The nurse manager conducts an in-service for staff nurses about the importance of client-centered care. When educating staff nurses about characteristics of client-centered care, the nurse manager lists which of the following characteristics?
(Select all that apply.)
a. It promotes dependence within clients.
b. It supports allowing the client time for questions.
c. It considers whom information should be provided to.
d. It respects the amount of information desired by clients.
e. It encourages providing clients with sufficient information.
ANS: B, C, D, E
Clients should be key informants, active negotiators, final decision makers, and engaged participants in evaluating treatment outcomes. They need to be actively involved in defining and updating realistic treatment goals. Client centeredness is evidenced in a partnership characterized by mutual valuing and safeguarding of the legitimate interests of the provider and the client in creating and managing health care decisions.
Joint decision making is a key element. The decision-making process starts with providing each client with sufficient information, tailored to his or her unique circumstances, to make an informed decision. Information should be relevant to each client's diagnosis, treatments, and treatment options. The first question to consider is, "What essential information does this client need to have in order to make an informed decision?" Some clients value knowing as much as possible; others want just the basic facts. Another may need to have essential information developed in steps and spread over several encounters to allow for better processing and formulation of related questions. Cultural norms can dictate levels of information and to whom the information should be given.
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A home health care nurse has conducted a home safety assessment for an older adult. There are five concrete steps leading out from the front door. Which intervention would be most helpful in keeping the older adult safe on the steps?
a. Have the client use a walker or cane on the steps. b. Install contrasting color strips at the edge of each step. c. Instruct the client to use the garage door instead. d. Tell the client to use a two-footed gait on the steps.
A nurse is providing patient education to a client who will soon begin taking levothyroxine for the first time. Which of the following teaching points should then nurse include in this education session?
A) "You'll most likely take this drug for the rest of your life." B) "I'll help you arrange to come to an outpatient clinic for IV administration of levothyroxine." C) "You'll need to take this drug one hour before eating or at least two hours after eating." D) "I'll teach you how to check your blood sugar levels for the first few weeks that you take the drug."
The nurse is administering eye drops to a patient with glaucoma. To achieve maximum absorption, the nurse should instill the eye drop into the:
A) Conjunctival sac B) Pupil C) Sclera D) Vitreous humor
The nurse should suspect a child has cerebral palsy if the parent makes which statement?
1. "My 6-month-old baby is rolling from back to front now.". 2. "My 3-month-old hasn't smiled at me.". 3. "My 8-month-old can sit without support.". 4. "My 10-month-old is not walking.".