Deck 26: Caring

Question 1

A nurse manager has been dealing with staffing problems and high patient acuity on the unit. The director of nursing has been sensitive to other issues in the past, so the nurse manager decides to approach her with these new concerns. This is an example of which aspect of caring, as proposed by Mayeroff?

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

Answer 1

Courage.

Question 2

According to Mayeroff's philosophy of caring, which of the following ingredients are necessary for this process?

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

Answer 2

Honesty.
Trust.
Humility.

Question 3

A nurse is working in an acute mental health unit. The nurse makes this statement to a co-worker after reviewing a newly admitted client's medical record: "Another client with bipolar disorder. We better be ready for a busy night." This nurse is exemplifying which process of Swanson's (1991) theory of caring?

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

Answer 3

Knowing.

Question 4

Professional nursing demands that nurses are able to:

A) concentrate on the tasks at hand and complete them on time.
B) work in any context.
C) self-reflect on the impact of their care.
D) provide a professional service.

Question 5

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 of the following?

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

Question 6

During a midterm evaluation, the nurse educator tells the students they need to work on improving their aesthetic knowledge. A good way for the students to accomplish this is to:

A) spend time in the clinical area with seasoned nurses.
B) read about the same topic from a variety of sources.
C) study harder.
D) take better notes.

Question 7

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

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

Question 8

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

Question 9

A 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 (2002) six Cs of caring, which one is the nurse emulating?

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

Question 10

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

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

Question 11

A nurse is evaluating how care is delivered at various hospitals. In the process, the nurse is able to identify a facility where caring in the emergency department is perceived differently than caring in the rehabilitation unit. This type of example reflects whose theory of caring?

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

Question 12

A student asks the nursing educator which of the different types of knowledge are important in the clinical area. The best response by the nurse is:

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

Question 13

According to Leininger's theory of cultural congruent care, which of the following characterise the way that care should be provided?

A) Care should be influenced by the organisational 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.

Question 14

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 emphasises the importance of nurses knowing themselves, which brings about a process that allows the nurse to be with another person. The educator is teaching the concept of caring according to whose theory?

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

Question 15

A nurse is working with students on a medical unit. A client with respiratory acidosis is being monitored closely, and the nurse is able to describe to the students the pathophysiology surrounding this client's condition as well as specific assessment findings. This nurse is demonstrating which type of knowledge?

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

Question 16

Match the theorist with the statement.
1. Leininger
2. Ray
3. Roach
4. Boykin and Schoenhofer
5. Swanson
6. Watson
A. Respect for what matters to the individual
B. Understanding common human responses to health
C. Humanitarian and ethical approach
D. Context and structure of environment
E. Truth and reality basis
F. Cultural and spiritual basis

Question 17

A nurse is emulating the characteristics of caring, as described by Mayeroff (1990). Which of the following is an example of knowing, in relationship to caring?

A) Understanding the reason a client's lab values are elevated.
B) Seeing that a client is withdrawn and spending extra time when providing cares or treatments.
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.

Question 18

A nurse has been working a 12-hour shift in a labour and delivery unit. A client was admitted early in the shift and is now ready to deliver. The client had a difficult labour 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. This nurse is exhibiting which of the following?

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

Question 19

Compassion is often associated with caring. Of the following, which situation is the best example of compassionate nursing care?

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

Question 20

A midwife 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. Which of the following theorists is best in line with this research?

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

Question 21

A 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 to come to the school and visit with their child's classmates. This nurse is working in which of Swanson's (1991) processes?

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

Question 22

A nurse educator teaches students about caring nursing practice. Which of the following situations shows that the nurse is able to implement the whole idea of caring?

A) The nurse makes lists every morning so the day stays organised and planned.
B) The nurse is able to carve out time for a favourite hobby, at least once a week.
C) The nurse is a volunteer at church and school events.
D) The nurse takes care of his elderly parents as well as providing care to his immediate family.

Question 24

A nursing student was involved in a very difficult situation with a client, the client's family and a doctor. 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 educator, 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 of the following?

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

Question 25

In order to maintain self-care, nurses need to ensure that they:

A) maintain a self-complacency about their practice.
B) focus more on their work than themselves.
C) take time to nurture themselves.
D) take time to think.

Question 26

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

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

Question 27

A nurse understands that certain activities are required for a healthy lifestyle. Which of the following is the best example of this?

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

Question 28

The capacity of a nurse to demonstrate caring in practice is influenced by:

A) the diversity of human responses to health problems.
B) the nurse's workload.
C) the preferences of client and the nurse.
D) All of the above.
E) A and B only.

Question 29

Qualities required to enable reflection on practice include all of the following except:

A) critical thinking.
B) self-analysis.
C) understanding other people.
D) assessment of actions.