Deck 19: Empowerment for Nurses

Question 1

A patient tells you that he cannot lose weight because his job keeps him on the road so he cannot exercise, and his wife fixes too many high-calorie meals. What is he demonstrating?  

A)internal locus of control  
B)external locus of control  
C)negative locus of control  
D)positive locus of control

Answer 1

external locus of control  

Question 2

What skills does nursing knowledge foster to enable empowerment?  

A)decision making based on intuition  
B)values development and their impact on choices  
C)application of scientific principles and evidence-based practice  
D)imposing personal values on others

Answer 2

values development and their impact on choices  

Question 3

For the past few months Matthew has complained about inadequate staffing on all shifts to the administrator of the nursing home where he works as a nurse. He documented poor patient care, which included patients not being fed appropriately and several patients who developed serious bedsores after being left for hours on wet linens without being turned. When the administrator repeatedly refused to make any changes, citing economic reasons, Matthew spoke to a reporter at the local paper about the situation. How would this action of Matthew's be viewed?  

A)as unethical  
B)as making trouble  
C)as whistle-blowing  
D)as unprofessional

Answer 3

as whistle-blowing  

Question 4

Which of the following factors influences professional empowerment in nursing?  

A)professional disobedience  
B)support of professional colleagues  
C)faith that the right thing is done  
D)abdicating responsibility for decision making

Question 5

What is the term for a person who waits and hopes something or someone else will change, and makes excuses for not acting?  

A)disempowered  
B)a whistle-blower  
C)a victim  
D)an empowered person

Question 6

A student nurse shares at a meeting following clinical that he feels that the nurse he was working with that day was very critical and he felt "shut down" and bullied. What is this an example of?  

A)the rite of passage all new nurses must go through to obtain respect from the senior nurses  
B)the process during nursing school that helps to toughen new nurses up to the realities of nursing  
C)how the world, regardless of profession, socializes the young into the work world  
D)an environment that is not doing enough to create safe, supportive, and empowering work environments

Question 7

Which of the following nursing attitudes enables patient empowerment?  

A)surrendering the need for control  
B)directing patients toward decisions that support good health outcomes  
C)encouraging patients to value nursing trust  
D)providing services for patients

Question 8

A cancer patient expresses the desire to stop chemotherapy despite the medical advice that this is his only hope. What should his nurse's response be?  

A)gather further information to facilitate health teaching about the chemotherapy  
B)work towards accepting the patient's autonomy and right to make his own decision  
C)notify the interprofessional team to meet to determine how to proceed  
D)express disappointment in the decision and reinforce that he is making a suicide decision

Question 9

Which of the following are qualities of the empowered nurse?  

A)autonomy, future-oriented and goal-driven  
B)puts the care of patients ahead of self  
C)recognizes the power of the system  
D)acknowledges the importance of self over the profession

Question 10

Which of the following might hinder nursing empowerment?  

A)acting to address system issues  
B)eliminating divergent and conflicting views  
C)collaborating and sharing in decision making  
D)participating in forming institutional policies

Question 11

What nursing focus does patient empowerment evolve from?  

A)advocacy  
B)patient care  
C)paternalism  
D)locus of control

Question 12

What should be thoroughly explored before engaging in whistle-blowing by nurses?  

A)how many nurses agree and will stand by the issue  
B)how long the problem has been going on  
C)if speaking out is  likely  to effect change  
D)which leaders can be counted on for support

Question 13

A patient tells you that the more he exercises and the healthier he eats, the healthier he gets. What is he demonstrating?  

A)internal locus of control  
B)external locus of control  
C)negative locus of control  
D)positive locus of control

Question 14

Which of the following does the process of motivating and empowering individuals and groups require?  

A)positive self-esteem  
B)protectionism  
C)attitude of superiority  
D)obligations of beneficence

Question 15

To enable patient empowerment, what do nurses need to recognize?  

A)Health professionals know what is best for patients. 
B)Patients need help in making health care decisions. 
C)Patients are responsible for their own health. 
D)Health professionals give power to patients.

Question 16

Which of the following is a potential barrier to patient empowerment?  

A)comfort with change  
B)sufficient knowledge  
C)social labelling  
D)available resources