A nurse is caring for a client who has end-stage liver disease and states, "I am aware of the dangers of continuing to drink, but I am choosing not to stop." Which of the following actions should the nurse take to act as a client advocate?
Inform the client that they are better off without medical care if they continue to drink
Report the client's refusal to comply to the charge nurse and end the discussion.
Accept the client's decision and offer to be a resource if the client changes their mind.
Ask the client's family to remove alcohol from the client's home.
The Correct Answer is C
As a client advocate, the nurse's role is to respect the client's autonomy and right to make their own decisions about their health, even if those decisions may not align with medical advice. This approach maintains a therapeutic relationship and respects the client's autonomy while still offering support and resources.
A. is coercive and not respectful of the client's autonomy.
B. involves reporting the client's refusal to comply, which does not respect the client's right to make their own decisions.
D. involves involving the client's family without the client's consent, which undermines the client's autonomy and privacy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The disheveled appearance and irritability of the caregiver may indicate neglect of their own needs and well-being. This lack of self-care can lead to caregiver burnout and negatively impact the quality of care provided to the client.
A, B, and D are also important considerations when assessing caregiver concerns, but in this scenario, the caregiver's appearance and behavior suggest a need for attention to their own self- care needs
Correct Answer is C
Explanation
Secondary prevention aims to detect and treat a disease in its early stages to prevent complications and progression. In the case of a client with new onset diabetes mellitus experiencing uncontrolled blood glucose levels, secondary prevention actions might involve interventions to manage blood glucose levels and prevent complications.
A. The decision to initiate insulin therapy as a secondary prevention measure would depend on various factors, including the severity of the client's condition, the effectiveness of other treatments, and the individualized treatment plan developed by the healthcare provider.
B. Peritoneal dialysis is a treatment for end-stage kidney disease (ESKD) when the kidneys are no longer able to function effectively. Uncontrolled diabetes can lead to kidney damage over time
Fluid restrictions are more commonly prescribed for conditions such as heart failure or kidney disease, where fluid overload can exacerbate symptoms and lead to complications.
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