A client who can make their own decisions declines a recommended treatment. Respecting the client’s right to decide is consistent with client advocacy.
4 Client Advocacy and Patient Safety Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Client Advocacy and Patient Safety, test your knowledge, and prepare for your next test or exam.
You notice a client has new weakness shortly before discharge. Which response raises the safety concern most clearly and respectfully?
- A
“You are being careless by discharging this client.”
- B
“I’m concerned this new weakness is a change from this morning. Could we reassess before discharge?”
- C
“I don’t agree with this plan, but I’ll say nothing more.”
- D
“The client is probably fine, so there is no need to check.”
Shared decision-making combines the client’s with .
What technique can a care team member use to check a client’s understanding by asking them to explain instructions in their own words?
A client explains which daily routine matters to them during care. What should the team do so this preference can guide ongoing care?
- A
Keep the client’s preferences private from the care team, even when they affect care.
- B
Ask a family member to choose which preferences should be followed.
- C
Include the client’s preferences in the handoff and care plan.
- D
Wait until discharge to mention the client’s preferences.
After a near miss, documenting objective facts through the appropriate process is enough by itself to address an urgent safety risk.
- A
True
- B
False
In the CUS tool, what exact phrase can be used to state the most serious level of concern?
A client with limited English proficiency appears to understand everyday conversation but struggles with complex discharge instructions. Select all appropriate actions.
- A
Arrange qualified language assistance when needed for meaningful communication.
- B
Assume conversational English is sufficient for complex discharge instructions.
- C
Speak directly to the client, not only to an interpreter or companion.
- D
Use a companion as the default interpreter without considering other assistance.
Under the Two-Challenge Rule, if the first concern is not acknowledged, the concern clearly.
You clearly restate a safety concern, but it remains unresolved. What is the appropriate next step?
- A
Stop raising the concern and wait until the next shift.
- B
Use the organization’s escalation or chain-of-command process.
- C
Document the concern later, without communicating it to anyone.
- D
Ask the client to resolve the disagreement with the team.
A client says cost and transportation may prevent them from attending follow-up care. Select all actions that support access to care.
- A
With the client’s permission, coordinate with appropriate team members to explore feasible support.
- B
Assume the client will solve the access problem without help.
- C
Follow up to see whether the connection to support worked.
- D
Include relevant preferences and plans in the handoff.
A client has a communication disability and needs support to take part in care planning. Which approach is most appropriate?
- A
Direct all questions to the client’s companion and use whatever method the team prefers.
- B
Assume written information will work for every client.
- C
Ask the client what works for them and arrange appropriate aids or services.
- D
Proceed without support if the client has not independently requested a specific aid.
A near miss occurs during care. Which response best supports safety review and continuity?
- A
Discuss the event informally with a colleague but do not report it.
- B
Report it through the appropriate process and document objective facts according to policy.
- C
Record assumptions about who caused the event instead of observable facts.
- D
Wait to see whether the event causes harm before reporting it.
A client says they do not understand an important part of their care plan and are worried they cannot follow it at home. Describe how a healthcare professional can advocate for the client while respecting the client’s role in decisions.
A client who can make their own decisions refuses a recommended treatment. What is the most appropriate advocacy response?
- A
Make the treatment decision for the client to avoid delays.
- B
Help the client understand options and ensure their preference is heard.
- C
Ask the family to choose without consulting the client.
- D
Continue with the original plan without discussing the disagreement.
After explaining a new medication, which action best checks whether the client understood the instructions?
- A
Ask the client to explain in their own words how they will take the medication.
- B
Ask whether the client understands, then move on if they say yes.
- C
Repeat the instructions using more technical language.
- D
Ask a family member to confirm understanding without involving the client.
You notice that a client has new weakness compared with earlier in the day, just before a planned discharge. What is the best first response?
- A
Tell the team the discharge plan is careless and should be stopped.
- B
Wait until after discharge so the team can discuss the concern at its next meeting.
- C
Describe the change in weakness and ask the team to reassess before discharge.
- D
Document the concern and assume the team will notice it.
True or false: Documenting a safety concern is an adequate substitute for urgent communication when immediate action may be needed.
- A
True
- B
False
What method checks a client’s understanding by asking them to explain instructions in their own words?
What TeamSTEPPS tool calls for restating a concern when it is not acknowledged and escalating it if it remains unresolved?