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.)
A.
Providing written information to a client regarding palliative care
B.
Documenting a client’s refusal to take a prescribed medication
C.
Obtaining an interpreter for a client who speaks a different language than the nurse
D.
Initiating IV access on a client who has dementia while he is sleeping
E.
Implementing a client’s plan of care based upon nursing goals
The Correct answer and Explanation is:
Correct Answers: A, B, C
Explanation:
Client advocacy is a core responsibility for nurses, involving actions and decisions that promote and protect the rights and well-being of clients. In the context of the scenarios provided, the correct examples of client advocacy are:
A. Providing written information to a client regarding palliative care
Providing written information to clients about palliative care is an essential example of client advocacy. This action helps ensure that clients and their families are informed about the options available for managing symptoms and improving quality of life in cases of serious illness. Advocacy involves ensuring clients have access to relevant information that empowers them to make informed decisions about their care. By offering this information, the nurse supports the client’s right to be informed and involved in their own care decisions.
B. Documenting a client’s refusal to take a prescribed medication
Documenting a client’s refusal to take prescribed medication is a key aspect of client advocacy. It is crucial for nurses to record such refusals accurately to ensure that all team members are aware of the client’s decisions. This documentation helps protect the client’s autonomy and ensures that their preferences are respected. It also provides a record that can be used to review and address the reasons behind the refusal, which may involve discussing potential concerns or alternative treatments with the client.
C. Obtaining an interpreter for a client who speaks a different language than the nurse
Obtaining an interpreter for a client who speaks a different language is a critical advocacy action. Effective communication is essential for providing quality care, and language barriers can significantly impact a client’s ability to understand their treatment options, express their needs, and participate in their care. By arranging for an interpreter, the nurse ensures that the client’s communication needs are met, facilitating their active involvement in their own care and decision-making processes.
Incorrect Answers:
D. Initiating IV access on a client who has dementia while he is sleeping
Initiating IV access on a client who has dementia while they are sleeping without their consent is not an example of client advocacy. Advocacy requires respecting the client’s rights and ensuring their dignity is upheld. For clients with dementia, special care should be taken to ensure they are as informed and involved as possible in their care decisions, even if they have impaired cognitive function. Performing procedures without the client’s awareness or consent does not align with advocating for their rights.
E. Implementing a client’s plan of care based upon nursing goals
While implementing a client’s plan of care is important, it must be based on the client’s individual needs and preferences rather than solely on nursing goals. Advocacy involves tailoring care plans to align with the client’s values, goals, and choices. If a care plan is implemented without considering the client’s personal goals and preferences, it may not fully support their autonomy and rights.
In summary, client advocacy involves actions that protect and respect the client’s rights, ensure they have the information they need, and support their ability to make informed decisions about their care.