Deck 25: Caring

Question 1

A student asks the nursing instructor which types of knowledge are important in the clinical area.How should the instructor respond to the student?

A)"Empirical knowledge-you have to know the physiology of the problem before you decide which interventions to use."
B)"A good nurse will have a mix of all four types of knowledge."
C)"Ethical knowledge-nurses must be able to identify principles and norms,handle conflicts,and be sensitive to sensitive issues."
D)"Aesthetic knowledge-a nurse must appreciate the special qualities of each client and the individual situation."

Answer 1

"A good nurse will have a mix of all four types of knowledge."

Question 2

The nurse is emulating the characteristics of caring,as described by Mayeroff.Which action demonstrates knowing,in relationship to caring?

A)Seeing that a client is withdrawn and sullen,and spending extra time when providing cares or treatments
B)Understanding the reason a client's lab values are elevated
C)Seeing the connection between the pathophysiology of the cardiac condition and treatment and giving the rationale for certain medications when the client asks
D)Getting an extra blanket when the client says he is cold

Answer 2

Seeing that a client is withdrawn and sullen,and spending extra time when providing cares or treatments

Question 3

During a midterm evaluation,the nurse educator tells the students they need to work on improving their aesthetic knowledge.How should the students plan to accomplish this recommendation?

A)Study harder.
B)Take better notes.
C)Read about the same topic from a variety of sources.
D)Spend time in the clinical area with seasoned nurses.

Answer 3

Spend time in the clinical area with seasoned nurses.

Question 4

The nurse is researching the concept of caring as it relates to specific situations in the clinical area.More specifically,the nurse is interested in caring as it relates to cultural differences.Of the following theorists,which would be of the most help to this nurse researcher?

A)Florence Nightingale
B)Jean Watson
C)Dorothea Orem
D)Madeline Leininger

Question 5

While evaluating how care is delivered at various hospitals,the nurse identifies a facility where caring in the emergency department is perceived differently than caring in the rehabilitation unit.Whose theory of caring is the nurse observing in action?

A)Leininger
B)Ray
C)Roach
D)Boykin and Schoenhofer

Question 6

The nurse is working in a busy intensive care unit.A client is admitted with extensive medical problems and requires a ventilator.Because the nurse already has two other clients assigned to his care,he requests that the nurse manager change assignments so that appropriate attention can be given to this new admission.According to Roach's six C's of caring,which one is the nurse emulating?

A)Compassion
B)Confidence
C)Commitment
D)Conscience

Question 7

The nurse working on an acute psychiatric unit learns that a client with bipolar disorder is being admitted and says to a coworker,"We better be ready for a busy night." This nurse is exemplifying which process of Swanson's theory of caring?

A)Knowing
B)Being with
C)Doing for
D)Enabling

Question 8

A nurse has been asked to be a member of a hospital's internal review board and evaluate research studies.Which characteristic does this nurse most likely possess?

A)Sound empirical knowledge
B)Sound personal knowledge
C)Sound aesthetic knowledge
D)Sound ethical knowledge

Question 9

The nurse working with students on a medical unit describes the pathophysiology of a client with a respiratory acidosis condition as well as specific assessment findings.Which type of knowledge is the nurse demonstrating?

A)Aesthetic
B)Empirical
C)Personal
D)Creative

Question 10

A labor and delivery nurse wants to conduct research focused on the response of new parents toward their babies.The approach the nurse would like to use suggests that caring is a nurturing process.The nurse should review the ideas of which theorist because they are best in line with this research?

A)Swanson
B)Watson
C)Roach
D)Benner

Question 11

A nurse has been working a 12-hour shift in a labor and delivery unit.A client was admitted early in the shift and is now ready to deliver.The client had a difficult labor experience,was worried and anxious throughout,and had physiological problems with blood pressure as well as pain management.The nurse decides to stay until the delivery is over,after having it approved by her manager.What is this nurse demonstrating?

A)Compassion
B)Competence
C)Confidence
D)Conscience

Question 12

A new nurse has just started work on an oncology unit.One of the clients has decided to discontinue treatment,even though he understands that his life will be shortened extensively if he does.The nurse is having difficulty with this situation and decides to approach a seasoned nurse for insight and a way to help support this particular client.The nurse is exemplifying which aspect of caring?

A)Hope
B)Humility
C)Honesty
D)Patience

Question 13

The student nurse is following a preceptor on the assigned clinical shift.Which behavior of the nurse should the student interpret as caring?

A)Making sure that all medications and treatments are done on time
B)Using aseptic technique when performing a dressing change
C)Advising the physician that the client wants to speak to him or her prior to a procedure
D)Explaining an invasive procedure to the client,then asking if it is all right to begin the procedure

Question 14

A nurse manager has been dealing with staffing problems and high patient acuity on the unit.The director of nursing unit has been sensitive to other issues in the past,so the nurse manager decides to approach her with these new concerns.Which aspect of caring is the nurse manager demonstrating?

A)Knowing
B)Trust
C)Humility
D)Courage

Question 15

A nurse educator is teaching students about the philosophy of caring in nursing and states that nurses can only be truly caring if they are true to themselves first.This action then emphasizes the importance of nurses knowing themselves,which brings about a process that allows the nurse to be with another person.Whose theory is the educator using to teach the concept of caring?

