At a prenatal visit, a primigravida client confides to the practical nurse (PN) that her partner is abusive.

Which information should the PN provide?

Contact information for a women's shelter.

Safety plan to keep in a purse at all times.

Visit summary documenting the report of abuse.

Paperwork needed to file a restraining order.

Answer and Explanation

The Correct Answer is A

When a primigravida client confides in the practical nurse (PN) about being in an abusive relationship, the primary concern is the safety and well-being of the client and her unborn child.

Providing contact information for a women's shelter is the most appropriate response in this situation. Women's shelters provide a safe haven for individuals experiencing domestic violence and can oﬀer immediate assistance, including shelter, counseling, legal support, and other resources.

In situations involving domestic violence, it is essential to prioritize the safety and well-being of the individual experiencing abuse. Connecting them with resources like women's shelters can provide the necessary support and assistance they need to escape the abusive relationship and protect themselves and their unborn child.

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Correct Answer is A

Explanation

A. Autonomy is the ethical principle that respects the right of clients to make their own decisions and choices regarding their health care. Informed consent is a process that ensures that clients are fully informed of the benefits, risks, alternatives, and consequences of a proposed treatment or procedure, and that they voluntarily agree to it.

B. Nonmaleficence is the ethical principle that obliges health care providers to do no harm to clients, either intentionally or unintentionally. Informed consent does not directly promote this principle, although it may help to prevent harm by disclosing potential risks and complications.

C. Justice is the ethical principle that requires fair and equal treatment of all clients, regardless of their personal characteristics, preferences, or values. Informed consent does not directly promote this principle, although it may help to ensure that clients are not coerced or manipulated into accepting a treatment or procedure that they do not want or need.

D. Fidelity is the ethical principle that requires health care providers to be faithful and loyal to their clients, and to honor their commitments and promises. Informed consent does not directly promote this principle, although it may help to establish trust and rapport between clients and providers.

A. Enroll the UAP in a hospital education class on conducting safe client care B. Stop the procedure and tell the UAP to place the client in a Fowler's position C. Praise the UAP for doing oral hygiene but encourage family participation D. Tell the UAP to continue because the unconscious client is positioned safely

Correct Answer is D

Explanation

Option A is incorrect because enrolling the UAP in a hospital education class on conducting safe client care does not address the immediate problem or correct the error.

Option B-This would be inappropriate for oral care in an unconscious client as it increases the risk of aspiration.The side-lying position is safer for oral hygiene in unconscious clients.

Option C:While encouraging family participation can be beneficial, it is not the most immediate concern in this situation. The priority is ensuring safe and effective care, which the UAP is providing correctly.

Option D:The flat side-lying position is appropriate for an unconscious client during oral hygiene care. This position helps to prevent aspiration by allowing any secretions or fluids to drain out of the mouth rather than down the throat, which could happen if the client were in a Fowler's position. The presence of the emesis basin near the chin also indicates that the UAP is prepared to catch any fluids, further reducing the risk of aspiration

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At a prenatal visit, a primigravida client confides to the practical nurse (PN) that her partner is abusive. Which information should the PN provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is reviewing clients' rights with the nurses on the unit. The nurse manager should tell the nurses that informed consent promotes which of the following ethical principles?

Correct Answer is A

Explanation

The practical nurse (PN) observes an unlicensed assistive personnel (UAP) performing oral hygiene on an unconscious client who is lying in a ﬂat side-lying position with an emesis basin on the bedside table near the chin. Which action should the PN take?

Correct Answer is D

Explanation

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At a prenatal visit, a primigravida client confides to the practical nurse (PN) that her partner is abusive.

Which information should the PN provide?