RN Comprehensive Predictor Test 3
Professional Responsibilities: Educating Staff About Client Advocacy
Advocacy refers to nurses' role in supporting clients by ensuring
that they are properly informed
that their rights are respected
that they are receiving the proper level
of care
Advocacy important roles of the nurse Especially when clients are unable to speak or
act for themselves
As an advocate the nurse ensures thatthe client has the information he needs to make
decisions about health care.
be careful to assist clients with making
health care decisions and not direct or control their decisions.
Nurses must act as advocates even when they disagree with clients decisions.
Situations in which nurses might need to advocate for clients
1. End of life decisions
2. Access to health care
3. Protection of client privacy
4. Informed consent
5. Substandard practice
The complex health care system puts clients in a
vulnerable position. Nurses are clients' voice when the
system is not acting in their best interest.
Nurses mediate on the client's behalf when the actions of others are not in the client's best
interest or changes
need to be made in the plan of care.
The nursing profession also has a responsibility to
support and advocate for legislation promotes public policies that protect clients as
consumers and create a safe environment for their care
Nurses are accountable for their actions even if they are carrying out a provider's prescription
nurse's responsibility to question a prescription if it could harm a client
(incorrect medication dosage, potential adverse interaction with another prescribed
medication, contraindication due to an allergy or medical history)
Essential Components of Advocacy
SKILLS 1. Risk taking
, 2. Vision
3. Self confidence
4. Articulate communication
5. Assertiveness
Essential Components of Advocacy
VALUES 1. Caring
2. Autonomy
3. Respect
4. Empowerment
Working With an Interpreter The Joint Commission requires that an interpreter be available
in health care facilities in the client's language (2010).
Use only a facility approved medical interpreter. Do not use the client's family or friends,
or a non-designated employee to interpret.
Inform the interpreter about why you are asking these questions The type of questions that
will be asked
The expected response (brief or detailed), and with whom to converse
Allow time for the interpreter and the family to be
introduced Become acquainted before starting
the interview
Refrain from making comments about the family to the interpreter
Ask one question at a time Direct the questions to the client, not to the interpreter
Use lay terminology if possible, knowing that some words might not have an equivalent word
in the client's language
Do not interrupt the interpreter, the client, or the family as they talk
Do not try to interpret answers
Following the interview, ask the interpreter for any
additional thoughts About the interview and the client's
and family's responses, both verbal and nonverbal
Managing Client Care: Strategies for Conflict Resolution
Conflict is the result of Opposing thoughts, ideas, feelings,
perceptions, behaviors, values, opinions, or actions between individuals.
Conflict is an inevitable part of professional, social, and personal life and can have
constructive or destructive results Nurses must understand conflict and how to manage it.
Nurses can use problem solving and negotiation
strategies To prevent a problem from evolving into
A conflict
Lack of Confict and Too Much Conflict Lack of conflict can create organizational stasis
While too much conflict can be demoralizing, produce anxiety, and contribute to burnout.
Conflict can disrupt working relationships and create a stressful atmosphere.
If conflict exists to the level that productivity and
quality of care are compromised The unit manager must attempt to identify the origin of
the conflict and attempt
Professional Responsibilities: Educating Staff About Client Advocacy
Advocacy refers to nurses' role in supporting clients by ensuring
that they are properly informed
that their rights are respected
that they are receiving the proper level
of care
Advocacy important roles of the nurse Especially when clients are unable to speak or
act for themselves
As an advocate the nurse ensures thatthe client has the information he needs to make
decisions about health care.
be careful to assist clients with making
health care decisions and not direct or control their decisions.
Nurses must act as advocates even when they disagree with clients decisions.
Situations in which nurses might need to advocate for clients
1. End of life decisions
2. Access to health care
3. Protection of client privacy
4. Informed consent
5. Substandard practice
The complex health care system puts clients in a
vulnerable position. Nurses are clients' voice when the
system is not acting in their best interest.
Nurses mediate on the client's behalf when the actions of others are not in the client's best
interest or changes
need to be made in the plan of care.
The nursing profession also has a responsibility to
support and advocate for legislation promotes public policies that protect clients as
consumers and create a safe environment for their care
Nurses are accountable for their actions even if they are carrying out a provider's prescription
nurse's responsibility to question a prescription if it could harm a client
(incorrect medication dosage, potential adverse interaction with another prescribed
medication, contraindication due to an allergy or medical history)
Essential Components of Advocacy
SKILLS 1. Risk taking
, 2. Vision
3. Self confidence
4. Articulate communication
5. Assertiveness
Essential Components of Advocacy
VALUES 1. Caring
2. Autonomy
3. Respect
4. Empowerment
Working With an Interpreter The Joint Commission requires that an interpreter be available
in health care facilities in the client's language (2010).
Use only a facility approved medical interpreter. Do not use the client's family or friends,
or a non-designated employee to interpret.
Inform the interpreter about why you are asking these questions The type of questions that
will be asked
The expected response (brief or detailed), and with whom to converse
Allow time for the interpreter and the family to be
introduced Become acquainted before starting
the interview
Refrain from making comments about the family to the interpreter
Ask one question at a time Direct the questions to the client, not to the interpreter
Use lay terminology if possible, knowing that some words might not have an equivalent word
in the client's language
Do not interrupt the interpreter, the client, or the family as they talk
Do not try to interpret answers
Following the interview, ask the interpreter for any
additional thoughts About the interview and the client's
and family's responses, both verbal and nonverbal
Managing Client Care: Strategies for Conflict Resolution
Conflict is the result of Opposing thoughts, ideas, feelings,
perceptions, behaviors, values, opinions, or actions between individuals.
Conflict is an inevitable part of professional, social, and personal life and can have
constructive or destructive results Nurses must understand conflict and how to manage it.
Nurses can use problem solving and negotiation
strategies To prevent a problem from evolving into
A conflict
Lack of Confict and Too Much Conflict Lack of conflict can create organizational stasis
While too much conflict can be demoralizing, produce anxiety, and contribute to burnout.
Conflict can disrupt working relationships and create a stressful atmosphere.
If conflict exists to the level that productivity and
quality of care are compromised The unit manager must attempt to identify the origin of
the conflict and attempt
