Which action by the nurse shows an understanding of the principle of self-determination?

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Patient Centered Care Exam Questions Questions

Question 1 of 5

Which action by the nurse shows an understanding of the principle of self-determination?

Correct Answer: A

Rationale: Self-determination respects clients as autonomous individuals capable of informed decisions, exemplified by allowing a client to choose juice over water. Choices B, C, and D involve decisions that could endanger life or lack capacity, not reflecting appropriate self-determination.

Question 2 of 5

Which client is best served by a case manager?

Correct Answer: C

Rationale: Case management targets clients with complex, high-cost conditions like chronic heart failure and diabetes. Cystitis (A), hypertension (B), and a fracture (D) typically involve less complexity and cost.

Question 3 of 5

A nurse is caring for a client whose blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?

Correct Answer: A

Rationale: The Rapid Response Team (RRT) intervenes for deteriorating clients to prevent arrest, making it the best action for a significant blood pressure drop. Documentation (B) is necessary but insufficient alone, notifying the provider (C) is secondary to RRT, and repeating in 15 minutes (D) delays critical care.

Question 4 of 5

A nurse is calling the on-call physician about a client who had a hysterectomy 2 days ago and has pain that is unrelieved by the prescribed narcotic pain medication. Which statement is part of the SBAR format for communication?

Correct Answer: B

Rationale: B' (Background) provides relevant history (allergies), fitting SBAR. 'A' (Assessment) suggests action, 'R' (Recommendation) notes preferences, and 'S' (Situation) describes the current state, but only B aligns with the background component.

Question 5 of 5

A nurse is using evidence-based practice (EBP) to address client care issues. Which factors does the nurse include in this process? ((Select ONE that does not apply.)

Correct Answer: A

Rationale: EBP includes nurse expertise (B), client preferences (C), research findings (D), and client values (E). Cost-saving (A) is not a core EBP component.

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