Patient-Centered Care

A nurse is reinforcing teaching about the use of the SMART goal method with a client who has diabetes mellitus and is setting nutrition and weight loss goals. Which of the following client statements should indicate to the nurse an understanding the teaching?

"I will reduce my sugar intake by 10 grams each week for 1 month until I reach the desired level.»

A charge nurse is reinforcing teaching with a newly licensed nurse about the concept of team nursing. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"Nurses will pair together to care for an assigned group of clients."

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."

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

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?

Briefly holding the client's hand

A nurse is caring for a client who is being transferred to another unit, but the receiving nurse is unavailable to take report. Which of the following concepts is being violated that could place the client at risk?

Continuity of care

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

Cultural encounters

A nurse is assisting in the planning of 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.)

Ethical dilemma Terminal illness Death of a client Hardship

A charge nurse is reinforcing teaching with a group of nurses about protecting themselves from an abusive client. Which of the following statements by a nurse within the group demonstrates an understanding of the teaching?

I should try to escape or put a barrier between myself and the client."

A nurse is precepting a newly licensed nurse and suggests using the IDEAL method to structure the client's discharge planning. The client's caregiver is also in the room. Which of the following statements made by the newly licensed nurse demonstrates the correct the use of the IDEAL method?

I will include the client and caregivers in the discharge discussion."

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 newly licensed nurse is reviewing the client assignments for a shift and determining tasks to complete. Which of the following is a time management strategy the nurse should use?

Make a list and prioritize a plan.

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?

Palliative care

A charge nurse is reviewing client acuities and tasks to make the nursing staff's daily assignments. When using the Five Rights of Delegation, which of the following should the charge nurse use to ensure client safety?

Right task

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.

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 giving change-of-shift report to an oncoming nurse using BAR reporting. Which of the following entries by the nurse demonstrates the correct use of SBAR?

The client in room 1 has been experiencing breakthrough pain following an exploratory surgery yesterday. Vital signs are stable. Recommend calling the provider for a breakthrough dose if pain continues.

A nurse is speaking with a client who is noncompliant in performing a daily glucose testing regimen. Which of the following responses should the nurse make?

What is preventing your consistency with your daily blood glucose checks?