NURS-FPX4050
Coordinating Patient
Centered Care
Q & A w/ Rationales
2024
,A:
1. A 45-year-old man with type 2 diabetes and
hypertension is admitted to the hospital for a foot ulcer. He
tells you that he does not follow his prescribed diet or
medication regimen because he does not believe they will
help him. He also says that he is afraid of losing his foot or
leg. How do you respond to his concerns?
A) You educate him about the benefits of diet and
medication for his condition and the risks of complications
if he does not adhere to them.
B) You empathize with his fears and ask him what he
values most in his life and how his condition affects his
goals.
C) You tell him that he has to follow the doctor's orders or
he will face serious consequences such as amputation or
death.
D) You ignore his concerns and focus on dressing his
wound and monitoring his vital signs.
Answer: B
Rationale: B is the best answer because it demonstrates
respect for the patient's autonomy and preferences, as well
as compassion and empathy for his emotions. It also opens
up a dialogue for exploring his motivation and readiness
for change. A is not the best answer because it may come
across as lecturing or patronizing, and it does not address
the patient's feelings or beliefs. C is not the best answer
because it may increase the patient's anxiety and resistance,
and it does not acknowledge his perspective or values. D is
not the best answer because it neglects the patient's
, psychosocial needs and may impair the therapeutic
relationship.
2. A 65-year-old woman with chronic obstructive
pulmonary disease (COPD) and depression is discharged
from the hospital after an exacerbation of her respiratory
symptoms. She lives alone and has limited social support.
She tells you that she feels hopeless and worthless, and that
she has no reason to live. How do you respond to her
statements?
A) You assess her for suicidal ideation and refer her to a
mental health professional for further evaluation and
treatment.
B) You reassure her that she is not alone and that you will
help her find resources and support in the community.
C) You challenge her negative thoughts and help her
identify positive aspects of her life and coping skills.
D) You do all of the above.
Answer: D
Rationale: D is the best answer because it encompasses all
the appropriate interventions for a patient with depression
and suicidal thoughts. A is important because it addresses
the patient's safety and need for specialized care. B is
important because it shows empathy and advocacy for the
patient's social needs. C is important because it promotes
cognitive-behavioral strategies for improving the patient's
mood and self-esteem.
3. A 25-year-old woman with cystic fibrosis (CF) and
anxiety is scheduled for a lung transplant evaluation. She
Coordinating Patient
Centered Care
Q & A w/ Rationales
2024
,A:
1. A 45-year-old man with type 2 diabetes and
hypertension is admitted to the hospital for a foot ulcer. He
tells you that he does not follow his prescribed diet or
medication regimen because he does not believe they will
help him. He also says that he is afraid of losing his foot or
leg. How do you respond to his concerns?
A) You educate him about the benefits of diet and
medication for his condition and the risks of complications
if he does not adhere to them.
B) You empathize with his fears and ask him what he
values most in his life and how his condition affects his
goals.
C) You tell him that he has to follow the doctor's orders or
he will face serious consequences such as amputation or
death.
D) You ignore his concerns and focus on dressing his
wound and monitoring his vital signs.
Answer: B
Rationale: B is the best answer because it demonstrates
respect for the patient's autonomy and preferences, as well
as compassion and empathy for his emotions. It also opens
up a dialogue for exploring his motivation and readiness
for change. A is not the best answer because it may come
across as lecturing or patronizing, and it does not address
the patient's feelings or beliefs. C is not the best answer
because it may increase the patient's anxiety and resistance,
and it does not acknowledge his perspective or values. D is
not the best answer because it neglects the patient's
, psychosocial needs and may impair the therapeutic
relationship.
2. A 65-year-old woman with chronic obstructive
pulmonary disease (COPD) and depression is discharged
from the hospital after an exacerbation of her respiratory
symptoms. She lives alone and has limited social support.
She tells you that she feels hopeless and worthless, and that
she has no reason to live. How do you respond to her
statements?
A) You assess her for suicidal ideation and refer her to a
mental health professional for further evaluation and
treatment.
B) You reassure her that she is not alone and that you will
help her find resources and support in the community.
C) You challenge her negative thoughts and help her
identify positive aspects of her life and coping skills.
D) You do all of the above.
Answer: D
Rationale: D is the best answer because it encompasses all
the appropriate interventions for a patient with depression
and suicidal thoughts. A is important because it addresses
the patient's safety and need for specialized care. B is
important because it shows empathy and advocacy for the
patient's social needs. C is important because it promotes
cognitive-behavioral strategies for improving the patient's
mood and self-esteem.
3. A 25-year-old woman with cystic fibrosis (CF) and
anxiety is scheduled for a lung transplant evaluation. She
