Answer to Question 1
ANS: C
COC is the term used to describe a multidimensional longitudinal construct in health care that emphasizes seamless provision and coordination of client-centered high-quality care across clinical settings. COC operates across three dimensions: (1) relational, (2) informational, and (3) management continuity. These dimensions are interdependent, essential components of client care.
Answer to Question 2
ANS: B
Relational continuity refers to the interpersonal elements of the COC model across time and care settings. The term applies to nurse client/family relationships, team relationships, and relationships between health system providers and community-based supports. The stronger the relationships, the greater are the potential for quality-coordinated care. Respect for client and family values, beliefs, knowledge, cultural background, and preferences are fundamental aspects of client-centered relational continuity. Trusting relationships with a primary provider or medical home health care team gives clients confidence that their care needs will be consistently met.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
The nurse cares for the postop client in the postanesthesia care unit (PACU).
The nurse applies a pulse oximeter sensor on the client’s finger.
THE DIMENSIONS OF PATIENT-CENTERED CARE
Nursing care delivery models
Variations Affecting Health Care Among Different Cultures