How will the nurse practice patient-centered care?
By involving the client in problem-solving and decision-making.
By delivering all requests made by the client.
By disregarding visiting hours.
By using only the decisions you feel are best for the client.
The Correct Answer is A
Choice A reason: This is the best answer. Patient-centered care is a model of care that respects the client's preferences, values, and needs. By involving the client in problem-solving and decision-making, the nurse empowers the client and promotes their autonomy and dignity.
Choice B reason: This is not a good answer. Delivering all requests made by the client may not be feasible, ethical, or beneficial for the client. The nurse should assess the client's requests and determine if they are appropriate and aligned with the client's goals of care.
Choice C reason: This is a poor answer. Disregarding visiting hours is not patient-centered care, but rather a violation of the health care facility's policies and procedures. Visiting hours are established to ensure the safety and comfort of all clients and staff.
Choice D reason: This is a bad answer. Using only the decisions you feel are best for the client is not patient-centered care, but rather paternalistic care. Paternalistic care is a model of care that assumes the nurse knows what is best for the client and imposes their decisions on the client without their consent or input.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is not a useful intervention for improving the self-concept of an older adult. Allowing the clothing to remain soiled after spilling may make the older adult feel dirty, embarrassed, or neglected. It may also increase the risk of infection or skin irritation. The nurse should help the older adult to change into clean clothing as soon as possible, and respect their dignity and comfort.
Choice B reason: This is not a useful intervention for improving the self-concept of an older adult. Encouraging them to wear clothes that are bigger so it is easier to put on may make the older adult feel unattractive, insecure, or incompetent. It may also affect their mobility and safety, as the clothes may be too loose or long. The nurse should help the older adult to wear clothes that fit well and suit their preferences and abilities.
Choice C reason: This is not a useful intervention for improving the self-concept of an older adult. Keeping their pajamas on when going to the dining room for breakfast, since they will have a nap when they return to their room, may make the older adult feel lazy, depressed, or isolated. It may also affect their appetite and socialization, as the pajamas may indicate a lack of interest or readiness. The nurse should help the older adult to dress appropriately for the time and place, and encourage them to participate in activities and interactions.
Choice D reason: This is the best answer. Helping them fix their hair and wear properly fitting, clean clothing is a useful intervention for improving the self-concept of an older adult. It may make the older adult feel attractive, confident, and respected. It may also enhance their physical and mental health, as the hair and clothing may reflect their hygiene and mood. The nurse should help the older adult to maintain their personal appearance and style, and support their self-esteem and self-image.
Correct Answer is C
Explanation
Choice A reason: This is not the client who has an increased risk for body-image disturbance. A cardiac catheterization is a procedure that involves inserting a thin tube into a blood vessel and guiding it to the heart. It is used to diagnose or treat heart problems. It does not cause any visible changes to the body or affect the client's appearance or function.
Choice B reason: This is not the client who has an increased risk for body-image disturbance. An appendectomy is a surgery that involves removing the appendix, which is a small pouch attached to the large intestine. It is used to treat appendicitis, which is an inflammation of the appendix. It does not cause any significant changes to the body or affect the client's appearance or function.
Choice C reason: This is the client who has an increased risk for body-image disturbance. A stroke is a condition that occurs when the blood supply to a part of the brain is interrupted, causing brain cells to die. It can cause various neurological impairments, depending on the location and severity of the damage. Left-sided hemiplegia is a paralysis of the left side of the body, which can affect the client's movement, sensation, speech, and facial expression. It can cause a noticeable change to the body and affect the client's appearance and function.
Choice D reason: This is not the client who has an increased risk for body-image disturbance. Shoulder surgery is a surgery that involves repairing or replacing the structures of the shoulder joint, such as the bones, muscles, tendons, or ligaments. It is used to treat shoulder injuries or disorders, such as fractures, dislocations, arthritis, or rotator cuff tears. It does not cause any major changes to the body or affect the client's appearance or function.
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