under 1 year of age: Tether straps are generally used for forward-facing car seats to reduce forward movement in a crash. Infants under 1 year should be in rear-facing seats, where tethers are not typically applicable, but the focus should be on proper rear-facing installation rather than avoiding tethers altogether.
B. Manual shoulder belts in the front seat are acceptable for school-age children over 8 years of age: Children under 13 years should ride in the back seat whenever possible, as front-seat placement increases the risk of injury from airbags and seat belts. Using front seats is not recommended solely based on age.
C. Restrict using rear-facing car seats for children after 1 year of age: Current guidelines recommend keeping children in rear-facing seats as long as possible, typically until at least age 2 or until they reach the height and weight limits of the rear-facing seat. Restricting rear-facing use at 1 year is outdated and unsafe.
D. Booster seats with belt-positioning should be used for school-age children until 8 years of age: Booster seats help position the seat belt correctly over a child’s shoulder and lap, reducing the risk of injury in a crash. This is consistent with current safety guidelines and supports proper seat belt use until the child is tall enough and meets weight requirements for adult seat belts.
Correct Answer is A
Explanation
A. "You seem like you're feeling hopeless.": This response acknowledges the client’s emotional state and invites further discussion, which is essential in managing suicidal ideation. It validates the client’s feelings while opening a therapeutic dialogue that helps the nurse assess risk, provide support, and ensure safety.
B. "Suicide is not the answer to your problems.": This response can feel dismissive and may shut down communication. It offers a directive rather than exploring the client’s feelings, which may increase the client’s sense of isolation. Effective therapeutic communication focuses on understanding before offering guidance.
C. "Did you take your medications today?": Asking about medication adherence shifts the focus away from the client's emotional distress. While medication compliance is important, it does not address the immediate expression of suicidal thoughts or support emotional exploration.
D. "Don't worry. Everything will be just fine.": Offering false reassurance minimizes the client's feelings and can worsen distress. It closes communication and prevents the nurse from gathering important information about the client’s level of suicidal risk, which is critical in this situation.
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