NCLEX-PN® ExaminationCoordinated CareHard
An LPN is assisting with the admission of a client who has a history of substance use disorder and is currently experiencing withdrawal symptoms. The client states, 'I'm not sure I can go through this again. I always relapse.' Which action by the LPN BEST demonstrates client advocacy?
- AAdministering a PRN sedative without first assessing the client's anxiety level.
- BTelling the client that they must commit to recovery for their own health.
- CEnsuring the client is aware of available support groups and counseling services.
- DContacting the client's family to inform them of the client's past relapses.
Show answer & explanationAnswer & explanation
Correct answer: C. Ensuring the client is aware of available support groups and counseling services.
Client advocacy involves supporting the client's autonomy and well-being. For a client with substance use disorder, providing information about available support groups and counseling services empowers them to make informed choices about their recovery and access resources crucial for long-term success, directly addressing their expressed concerns about relapse.
Why the other options are wrong
- A. Administering medication without assessment is unsafe and does not address the client's underlying psychological concerns about relapse; it's a reactive, not proactive, advocacy measure.
- B. This statement is confrontational and judgmental, undermining client autonomy and trust, rather than advocating for their needs.
- D. Sharing past relapse information with family without client consent violates confidentiality and does not advocate for the client's immediate needs or recovery.
Client Advocacy in Substance Use Disorder
Acting on behalf of clients with substance use disorder to ensure their rights are protected, their needs are met, and they have access to appropriate resources for recovery.
- Involves empowering clients to make informed decisions.
- Focuses on providing resources and support, not judgment.
- Upholds confidentiality and respects client autonomy.
Memory trick: Advocacy is offering aid, not admonishing or abandoning.