Art And Science Of Person-Centered Care 10th, North
American Edition (2022) By Carol R. Taylor, Pamela B
Lynn & Jennifer L Bartlett All Chapters 1-46| Newest|
Complete Questions and Correct Answers & Explan
Define person-centered care - ANSWERThe practice of basing resident care on
individual resident needs, preferences and expectations.
(cont) - ANSWERTo see the person as a uniqued individual
To respect skills and abilities
To support the person to be successful and maintain independence
To help the person meet needs for attachment, inclusion, occupation, and comfort.
To support the person as a member of a community.
Describe the characteristics of a facility incorporating person-centered care. -
ANSWERThere is no doubt that tasks are important in health care
Medications need to be passed, therapies conducted, meals prepared and served,
activities of daily living assisted, etc.
What matters most are relationships
If a health care organization wants to be a welcoming home, it must begin by
focusing on relationships
Relationships between the resident and the staff, among staff members, and
between families and the staff are key to producing the best quality of life for
residents
Always focus on the relationship even if you are completing a task
(cont) - ANSWERCaregiver behaviors that encourage person-centered care include
talking directly with a person to get the most accurate information about
preferences and honoring individual preferences as much as possible in things the
person does each day.
It is through relationships that we come to understand ourselves, our co-workers,
and our clients better.
With strong relationships, we are better able to understand others' perspectives,
preferences, and needs and needs and are therefore better able to care for them.
Describe ethical conduct. - ANSWERWhen working in a nursing home, what is right
and wrong. Treating a person with care or not correctly.
Ethics
is the knowledge of what is right conduct and wrong conduct, or knowing right from
wrong
Inner knowledge that assists us in making choices or judgments.
Code of Ethics
Rules of conduct for particular group
,May differ from one facility to another, but revolves around idea that resident is
valuable person who deserves ethical care
Helps employees deal with issues of right and wrong.
Confidentiality- not disclosing or telling information that is personal or private about
a resident, except to authorized people.
Privacy
The personal responsibility and activities that prevent the intrusion of one person
onto another
Example- pulling suspended curtains completely around a resident's bed during care
provides physical barrier, from others
Example- lowering one's voice when talking in the hall about a resident's condition.
Describe a residents rights in the nursing home. - ANSWERDefined
Residents not only have same legal rights as all citizens of the United States, plus
legally protected Resident's Rights
Rights that have been written into Federal law (OBRA) that identify how a resident
must be treated while living in a long term care facility
Provides a code of ethics for health care providers
Posted in long-term care facility and given resident/legal representative on
admission
Ombudsman-every resident living in a North Carolina long-term care center has
access to a person assigned to their district, who supports or promotes their
interests.
Give examples of abuse, neglect, and misappropriation of property. - ANSWERabuse
is any harm physical, psychological and emotional that causes harm to patients.
examples are slapping or punching the patient.
neglect is when you forget to follow proper protocol and a patient gets hurt.
Examples forgetting to lock the wheels on a wheel chair while attempting to put a
patient in it.
Misappropriation of property is when you break a residents things.
Examples are dropping a vase that a resident brought in from their house.
Explain the role of the Health Care Personnel Registry - ANSWERLists pending
allegations and substantiated findings of nurse aides
HCPR listings can lead to negative consequences for the nurse aide
Nurse aides cannot be employed in a nursing home with a substantiated finding on
the HCPR
Substantiated finding of abuse, neglect and misappropriation of resident property
will cause a finding on the HCPR
Explain the role of the nurse aide in securing informed consent prior to providing
care to the resident. - ANSWERIt is important that every nurse aide receives consent
from residents before providing personal care to patients.
Consent comes in three forms implied which the physical act of showing its okay,
written consent which the nurse aide cannot receive, and verbal consent which is
"yes"
, Identify caring behaviors consistent with treating a resident with dignity. -
ANSWEREmpathy- identifying with and understanding the feelings of another,
without feeling sorry for the person
Resident's Rights- are included in OBRA (1987) and spell out how residents MUST be
treated while living in a long-term care facility
Promotes sense of self-importance
Promotes quality of life
Promotes feelings of positive self-worth
Guides nurse aide in giving care
Refrain from judging the resident
Be positive, supportive, and encouraging
Be familiar with preferences
Be empathetic
Listen carefully and be aware of unusual gestures.
Describe successful and unsuccessful techniques of communication with residents. -
ANSWERSuccessfully getting and receiving messages
Parts include:
Message to be delivered
Sender of the message
Receiver of the message
Feedback about the message
Example- "I am very hungry. Let's go out to lunch"
Talk with residents about things that make them happy, or stuff they like talking
about. Vacation, T.V. , video games.
Unsucessful techniques, is not listening to a resident when they are trying to have a
conversation with you.
Starting a conversation about a sensitive subject with a patient, or getting upset with
a resident.
Explain the importance of culture when communicating with those from other
cultures. - ANSWERNot everyone grows up the same and thinks the same as
someone else. So it is important to be unbiased when speaking to residents that
have different culture.
Cultural sensitivity [being aware of, recognizing, acknowledging, and valuing that
behavior patterns differ between and within different cultures]
List skills that a nurse aide uses to communicate effectively with a variety off people
from a variety of cultures. - ANSWERAdopt Special Approaches
When a resident speaks a different language
Use a caring tone of voice and facial expression
Speak slowly and distinctly, but not loudly
Repeat message in different ways as needed
Focus on a single idea or experience
Allow silence
Note words that resident seems to understand and use frequently