Intro to Professional Nursing: Chapter 16 Client-Centered Care

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?

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

A nurse is caring for a client who is postoperative and requests spiritual support. Which of the following statements should the nurse make?

"Tell me what I can do to help fulfill your need for support."

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?

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

10 Caritas Processes

1. Embrace altruistic values and practice loving kindness with self and others. 2. Instill faith and hope and honor in others. 3. Be sensitive to self and others by nurturing individual beliefs and practices. 4. Develop helping-trusting-caring relationships. 5. Promote and accept positive and negative feelings as you authentically listen to another's story. 6. Use creative scientific problem-solving methods for caring decision making. 7. Share teaching and learning that addresses the individual needs and comprehension styles. 8. Create a healing environment for the physical and spiritual self which respects human dignity. 9. Assist with basic physical, emotional, and spiritual human needs. 10. Open to mystery and allow miracles to enter.

Key questions exemplifying the Caritas Processes

1.) Tell me about your health? 2.) What is it like to be in your situation? 3.) Tell me how you perceive yourself? 4.) What are your health priorities? 5.) How do you envision your life? 6.) What is the meaning of healing for you? 7.) What is the most important thing I can do for you? 8.) What is the most important thing you need right now?

medically futile care

A treatment option that offers no possibility of physiologic benefit related to diagnosis, prognosis, or the current medical condition

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?

Being with

FICA

Faith and belief Importance Community Address in care

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?

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?

Talk with the client in person

caring

The act of nurturing another person to whom one feels commitment or responsibility, demonstrated by nurturing clients in a holistic manner, often physically, emotionally, and spiritually

spiritual assessment

assessment of an individual's spiritual health, sources, concerns, struggles, culture

A nurse is caring for a client who is emotionally distraught. Which of the following uses of touch should the nurse implement to convert caring?

briefly holding the client's hand

client-centered care

empowers the patient to take control of and manage his or her care

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?

ethical dilemma terminal illness death of a client hardship

palliative care

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

Swanson's Theory of Caring

knowing, being with, doing for, enabling, maintaining belief

listening

nurse must not only ask questions, but allow appropriate pauses, quiet, and listening skills to ascertain pertinent information that applies to the holistic care of the client

touch

provides a physical presence and demonstrates caring, should be used appropriately, never with the intent to harm the client or with sexual connotations

potentially inappropriate treatment

refers to treatment that does what it is intended to do, but is not appropriate for the client in this particular situation

pastoral care

responsible for spiritual support to patients and families

A nurse manager is planning an in-service about culturally competent care. Which of the following cultural competences should the manager describes as enabling a nurse to interact with clients from other cultures?

Cultural encounter

presence

the nurse can be present for clients by taking time to sit and listen to clients, and just by providing an overall physical presence for the client

client preference

the nurse must obtain and respect the client's preferences for care, which creates a sense of trust as well as a healing environment

Watson's Theory of Human Caring

to care for others, nurses must first care for themselves and attempt to achieve inner balance and spirituality, establish a presence with clients, practice the act of"being," and work on developing trusting relationships

quality of life

the fulfillment of one's purpose and meaning in life where nurses are often called upon to support clients in making their decisions regarding quality or quantity