A nurse is caring for a client who refuses a prescribed medical procedure. Which of the following actions should the nurse take to act as a client advocate
Evaluate the client’s concerns and communicate them to the provider.
Contact the unit’s social worker to report the client’s refusal.
Ask the client’s partner to find out why the client has refused the procedure.
Explain the necessity of the procedure to the client.
The Correct Answer is A
The correct answer is choice A. Evaluate the client’s concerns and communicate them to the provider.
This is because the nurse’s role as a patient advocate is to speak, act or behave in a way that benefits their patient, who may not be able to support or promote their own needs or interests.
The nurse should provide patients with information regarding their diagnoses, prognoses, treatments, and alternatives, and serve as a patient’s voice when necessary.
Choice B is wrong because contacting the unit’s social worker to report the client’s refusal is not an appropriate action for the nurse to take as a patient advocate.
The nurse should respect the patient’s autonomy and right to refuse treatment, and not involve other professionals without the patient’s consent.
Choice C is wrong because asking the client’s partner to find out why the client has refused the procedure is not an appropriate action for the nurse to take as a patient advocate.
The nurse should communicate directly with the patient and not rely on third parties to obtain information or influence the patient’s decision.
Choice D is wrong because explaining the necessity of the procedure to the client is not an appropriate action for the nurse to take as a patient advocate.
The nurse should not impose their own values or opinions on the patient, but rather provide unbiased and factual information and support the patient’s informed choice.
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Related Questions
Correct Answer is B
Explanation
This type of aphasia is caused by damage to the frontal lobe of the brain, which affects the ability to produce language.
People with expressive aphasia can understand speech and know what they want to say, but they have difficulty saying words or forming sentences.
They may speak in short phrases that require a lot of effort.
Choice A is wrong because receptive aphasia is a type of fluent aphasia that affects the ability to comprehend language.
People with receptive aphasia have difficulty understanding speech and may produce meaningless words or sentences.
Choice C is wrong because global aphasia is the most severe type of aphasia that affects both the production and comprehension of language.
People with global aphasia cannot speak many words and do not understand speech.
They also cannot read or write.
Choice D is wrong because sensory aphasia is not a common term for a type of aphasia.
It may refer to Wernicke’s aphasia, which is another type of fluent aphasia that affects the ability to produce meaningful language.
People with Wernicke’s aphasia can speak fluently but often use incorrect or invented words or phrases.
Correct Answer is D
Explanation
The correct answer is choice D. A living will can specify which medical procedures a person wants or does not want to receive in certain situations, such as when they are terminally ill or permanently unconscious.
A living will is a type of advance directive, which is a legal document that provides instructions for medical care if a person is unable to make decisions for themselves.
Choice A is wrong because a person does not need to have advance directives in order to refuse recommended treatment.
They have the right to accept or decline any medical intervention at any time, as long as they are competent and able to communicate their wishes.
Choice B is wrong because a person does not need an attorney to name a designee in their health care proxy.
A health care proxy is another type of advance directive that appoints a person to make health care decisions for someone else if they are unable to do so.
A health care proxy can be completed without involving a lawyer, as long as it meets the state’s requirements for a valid document.
Choice C is wrong because a living will cannot be an oral statement that a person agrees upon with their provider.
A living will must be in writing and follow the state’s laws for creating legal documents.
Depending on the state, a living will may need to be signed by a witness or notarized.
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