Which of the following should a nurse utilize to assist in preventing liability from occurring? (Select all that apply.)
Communicate effectively
Document only what is needed to understand the client's situation
Practice within own scope of practice
Advocate and assist clients with their needs including emotional needs
Maintain competencies and education.
Correct Answer : A,C,D,E
Effective communication can help to prevent misunderstandings and ensure that the client receives appropriate care.
Practicing within one’s scope of practice ensures that the nurse is providing care that is within their level of expertise and training.
Advocating for and assisting clients with their needs can help to ensure that they receive the care and support they need.
Maintaining competencies and education ensures that the nurse is up-to-date on best practices and able to provide high-quality care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The client's statement about losing faith in God and not understanding how God could allow bad things to happen to her suggests that she is experiencing spiritual distress. This can be common among individuals experiencing depression and anxiety, as they may struggle to find meaning or purpose in their lives.
Option a, Risk for lack of faith, is not a recognized nursing diagnosis.
Option c, Risk for impaired religiosity, may be more appropriate for a client who has experienced a significant change in their religious practices or beliefs but does not necessarily indicate distress.
Option d, Risk for impaired spirituality, could be appropriate but may be too broad and not specific enough to the client's situation.
Correct Answer is B
Explanation
A client has been seeking the attention of the nurses at the nurse’s station much of the day. The nurse escorts him to this room and tells him to stay there or he will be put into seclusion.
This nursing intervention constitutes false imprisonment because it involves unlawfully restraining the client against their will. In this case, the nurse is using the threat of seclusion to coerce the client into staying in their room, which could be considered unlawful restraint.
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