Fundamentals Exam #1 : Patient Centered Care

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."

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

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? 1. palliative care 2. medically futile care 3. potentially inappropriate treatment 4. quality of life

1. palliative care

a nurse manager is planning an in-service about culturally competent care. which of the following cultural competencies should the manager describe an enabling a nurse to interact with clients from other cultures? 1. cultural awareness 2. cultural encounters 3. cultural knowledge 4. cultural desire

2. cultural encounters

A charge nurse is discussing culturally competent care with a newly licensed nurse. Which of the following statements should the charge nurse make? 1. clients within the same cultural group will all follow the same health practices 2. cultural desire is the ability to accurately assess a client's cultural beliefs 3. it is important to evaluate your own preconcieved ideas about other cultures 4. your personal cultural background does not affect how you interpret your clients behaviors

3. it is important to evaluate your own preconcieved ideas about other cultures

a nurse is caring for a client who has a prescription for opioid analegisa. the client tells the nurse it makes them sleep. what will the nurse do? 1. you need to take the med 2. med does not affect reasoning ability 3. controlling your pain is more important rn 4. ill speak to the dr and see if there is a diff med to treat pain

4. ill speak to the dr and see if there is a diff med to treat pain

Ten caring processes that provide a common language to guide nurses in identifying and maximizing the caring moments and occasions in their own practice.

Caritas Processes

self-assessment of one's own culture and biases about individuals of other cultures

Cultural awareness:

commitment to become connected with clients' cultures

Cultural desire

interactions with clients from cultures different from one's own

Cultural encounters

being willing to learn about another person's cultural values, beliefs, and activities

Cultural knowledge

ability to accurately assess clients' cultural beliefs, values, and lifestyles

Cultural skill:

a nurse is planning an in-service for a group of staff nurses about spirtual care. which of the following situations should the nurse identify as appropriate for a consultation with pastoral staff? (all that apply) Ethical dilemma Terminal illness Death of a client Financial arrangements Hardship

Ethical dilemma Terminal illness Death of a client Hardship

involves treatments when the treatments will not provide a cure or extend the life.

Medically futile care

theory views caring as a process of five categories through which a person goes to achieve overall well-being. The five categories are: maintaining belief, knowing, being with, doing for, and enabling

Swanson's Theory of Caring

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

Watson's Theory of Human Caring

The act of nurturing another person to whom one feels commitment or responsibility.

caring

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

palliative care