Implementation
Implementation ( 5 Questions)
A nurse is considering client preferences and values when implementing care for a client who has terminal cancer. Which of the following actions by the nurse demonstrates this skill?
The nurse asks the client about their goals of care and end-of-life wishes. This action demonstrates the skill of considering client preferences and values because it involves respecting and responding to individual patient's care needs, preferences, and values in all clinical decisions. It also shows that the nurse acknowledges the patient's experiences, stories, and knowledge and engages the patient more in the care process. Asking the client about their goals of care and end-of-life wishes is an example of patient-centered communication, which is fundamental to ensuring optimal health outcomes.
The nurse provides palliative care and pain management for the client. This action does not necessarily demonstrate the skill of considering client preferences and values because it does not involve communicating with patients as partners or tailoring, adjusting and balancing overall care. Providing palliative care and pain management is a standard practice for clients who have terminal cancer, but it does not reflect the individualization of care that patient-centered care requires.
The nurse respects the client's cultural and spiritual beliefs and practices. This action partially demonstrates the skill of considering client preferences and values because it involves showing concern for the patient as a person and incorporating patient values and preferences in healthcare. However, respecting the client's cultural and spiritual beliefs and practices is not enough to achieve patient-centered care; the nurse also needs to involve the patient in the decision-making process and provide information and education that are relevant to the patient's needs.
The nurse involves the client's family and significant others in the care plan. This action partially demonstrates the skill of considering client preferences and values because it involves recognizing the role of family and caregivers in the patient's care. However, involving the client's family and significant others in the care plan is not sufficient to achieve patient-centered care; the nurse also needs to ensure that the patient's voice is heard and address any potential conflicts or disagreements that may arise between the patient and their family or significant others.
Choice A reason:
The nurse asks the client about their goals of care and end-of-life wishes. This action demonstrates the skill of considering client preferences and values because it involves respecting and responding to individual patient's care needs, preferences, and values in all clinical decisions. It also shows that the nurse acknowledges the patient's experiences, stories, and knowledge and engages the patient more in the care process. Asking the client about their goals of care and end-of-life wishes is an example of patient-centered communication, which is fundamental to ensuring optimal health outcomes.
Choice B reason:
The nurse provides palliative care and pain management for the client. This action does not necessarily demonstrate the skill of considering client preferences and values because it does not involve communicating with patients as partners or tailoring, adjusting and balancing overall care. Providing palliative care and pain management is a standard practice for clients who have terminal cancer, but it does not reflect the individualization of care that patient-centered care requires.
Choice C reason:
The nurse respects the client's cultural and spiritual beliefs and practices. This action partially demonstrates the skill of considering client preferences and values because it involves showing concern for the patient as a person and incorporating patient values and preferences in healthcare. However, respecting the client's cultural and spiritual beliefs and practices is not enough to achieve patient-centered care; the nurse also needs to involve the patient in the decision-making process and provide information and education that are relevant to the patient's needs.
Choice D reason:
The nurse involves the client's family and significant others in the care plan. This action partially demonstrates the skill of considering client preferences and values because it involves recognizing the role of family and caregivers in the patient's care. However, involving the client's family and significant others in the care plan is not sufficient to achieve patient-centered care; the nurse also needs to ensure that the patient's voice is heard and address any potential conflicts or disagreements that may arise between the patient and their family or significant others.