RN Nursing · Leadership and Management in Nursing · Practice question
A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse Include as examples of client advocacy? (Select all that apply.)
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✓
Providing written information to a client regarding palliative care
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Implementing a client's plan of care based upon nursing goals
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Initiating IV access on a client who has dementia while he is sleeping
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✓
Obtaining an interpreter for a client who speaks a different language than the nurse
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Documenting a client's refusal to take a prescribed medication
Answer & explanation
Correct: Providing written information to a client regarding palliative care · Obtaining an interpreter for a client who speaks a different language than the nurse · Documenting a client's refusal to take a prescribed medication
Client advocacy means acting in the best interest of the client, ensuring their rights, preferences, and needs are respected. Providing written information about palliative care empowers the client to make informed decisions about their own care, which is a core component of advocacy. Obtaining an interpreter ensures the client can communicate effectively and participate in decisions about their care, directly protecting their autonomy and rights. Documenting a client's refusal of medication creates a legal record that honors the client's right to refuse treatment, another fundamental advocacy action. Implementing a plan of care based upon nursing goals rather than client goals is not advocacy because it centers the nurse's priorities rather than the client's wishes — true advocacy aligns care with client-identified goals. Initiating IV access on a sleeping client with dementia without consent or assent violates the client's rights and represents a failure of advocacy; even when a client has dementia, nurses must make reasonable efforts to explain procedures and obtain cooperation, and performing an invasive procedure while the client is unaware is ethically problematic. Therefore, the three correct answers all share the common thread of protecting, informing, or honoring the client's voice and autonomy.
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