Public Health Nursing Practice Exam

What approach should nurses avoid to support client decision making in their care?

1. Providing ample information for informed decisions

2. Giving explicit instructions without regard to client preferences

3. Respecting client autonomy and choices

4. Encouraging client participation in their health care plans

The correct answer is: Giving explicit instructions without regard to client preferences

The approach that should be avoided in supporting client decision-making is giving explicit instructions without regard to client preferences. This method undermines the fundamental principle of respect for client autonomy, which is essential in nursing practice. Autonomy emphasizes the importance of clients being involved in their own care, allowing them to express their values, preferences, and choices. When nurses dictate care through explicit instructions without considering clients' unique situations, they may inadvertently alienate them and diminish their willingness to engage in their health care. This could lead to feelings of disempowerment and reluctance to follow treatment plans, as clients may feel that their opinions and needs are not valued. In contrast, effective nursing practices involve providing ample information for informed decisions, respecting client autonomy, and encouraging participation in care plans. These elements foster a collaborative environment where clients feel empowered to make decisions that align with their values and preferences.