Chapter 1 -- Patient Centered Care

A nurse is caring for a client who is emotionally distraught. Which of the following uses of touch should the nurse implement to convey caring? A. Briefly holding the client's hand B. A lengthy front-facing hug C. Rubbing the client's shoulders D. Sitting beside the client and touching their thigh

A. Briefly holding the client's hand

A nurse is planning an in-service for a group of staff nurses about spiritual care. Which of the following situations should the nurse identify as appropriate for a consultation with pastoral staff? Select all that apply A. Ethical Dilemma B. Terminal Illness C. Death of a client D. Financial Arrangements E. Hardship

A. Ethical Dilemma B. Terminal Illness C. Death of a client E. Hardship Pastoral care is consulted for all of the above except finances

A nurse is caring for a client who states the health care provider recommends treatment to provide comfort because a cure is not possible. To which of the following concepts is the provider referring to? A. Palliative Care B. Medically futile care C. Potentially inappropriate treatment D. Quality of Life

A. Palliative Care

A nurse is caring for a client who is postoperative and requests spiritual support. Which of the following statements should the nurse make? A. "I'm not trained in providing spiritual support, but you can call the chaplain." B. "Tell me what I can do to fulfill your need for support." C. "Let's talk about this later and focus instead on your wound healing." D. "I'm not very spiritual so I will find another nurse who can help you."

B. "Tell me what I can do to fulfill your need for support." Though many nurses feel unprepared to provide spiritual support, nurses can still intervene and assist clients, or direct them to someone who can. This response by the nurse is nontherapeutic. Clients can obtain spiritual support from many things and people. The only way the nurse can find out what the client needs is to ask, and this is an example of an appropriate, therapeutic response.

A nurse enters a client's room and finds the client crying. The nurse sits bedside the bed in silence. Which of Swanson's five categories of caring behaviors is the nurse demonstrating? A. Knowing B. Being with C. Doing for D. Maintaining belief

B. Being with

A nurse manager is planning an in-service about culturally competent care. Which of the following cultural competencies should the manager describe as enabling a nurse to interact with clients from other cultures? A. Cultural awareness B. Cultural encounters C. Cultural knowledge D. Cultural desire

B. Cultural encounters Cultural awareness is the self-assessment of one's own culture as well as biases about individuals of other cultures. Cultural encounters allow the nurse interaction with clients from cultures other than the nurse's own. Cultural knowledge describes a nurse being willing to learn about another person's cultural values, beliefs, and activities. Cultural desire is a nurse's commitment to become connected with clients from cultures other than the nurse's own.

A nurse is caring for a client who tells the nurse, "Something is wrong. I feel like God is so far away from me and I don't know what to do." Which of the following is the client experiencing? A. Medical Futility B. Spiritual Distress C. Palliative Care D. Caritas Processes

B. Spiritual Distress

A nurse is providing information to a client who is from the Baby Boomer generation about a newly prescribed medication. Using information about generational preferences, which of the following methods of teaching should the nurse use? A. Send a text message B. Talk with the client in person C. Provide a link to a teaching video or animation D. A formal face to face meeting with written notes

B. Talk with the client in person

A nurse is caring for a client whose religious belief prohibits them from receiving blood products. The client states, "My adult children don't agree with my beliefs and want me to receive a transfusion." Which of the following responses should the nurse make? A. "Your children's opinions do not matter." B. " You should receive blood products if it will save your life." C. "You have the right to choose what treatments are best for you." D. "Your health care provider will make the final choice on treatments that are in your best interest."

C. "You have the right to choose what treatments are best for you."

A nurse is caring for a client who has a prescription for opioid analgesia. The client tells the nurse, "I don't want to take that medication because it makes me sleepy." Which of the following responses should the nurse make? A. "You need to take the medication so that you will not be in pain." B. "This medication does not affect your reasoning ability." C. "Controlling your pain is more important right now than your mental state." D. "I will speak to your provider to see if there is a different medication to treat your pain."

D. "I will speak to your provider to see if there is a different medication to treat your pain."