A)Roach
B)Ray
C)Boykin and Schoenhofer
D)Watson

Question 16

The nurse manager determines that a staff nurse demonstrates compassion when providing client care.What did the manager observe to come to this conclusion?

A)A nurse who has expert technical skills and has the most experience with critical care
B)A nurse who routinely gives back rubs to clients before they go to sleep
C)A nurse who has written procedures and policies in language that is both professional and realistic
D)A nurse who takes time to understand the spiritual needs of clients

Question 17

The nurse is reviewing Mayeroff's philosophy of caring prior to providing care to a client.What should the nurse include to demonstrate caring to the client?

A)Honesty
B)Trust
C)Humility
D)Professionalism
E)Courtesy

Question 18

The nurse is planning to provide care according to Leininger's theory of culturally congruent care.What should the nurse include when providing care to the client?

A)Care should be influenced by the organizational structure.
B)The client's familiar lifeways are preserved.
C)Accommodations should be satisfying to clients.
D)Nursing care must be repatterned to help the client move toward wellness.
E)Care should be structured to fit the nurse's needs

Question 19

The nurse educator teaches students about caring nursing practice.Which situation demonstrates a nurse implementing the whole idea of caring?

A)The nurse who takes time for a favorite hobby,at least once a week
B)The nurse who volunteers at church and school events
C)The nurse who makes lists every morning so the day stays organized and planned
D)The nurse who takes care of his elderly parents as well as providing care to his immediate family

Question 20

The nurse is working in the school system with a group of students who are struggling with the death of a classmate.The nurse encourages the students to talk about their friend,bring pictures,and share memories with each other.The nurse also invites the deceased's family members to come to the school and visit with their child's classmates.This nurse is working in which of Swanson's processes?

A)Knowing
B)Being with
C)Doing for
D)Enabling

Question 21

A nursing student was involved in a very difficult situation with a client,the client's family,and a physician.The student felt like she was caught in the middle and wasn't sure how to respond to some of the questions that were being asked about care,treatment,and scheduling.Instead of getting her instructor,the student fielded these questions as best she could.In order to help the student work through this situation,the nursing instructor might advise the student to try which action?

A)Meditation
B)Guided imagery
C)Reflection
D)Music therapy

Question 22

The nurse is identifying strategies to support a client's empowerment.What strategies should the nurse use?
Standard Text: Select all that apply.

A)Making it possible for the client diagnosed with mild Alzheimer's disease to continue to dance regularly,as it has always been a passion of hers
B)Being sure to polish the client's nails now that she is not able to do it herself,as it has always been important to her that she "have pretty hands"
C)Suggesting to a client's family members that they should insist that the client move into an assisted living facility so as to ensure her safety
D)Helping the client's family identify community support services that will make it possible for the client to remain in her own home
E)Encouraging the client to use a walker and stay indoors,"just in case she might fall"

Question 23

The new graduate nurse has committed to improving self-care activities.Which behaviors exemplify that the nurse is following through on this personal commitment?
Standard Text: Select all that apply.

A)Using meditation to de-stress at the end of a long day at work
B)Eating a low fat-diet,as there is a family history of heart disease
C)Attending workshops designed to enhance professional skills at least twice yearly
D)Volunteering to cover a friend's weekend shifts so the friend can fully recover from a sprained ankle
E)Making sure to reserve the time to read a favorite book between 12 hours of shift work

Question 24

The graduate nurse learns of failing the NCLEX-RN examination but realizes that passing the examination is a challenge worth achieving.To improve her outlook,the graduate nurse writes positive affirmations that are reviewed daily before studying for the examination.Which affirmations would be the most beneficial for the graduate nurse to use?
Standard Text: Select all that apply.

A)I will focus on a new career.
B)I should have studied harder .
C)I am doing what brings me joy.
D)This is an opportunity to grow.
E)I cannot remember everything.

Question 25

A nurse is providing bathing assistance to a young client who was seriously injured and is unable to care entirely for herself.Which action demonstrates the nurse implementing the doing for process in Swanson's theory of caring?

A)Allowing the client to wash her perineal area
B)Drying the client completely
C)Seeing the client is uncomfortable with the whole bathing process
D)Touching the client's shoulder when she starts to cry

Question 26

A nurse practitioner emphasizes the importance of the staff engaging in activities that help restore peace and balance between the mind and body.Which might be an appropriate therapy for this?

A)Bike riding
B)Cake decorating
C)Reading
D)Storytelling

Question 27

The nurse suspects that an older client has no living family members and observes the client sitting quietly in the room,crying.What actions should the nurse take to intentionally know this client?
Standard Text: Select all that apply.

A)Seek cues from the client.
B)Assess the client thoroughly.
C)Avoid assumptions about the client.
D)Center actions on the client's needs.
E)Assume the client wants to be alone.

Question 28

The nurse has adopted a healthy lifestyle.What action demonstrates that the nurse is being successful in this endeavor?

A)Exercising every day,at least for an hour and a half
B)Buying only fat-free foods and allowing absolutely no deviation from this
C)Balancing good nutrition and exercise in moderation
D)Exercising more on days when feeling "guilty" about a snack