Deck 43: Advocacy

Question 1

A charge nurse notices that a client has a black eye that was not present when admitted to the facility. Which action by the charge nurse is appropriate in this situation?

A)Ask a staff nurse to question the client about the situation.
B)Discuss the situation with the client in a private setting.
C)Ask the other staff members if abuse is involved.
D)Ignore the situation until the client shows a willingness to talk.

Answer 1

Discuss the situation with the client in a private setting.

Question 2

A nurse is organizing a community effort to reduce the rate of birth defects in the area. A nuclear power plant provides most of the electricity for the community. What aspect of this power plant's operation should the nurse identify as problematic?

A)Production of particulate matter such as smoke
B)Production of ionizing radiation
C)Production of hazardous waste
D)Production of nuclear-generated electricity

Answer 2

Production of hazardous waste

Question 3

Which of the following is an advocacy intervention that a nurse may perform?

A)Ensuring that clients and their families understand their legal rights.
B)Deciding whether clients need to know information regarding their care.
C)Following organizational policies and procedures in all cases without question.
D)Leaving monitoring of clients' care to the clients themselves.

Answer 3

Ensuring that clients and their families understand their legal rights.

Question 4

The nurse is planning to carry out advocacy interventions when caring for a client with brain cancer. Which value should the nurse recognize as most basic to client advocacy?

A)The client is a holistic, autonomous being who has the right to make choices and decisions.
B)The nurse has the responsibility to ensure the client's decisions guide care regardless of whether the client is mentally competent.
C)Clients should be advised that making their own care decisions is almost invariably detrimental to their well-being.
D)The client is a dependent being who has the right to expect the nurse to solve all healthcare needs.

Question 5

A nurse is organizing a client advocacy committee focused on improvements in water quality to protect the health of vulnerable populations. As she examines her own workplace, what is a likely area of improvement for her to focus on?

A)Disposal of disinfectants
B)Oil spills
C)Pollution of water resources
D)Use of arsenic

Question 6

A school nurse who is concerned about an increase in sports injuries related to ineffective protective equipment decides to hold a community seminar related to the importance of proper protective equipment. Which advocacy activities is this nurse demonstrating? Select all that apply.

A)Advocating for vulnerable populations
B)Advocating for fair and equitable access to high-quality care for all clients
C)Ensuring that clients have the necessary information to make an informed decision or give informed consent
D)Informing the public about issues and concerns
E)Speaking publicly for the health, welfare, and safety of their clients

Question 7

An older adult client with metastasized breast cancer informs the nurse that her doctor is insisting that she participate in a course of chemotherapy, even though the client does not want to have any further treatment. Which actions by the nurse exemplify advocacy for this client? Select all that apply.

A)Tell the client that it is in her best interest to follow the doctor's advice.
B)Inform the doctor about the client's clear wishes not to have further chemotherapy.
C)Ascertain whether or not the client has an advance care directive and, if not, assist her in creating one.
D)Discuss the implications of various choices with the client.
E)Avoid interfering in the doctor-client relationship.

Question 8

The home health nurse suspects that another nurse providing home care to a client has been taking the client's narcotics. Which action should the nurse carry out?

A)Follow the reporting procedures for her agency.
B)Tell the client to confront the other nurse.
C)Confront the other nurse about the suspected theft.
D)Have the client file a police report.

Question 9

By providing volunteer client care to an inadequately insured population, the nurse is demonstrating which value of client advocacy?

A)The client has the right to make choices and decisions.
B)The nurse has the responsibility to ensure the client has access to healthcare services.
C)The client has the right to expect a nurse-client relationship based on shared respect.
D)The nurse has the responsibility to make choices and decisions.

Question 10

Which of the following advocacy interventions might nurses provide that are within their role and scope of practice? Select all that apply.

A)Educating clients and their families about their legal rights regarding informed decision-making
B)Ensuring that clients have the necessary information to make an informed decision or give informed consent
C)Evaluating organizational policies and procedures to ensure protection of client rights
D)Supporting medical authority even when this goes against the client's wishes
E)Declaring clients incompetent so family members can make medical decisions for them

Question 11

The nurse is caring for a client on a mental health unit who is yelling at other clients and some of the staff. Which verbal intervention by the nurse is most consistent with the concept of advocacy?

A)"You should be ashamed of your behavior. No wonder you ended up on a mental health unit."
B)"You seem upset. Can you tell me what you think might help to calm you down?"
C)"You need to behave. If this doesn't stop you are going to be placed in restraints."
D)"You are out of control. You have no choice but to take more medication."

Question 12

The nurse has been working in a long-term care facility for 1 week. The nurse notes that during the evening meal, an unlicensed assistive personnel (UAP)gives a tray to a client who is unable to cut up and eat the food independently, and then leaves. After the nurse assists the client with eating the meal, which action is appropriate to advocate for this client?

A)Report the UAP for neglect.
B)Notify the healthcare provider.
C)Call the client's family to have them assist with evening meals.
D)Discuss the situation with the director of nursing.

Question 13

A nurse involved in promoting client advocacy efforts in the community is assessing the vulnerability of populations in the area served by the healthcare facility where he works. This is a high-ozone area. Which of the following clients would have the lowest risk for ground-level ozone?

A)A 73-year-old female client with a high level of financial security
B)A 23-year-old male client with a regular salaried job able to pay his bills
C)A 33-year-old female client with COPD and without a job living at the poverty line
D)A 13-year-old male client whose parents both work at mid-level professional jobs

Question 14

A nurse suspects another healthcare provider is under the influence of alcohol at work. Which actions by the nurse are correct? Select all that apply.

A)Assume that healthcare provider is handling any problem.
B)Immediately report it to a supervisor.
C)Respect the privacy of the healthcare provider.
D)Assist the provider while care is provided to clients.
E)Follow the state board guidelines.

Question 15

The nurse is working in a community health setting. Which of the following should the nurse identify as a threat to environmental quality?

A)Many residences appear to be vulnerable to intrusion, with open garage doors or ground-floor windows.
B)Children in many neighborhoods are playing in the street with no adult supervision.
C)Many people walking their pets do not clean up their pets' waste.
D)On many residential streets, cars are parked in a way that blocks traffic and creates potential driving hazards.

Question 16

Which action by the nurse working in the emergency department best demonstrates advocacy for better environmental quality?

A)Improving prioritization skills for nurses in the ED
B)Adapting practices in the ED to cultural needs of clients
C)Revising policies for telephone triage to ensure better distribution of resources
D)Ensuring that bandages and dressings are properly disposed according to protocol

Question 17

The nurse notices that there is broken equipment on the playground in a neighborhood where care is provided to low-income residents. The nurse tries unsuccessfully to get the owner to address this safety issue. Which additional action is most consistent with the role of the nurse as a public advocate?

A)Write an article in the local newspaper to gain public attention.
B)No action is required; this is a civil problem beyond the realm of the nurse.
C)Call the police to report the owner's neglect.
D)Tell the parents they should not pay their rent until the playground is fixed.

Question 18

The nurse is caring for a terminally ill pediatric client. The parents have decided to remove their child from life support. Which action by the nurse displays the role of client advocate?

A)Respecting the parents' decision
B)Telling the parents they are making the right decision
C)Asking to be assigned to a different client
D)Referring the parents to social services