Module 43 Advocacy

Module 43   Advocacy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

The Concept of Advocacy

 

1) The nurse is caring for a terminally ill child. The parents have decided to remove their child from life support. This decision was met with much opposition from other nurses on the unit. Which action by the nurse displays the role of advocate?

1. A) Respecting the parents’ decision
2. B) Telling the parents they are making the right decision
3. C) Asking to be assigned to a different client
4. D) Referring the parents to social services

Answer:  A

Explanation:

1. A) The nurse best advocates for the family by supporting the family’s right to make this decision. Telling the clients they are making the right decision is inappropriate and does not support advocacy. Referring the parents to another entity points to feelings of unease about the parents’ choice. Asking to be assigned to another client does not honor the right of clients and families to make decisions about health care.
2. B) The nurse best advocates for the family by supporting the family’s right to make this decision. Tell the clients they are making the right decision is inappropriate and does not support advocacy. Referring the parents to another entity points to feelings of unease about the parents’ choice. Asking to be assigned to another client does not honor the right of clients and families to make decisions about health care.
3. C) The nurse best advocates for the family by supporting the family’s right to make this decision. Tell the clients they are making the right decision is inappropriate and does not support advocacy. Referring the parents to another entity points to feelings of unease about the parents’ choice. Asking to be assigned to another client does not honor the right of clients and families to make decisions about health care.
4. D) The nurse best advocates for the family by supporting the family’s right to make this decision. Tell the clients they are making the right decision is inappropriate and does not support advocacy. Referring the parents to another entity points to feelings of unease about the parents’ choice. Asking to be assigned to another client does not honor the right of clients and families to make decisions about health care.

Page Ref: 2558-2559

Cognitive Level:  Analyzing

Client Need:  Psychosocial Integrity

Nursing Process:  Evaluation

Learning Outcome:  2. Discuss the nurse’s role of advocate.

 

2) A nurse is volunteering at a local free clinic. By providing client care to an inadequately insured population, the nurse is demonstrating which value of client advocacy?

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

Answer:  B

Explanation:

1. A) The nurse has the responsibility to ensure the client has access to healthcare services that meet health needs. Although the client does have the right to make choices and decisions, the nurse volunteering at a free clinic to provide health care to the underinsured does not demonstrate this value. Although the client does have the right to expect a nurse-client relationship based on shared respect, the nurse volunteering at a free clinic to provide health care to the underinsured does not demonstrate this value. The nurse’s responsibility to make choices and decisions is not one of the values basic to client advocacy.
2. B) The nurse has the responsibility to ensure the client has access to healthcare services that meet health needs. Although the client does have the right to make choices and decisions, the nurse volunteering at a free clinic to provide health care to the underinsured does not demonstrate this value. Although the client does have the right to expect a nurse-client relationship based on shared respect, the nurse volunteering at a free clinic to provide health care to the underinsured does not demonstrate this value. The nurse’s responsibility to make choices and decisions is not one of the values basic to client advocacy.
3. C) The nurse has the responsibility to ensure the client has access to healthcare services that meet health needs. Although the client does have the right to make choices and decisions, the nurse volunteering at a free clinic to provide health care to the underinsured does not demonstrate this value. Although the client does have the right to expect a nurse-client relationship based on shared respect, the nurse volunteering at a free clinic to provide health care to the underinsured does not demonstrate this value. The nurse’s responsibility to make choices and decisions is not one of the values basic to client advocacy.
4. D) The nurse has the responsibility to ensure the client has access to healthcare services that meet health needs. Although the client does have the right to make choices and decisions, the nurse volunteering at a free clinic to provide health care to the underinsured does not demonstrate this value. Although the client does have the right to expect a nurse-client relationship based on shared respect, the nurse volunteering at a free clinic to provide health care to the underinsured does not demonstrate this value. The nurse’s responsibility to make choices and decisions is not one of the values basic to client advocacy.

Page Ref: 2559

Cognitive Level:  Analyzing

Client Need:  Health Promotion and Maintenance

Nursing Process:  Implementation

Learning Outcome:  3. Describe the values basic to client advocacy.

 

3) A charge nurse notices that a coworker who is assigned to client care has come to work with a black eye. The charge nurse is aware that the nurse lives with her boyfriend, who has caused problems in the past. What is the best action by the charge nurse?

1. A) Notify security to approach the nurse about the situation.
2. B) Discuss the situation with the nurse in a private setting.
3. C) Ask the other staff members if abuse is involved.
4. D) Ignore the situation until the nurse shows a willingness to talk.

