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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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Correct Answer is C

Explanation

Choice A reason:

Inserting a padded tongue blade into the client’s mouth is not recommended and can be dangerous. During a seizure, there is a risk of causing injury to the client’s mouth or teeth, and it can also obstruct the airway. The correct approach is to ensure the client’s safety by preventing injury, not by inserting objects into their mouth.

Choice B reason:

Restraining the client during a seizure is not advised. Restraints can cause additional harm and do not prevent the seizure from occurring. Instead, the focus should be on protecting the client from injury by ensuring a safe environment and allowing the seizure to run its course.

Choice C reason:

Moving objects away from the client is a crucial step in ensuring their safety during a seizure. This action helps prevent the client from hitting or injuring themselves on nearby objects. Creating a safe space around the client is one of the primary goals during a seizure to minimize the risk of injury.

Choice D reason:

Placing the client on their back is not recommended during a seizure. Instead, the client should be placed on their side if possible, to help keep the airway clear and reduce the risk of aspiration. This position also allows for better monitoring of the client’s breathing and overall condition.

Correct Answer is C

Explanation

Choice A reason:

Analgesics, such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs), may provide some relief for mild pain but are generally not effective for the severe, neuropathic pain associated with Trigeminal neuralgia. This condition requires medications that specifically target nerve pain.

Choice B reason:

Antibiotics are used to treat bacterial infections and are not effective for treating neuropathic pain conditions like Trigeminal neuralgia. This type of pain is not caused by an infection, so antibiotics would not be appropriate.

Choice C reason:

Anticonvulsants, such as carbamazepine and gabapentin, are the most effective medications for treating Trigeminal neuralgia. These drugs help stabilize nerve activity and reduce the frequency and intensity of pain episodes. They are considered the first-line treatment for this condition.

Choice D reason:

Antihistamines are used to treat allergic reactions and are not effective for neuropathic pain. They do not have the properties needed to manage the severe pain associated with Trigeminal neuralgia.

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