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A nurse is caring for a client who has a substance use disorder. Which of the following statements by the nurse is an example of patient-centered care?

"Although you have mentioned wanting to talk today about your past abuse, let's discuss this handout I have with new coping skills."

"I am going to have to change our meeting time because I need to go get lunch."

"Let's review the goals you set today and see what your priority is this week."

"I would like to focus on what I believe are the best goals for you to work on."

Answer and Explanation

The Correct Answer is C

A. Although you have mentioned wanting to talk today about your past abuse, let's discuss this handout I have with new coping skills. Redirecting the client away from their chosen topic disregards their needs and autonomy. Patient-centered care involves respecting the client’s concerns and prioritizing what is most meaningful to them.
B. I am going to have to change our meeting time because I need to go get lunch. Changing the meeting time based on the nurse’s personal needs rather than the client’s schedule does not align with patient-centered care. The focus should remain on the client's well-being and therapeutic relationship.
C. Let's review the goals you set today and see what your priority is this week. Reviewing client-established goals and prioritizing their needs aligns with patient-centered care. This approach fosters collaboration and empowers the client to take an active role in their recovery.
D. I would like to focus on what I believe are the best goals for you to work on. Imposing the nurse’s priorities over the client’s goals does not support patient-centered care. Instead, care should be tailored to the client's preferences, values, and recovery journey.

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Correct Answer is D

Explanation

A. Preparation: In this stage, individuals recognize the need for change and start making plans, such as gathering information or setting goals. The client, however, shows no intent to change dietary habits.
B. Action: This stage involves actively modifying behaviors and consistently implementing changes. The client is not taking any steps toward dietary adjustments, indicating they are not in this stage.
C. Contemplation: Individuals in this stage acknowledge the need for change and consider making adjustments but have not yet committed. The client, by dismissing the information, is not showing contemplation.
D. Precontemplation: This stage is characterized by a lack of awareness or denial of the need for change. The client’s response suggests they do not see dietary restrictions as necessary and are resistant to modifying their eating habits.

A. Depression B. Delusions C. Hallucinations D. Mania

Correct Answer is D

Explanation

A. Depression. Depression is typically characterized by low energy, feelings of sadness, and withdrawal from activities. Hyperactivity and pacing are not consistent with depressive symptoms, as individuals with depression often exhibit psychomotor retardation rather than excessive movement.
B. Delusions. Delusions are fixed, false beliefs that are not based on reality, such as paranoia or grandiosity. While delusions can occur in mania, the client's primary symptoms of hyperactivity, pacing, and poor concentration are more indicative of a manic episode rather than delusional thinking alone.
C. Hallucinations. Hallucinations involve sensory perceptions that occur without external stimuli, such as hearing voices or seeing things that are not there. The client’s symptoms do not indicate hallucinations but rather heightened activity levels and distractibility.
D. Mania. Mania is characterized by hyperactivity, excessive energy, rapid speech, and poor concentration. Pacing and an inability to focus during group therapy suggest an elevated mood state, making mania the most appropriate identification of the client’s manifestations.

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A nurse is caring for a client who has a substance use disorder. Which of the following statements by the nurse is an example of patient-centered care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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