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A charge nurse is observing the actions of the facility staff on the unit. Which of the following actions should the charge nurse identify as a possible legal issue?

A.

A nurse does not provide an interpreter for a client who speaks a different language than the nurse.

B.

A provider who suspects partner violence asks to speak with the client alone.

C.

A dietitian prescribes a kosher meal tray for a client who practices the Orthodox Jewish faith.

D.

A client requests that a nurse provide information by telephone to their partner.

Answer and Explanation

The Correct Answer is A

A. Not providing an interpreter for a client who speaks a different language may violate the client's right to understand their care, leading to potential legal issues regarding informed consent and patient safety.  

 

B. A provider speaking to a client alone about suspected partner violence is appropriate as it ensures the client's privacy and safety during a sensitive discussion.  

 

C. Prescribing a kosher meal tray for a client who practices the Orthodox Jewish faith is respectful and meets the dietary needs of the client, which is not a legal issue.  

 

D. A client requesting that a nurse provide information to their partner is not inherently a legal issue, but the nurse must ensure that the client has consented to share their information to protect confidentiality.


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View Related questions

Correct Answer is A

Explanation

A. Difficulty swallowing (dysphagia) is the priority because it increases the risk of aspiration, which can lead to aspiration pneumonia, a serious and potentially life-threatening complication for clients with Parkinson's disease.

B. Insomnia, while impacting quality of life, is not as immediately life-threatening as aspiration risk.

C. Needing additional help to stand reflects disease progression but does not carry the immediate risk of a life-threatening complication.

D. Difficulty dressing also indicates disease progression but does not pose an immediate danger to the client’s health.

Correct Answer is A

Explanation

A. Respecting the daughter's decision to refuse the transfusion aligns with the principles of patient autonomy and the authority granted through the durable power of attorney for health care, meaning the daughter's wishes must be followed.

B. Encouraging the daughter to allow the transfusion would undermine her role as the decision-maker and may cause unnecessary conflict, making this option inappropriate.

C. Discussing guardianship is not necessary or appropriate in this context, as the daughter has already been designated as the decision-maker, which negates the need for additional legal intervention.

D. Asking the provider to give consent for the transfusion contradicts the authority granted to the daughter, as she is the legally recognized decision-maker and has already made her choice.

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