NCLEX-PN® ExaminationCoordinated CareMedium
An LPN is caring for a client with a new colostomy. The client expresses anxiety about learning to care for it independently at home. Which of the following actions best demonstrates client advocacy by the LPN?
- ATelling the client not to worry, as the home health nurse will manage their care.
- BArranging a consultation with an ostomy nurse specialist to provide additional education and support.
- CProviding written instructions and a video demonstration for colostomy care.
- DAssuring the client that they will eventually get used to it.
Show answer & explanationAnswer & explanation
Correct answer: B. Arranging a consultation with an ostomy nurse specialist to provide additional education and support.
Client advocacy involves ensuring the client receives the best possible care and support to meet their needs. Arranging a consultation with a specialist provides expert, individualized education and emotional support, directly addressing the client's anxiety and promoting self-care.
Why the other options are wrong
- A. This statement undermines the client's need for self-care education and falsely implies that a home health nurse will take over all responsibility indefinitely, which is not the goal of discharge planning.
- C. While helpful, written instructions and a video may not be sufficient for a client with high anxiety who needs personalized teaching and reassurance from a specialist.
- D. This is dismissive of the client's current anxiety and does not provide concrete support or education.
Client Advocacy
The act of speaking for or acting on behalf of a client to ensure their rights, needs, and preferences are respected and met within the healthcare system.
- Empowers clients.
- Ensures access to appropriate resources.
- Protects client's best interests.
Memory trick: An 'ADVOCATE' 'ACTIVELY' 'ENSURES' the client's 'NEEDS' are met.