Exam 9: Provide Patient-Centered Care

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A 90-year-old White male is told by his physician that he needs B12 shots every 2 weeks for a period of 6 weeks. In addition, he is to check his glucose by sticking his finger daily one of three times: before or after breakfast, lunch, or dinner. The physician then says that he wants to see him for a return visit in 6 weeks. After the physician leaves, you ask the patient if he understands the instructions, and he says yes. You ask him to repeat the instructions, and he tells you he must have B12 shots three times per day and check his blood glucose once per day before or after a meal. He must return for a visit in 6 weeks. As a nurse, what would you do? Do you assume that this patient has cognitive problems and cannot care for himself?

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You must not make assumptions because these can lead to health disparities. You must validate that the patient can hear appropriately and is cognitively intact, and determine with the patient the best way to make sure he understands the instructions. This may include seeing if there is a support person and determining if he needs audio or visual instructions. Going over the instructions again, in other words, ensures the level of health literacy.

How many levels of concern are there when discussing patient-centered care?

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Which of the following is an issue determined by the Institute of Medicine to be related to the existence of disparities in health care?

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A

Which of the following key contributors to growing healthcare disparity problems is true?

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Which of the following would be a red flag in professional communication with a patient?

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In a fully implemented patient-centered care model, access to care is:

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Consumerism is an important concept relating directly to patient-centered care.

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What percentage of adults in the United States have difficulty understanding and using health information?

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Patient-centered care is a critical part of the six domains of:

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What process helps the nurse to frame patient problems within the patient's own cultural context?

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