What is the key difficulty with implementing patient-centered care?
1. Recognizing that patient-centered care is important.
2. Implementing it effectively.
3. Paying for patient-centered care.
4. Defining patient-centered care.
2
Explanation: 1. Patient-centered care has been defined in Quality Chasm reports. For example it is one of the five core healthcare professions competencies and discussed a lot in the healthcare literature today.
2. We do not know enough about how to implement it effectively—so that quality patient-centered care is provided.
3. Paying for care is done through reimbursement and should for most services be part of this system.
4. Patient-centered care has been defined in Quality Chasm reports.
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Which of the following patients would benefit from preoperative teaching about splinting of incisions to minimize discomfort? (Select all that apply.)
a. Patient having coronary bypass graft surgery b. Patient having open breast biopsy c. Patient having total hip replacement surgery d. Patient having lumbar spine decompression surgery e. Patient having surgery to repair retinal detachment f. Patient having total abdominal hysterectomy
Because a school-aged child's admission was an emergency, she was not prepared for a hospital stay and the procedures to be performed. Which approach would be most appropriate to help her understand the need for warm soaks on her leg?
A) Describe the way that warm water acts to relieve pain. B) Read her a story about soaks and dressings. C) Let her apply a soak to a doll. D) Ask her parents to explain why the soaks are necessary.
The nurse learns about cultural issues involved in the patient's health care belief system and enables patients and families to achieve meaningful and supportive care. Which concept is the nurse demonstrating?
a. Marginalized groups b. Health care disparity c. Transcultural nursing d. Culturally congruent care
The nurse is caring for a patient who is 6 feet 2 inches tall and weighs 250 pounds. What is the patient's body mass index (BMI)?
a. 18.5 kg/m2 b. 30.2 kg/m2 c. 32.13 kg/m2 d. 40.11 kg/m2