Deck 25: The Art of Caring in Technology-Laden Environments

Question 1

Examine each of the 10 caritas processes developed by Watson. Describe an example of a patient encounter that demonstrates the use of each caritas process.

Answer 1

No Answer

Question 2

Reflect on your personal health. Are you a role model for your patients? Which aspects of your personal health do you need to improve? Which strategies will you adopt to improve your health?

Answer 2

No Answer

Question 3

Choose a caring presence strategy to implement in your practice and use the reflective journal template provided in the chapter to reflect on your practice.

Answer 3

No Answer

Question 4

All of the following are advantages of technology-mediated care except:

A) smart pump technology provides maximum dose safeguards.
B) effective use of technology helps to improve clinical workflow.
C) clinical decision support system technology reminds clinicians of critical interventions that have not yet been implemented.
D) assessment technology provides a complete and objective picture of the patient experience.

Question 5

The widely accepted definition of a knowledge worker is one who:

A) engages in research.
B) works with information and generates information and knowledge.
C) is a cognition expert.
D) is an information technology expert.

Question 6

Patient-centered care means that practitioners should focus on:

A) the subjective experience of patients.
B) data gathered by technology.
C) objective signs and symptoms.
D) their interpretation of the patient's experience.

Question 7

Which of the following is a potential outcome of patient-centered care?

A) Patients can provide their subjective experience as an input to improve healthcare delivery.
B) Care providers may develop their capacity for reflexivity, which may improve their understanding of the implications of their actions.
C) Patients and practitioners can provide insights into the overall organization on how to innovate processes and facilities to respond to local needs.
D) All of these are correct.

Question 8

When a nurse is largely competent in carrying out care, efficient with interventions, but inattentive to communication and nonverbal cues projected by patients and families, we say the professional is:

A) fully present.
B) demonstrating transcendent presence.
C) physically present.
D) All of these are correct.

Question 9

What term refers to a nurse taking a few calming breaths, clearing his or her mind of clutter, and silently saying the patient's name a time or two before beginning the patient encounter?

A) Centering
B) Cognitive focus
C) Psychological being
D) All of these are correct.

Question 10

When we enter the uncharted world of the other without preconceived notions about what to expect, we are practicing:

A) centering.
B) bracketing.
C) meditation.
D) All of these are correct.

Question 11

Technologies are usually not disruptive to the provider-patient caring encounter.

Question 12

Caring consciousness is energy within the human-environmental field of a caring moment.

Question 13

In deep transpersonal caring, both the caregiver and the care recipient may experience healing.

Question 14

The work of nurses is primarily physical.

Question 15

Nurses who take care of their own health are more likely to be effective in patient and family care.

Question 16

Nurses can be thought of as instruments of healing.

Question 17

Some technologies such a telehealth encounters may present barriers to active listening.

Question 18

While relationship-centered care promotes enhanced mental and physical well-being in patients, it has little effect on nurses.

Question 19

Reflective journaling is critical for students, but not necessary for working nurses.

Question 20

Practicing techniques related to caring presence may promote mindfulness in practice.

Question 21

A nurse is providing nursing care that is patient-centered, which will enhance which of the following?

A) The nurse's understanding of the implications of his or her actions
B) The nurse's use of technologies and innovations
C) The healthcare organization's application of nursing theory
D) The healthcare organization's use of patient data

Question 22

A nurse calls the patient by name, communicates openly, and pays attention to the patient's responses during the interaction. The nurse is demonstrating which of the following?

A) Full presence
B) Physical presence
C) Transcendent presence
D) Partial presence

Question 23

A physician is typing on a computer when a patient asks a question. The physician responds to the patient but does not stop typing or use the patient's name. Which type of presence is the physician demonstrating?

A) Physical presence
B) Transcendent presence
C) Full presence
D) Partial presence

Question 24

In which situation may a caring presence be compromised?

A) A telephonic encounter with a patient who receives remote patient monitoring
B) A face-to-face interaction with a patient and nurse
C) Nonverbal communication between the healthcare provider and patient
D) An introduction between nurse and client that includes a handshake

Question 25

A nurse is sitting at the same level as the patient, listening attentively and nodding appropriately, which demonstrates:

A) active listening.
B) physical presence.
C) full presence.
D) transcendence.

Question 26

A critical care nurse is considering how the nursing care guidelines and policies could be modified to better respond to a patient's complex care needs. This is an example of which of the following?

A) Reflective practice
B) Caring between
C) Centering
D) Patient-centered care

Question 27

A nurse is working in a busy, high-acuity nursing unit and enters into each nursing situation with the intentional commitment to fully care for another person. This describes which of the following?

A) Caring
B) Centering
C) Openness
D) Presence

Question 28

A nurse and patient develop a helping-trusting, authentic caring relationship, which promotes which of the following?

A) Inner healing for the nurse patient
B) Patient satisfaction
C) Nursing staff retention
D) Self-efficacy

Question 29

Humanistic nursing care increases patient and nursing satisfaction.

Question 30

The art of nursing is the expert use and adaptation of empirical and scientific knowledge.

Question 31

A nurse is providing patient-centered care, which requires:

A) social interaction.
B) use of technology.
C) use of standards and guidelines.
D) knowledge of nursing research and theory.

Question 32

A nurse's responses to a patient during interactions are based in which of the following?

A) The nurse's education and experiences
B) The patient's subjection experience
C) The healthcare organization's mission and values
D) The nurse's personal knowledge of nursing theories

Question 33

A nurse is performing nursing interventions effectively but is inattentive and does not respond to the patient's questions or concerns. The nurse is which of the following?

A) Physically present
B) Transcendent
C) Fully present
D) Partially present

Question 34

A nurse is performing a physical exam on a patient and sees that the patient is crying. Which of the following demonstrates that the nurse is practicing transcendent practice?

A) The nurse pauses the physical examination, calls the patient by name, and gently touches the patient's hand.
B) The nurse continues the physical exam and does not acknowledge that the patient is crying.
C) The nurse stops the exam and asks a family to sit with the patient.
D) The nurse finishes the physical exam and documents that the patient was tearful.

Question 35

A nurse is working with an interdisciplinary team in a healthcare organization and identifies which of the following as essential for practice improvement?

A) Ethical sensitivity
B) Coordination of ancillary services
C) Proper utilization of resources
D) Data collection and analysis

Question 36

A new nurse is seeking ways to improve nursing practice, and an experienced nurse encourages the new nurse to use reflective journaling. Which of the following is a question the nurse might consider when journaling?

A) "Which behaviors and skills do I need to improve?"
B) "What errors did other healthcare providers make in patient care?"
C) "What policies and procedures do I need to read?"
D) "Which other healthcare providers do I enjoy working with?"

Question 37

A nurse is teaching a nursing student about the art of nursing. Which statement by the nurse is correct?

A) "Artful nursing can improve mental and physical well-being among patients."
B) "Artful nursing does not have a direct impact on patient care."
C) "Artful nursing seeks to enhance the relationships between nurses."
D) "Artful nursing can be practiced only by expert nurses."

Question 38

In patient care, a nurse synthesizes his or her own perspective with experience, education, and intuition, which is referred to as:

A) the essence of caring.
B) the art of nursing.
C) centering.
D) patient-centered care.

Question 39

If a nurse is fully present to the patient, the nurse will be able to notice subtle changes in the patient.

Question 40

A nurse who is completing multiple tasks, including answering the telephone, documenting on the computer, and answering a patient's question, is demonstrating caring presence.