Advocacy Basics
What is advocacy?
Supporting, defending, or representing a cause, person (our patient), or group.
What type of advocacy involves ensuring a patient’s needs and rights are met and respected?
A) Self advocacy
B) Patient advocacy
C) Peer advocacy
D) family advocacy
B) Patient Advocacy
This fundamental patient right ensures that the patient has the ability to make their own health care decisions.
The right to AUTONOMY
The client has been hospitalized and is now being mandated outpatient mental health treatment as a condition of DIC. Which intervention best addresses the nurse’s role of client advocate when the client resists this recommendation?
A) Helping the client identify advantages and disadvantages of outpatient vs inpatient therapy
B) Sharing that outpatient therapy is less expensive than inpatient hospitalization
C) Stressing that outpatient therapy can minimize the need for future hospitalizationD) Discussing the patients opposition to outpatient treatment with the treatment team
C) stressing that outpatient therapy can minimize the need for future hospitalization
Which of the following situations require advocacy? Select All That Apply.
A) A patient experiencing pain
B) A patient scheduled for surgery in the morning
C) A client in prison who has a fever
D) a client recovering from a knee replacement surgery
All of the above
If you witness a coworker continuously receiving an unfair assignment and being treated poorly by other coworkers, what are some ways you can advocate for them? Select all that apply.
A) ignore the situation
B) Talk to the charge nurse about their heavy workload and suggest changing the assignment
C) Tell your coworker to get over it
D) Help your coworker by taking some of their workload and supporting them
B) Talk to the charge nurse about their heavy workload and suggest changing the assignment
D) Help your coworker by taking some of their workload and supporting them
This act requires health care providers to protect patient confidentiality and is a cornerstone of patient privacy rights.
Health Insurance Portability and Accountability Act (HIPPA)
A Nurse is caring for a client who received a new diagnosis of a rapidly growing inoperable brain tumor. The healthcare provider has recommended the client remain hospitalized for 1-2 days for monitoring since he just began treatment with an anti-seizure medication. Which response from the nurse is most appropriate when the client states he would like to be discharged immediately?
A) “I will notify your healthcare provider of your wishes and began working on your discharge paperwork”
B) “Can you help me understand your reasoning for wanting to leave the hospital so quickly?”
C) “I understand that you are anxious to leave the hospital but early discharge will result in additional harm”
D) I think it would be helpful for you to discuss your thoughts about this diagnosis with the hospital chaplain”
B) “Can you help me understand your reasoning for wanting to leave the hospital so quickly?”
Who started the concept of advocating in nursing?
Florence Nightingale
True or False- Advocating for your patient is not necessary in providing quality care.
False
When a patient refuses a treatment, the nurse should first do this.
Assess the patient’s understanding and notify the provider.
A practitioner asks the nurse to witness an informed consent. Which patient does the nurse identify as unable to give an informed consent for surgery?
A) 16 yr old boy who is married
B) 35 yr old woman who is depressed
C) 50 yr old woman who does not speak english
D) 65 yr old man who has received a narcotic for pain
D) 65 yr old man who has received a narcotic for pain
Which of the following is an example of someone being an advocate?
A) a person who pleads for a cause and puts an idea forward doing the right thing
B) A person that does what they feel is best for the situation
C) Someone who uses EBP and disregards the patient’s wishes
D) A surgeon who proceeds an operation without consent
A) A person who pleads for a cause and puts an idea forward doing the right thing
True or False- Self advocacy is ensuring you are being supported by colleagues in order to perform at your best ability for your patients.
True
This document allows patients to outline their preferences for care in case they are unable to speak for themselves.
Advance Directive
A healthcare provider has written an order for a patient to receive a medication every 6 hours for 7 days. You note that the patient has indicated that she is allergic to this medication (rash, SOB) which of the following should you do first?
A) Contact the HCP
B) Contact the pharmacist
C) place a “hold” note on the medication administration record (MAR)
D) Contact the nursing Supervisor
C) Place a “hold” note on the medication administration record (MAR)