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?
Encouraging clients to make decisions without considering their cultural or social background.
Ensuring that care plans are tailored to the individual needs and preferences of clients within their community.
Focusing primarily on the medical treatment of diseases within a hospital setting.
Prioritizing the efficiency of healthcare delivery over patient satisfaction and outcomes.
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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Correct Answer is B
Explanation
Choice A reason:
Restricting drinking fluids before and during meals is not an appropriate suggestion for improving nutritional status. While it might help prevent early satiety in some cases, it does not address the underlying issues related to Myasthenia gravis, such as muscle weakness affecting chewing and swallowing.
Choice B reason:
Planning medication doses to occur before meals is a crucial strategy for clients with Myasthenia gravis. Medications such as anticholinesterase agents can help improve muscle strength, making it easier for the client to chew and swallow food. This approach can enhance the client’s ability to consume adequate nutrition during meals.
Choice C reason:
Increasing the amount of fat and carbohydrates in meals might help with caloric intake, but it does not address the specific challenges faced by clients with Myasthenia gravis. The focus should be on strategies that improve the client’s ability to eat effectively, rather than just altering the macronutrient composition of meals.
Choice D reason:
Eating three large meals per day can be challenging for clients with Myasthenia gravis due to muscle fatigue. Smaller, more frequent meals are often recommended to help manage energy levels and ensure adequate nutrition without overwhelming the client.
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.