lient. What is the nurse’s
highest-priority, client-centered action before beginning the session?
a. Ensure that the client’s family is present and will participate.
b. Make certain that the client is wearing his glas
...
lient. What is the nurse’s
highest-priority, client-centered action before beginning the session?
a. Ensure that the client’s family is present and will participate.
b. Make certain that the client is wearing his glasses.
c. Have printed handouts ready to use during the session.
d. Schedule the session for early evening after the client’s meal.
ANS: B
The most important client-centered action is to ensure that the client is wearing his or her glasses.
The ability to see adequately will outweigh the need for family presence, use of printed handouts,
and hunger (or lack thereof).
DIF: Cognitive Level: Application/Applying or higher REF: N/A
TOP: Client Needs Category: Health Promotion and Maintenance (Principles of Teaching/Learning)
MSC: Integrated Process: Teaching/Learning
5. Which action best demonstrates the nurse using client-centered care when planning a menu for a
Vietnamese client who is newly diagnosed with diabetes?
a. Asking the client what food he or she would eat on a standard diabetic
menu
b. Asking family members to make selections for the client from a
diabetic menu
c. Ordering a typical diabetic meal for the client and planning diet
teaching
d. Researching the Vietnamese culture before discussing diabetic meal
planning
ANS: D
Client-centered care is best illustrated by the nurse researching Vietnamese culture and native
cooking before discussing meal planning. This shows that the nurse is interested and is involved in
the client’s care. The nurse can then suggest foods from the standard diabetic menu to the client and
his or her family.
DIF: Cognitive Level: Application/Applying or higher REF: N/A
TOP: Client Needs Category: Physiological Integrity (Basic Care and Comfort—Nutrition and Oral Hydration)
MSC: Integrated Process: Teaching/Learning
6. The Institute for Healthcare Improvement (IHI) identified int
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