Deck 6: Patient, Sübordinate, Worklace, and Professional Advocacy

Question 1

Which statement regarding the responsibility of a manager in advocacy is accurate?

A) Advocacy is a management function and not a leadership role
B) Managers advocate only as needed to meet organizational goals
C) Managers should advocate for patients as well as subordinates
D) Professional advocacy is not a primary concern for most managers

Answer 1

Managers should advocate for patients as well as subordinates

Question 2

How is the action of advocacy described?

A) Informing others of their rights and making certain they have sufficient information to make decisions
B) Learning about the need for a decision and then making a good decision for other people
C) Supporting an individual's right to make a decision even when they do not have accurate information
D) Protecting the rights of patients in accordance with the law

Answer 2

Informing others of their rights and making certain they have sufficient information to make decisions

Question 3

Even after a lengthy discussion concerning the ramifications, a patient wants to leave the hospital against medical advice (AMA). What would the nurse do in the role of patient advocate?

A) Encourage the patient to wait until morning to leave the hospital
B) Ask family members to help talk the patient out of the decision
C) Call the security guard to escort the patient off hospital property
D) Make sure the patient has appropriate follow-up appointments

Answer 3

Make sure the patient has appropriate follow-up appointments

Question 4

Which statement about a national Patient Bill of Rights is accurate?

A) Not yet been enacted by the federal government
B) Became the law of the land
C) Became legally binding in every state
D) Has not been beneficial to patients

Question 5

Who plays a primary role in ensuring that workers have reasonable, working schedules?

A) Unions
B) Top administrators
C) Managers
D) Federal government

Question 6

Which situation is a reality for whistle-blowers?

A) Retaliation against them is illegal
B) Fellow workers are supportive of them
C) Federal and State law protects them
D) They are often afraid to speak out

Question 7

Which statement is true regarding political action committees (PACs)?

A) They attempt to persuade legislators to vote in a particular way
B) They are comprised of volunteers who are interested in politics
C) Their focus is the passage of specific pieces of legislature
D) They appear to have little influence with law makers

Question 8

Which factor has the greatest influence on a legislator?

A) Form letters from group members
B) Individual phone calls from constituents
C) Meeting with a strong collective political group
D) A personal visit by an individual constituent

Question 9

Which strategies would demonstrate an understanding of effective preparation for a television interview to discuss issues affecting nursing today? Select all that apply

A) Be focused on key points.
B) Introduce statistics that support the key points
C) Repeat key points several times during the interview
D) Provide background material related to the key points

Question 10

What statement is true concerning nurses as a political body?

A) They are very committed to both their profession and the political process
B) Many are active members of the American Nurses Association (ANA)
C) Their primary focus is to speak out on consumer health-related issues
D) They have not yet recognized the full potential of political activity

Question 11

Which leadership role is associated with advocacy?

A) Create a climate where advocacy and its associated risk-taking are valued
B) Give subordinates and patients adequate information to make informed decisions
C) Ensure that rights and values of patients supersede those of the health-care providers
D) Seek appropriate consultation when advocacy results in intrapersonal or interpersonal conflict

Question 12

Which management function is associated with advocacy?

A) Awareness of current legislative efforts affecting nursing practice and organizational and unit management
B) Role modeling proactive involvement in health-care policy through both formal and informal interactions with the media and legislative representatives
C) Participation in professional nursing organizations and other groups that seek to advance the profession of nursing
D) Assertively advocating on behalf of patients and subordinates when an intermediary is necessary

Question 13

How can nurses act as advocates? Select all that apply.

A) Helping others make informed decisions
B) Directly intervening on behalf of others
C) Providing consent to tre at for the cognitively impaired patients
D) Making health-care decisions for those who are not able to do so

Question 14

Which characteristic associated with being a patient increases the need for advocacy? Select all that apply.

A) Loss of physical freedom as a result of extended hospitalizations
B) Decreased independence due to physical or psychosocial limitations
C) Physical or psychosocial limitations negatively impacted autonomy
D) Illness tends to make an individual more vulnerable to unethical activities

Question 15

Which are common areas requiring nurse-patient advocacy? Select all that apply.

A) Securing patient consents
B) Preventing medication errors
C) Facilitating access to health-care services
D) Respect for patient dignity and cultural values

Question 16

Which intervention demonstrates that the nurse-manager is to advocate for patients in common areas of concern? Select all that apply.

A) Staffing a unit with sufficient care providers
B) Orienting staff to safely use a new patient lift
C) Providing an in-service on culturally meeting end-of-life needs
D) Arranging for patient consultations with members of the financial office

Question 17

Whose rights do the legislative controls of nursing practice primarily protect?

A) Patients
B) Subordinates
C) Managers
D) Administrators

Question 18

Patients were often denied basic human rights until whe?

A) 1940s
B) 1950s
C) 1960s
D) 1970s

Question 19

The Patient's Bill of Rights es tablished by which body has the most legal authority?

A) A health-care organization
B) A professional medical organization
C) A regulation professional nursing organization
D) A specific state

Question 20

Which standard of the American Nurses Association (ANA) Scope and Standards for Nurse Administrators suggests that nurse administrators should advocate for subordinates as well as patients?

A) II
B) III
C) IV
D) V

Question 21

Which nursing intervention demonstrates attention to the nursing values central to patient advocacy? Select all that apply.

A) Assuring the patient that their wishes will be respected regarding the care they receive
B) Identifying the patient's religious dietary practices when discussing a prescribed diet
C) Answering the patient's questions regarding the alternatives to a proposed procedure
D) Suggesting to a patient that a social services consult would help with discharge
Needs

Question 22

Which strategy demonstrates an understanding of the management's role as advocate for their subordinates? Select all that apply.

A) Staff representatives on all unit committees
B) Monthly "brown bag lunches" with the staff
C) Requests revising criteria for granting a "leave of absence"
D) Working with primary care providers to expand standing nursing orders

Question 23

Managerial advocacy has resulted in which profession of nursing characteristics? Select all that apply.

A) Ethical code
B) Legal recognition
C) Nurse Practice Acts
D) Professional licensing

Question 24

Which statement correctly identifies the composition of a letter to a legislator? Select all that apply.

A) Identify yourself as a co nstituent in the first paragraph
B) State your reason for writing in the second paragraph
C) Sign the letter and include your contact information
D) Address the legislator by title

Question 25

A nurse-manager has been asked to write an article for the newspaper addressing a health-care issue of local concern. Which statement demonstrates the nurse understandings the appropriate way to response to such a request? Select all that apply.

A) "I'll include the latest data on the subject."
B) "When will you need to have the final draft of my article?"
C) "Are you comfortable with me focusing on 3 key points related to this topic?"
D) "That isn't my field of expertise but I will contact a peer with that knowledge."