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Question

Difficulty: MediumClient Rights and Advocacy

A practical nurse (PN) is providing care for a group of clients on a medical-surgical unit. Which of the following actions by the PN correctly demonstrate advocacy and the protection of client rights? Select all that apply.

  1. Verifying that a client has signed the surgical informed consent form before administering a preoperative sedativeAnswer
  2. Declining to provide a medical update to a telephone caller who is unable to provide the client's designated privacy codeAnswer
  3. Ensuring that a copy of a client's newly provided living will is uploaded to their electronic health recordAnswer
  4. D
    Explaining the specific surgical risks and alternative treatments to a client who expresses hesitation about an upcoming procedure
  5. E
    Applying soft wrist restraints to a frequently wandering client to ensure safety without first attempting less restrictive interventions
  6. F
    Delaying the report of suspected elder abuse to the appropriate authorities until definitive evidence can be obtained

Answer

The correct actions are verifying the surgical consent before giving sedatives, declining to share updates without a privacy code, and ensuring the living will is in the medical record.
The correct actions demonstrate strong client advocacy by upholding the right to make informed decisions while cognitively intact, protecting health information under HIPAA, and ensuring advance directives are documented to guide future care.

Step-by-Step Solution

1
Evaluate each action against the principles of client rights, including informed consent, confidentiality, and self-determination.
Actions protecting these rights are identified.
To differentiate between appropriate advocacy and actions that violate scope of practice or client rights.
2
Analyze the action regarding informed consent and sedatives.
Verifying consent before sedation is correct.
Sedatives alter cognition, rendering the client legally unable to provide informed consent.
3
Analyze the action regarding telephone callers and privacy.
Requiring a privacy code is correct.
HIPAA mandates that protected health information is only shared with authorized individuals.
4
Analyze the action regarding the living will.
Placing the advance directive in the record is correct.
It ensures the healthcare team is aware of the client's end-of-life wishes, upholding self-determination.
5
Identify the incorrect actions related to scope of practice, restraints, and mandated reporting.
Explaining surgical risks, applying restraints without trying alternatives, and delaying abuse reporting are incorrect.
These actions violate the PN scope of practice, the right to a least restrictive environment, and mandatory reporting laws, respectively.

Key Concept

Client Rights, Advocacy, and Scope of Practice for the Practical Nurse
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Topics

Client Rights and Advocacy

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