, Leadership Management
Version 1
2.
A nurse is caring for a client who received pain medication 1 hr ago. The client tells the nurse the
medication is not working because they are still experiencing pain. Which of the following actions
by the nurse demonstrates client advocacy?
,Provide the client with a back massage to help ease their pain.
Providing the client with a back massage can assist the client with pain management. However, this
is not a demonstration of client advocacy, which involves intervening on the client's behalf.
Recommend the client watch television as a distraction from the pain.
Distraction, such as watching television, can assist a client with pain management. However, this is
not a demonstration of client advocacy, which involves intervening on the client's behalf.
Attempt to obtain a prescription for a different analgesic medication.
MY ANSWER
The role of the nurse as a client advocate involves directly intervening on behalf of the client. The
nurse should attempt to obtain a prescription from the provider for a different analgesic
medication to manage the client's pain.
Inform the client that they can receive their next dose in 3 hr.
The nurse should tell the client when they can receive their next dose of the medication to keep the
client informed of the treatment plan. However, this is not a demonstration of client advocacy,
which involves intervening on the client's behalf.
3.
A charge nurse is teaching a newly licensed nurse about providing written discharge instructions
for a client who is postoperative following an arthroplasty. The charge nurse should identify that
which of the following discharge instructions written by the newly licensed nurse indicates
understanding of the teaching?
Take oxycodone 10 mg, q6h, PRN, for pain.
The nurse should avoid using medical terminology when providing written instructions to the
client because the client can have difficulty understanding the information.
Report pus-like drainage from the wound.
MY ANSWER
, The nurse should provide clear descriptions in terms the client can understand when providing
written discharge instructions. The nurse should also ensure the client is aware of what
complications to report to the provider.
Resume Na-restricted diet.
The nurse should avoid using abbreviations in written discharge instructions because the client can
have difficulty understanding the information.
Perform quadriceps setting exercises when supine.
The nurse should provide step-by-step instructions on how to perform quadriceps setting exercises
when lying supine and avoid using vocabulary that the client can have difficulty understanding in
the written discharge instructions.
4.
A nurse is using the SBAR communication tool for reporting a client's condition to the provider.
Which of the following information should the nurse include in the "S" portion of the tool?
The client was medicated with morphine 2 mg IV 1 hr ago.
This information provides medical information that is pertinent to the client's condition and is part
of the background portion (B) of the SBAR communication tool.
The client needs a change in pain medication prescription.
MY ANSWER
This information provides a potential solution for the client's current need and is part of the
recommendation portion (R) of the SBAR communication tool.
The client is reporting a pain level of 8 on a scale from 0 to 10.
This information provides a brief explanation of the current situation and is part of the situation
portion (S) of the SBAR communication tool.
Version 1
2.
A nurse is caring for a client who received pain medication 1 hr ago. The client tells the nurse the
medication is not working because they are still experiencing pain. Which of the following actions
by the nurse demonstrates client advocacy?
,Provide the client with a back massage to help ease their pain.
Providing the client with a back massage can assist the client with pain management. However, this
is not a demonstration of client advocacy, which involves intervening on the client's behalf.
Recommend the client watch television as a distraction from the pain.
Distraction, such as watching television, can assist a client with pain management. However, this is
not a demonstration of client advocacy, which involves intervening on the client's behalf.
Attempt to obtain a prescription for a different analgesic medication.
MY ANSWER
The role of the nurse as a client advocate involves directly intervening on behalf of the client. The
nurse should attempt to obtain a prescription from the provider for a different analgesic
medication to manage the client's pain.
Inform the client that they can receive their next dose in 3 hr.
The nurse should tell the client when they can receive their next dose of the medication to keep the
client informed of the treatment plan. However, this is not a demonstration of client advocacy,
which involves intervening on the client's behalf.
3.
A charge nurse is teaching a newly licensed nurse about providing written discharge instructions
for a client who is postoperative following an arthroplasty. The charge nurse should identify that
which of the following discharge instructions written by the newly licensed nurse indicates
understanding of the teaching?
Take oxycodone 10 mg, q6h, PRN, for pain.
The nurse should avoid using medical terminology when providing written instructions to the
client because the client can have difficulty understanding the information.
Report pus-like drainage from the wound.
MY ANSWER
, The nurse should provide clear descriptions in terms the client can understand when providing
written discharge instructions. The nurse should also ensure the client is aware of what
complications to report to the provider.
Resume Na-restricted diet.
The nurse should avoid using abbreviations in written discharge instructions because the client can
have difficulty understanding the information.
Perform quadriceps setting exercises when supine.
The nurse should provide step-by-step instructions on how to perform quadriceps setting exercises
when lying supine and avoid using vocabulary that the client can have difficulty understanding in
the written discharge instructions.
4.
A nurse is using the SBAR communication tool for reporting a client's condition to the provider.
Which of the following information should the nurse include in the "S" portion of the tool?
The client was medicated with morphine 2 mg IV 1 hr ago.
This information provides medical information that is pertinent to the client's condition and is part
of the background portion (B) of the SBAR communication tool.
The client needs a change in pain medication prescription.
MY ANSWER
This information provides a potential solution for the client's current need and is part of the
recommendation portion (R) of the SBAR communication tool.
The client is reporting a pain level of 8 on a scale from 0 to 10.
This information provides a brief explanation of the current situation and is part of the situation
portion (S) of the SBAR communication tool.
