PCC, exam 2 Questions and Answers
primary - answer Caring is _______
-Caring determines what matters to a person.
-Caring helps you provide patient-centered care.
Patient's perspective of caring - answer -When patients sense that health care
providers are sensitive, sympathetic, compassionate, and interested in them as people,
they usually become active partners in the plan of care.
-Patients value the affective dimension of nursing care
-Connecting with patients and their families
-Being present
-Respecting values, beliefs, and health care choices
we preserve their dignity - answer What do we do when we care for others? (hint:
preserve it)
self-care - answer we need to recognize the importance of what part of caring?
presence - answer Providing _________ is a person-to-person encounter conveying
a closeness and sense of caring.
-Nursing ________ is the connectedness between the nurse and patient
-Being with and being there: includes physical presence, communication and
understanding [empathy]
-Body language
-Listening
-Eye contact
-Tone of voice
-Positive and encouraging attitude - answer Principles of presence (6)
through active listening - answer how do you begin to truly know your patients and
what is important to them?
spiritual health - answer What is achieved when a person can find a balance
between his life values, goals, and belief symptoms and those of others?
spirituality - answer What offers a sense of intrapersonal, interpersonal, and
transpersonal connectedness?
intrapersonal relationship - answer is when persons are connected to themselves
[mind]
,interpersonal relationship - answer exists when one is connected with others and the
environment [body]
transpersonal relationship - answer exists when one is connected with God, an
unseen force, or a higher power [spirit]
-Task-oriented biomedical model
-Institutional demands
-Time constraints
-Reliance on technology, cost-effective strategies, and standardized work processes -
answer 4 challenges of caring
holistic & humanistic - answer If health care is to make a positive difference in
patients' lives, health care must become more ________and __________
D. assess the patient's emotional needs. [by assessing emotional needs, you are also
doing A,B, & C - answer When a nurse enters a patient's room and says "Good
morning" before starting care, the nurse combines nursing tasks and conversation. An
important aspect of care for the nurse to remember is the need to:
A. establish a relationship.
B. gather assessment data.
C. treat discomforts quickly.
D. assess the patient's emotional needs.
C. a sense of presence - answer A female patient has just found a large lump in her
breast. The physician needs to perform a breast biopsy. The nurse helps the patient into
the proper position and offers support during the biopsy. The nurse is demonstrating:
A. enabling.
B. comforting.
C. a sense of presence.
D. maintaining belief.
strong nursing team - answer works together to achieve the best outcomes for
patients
building a nursing team - answer Effective team development requires team building
and training, trust, communication, and a workplace that facilitates collaboration.
Patient care units where teamwork is stronger had fewer reports and incidents of
missed nursing care, leading to improved quality and safety of nursing care for patients
Traditional models
-Team nursing
-Primary nursing
Today's models
-Patient-centered care
-Total patient care
, -Case management - answer nursing care delivery methods
team nursing - answer RN is the leader who leads a team of other RN's, PN's and
Nursing Assistive Personnel (unlicensed personnel UAP) who provide direct patient
care
primary nursing - answer supports a philosophy regarding nurse and patient
relationships. It is typically not practiced today because of the high cost of an all RN
staffing model.
patient and family centered care - answer -mutual partnerships with the patient,
family, and health care team for care.
Core concepts:
Respect and dignity, ensuring that the care provided is given on the basis of the
patient's and family's knowledge, values, beliefs, and cultural backgrounds.
Information sharing, meaning that health care providers communicate and share
information so patients and families receive timely, complete, and accurate information
to effectively participate in care and decision making.
Participation, whereby the patients and families are encouraged and supported in
participating in care and decision making.
Collaboration, demonstrated by the health care leaders collaborating with patients and
families in policy and program development, implementation, and evaluation, and
patients who are fully engaged in their health care
total patient care - answer -RN responsible for all aspects of care for one or more
patients during a shift
**Requires high degree of collaboration with other health care professionals**
Registered nurse works directly with patient, family, and health care team members.
RN is responsible for patients during shift of care, although care can be delegated.
Approach may not be cost-effective owing to high number of RNs needed.
Patient satisfaction is high
case management - answer -emphasizes supervision, overseeing care of other
health care providers
Collaborative process of assessing, planning, facilitating, and advocating for options
and services to meet an individual's health needs.
Clinicians oversee the management of patients with specific, complex health problems
and are usually held accountable for some standard of cost management and quality.
Often the case manager is an advanced practice nurse (APN), who helps improve
patient outcomes via specific interventions.
1) clinical care coordination