A nurse instructor is teaching nursing students about safety, quality, and patient-centered care.

What recommendations should the students recognize that promote safe, quality, patient-centered care? Select all that apply.

Think critically.

Evaluate outcomes at the start of the shift.

Communicate the plan.

Plan and report outcomes.

Evaluate outcomes at the end of the shift.

Answer and Explanation

Correct Answer : A,C,D,E

Choice A rationale
Thinking critically is a fundamental skill in nursing. It involves the ability to question, analyze, and evaluate care processes and outcomes. Critical thinking allows nurses to make informed decisions, prioritize tasks, and solve problems efficiently and effectively, which ultimately leads to safe, quality, patient-centered care.
Choice B rationale
Evaluating outcomes at the start of the shift is not typically recommended. Instead, continuous evaluation throughout the shift is more beneficial. This allows for timely interventions and adjustments to the care plan as needed.
Choice C rationale
Communication is a vital aspect of patient-centered care. Effective communication ensures that all members of the healthcare team, including the patient, are informed about the patient’s care plan. This promotes collaboration, improves patient outcomes, and enhances patient satisfaction.
Choice D rationale
Planning and reporting outcomes are crucial components of the nursing process. They enable the tracking of progress, facilitate communication among healthcare providers, and ensure that care is aligned with the patient’s goals.
Choice E rationale
Evaluating outcomes at the end of the shift is important as it provides an opportunity to assess the effectiveness of interventions, make necessary adjustments to the care plan, and ensure continuity of care.

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Correct Answer is B

Explanation

Choice A rationale
While it’s important to reassure the patient, saying “It’s uncertain if your smoking led to the cancer” might be misleading. Smoking is a major risk factor for lung cancer, but it’s also true that not everyone who smokes gets lung cancer, and not everyone who gets lung cancer has smoked.
Choice B rationale
This response validates the patient’s feelings and opens up a dialogue about their specific fears. It allows the nurse to provide targeted education and reassurance.
Choice C rationale
Asking “Do you feel guilty because you used to smoke?” might make the patient feel more guilty or judged. It’s better to provide support and understanding.
Choice D rationale
While it’s true that fear is a normal reaction and that the healthcare team is there to support the patient, this response doesn’t address the patient’s specific concerns or feelings of guilt.

A. The patient can drink water through a straw without choking. B. The patient has intact cough and swallowing reflexes. C. The patient has clear breath sounds upon auscultation. D. The patient reports that they are not experiencing a sore throat.

Correct Answer is B

Explanation

Choice A rationale
While being able to drink water through a straw without choking is a positive sign, it is not the primary indicator that a patient can safely resume oral liquids after a bronchoscopy. The primary indicator is the return of the patient’s cough and swallowing reflexes.
Choice B rationale
The patient has intact cough and swallowing reflexes is the primary indicator that a patient can safely resume oral liquids after a bronchoscopy. These reflexes are essential for preventing aspiration, which can lead to pneumonia.
Choice C rationale
While clear breath sounds upon auscultation are a positive sign, they are not the primary indicator that a patient can safely resume oral liquids after a bronchoscopy. The primary indicator is the return of the patient’s cough and swallowing reflexes.
Choice D rationale
The absence of a sore throat is not the primary indicator that a patient can safely resume oral liquids after a bronchoscopy. The primary indicator is the return of the patient’s cough and swallowing reflexes.

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A nurse instructor is teaching nursing students about safety, quality, and patient-centered care. What recommendations should the students recognize that promote safe, quality, patient-centered care? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with lung cancer confides in the nurse, expressing fear about the disease and guilt for smoking in the past. Which response from the nurse would be most appropriate?

Correct Answer is B

Explanation

A nurse is caring for a patient who has just returned to the unit following a bronchoscopy and requests coffee. The nurse assesses that it is safe for the patient to resume oral liquids when which of the following behaviors is demonstrated?

Correct Answer is B

Explanation

A patient diagnosed with lung carcinoma is scheduled for a left pneumonectomy. Which nursing intervention should be prioritized in the immediate postoperative period?

A patient is being treated for bacterial pharyngitis. Which of the following should a nurse recommend to promote the patient’s nutrition during treatment?

A nurse is caring for a client diagnosed with acute rhinosinusitis. Which of the following instructions should the nurse provide to the client? Select all that apply.

A nurse is caring for a client who has a tracheostomy. Based on the Nurses Notes and Diagnostic Results, which of the following is a manifestation in the client?

A nurse instructor is teaching nursing students about safety, quality, and patient-centered care. What recommendations should the students recognize that promote safe, quality, patient-centered care? Select all that apply.

A nurse is preparing to discharge a patient who is post-operative following a laryngectomy. The nurse should recognize which of the following discharge teaching as the highest priority?

A clinic nurse is planning to teach a group of clients about laryngeal cancer. The nurse should include which of the following risk factors associated with the development of laryngeal cancer? Select all that apply.

A nurse is caring for a client newly diagnosed with a pulmonary embolism (PE). Which of the following is the initial assessment finding in the client diagnosed with PE?

A nurse instructor is teaching nursing students about safety, quality, and patient-centered care.

What recommendations should the students recognize that promote safe, quality, patient-centered care? Select all that apply.