A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)

Initiating IV access on a client who has dementia while he is sleeping

Implementing a client's plan of care based upon nursing goals

Providing written information to a client regarding palliative care

Obtaining an interpreter for a client who speaks a different language than the nurse

Documenting a client's refusal to take a prescribed medication

Answer and Explanation

Correct Answer : C,D,E

Rationale:
A. Initiating IV access while a client with dementia is sleeping violates autonomy and informed consent—this is not advocacy.
B. Implementing a plan of care based on nursing goals reflects nursing practice, but advocacy focuses on protecting the client’s rights and wishes, not just following nursing objectives.
C. Providing written information about palliative care supports informed decision-making, which is a key aspect of advocacy.
D. Obtaining an interpreter ensures the client understands their care and can make informed decisions, which is an advocacy action.
E. Documenting a client’s refusal of medication respects and upholds the client’s autonomy, which is a form of advocacy.

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Correct Answer is A

Explanation

Rationale:
A. A social worker can assist the family in obtaining financial resources, insurance coverage, or community programs to help cover the cost of the nebulizer, making this the correct referral.
B. A pharmacist can provide medication education and possible cost-saving alternatives for prescriptions but cannot arrange funding or equipment access.
C. Child protective services is not appropriate, as the parent is seeking help and there is no indication of neglect or abuse.
D. A respiratory therapist can teach proper use of the nebulizer and asthma management techniques but cannot address the family’s financial barrier to obtaining the equipment.

A. "I will be given contrast dye during this test." B. "I will run on a treadmill during this test." C. "I might have to wear a nose clip during this test. D. "I might have a tube inserted into my airway during this test."

Correct Answer is C

Explanation

Rationale:
A. Contrast dye is used in imaging studies such as CT scans, not pulmonary function tests.
B. Running on a treadmill is part of a cardiac stress test, not a pulmonary function test.
C. A nose clip may be used during pulmonary function testing to ensure that all breathing occurs through the mouth for accurate measurement.
D. Insertion of a tube into the airway refers to procedures such as bronchoscopy or intubation, not a pulmonary function test.

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A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states that they are unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?

Correct Answer is A

Explanation

A nurse is assessing a client's comprehension of a pulmonary function test prior to the procedure. Which of the following client statements indicates to the nurse an understanding of the procedure?

Correct Answer is C

Explanation

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