A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements should the nurse include in the in- service?
"A nurse can apply restraints on a PRN basis."
"A nurse can disclose information to a family member with the client's permission."
"A nurse is responsible for informing clients about treatment options."
"A nurse can administer medications without consent to a client as part of a research study."
The Correct Answer is B
A. Restraints should be applied based on a specific, documented need, not on an as- needed (PRN) basis, to ensure client safety.
B. A nurse can disclose information to a family member with the client's permission. This statement respects the client's right to privacy and confidentiality.
C. It is the responsibility of the doctor and not nurses to inform clients about available treatment options.
D. Administering medications without consent for research purposes is ethically unacceptable and violates the client's rights to autonomy and informed consent.
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Related Questions
Correct Answer is C
Explanation
A. Contacting the provider may be part of the process, but it does not directly address the conflict between the family members' wishes and the health care surrogate's legal authority.
B. While the ethics committee can be a valuable resource in resolving disputes, it is not the first step in this situation, as the health care surrogate has the legal right to make decisions on behalf of the unconscious client.
C. The health care surrogate is legally designated to make health care decisions for the client when they are unable to do so themselves. This includes decisions about life-sustaining treatments such as a feeding tube.
D. Reviewing the client's advance directives is important, but it does not supersede the authority of the health care surrogate unless the directives explicitly limit the surrogate's decision-making power.
Correct Answer is D
Explanation
A. "MSO4 10 mg IVP q4° prn for pain" lacks clarity in abbreviation and dosing instructions.
B. "MS 10 mg IV every 4 pm for pain" contains an unclear frequency and timing.
C. "Morphine sulfate 10 mg IV q4h IV pm for pain" contains redundant dosing information and unclear timing.
D. "Morphine sulfate 10mg every 4 hours IV prn for pain" provides clear and appropriate information regarding medication, dosage, route, frequency, and indication.

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