Question 1

One recent change on some nursing units has been the establishment of walking rounds to patient rooms during change of shift report. Using this model, the nurses, patient, and family members (if the patient wishes) are all involved in the exchange of information during the transition of care to the nurse coming on shift. Can you think of any other changes that you have observed in the healthcare setting that help to facilitate a PCC environment?

Accepted Answer

One other change that I have observed in the healthcare setting to facilitate a patient-centered care (PCC) environment is the implementation of bedside shift reporting. This practice involves the outgoing and incoming nurses discussing the patient's care and treatment plan at the patient's bedside, allowing the patient to be actively involved in the conversation and ask any questions they may have. This not only promotes transparency and open communication between the healthcare team and the patient, but also empowers the patient to be an active participant in their own care. Additionally, I have seen the use of patient and family advisory councils, where patients and their family members are invited to provide feedback and input on hospital policies, procedures, and the overall patient experience. This helps to ensure that the healthcare facility is meeting the needs and preferences of the patients and their families, further promoting a patient-centered approach to care.

Question 2

Think about your own life. Do you act to prevent a disease or accident when you perceive that you are not susceptible to the disease or at risk for the accident?

Accepted Answer

No, I do not act to prevent a disease or accident when I perceive that I am not susceptible to the disease or at risk for the accident. I believe that prevention measures are only necessary when there is a real threat or likelihood of something happening. However, I do understand the importance of taking precautions and being proactive in maintaining good health and safety, regardless of perceived susceptibility. It's important to remember that accidents and diseases can happen to anyone, and taking preventive measures can help minimize the risk.

Question 3

Have you ever been assigned to read a book that had so many big words in it that you had to keep the dictionary by your side? If it was assigned for school, you probably struggled through it for the sake of not failing the test, but what about if you were not being graded? Would you bother to read it? If you did read it because you knew it would help you, would you have enough understanding to actually apply the information?

Accepted Answer

Yes, I have been assigned to read books with many big words that required me to keep a dictionary by my side. When it was assigned for school, I struggled through it to avoid failing the test. However, if I were not being graded, I probably would not bother to read it. If I did read it because I knew it would help me, I may not have had enough understanding to apply the information effectively. The use of big words can make a book challenging to read and understand, and without the motivation of a grade, it can be difficult to stay engaged and motivated to fully comprehend and apply the information.

Question 4

Which action should the nurse manifest in providing a patient-centered care environment?

Accepted Answer

Patient-centered care involves respecting patients' values, preferences, and needs, as well as including family and friends in the care process.

Question 5

A nurse working on a busy medical unit is committed to providing family-centered care. Which of the following is a descriptor of family-centered care?

Accepted Answer

Family-centered care involves including those important to the patient's life and considers the patient as the unit of attention within the context of their family.

Question 6

Which behavior should the nurse exhibit to facilitate empathetic communication?

Accepted Answer

The answer of Which behavior should the nurse exhibit to...

Question 7

Which behavior should the nurse avoid because it may hinder empathetic communication?

Accepted Answer

All of these behaviors can hinder empathetic communication as they disrupt the flow of conversation, create misunderstandings, and can make the patient feel disrespected or not valued.

Question 8

Which framework should the nurse use to predict the likelihood of a person following a recommended action and to understand the person's motivation and decision making regarding seeking health services?

Accepted Answer

The Health Belief Model is used to predict and understand individuals' motivations and decision-making processes regarding health behaviors and the likelihood of following recommended actions.

Question 9

Which of the following is a question from the Ask Me 3 program that encourages patients to ask their healthcare provider?

Accepted Answer

The Ask Me 3 program encourages patients to ask their healthcare providers three specific questions: "What is my main problem?", "What do I need to do?", and "Why is it important for me to do this?" to improve understanding and communication.

Question 10

A nurse is working on a unit with a large number of geriatric patients. Which strategy should the nurse use during the patient education process to accommodate for changes in cognition in the older adult?

Accepted Answer

All the strategies listed (A, B, C, D) are effective in accommodating changes in cognition in older adults during patient education. Slowing the pace, giving smaller amounts of information, repeating information, and using various teaching aids can help enhance understanding and retention.

Question 11

A home health nurse engages in patient education activities with many geriatric patients each day. Which strategy should the nurse use during the patient education process to accommodate for changes in vision in the older adult?

Accepted Answer

Older adults often experience changes in vision, such as presbyopia, which can make it difficult to see clearly. Ensuring that the patient's glasses are clean and in place helps them see better and is a practical step to accommodate these changes.

Question 12

A rehabilitation nurse engages in patient education activities with many geriatric patients each day. Which strategy should the nurse use during the patient education process to accommodate for changes in hearing in the older adult?

Accepted Answer

Decreasing extraneous noise helps older adults with hearing difficulties focus better on the conversation, as background noise can interfere with their ability to hear and understand speech.

Question 13

Which issue should the nurse consider when using the andragogic model in patient education?

Accepted Answer

The andragogic model focuses on adult learning principles, which include understanding the importance of learning, relating new information to prior experiences, and recognizing the need for readiness and motivation in learning.

Quiz 10: Patient Education and Patient-Centered Care in Professional Nursing Practice