The nurse recognizes that which of the following is a key aspect of patient-centered care and the medical home model?

Providing interdisciplinary care that is comprehensive.

Empowering families to make decisions.

Offering supportive and holistic care approaches to treat the child.

Taking responsibility for care when needed.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Providing interdisciplinary care that is comprehensive is a key aspect of patient-centered care and the medical home model. This approach involves a team of healthcare professionals from various disciplines working together to provide comprehensive care. It ensures that all aspects of a patient’s health are considered and addressed, leading to more effective and efficient care.

Choice B rationale

Empowering families to make decisions is an important aspect of patient-centered care, but it is not the key aspect of the medical home model. While patient and family empowerment is crucial for ensuring that care aligns with the patient’s values and preferences, the medical home model’s primary focus is on providing comprehensive, coordinated care.

Choice C rationale

Offering supportive and holistic care approaches to treat the child is an important aspect of patient-centered care, but it is not the key aspect of the medical home model. While these approaches can enhance the quality of care and patient satisfaction, the medical home model’s main focus is on providing comprehensive, coordinated care.

Choice D rationale

Taking responsibility for care when needed is an important aspect of patient-centered care, but it is not the key aspect of the medical home model. While healthcare providers must be ready to take responsibility for care when necessary, the medical home model’s primary focus is on providing comprehensive, coordinated care.

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Correct Answer is B

Explanation

Choice A rationale

Distracting the patient and then taking the blanket for washing might seem like a practical solution, but it can lead to trust issues. The patient may feel betrayed or tricked, which can negatively affect the therapeutic relationship between the nurse and the patient.

Choice B rationale

Acknowledging that the blanket seems to be his favorite and allowing him to keep it with him is the best course of action. The blanket likely provides comfort and security to the patient.

Taking it away, even temporarily, can cause distress. The nurse should respect the patient’s attachment to the blanket and look for alternative solutions for maintaining hygiene, such as offering to clean the blanket when the patient is ready to part with it temporarily.

Choice C rationale

Telling the patient that you want to take the blanket home to wash and that you will bring it back might not be reassuring enough for the patient. The patient may worry about the blanket getting lost or not returned, which can cause unnecessary anxiety.

Choice D rationale

Suggesting getting him another blanket so that he will not mind giving up the current one might not work. The patient’s attachment is likely to the specific blanket, not to blankets in general. A new blanket will not have the same familiarity and comforting effect as the old one.

A. A period of play in the playroom. B. A needleless syringe and a doll. C. A storybook about a cat who has diabetes.

Correct Answer is C

Explanation

Choice A rationale

While a period of play in the playroom can be a good distraction and provide a sense of normalcy for a child in a hospital setting, it may not specifically improve cooperation in a child distressed about a new diagnosis of diabetes mellitus.

Choice B rationale

A needleless syringe and a doll can be useful tools for explaining procedures and reducing fear in children. However, they might not directly address the distress caused by a new diagnosis of diabetes.

Choice C rationale

A storybook about a cat who has diabetes can be an effective therapeutic action. It can help the child understand their condition in a non-threatening way, see that they are not alone, and learn how to manage diabetes in daily life. This can improve their cooperation with their new routine of diabetes management.

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The nurse recognizes that which of the following is a key aspect of patient-centered care and the medical home model?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient arrives at the hospital with a stained, ragged baby blanket.When his mother tries to remove the blanket to take it home for washing, he hides under the bed and clings to the blanket.What is the best course of action for the nurse?

Correct Answer is B

Explanation

A nurse is caring for a year-old child who has a new diagnosis of diabetes mellitus and is distressed.The nurse recognizes that which of the following therapeutic actions will help improve the child’s cooperation?

Correct Answer is C

Explanation

The nurse is teaching an adolescent girl about appropriate food choices.Which of the following best explains how to answer Questions based on cognitive development?

When performing a physical assessment on an infant, the nurse understands that which of the following techniques will aid in the ability to complete the examination? (Select all that apply)

A nurse is preparing to administer benzathine penicillin G IM to a school-aged child. Which anglewill the nurse use for injection into the child’s vastus lateralis muscle?

The nurse is providing education about age-appropriate activities to the parents of a 1-year-old child. Which of the following statements indicates a need for further teaching?

A nurse is assessing a one-month-old infant.Which of the following findings should the nurse report to the provider?

A nurse is caring for a child with asthma who is prescribed to use an albuterol inhaler with a spacer. The parents ask how albuterol helps the child’s breathing.Which of the following responses will the nurse include? Select all that apply.

In the Emergency Department, four children are awaiting treatment for respiratory illnesses.Given that only one treatment room is available, which child should be prioritized based on the assessment findings?