Deck 10: Patient Education and Patient-Centered Care in Professional Nursing Practice

Question 1

One recent change on some nursing units has been the establishment of walking rounds to patient rooms during change of shift report. Using this model, the nurses, patient, and family members (if the patient wishes) are all involved in the exchange of information during the transition of care to the nurse coming on shift. Can you think of any other changes that you have observed in the healthcare setting that help to facilitate a PCC environment?

Answer 1

One other change that I have observed in the healthcare setting to facilitate a patient-centered care (PCC) environment is the implementation of bedside shift reporting. This practice involves the outgoing and incoming nurses discussing the patient's care and treatment plan at the patient's bedside, allowing the patient to be actively involved in the conversation and ask any questions they may have. This not only promotes transparency and open communication between the healthcare team and the patient, but also empowers the patient to be an active participant in their own care. Additionally, I have seen the use of patient and family advisory councils, where patients and their family members are invited to provide feedback and input on hospital policies, procedures, and the overall patient experience. This helps to ensure that the healthcare facility is meeting the needs and preferences of the patients and their families, further promoting a patient-centered approach to care.

Question 2

Think about your own life. Do you act to prevent a disease or accident when you perceive that you are not susceptible to the disease or at risk for the accident?

Answer 2

No, I do not act to prevent a disease or accident when I perceive that I am not susceptible to the disease or at risk for the accident. I believe that prevention measures are only necessary when there is a real threat or likelihood of something happening. However, I do understand the importance of taking precautions and being proactive in maintaining good health and safety, regardless of perceived susceptibility. It's important to remember that accidents and diseases can happen to anyone, and taking preventive measures can help minimize the risk.

Question 3

Have you ever been assigned to read a book that had so many big words in it that you had to keep the dictionary by your side? If it was assigned for school, you probably struggled through it for the sake of not failing the test, but what about if you were not being graded? Would you bother to read it? If you did read it because you knew it would help you, would you have enough understanding to actually apply the information?

Answer 3

Yes, I have been assigned to read books with many big words that required me to keep a dictionary by my side. When it was assigned for school, I struggled through it to avoid failing the test. However, if I were not being graded, I probably would not bother to read it. If I did read it because I knew it would help me, I may not have had enough understanding to apply the information effectively. The use of big words can make a book challenging to read and understand, and without the motivation of a grade, it can be difficult to stay engaged and motivated to fully comprehend and apply the information.

Question 4

Which action should the nurse manifest in providing a patient-centered care environment?

A) Respect for patients' values
B) Respect for patients' preferences and expressed needs
C) Inclusion of family and friends
D) All of these are correct.
E) None of these is correct.

Question 5

A nurse working on a busy medical unit is committed to providing family-centered care. Which of the following is a descriptor of family-centered care?

A) Widens the circle of concern to include those persons who are important to the patient's life
B) Is a philosophy that considers the patient as the unit of attention in the context of his or her family
C) Negates the patient's right to privacy and control
D) Widens the circle of concern to include those persons who are important to the patient's life and negates the patient's right to privacy and control
E) Widens the circle of concern to include those persons who are important to the patient's life and is a philosophy that considers the patient as the unit of attention in the context of his or her family

Question 6

Which behavior should the nurse exhibit to facilitate empathetic communication?

A) Solicits feedback from the patient
B) Uses language perceived as patronizing
C) Calls the patient by his or her preferred name
D) Solicits feedback from the patient and uses language perceived as patronizing
E) Solicits feedback from the patient and calls the patient by his or her preferred name

Question 7

Which behavior should the nurse avoid because it may hinder empathetic communication?

A) Interrupting the patient
B) Using vocabulary that is not understandable to the patient
C) Reprimanding the patient
D) All of these are correct.

Question 8

Which framework should the nurse use to predict the likelihood of a person following a recommended action and to understand the person's motivation and decision making regarding seeking health services?

A) Social Learning Theory
B) Health Belief Model
C) Andragogy
D) Domains of Learning

Question 9

Which of the following is a question from the Ask Me 3 program that encourages patients to ask their healthcare provider?

A) What is my main problem?
B) What do I need to do?
C) Why is it important for me to do this?
D) All of these are correct.

Question 10

A nurse is working on a unit with a large number of geriatric patients. Which strategy should the nurse use during the patient education process to accommodate for changes in cognition in the older adult?

A) Slow the pace of the presentation.
B) Give smaller amounts of information at a time.
C) Repeat information frequently.
D) Reinforce verbal teaching with audiovisuals, written materials, and practice.
E) All of these are correct.

Question 11

A home health nurse engages in patient education activities with many geriatric patients each day. Which strategy should the nurse use during the patient education process to accommodate for changes in vision in the older adult?

A) Make sure the patient's glasses are clean and in place.
B) Use printed materials with 10- to 12-point font.
C) Use drawings with shading.
D) Use blue, green, and violet to differentiate type, illustrations, or graphics.
E) All of these are correct.

Question 12

A rehabilitation nurse engages in patient education activities with many geriatric patients each day. Which strategy should the nurse use during the patient education process to accommodate for changes in hearing in the older adult?

A) Shout.
B) Speak in a higher pitch.
C) Decrease extraneous noise.
D) Speak in a higher pitch and decrease extraneous noise.
E) Shout and decrease extraneous noise.

Question 13

Which issue should the nurse consider when using the andragogic model in patient education?

A) Letting learners know why something is important to learn
B) Relating the topic to the learners' experiences
C) Realizing that people will not learn until they are ready and motivated
D) All of these are correct.