Deck 10: Patient-Centered Care

Question 1

The nurse is caring for an older patient who is in the intensive care unit for sepsis. The youngest daughter can only visit with the patient in the evenings after visiting hours have ended. What can the nurse do to support family-centered care for the patient and daughter?

A) Provide permission for the daughter to visit the patient after visiting hours.
B) Encourage that the daughter call the patient on the telephone during the day.
C) Explain to the patient that the daughter can visit once intensive care is no longer needed.
D) Ensure the daughter that the patient is being well cared for and not to worry about visiting. Correct

Answer 1

Provide permission for the daughter to visit the patient after visiting hours.

Question 2

The nurse is coordinating the care of a patient whose spouse will be in the hospital when the patient is discharged home. What will the nurse do to ensure a smooth transition to community for the patient?

A) Suggest the patient stay hospitalized until the spouse is able to return to home.
B) Recommend the patient be placed in an extended care facility for further recuperation.
C) Identify who can help the patient at home until the spouse is discharged from the hospital.
D) Call the patient's daughter and explain that the patient will need care at home. Correct

Answer 2

Identify who can help the patient at home until the spouse is discharged from the hospital.

Question 3

During an assessment the nurse asks the patient about his cultural background. How will this information help the nurse plan care for the patient?

A) Facilitates family-to-family support
B) Provides emotional and financial support
C) Recognizes strengths and individuality
D) Develops a strong patient-nurse relationship Correct

Answer 3

Develops a strong patient-nurse relationship Correct

Question 4

A patient with arthritis asks the nurse for pain medication. The patient is sitting in bed laughing and talking with family members. What would the nurse assess to support this patient's pain management needs? Standard Text: Select all that apply.

A) The patient's previous experiences with pain
B) The family's response to illness and pain
C) The cultural meaning associated with pain
D) The spiritual meaning associated with pain
E) The patient's home environment and activities Correct

Question 5

A patient tells the nurse that "people" have been using the arm, with an arteriovenous fistula for hemodialysis, for blood pressure readings and blood draws all day. What actions could the nurse take to improve the quality and safety of this patient's physical care? Standard Text: Select all that apply.

A) Post a sign in the patient's room to not use the arm.
B) Wrap the arm in an elastic bandage and place it on a pillow.
C) Mark on the patient's white board not use the arm with the fistula.
D) Document in the medical record that the arm was used for blood pressure measurements.
E) Ask the patient's physician to assess the integrity of the fistula since the arm was used for other care. Correct

Question 6

The nurse is concerned that a patient is feeling powerless since being hospitalized. What can be done to ensure that the patient receives proper care coordination?

A) Ask the patient how much help is needed with personal care.
B) Examine if the staff is treating the patient with dignity.
C) Assign the patient to a case manager to coordinate the care.
D) Determine if the patient's cultural needs are being met. Correct

Question 7

The nurse wants to ensure that interventions for a patient include the dimensions of person-centered care. Which interventions would the nurse include to meet this goal? Standard Text: Select all that apply.

A) Teaching the patient side effects of prescribed medications
B) Talking with the dietitian about the patients' food preferences
C) Inquiring about the patient's plan to pay for health care expenses
D) Discussing community resources for the patient to use when at home
E) Asking the family if they would like to observe a dressing change Correct

Question 8

Prior to providing a patient with a newly prescribed medication the nurse reviews the name of the medication and the primary actions. Which dimension of person-centered care is this nurse performing?

A) Transition and community
B) Involvement of family and friends
C) Coordination and integration of care
D) Information, communication, and education Correct

Question 9

The nurse is caring for a patient with a visual disorder. What action would support the patient's care environment?

A) Turn off the lights in the room.
B) Keep a night light on in the room.
C) Close the patient's room door.
D) Place eye glasses in the bedside stand. Correct

Question 10

The nurse is planning to implement steps within Leiningers' Wheel of Culture. Which factors will the nurse identify as influencing care expressions, patterns, and practices? Standard Text: Select all that apply.

A) Technology
B) Economics
C) Kinship
D) Politics
E) Diet Correct

Question 11

A patient recovering from spinal surgery is being discharged home. What needs to be done to ensure this patient's safety after discharge from the hospital?

A) Make follow-up appointments.
B) Assess the home environment.
C) Review prescribed medications.
D) Review wound care. Correct

Question 12

The nurse is caring for an older patient with end stage renal disease. On what will the nurse focus to ensure that the patient's values, preferences, and needs are respected? Standard Text: Select all that apply.

A) Dignity
B) Education
C) Quality of life
D) Needs and autonomy
E) Involvement in decision making Correct

Question 13

The nurse is identifying interventions appropriate for the care of a patient from a non-English speaking culture. What would the nurse use to help plan this patient's care?

A) Ask other nurses for suggestions.
B) Review criteria for culturally sensitive care.
C) Analyze care from the patient's perspective.
D) Discuss the patient's care with the physician. Correct

Question 14

A patient has no family members but has a neighbor who is a good friend and wants to visit the patient in the intensive care unit. What should the nurse do to support person-centered care?

A) Encourage the friend to visit the patient.
B) Remind the patient that only family can visit.
C) Encourage the friend to telephone the patient.
D) Ask the patient wait a few days for people to visit. Correct

Question 15

A patient from another culture is demonstrating noncompliance with prescribed medical treatment. What could be contributing to this patient's behavior?

A) Using an interpreter for communication
B) Including the family in the patient's care
C) Speaking up for the patient's preferences
D) Focusing on task completion Correct

Question 16

The nurse is coordinating the discharge of an older patient with chronic renal failure. The patient's spouse is disabled and the patient can no longer drive to dialysis. What would be a goal for this patient's care?

A) Analyzing the patient's financial resources
B) Making an individualized plan of care
C) Encouraging family-to-family support
D) Designing flexible health care Correct