A new pediatric hospital will open soon. While planning nursing care, the hospital administration is considering two models of providing health care: family-focused care and family-centered care. Which action best implements family-centered care?
1. Telling the family what must be done for the family's health
2. Assuming the role of an expert professional to direct the health care
3. Intervening for the child and family as a unit
4. Conferring with the family in deciding which healthcare option will be chosen
Correct Answer: 4
Rationale: The benefit of employing the family-centered-care philosophy is that the priorities and needs as seen by the family are addressed as a partnership between a family and a nurse develops. In family-focused care, the healthcare worker assumes the role of professional expert while missing the multiple contributions the family brings to the healthcare meeting.
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A team meeting is scheduled to teach nurses about communicating with clients who are using defense mechanisms. The instructor understands that more teaching is needed when a nurse says which of the following?
1. "Defense mechanisms are not helpful and must be challenged." 2. "People use defense mechanisms every day, though they are not aware of it." 3. "Defense mechanisms are used when you feel threatened or anxious." 4. "Primitive and early-formed defenses would be stronger and more difficult to change."
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The nurse is interviewing a new patient in the clinic. The patient is premenopausal, but is concerned about the bone changes and osteoporosis that can occur, since she is getting close to menopause
The nurse tells the patient that prevention is the primary goal. A primary goal for prevention would be: 1. Eliminating all alcohol intake. 2. Taking 500 mg of calcium each day. 3. Use of sunscreen to assist with absorption of vitamin D. 4. Regular weight-bearing and muscle-strengthening exercises.