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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The blinds in the client's room will need to stay closed to prevent overstimulation. Keeping the blinds closed is not a standard suicide prevention measure. While reducing overstimulation may be helpful for some mental health conditions, suicide prevention focuses more on removing means of self-harm, increasing supervision, and providing therapeutic interventions.
B. Family members should be encouraged to look up the warning signs of suicide. While educating family members about suicide warning signs is beneficial, simply encouraging them to look up the information is insufficient. The nurse should provide direct education and resources to ensure they recognize signs of suicidal ideation and know how to respond appropriately.
C. The client can eat their meal alone in their room. Allowing a suicidal client to eat alone increases the risk of self-harm, as food-related items (such as utensils, plastic bags, or containers) could be misused. Clients at risk for suicide should be supervised during meals to ensure their safety.
D. All sharp objects should be removed from the client's room. Removing sharp objects is a critical component of suicide prevention in inpatient settings. Limiting access to potential means of self-harm, including sharp items, cords, belts, and other dangerous objects, helps reduce the risk of suicide attempts.
Correct Answer is C
Explanation
A. Lithium toxicity. The AIMS test does not assess lithium toxicity. Lithium toxicity is monitored through serum lithium levels and clinical symptoms such as tremors, nausea, confusion, and ataxia. Severe toxicity can lead to seizures, coma, and organ failure, requiring immediate intervention.
B. Alcohol withdrawal. The AIMS test does not assess alcohol withdrawal. Withdrawal symptoms include tremors, hallucinations, seizures, and autonomic instability. The Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) is commonly used to assess symptom severity and guide treatment.
C. Tardive dyskinesia. The AIMS test is used to assess tardive dyskinesia, a movement disorder caused by long-term antipsychotic use. It evaluates involuntary movements of the face, tongue, and extremities, helping clinicians monitor progression and adjust medications to minimize symptoms.
D. Opiate withdrawal. The AIMS test does not assess opiate withdrawal. Symptoms include sweating, agitation, diarrhea, and muscle aches. The Clinical Opiate Withdrawal Scale (COWS) is typically used to assess withdrawal severity and guide opioid detoxification or replacement therapy.
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