Author Question: The nurse has responded to a client's request to view her medical chart by arranging a meeting ... (Read 58 times)

Bernana · **on:** Jul 23, 2018

The nurse has responded to a client's request to view her medical chart by arranging a meeting between the client, the clinical nurse leader, and her primary care physician.

The nurse is exemplifying which of the following characteristics of quality health care?

A) Information
B) Science
C) Cooperation
D) Individualization

Question 2

An older adult client has lost significant muscle mass during her recovery from a systemic infection. As a result, she has not yet met the outcomes for mobility and activities of daily living that are specified in her nursing plan of care.

How should her nurses best respond to this situation?

A) Continue the plan of care with the aim of helping the client achieve the outcomes.
B) Terminate the plan of care since it does not accurately reflect the client's abilities.
C) Modify the plan of care to better reflect the client's current functional ability.
D) Replace the client's individualized plan of care with a clinical pathway.

quynhmickitran · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A

The Institute of Medicine's Committee on Quality Health Care in America has identified aspects of care that clients can reasonably expect. One of these expectations is information, which is manifested by allowing clients access to their medical records. Other characteristics that clients can expect are knowledge-based care (science), coordination between professionals (cooperation), and respect for client choices and preferences (individualization).

Answer to Question 2

Ans: A

Nurses regularly evaluate clients' progression toward the achievement of outcomes that are specified in plans of care. When clients need more time to achieve desired outcomes, it is appropriate to continue with the existing plan of care. It is not necessary to terminate the plan of care and modification may be premature. Abandoning the plan and replacing it with a clinical pathway is counterproductive to the continuity of care.