Deck 7: Experiencing Connected Carethe Patient Role

Question 1

Research about what patients want from health care is extensive. Of particular interest is the patient's perceptions about quality care and provider communication. Which factor best describes the patient's expectation?

A) Physicians make time to address patient concerns.
B) Patient research indicates the quality of doctors or hospitals.
C) Healthcare costs directly reflect the quality of healthcare service.

Answer 1

A
Explanation: Patients identify both clinical and provider interpersonal qualities as being an important indicating factor for high-quality health care. Physicians making time to address patient concerns is a part of interpersonal qualities expected by patients. While many people spend time researching the care they need, few research the quality of doctors or hospitals who deliver healthcare. Healthcare costs do not directly reflect the quality of medical service.

Question 2

Patients have multiple expectations of what they want from healthcare. Which is one of these expectations, according to research by the Picker Institute?

A) Receiving adequate information about an illness and prognosis
B) Getting referrals for emotional support and anxiety relief
C) Limiting involvement of family and friends in decision making

Answer 2

A
Explanation: Patients expect to obtain information, communication, and education on illness status, prognosis, and the processes of care. Patients also have expectations about the ability to access and\or access healthcare in a timely manner, which is a major issue for adequate healthcare. Patient-centered care includes emotional support and alleviation of anxiety on all levels of healthcare; care providers and clinical personnel need to provide support without making referrals to additional sources only if needed. Patient expectations supports the involvement of family and friends in decision making as the patient desires.

Question 3

The nurse on a medical-surgical unit overhears a conversation between a patient and the patient's spouse. Which comment by the patient causes the nurse to identify a serious problem related to patient-centered care?

A) "During each shift, the nurse will talk to me about controlling my pain."
B) "My doctor explained my options and asked me to think about treatments."
C) "I try to wait as long as possible before asking for help since everyone is so busy."
D) "The nurse arranged for the doctor to explain my condition to my family."

Answer 3

C
Explanation: While the idea of partnerships with patients is gaining ground, large power differentials between patients and professionals widely persist among health providers. Waiting to ask for assistance because staff is busy indicates a possible effort on the part of the patient to not be viewed negatively. This comment indicates a serious problem with patient-centered care. The other options are indicative of appropriate patient-centered care.

Question 4

Shared decision making between patients and care providers is an essential part of patient-centered care. Which action is identified as a step in shared decision making?

A) The patient is presented with the staff's preformed decisions.
B) Information about the benefits and risks for each decision is discussed.
C) The patient's goals and concerns are negated if conflicted with best decisions.
D) Assure that patients conform to time frames associated with implementation.

Question 5

A patient is admitted to acute care with a diagnosis of serious gastric bleeding. The patient's history reveals multiple unsuccessful attempts to overcome an addiction to alcohol and drugs. For which reason does the nurse suspect the patient's strong resistance to receiving clinical care?

A) The patient fears a loss of independence.
B) The patient is mentally stressed in acute care.
C) The patient strongly suspects family involvement.
D) The patient is embarrassed about the history of failure.

Question 6

A patient has a chronic illness and the nurse wants to assist the patient in learning how to gain the ability to self-manage the condition. Which task does the nurse identify as being necessary for this patient?

A) Identifying a lifestyle directed by medical symptoms
B) Learning to adjust medications with condition changes
C) Responding appropriately when symptoms change
D) Spacing out medical appointments to avoid stress

Question 7

The nurse is assigned to provide motivational interviewing with a patient who is newly diagnosed with type 2 diabetes mellitus. Which style of motivational interviewing does the nurse apply with this patient?

A) Affirming
B) Guiding
C) Directive
D) Following

Question 8

Healthcare providers understand that patient self-care is engineered by clinicians, and patients will follow the plan in an effort to assure better health.

Question 9

The clinician must closely monitor a patient's self-care plan in order to prevent deviating too far from the clinician's patient-focused plan.

Question 10

When preparing patient education materials, the clinician will attempt to help the patient to understand the medical terminology associated with the patient's diagnosis.