Which nursing activity reflects care given on the tertiary level of healthcare delivery? Select All that Apply

A. Hearing loss primarily affects the sensory aspect of communication rather than cognitive function itself. While it can certainly hinder effective communication, it does not fall under cognitive factors, as it involves the physical ability to hear rather than cognitive processing.
B. Similar to hearing loss, vision loss impacts sensory perception rather than cognitive processing. While it can affect how information is received (e.g., reading written materials), it is not a cognitive factor per se.
C. Excessive environmental noise can disrupt communication by making it difficult to hear or focus on conversations, but it is also not categorized as a cognitive factor. It pertains more to the environmental context affecting communication.
D. Autism spectrum disorder (ASD) can significantly impact cognitive factors related to communication, including understanding social cues, interpreting language, and processing information. Individuals with ASD may have unique communication styles and challenges that affect their ability to engage in conversations effectively.

A. Quality improvement focuses on the processes and systems within healthcare that enhance patient outcomes and improve care delivery. While the nurse's actions contribute to overall quality of care, this specific scenario does not directly relate to improving a process or system.
B. The nurse is demonstrating the competency of safety by ensuring the client’s bed is locked (preventing falls) and the call light is within reach (allowing the client to request help easily). These actions directly enhance the client's safety and prevent potential harm.
C. Teamwork and collaboration involve working effectively with other healthcare professionals to provide optimal care. While collaboration is essential in nursing, the actions described do not specifically pertain to working with other team members.
D. Patient-centered care focuses on respecting and responding to individual patient preferences, needs, and values. While ensuring the call light is within reach aligns with the principles of patient-centered care, the primary focus of the nurse’s actions is on safety.