Which nursing documentation demonstrates the integration of patient-centered care?

Steady gait observed when ambulating.

Social worker paged for consultation.

Nursing literature reviewed for best practice approaches.

Discussed dietary preferences with client.

Answer and Explanation

The Correct Answer is D

Patient-centered care involves actively involving the patient in their care and considering their preferences, values, and goals. By discussing dietary preferences with the client, the nurse is demonstrating a patient-centered approach. This documentation indicates that the nurse took the time to engage in a conversation with the client to understand their dietary preferences,

which can help tailor the care plan to meet the client's individual needs and preferences. "Steady gait observed when ambulating" focuses on the nurse's observation and assessment but does not specifically involve the patient's preferences or goals.

"Social worker paged for consultation" indicates collaboration with another healthcare professional but does not necessarily reflect the patient's active involvement or preferences. "Nursing literature reviewed for best practice approaches" highlights evidence-based practice but does not directly involve the patient's preferences or engagement in decision-making.

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Correct Answer is D

Explanation

The red tag is used to identify patients with critical injuries who require immediate medical attention. These individuals have life-threatening conditions that, with prompt medical intervention, have a higher chance of survival.

The triage color code system typically follows the following priority order:

1. Red tag: Immediate or emergent care needed for life-threatening injuries or conditions.

2. Yellow tag: Urgent care needed for significant injuries or conditions that are not immediately life-threatening.

3. Green tag: Non-urgent care needed for minor injuries or illnesses that can wait for medical treatment.

4. Black tag: Comfort care or deceased, as the injuries or conditions are incompatible with life or resources are not available for treatment.

A. Anger B. Sleep C. Boredom D. Introversion

Correct Answer is B

Explanation

Pain tolerance refers to the maximum level of pain that an individual can tolerate without significant distress. It is influenced by various factors, including psychological and emotional factors. While emotions such as anger, boredom, and introversion can have an impact on a person's pain perception and experience, sleep plays a significant role in pain tolerance. During sleep, the body is in a state of rest and relaxation, allowing for decreased sensory input and potentially reducing pain perception. Sleep provides an opportunity for the body to repair and heal, which can contribute to improved pain tolerance. Additionally, sleep promotes the release of endogenous opioids, which are natural pain-relieving substances produced by the body.

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Which nursing documentation demonstrates the integration of patient-centered care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You're working as a triage nurse during a disaster situation. Based on the triage color code tags placed on each of the wounded, which tag color represents the wounded who has the highest priority of being treated first?

Correct Answer is D

Explanation

A client is suffering from osteoarthritis in the knees and the nurse is providing care. The nurse is assessing the client's pain level and pain tolerance. Based on the nurse's understanding of pain, the nurse knows that a client's pain tolerance is most likely relieved by which of the following?

Correct Answer is B

Explanation

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Which manifestations would the nurse expect for a client with a history of malignant hyperthermia (MH)? Select all that apply.