Giddens Caregiving and Care Coordination

Mr. Walker is caring for his ailing wife, who was diagnosed with a terminal illness. Mr. Walker is talking with a nurse, and he states, "I miss my old life. I don't see any of my friends any more. Caring for my wife is much more difficult than I thought. I want things to be the way they used to be." The nurse realizes that Mr. Walker is experiencing which emotional strain? A. Caregiver stress B. Remorse over being healthy C. Anger that his children are not helping D. Grief over losing his friends

A. Caregiver stress

A nurse and a student nurse are talking about health care coordination. Which of the following statements would the nurse make about the subject? A."Patients have needs beyond the health care system." B."Patients should coordinate their own care." C."Physicians are the only ones who coordinate care." D."Community health nurses coordinate care for the patient."

A."Patients have needs beyond the health care system."

Coordination of health care services is complicated by which of the following? (Select all that apply.) A.Involving one or more services B.Too many community resources C.Poorly funded social programs D.Authority for managing services E.Too many nurses F.Lack of health care systems

A.Involving one or more services C.Poorly funded social programs D.Authority for managing services F.Lack of health care systems

The daughter of a patient with Alzheimer's disease shares with the nurse that lately she is having difficulty keeping up with her mother and finds that she is easily irritated and loses her temper. Which of the following is the most likely cause of this change in behavior? A. Compromised family adjustment B. Caregiver role strain C. Ineffective coping D. Anxiety

B. Caregiver role strain

A nurse is talking with a woman who is caring for her elderly father. The woman states that she has very little time for herself or any of the activities she used to enjoy. The nurse is using which of the following processes to assess the situation A. Understanding the father's wishes B. Cognitive ability of appraisal C. Diagnosing the father's health D. Understanding the woman's wishes

B. Cognitive ability of appraisal

A nursing instructor and a student nurse are talking about caregivers and their role in the caring process. The instructor reminds the student that caregivers experience many emotions and face many obstacles as they care for someone, including (Select all that apply.) A. financial prosperity. B. anxiety. C. denial. D. social isolation. E. euphoria. F. understanding of the disease.

B. anxiety. C. denial. D. social isolation.

Which of the following is considered a major disadvantage to group decision making? A.Autonomous conclusion B.Disruptive conflicts C.Group synergy D.Inaccurate data interpretation

B.Disruptive conflicts

When coordination and continuity of health care are transferred between different locations or different levels of care within the same location, this is identified as which type of care coordination? A.Health care doctrine B.Transitional care C.Transactional care D.Multilevel care

B.Transitional care

A family is talking with a nurse because one family member is experiencing a chronic illness. The family asks the nurse how they should cope with their changing roles. What is the nurse's best response? A. "Don't worry about the role changes; everyone will know what to do." B. "I know you are worried about this, so you should talk with the physician." C. "The family should discuss the changing roles and what is needed for everyone." D. "As the nurse, I can decide about the role changes and what would be best for the family."

C. "The family should discuss the changing roles and what is needed for everyone."

Which of the following is the conglomerate of morals, values, beliefs, norms, and meanings that a group of people share and communicate from one generation to the next? A. Language B. Religion C. Culture D. Customs

C. Culture

The nurse is teaching a patient how to use the automatic blood pressure cuff. How can the nurse be assured that the patient understood the information? A.By speaking slowly and clearly in the patient's native language B.By asking the family members whether the patient understands C.By obtaining feedback from the patient that indicates accurate comprehension D.By checking for signs of hearing loss or aphasia before communicating

C.By obtaining feedback from the patient that indicates accurate comprehension

Two nurses are discussing the important attributes of care coordination. They both know that care coordination should be based on which type of care coordination? A.Community based B.Hospital based C.Team based D.Health insurance based

C.Team based

The nurse manager is hosting an educational event about how best to support patients with Alzheimer's disease and their caregivers. Which of the following signs of caregiver role strain will the nurse manager teach as one of the signs of role strain? A. Asking for help from family members B. Skipping visiting the patient two nights a week to be home with family C. Crying after a visit with the patient D. Caregivers who isolate themselves from others

D. Caregivers who isolate themselves from others

A nursing student is having test anxiety regarding an upcoming test. The test anxiety is considered to be which of the following: A. Role strain B. Ineffective coping C. Normal D. Stressor

D. Stressor

A student nurse asks why care coordination is now a top priority for health system redesign. What is the nursing instructor's best response? A."Patients like to be cared for by more than one service agency." B."Care coordination increases confusion about who is responsible for the patient." C."Community services are lacking, and care coordination helps to fill the void." D."Every patient will need coordinated care services at some time in life."

D."Every patient will need coordinated care services at some time in life."

The provision of guidance or direction, evaluation, and follow-up by the licensed nurse for accomplishment of a nursing task delegated to unlicensed assistive personnel (UAP) is: A.Authorization B.Delegation C.Observation D.Supervision

D.Supervision