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A nurse is educating nursing students on the importance of client-centered community-based care. The nurse understands that which of the following principles is most essential to client-centered, community-based care in nursing?

A.

Encouraging clients to make decisions without considering their cultural or social background.

B.

Ensuring that care plans are tailored to the individual needs and preferences of clients within their community.

C.

Focusing primarily on the medical treatment of diseases within a hospital setting.

D.

Prioritizing the efficiency of healthcare delivery over patient satisfaction and outcomes.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Encouraging clients to make decisions without considering their cultural or social background is not aligned with the principles of client-centered care. Understanding and respecting clients’ cultural and social backgrounds are essential for providing holistic and effective care.

 

Choice B reason:

Ensuring that care plans are tailored to the individual needs and preferences of clients within their community is the cornerstone of client-centered, community-based care. This approach recognizes the unique circumstances of each client and aims to provide personalized care that meets their specific needs and preferences.

 

Choice C reason:

Focusing primarily on the medical treatment of diseases within a hospital setting is not consistent with community-based care. Community-based care emphasizes providing healthcare services in the community, addressing social determinants of health, and promoting overall well-being outside of hospital settings.

 

Choice D reason:

Prioritizing the efficiency of healthcare delivery over patient satisfaction and outcomes is contrary to the principles of client-centered care. While efficiency is important, the primary focus should be on achieving positive health outcomes and ensuring patient satisfaction.


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View Related questions

Correct Answer is D

Explanation

Choice A reason:

A nurse clinician typically provides direct patient care in clinical settings such as hospitals or clinics. While they may be involved in health promotion, their primary role is not focused on workplace health and safety.

Choice B reason:

A public health nurse works to improve the health of populations and communities. They focus on public health initiatives and may work in various settings, but their role is broader than the specific focus on workplace health and safety.

Choice C reason:

A community nurse specialist provides specialized care within a community setting. While they may engage in health promotion, their role is not specifically tied to workplace health and safety.

Choice D reason:

An occupational health nurse focuses on health promotion and safety within the workplace. They work to prevent work-related injuries and illnesses, promote healthy work environments, and provide care for employees. This role aligns with the description of a nurse working in health promotion and safety for an automotive plant.

Correct Answer is C

Explanation

Choice A reason:

Assisting the client with active range of motion exercises is important for preventing complications such as contractures and maintaining mobility. However, it is not the priority intervention in the acute phase of a hemorrhagic stroke. The primary focus should be on stabilizing the client and monitoring their condition closely.

Choice B reason:

Maintaining strict bed rest to minimize cerebral blood flow is not appropriate for managing a hemorrhagic stroke. While bed rest may be necessary to prevent further injury, the priority is to monitor the client’s neurological status and vital signs to detect any changes that may indicate worsening of the condition.

Choice C reason:

Monitoring vital signs and neurological status frequently is the priority intervention for a client who has experienced a hemorrhagic stroke. Close monitoring allows the nurse to detect any changes in the client’s condition promptly and take appropriate action. This is crucial for preventing complications and ensuring timely intervention if the client’s condition deteriorates.

Choice D reason:

Administering anticoagulant medications is contraindicated in hemorrhagic stroke because they can exacerbate bleeding. Anticoagulants are used in ischemic stroke to prevent clot formation, but in hemorrhagic stroke, the focus is on controlling bleeding and stabilizing the client.

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