Answer:  B

Explanation:

1. A) The charge nurse should discuss the situation with the nurse in private and offer options of help. The charge nurse should not ignore the situation and should advocate for the nurse. Security cannot address situations that do not occur on hospital grounds. It would be a breach of confidentiality to talk to the rest of the staff.
2. B) The charge nurse should discuss the situation with the nurse in private and offer options of help. The charge nurse should not ignore the situation and should advocate for the nurse. Security cannot address situations that do not occur on hospital grounds. It would be a breach of confidentiality to talk to the rest of the staff.
3. C) The charge nurse should discuss the situation with the nurse in private and offer options of help. The charge nurse should not ignore the situation and should advocate for the nurse. Security cannot address situations that do not occur on hospital grounds. It would be a breach of confidentiality to talk to the rest of the staff.
4. D) The charge nurse should discuss the situation with the nurse in private and offer options of help. The charge nurse should not ignore the situation and should advocate for the nurse. Security cannot address situations that do not occur on hospital grounds. It would be a breach of confidentiality to talk to the rest of the staff.

Page Ref: 2560

Cognitive Level:  Analyzing

Client Need:  Physiological Integrity

Nursing Process:  Implementation

Learning Outcome:  4. Examine strategies for advocating in different care settings.

 

4) The home health nurse is assigned to care for a client who requires wound care. The nurse is assessing the family’s ability to change a dressing on a wound that the client cannot reach. The nurse asks the family to change the dressing while the nurse watches. What is the most appropriate response by the nurse?

1. A) “Great job! Let me show you a technique that can make the dressing change more effective.”
2. B) “This wound will never heal if you change the dressing that way.”
3. C) “I’ll come and do it every day so that the wound will heal more quickly.”
4. D) “You are not doing it right. I will just have to come every day until you learn how.”

Answer:  A

Explanation:

1. A) To facilitate the client and family member learning this skill, the nurse evaluates their efforts and gently helps them make some changes. This empowers the family and increases the chances of healing. Saying that the family is doing it wrong is demoralizing. Sarcasm only lowers the self-esteem of the family member. Offering to do it every day sends the message that the nurse does not trust the family’s ability to learn the proper procedure.
2. B) To facilitate the client and family member learning this skill, the nurse evaluates their efforts and gently helps them make some changes. This empowers the family and increases the chances of healing. Saying that the family is doing it wrong is demoralizing. Sarcasm only lowers the self-esteem of the family member. Offering to do it every day sends the message that the nurse does not trust the family’s ability to learn the proper procedure.
3. C) To facilitate the client and family member learning this skill, the nurse evaluates their efforts and gently helps them make some changes. This empowers the family and increases the chances of healing. Saying that the family is doing it wrong is demoralizing. Sarcasm only lowers the self-esteem of the family member. Offering to do it every day sends the message that the nurse does not trust the family’s ability to learn the proper procedure.
4. D) To facilitate the client and family member learning this skill, the nurse evaluates their efforts and gently helps them make some changes. This empowers the family and increases the chances of healing. Saying that the family is doing it wrong is demoralizing. Sarcasm only lowers the self-esteem of the family member. Offering to do it every day sends the message that the nurse does not trust the family’s ability to learn the proper procedure.

Page Ref: 2561

Cognitive Level:  Analyzing

Client Need:  Psychosocial Integrity

Nursing Process:  Evaluation

Learning Outcome:  5. Explain the importance of empowering the client and methods for doing so.

 

5) The nurse is working in a low-income neighborhood as a home health nurse. During one of the home care visits to the neighborhood, the nurse notes that the children’s playground has broken equipment, which the children continue to play on. The nurse has already contacted the owner of the playground about the issue. What action might the nurse take as a public advocate?

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

Answer:  A

Explanation:

1. A) Prevention of injury to client is very much a part of nursing. The nurse should initially contact the owner. Because this was ineffective it is appropriate for the nurse to write an article or talk to an individual on the town council. The police are a protection against crime and are not likely to do anything about the situation. Telling the parents not to pay their rent until the playground is fixed is not appropriate. Civil problem or not, the nurse has an obligation to protect the neighborhood children from injury and should act on it.
2. B) Prevention of injury to client is very much a part of nursing. The nurse should initially contact the owner. Because this was ineffective it is appropriate for the nurse to write an article or talk to an individual on the town council. The police are a protection against crime and are not likely to do anything about the situation. Telling the parents not to pay their rent until the playground is fixed is not appropriate. Civil problem or not, the nurse has an obligation to protect the neighborhood children from injury and should act on it.
3. C) Prevention of injury to client is very much a part of nursing. The nurse should initially contact the owner. Because this was ineffective it is appropriate for the nurse to write an article or talk to an individual on the town council. The police are a protection against crime and are not likely to do anything about the situation. Telling the parents not to pay their rent until the playground is fixed is not appropriate. Civil problem or not, the nurse has an obligation to protect the neighborhood children from injury and should act on it.
4. D) Prevention of injury to client is very much a part of nursing. The nurse should initially contact the owner. Because this was ineffective it is appropriate for the nurse to write an article or talk to an individual on the town council. The police are a protection against crime and are not likely to do anything about the situation. Telling the parents not to pay their rent until the playground is fixed is not appropriate. Civil problem or not, the nurse has an obligation to protect the neighborhood children from injury and should act on it.

Page Ref: 2559

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Implementation

Learning Outcome:  6. Differentiate between professional and public advocacy and provide examples of each.