Foundational Concepts: Patient-Centered Care

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? a. Palliative care b. Medically futile care c. Potentially inappropriate treatment d. Quality of life

a. Palliative care Palliative care involves providing treatments that offer pain relief or enhance the quality of life, but do not provide a cure.

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 encounters allow the nurse interaction with clients from cultures other than the nurse's own.

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." The nurse is advocating for the client by acknowledging the client's wishes and providing a possible solution.

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

b. "Tell me what I can do to help fulfill your need for support." 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 beside 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 Being with is being physically and emotionally present with the client. Being with does not have to involve any speaking. The nurse in this example is being present and available by sitting beside the bed in silence, allowing space for the client to talk when and if they want to talk.

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 Spiritual distress is not associated with any religion or practice, but is an overall feeling of something being wrong, or that God or a higher power is not present.

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 clients hand. Touching or holding the client's hand briefly is an appropriate and professional way to convey caring.

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 Pastoral care is consulted for ethical dilemmas. A member of pastoral staff might also serve on ethics committees for health care facilities b. Terminal illness Pastoral care is useful in helping clients deal with terminal illnesses by assisting them to find meaning in situations and provide comfort. c. Death of a client Pastoral care is consulted in the death of clients to provide comfort to family and friends, as well as to the nursing staff. e. Hardship Pastoral care can help with hardship situations and can provide comfort and possible resources.

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. Conduct a formal face-to-face meeting with written notes.

b. Talk with the client in person Most clients from the Baby Boomer generation prefer in-person interactions in which the nurse is engaged and attentive.

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." The client's beliefs and preferences are most important, and the nurse should respect these and advocate for the client, regardless of the outcome.