Question 1

A patient tells you that the more he exercises and the healthier he eats, the healthier he gets. What is he demonstrating?&#10;A) internal locus of control&#10;B) external locus of control&#10;C) negative locus of control&#10;D) positive locus of control

Accepted Answer

The patient is demonstrating an internal locus of control, which means he believes that he has control over the outcomes of his actions, such as his health improving due to his exercise and diet choices.

Question 2

Which of the following nursing attitudes enables patient empowerment?&#10;A) surrendering the need for control&#10;B) directing patients toward decisions that support good health outcomes&#10;C) encouraging patients to value nursing trust&#10;D) providing services for patients

Accepted Answer

directing patients toward decisions that support good health outcomes

Question 3

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?&#10;A) internal locus of control&#10;B) external locus of control&#10;C) negative locus of control&#10;D) positive locus of control

Accepted Answer

The patient is demonstrating an external locus of control, as he is attributing his inability to lose weight to factors outside of his own control (his job and his wife's cooking), rather than taking responsibility for his own choices and behaviors.

Question 4

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

Accepted Answer

Matthew's action of speaking to a reporter about the situation at the nursing home can be considered as whistleblowing. Whistleblowing is the practice of disclosing information about illegal or unethical practices within an organization to individuals or entities that may be able to take action. Matthew documented poor patient care and inadequate staffing and brought it to the attention of the administrator but when no action was taken he took the step to speak with a reporter. Whistleblowing is seen as an ethical practice because it aims to expose wrongdoing and protect the welfare of patients, clients or consumers of a service.

Question 5

What nursing focus does patient empowerment evolve from?&#10;A) advocacy&#10;B) patient care&#10;C) paternalism&#10;D) locus of control

Accepted Answer

Patient empowerment is a nursing focus that evolves from advocacy, which involves promoting and protecting the rights and interests of patients. This focus empowers patients to make informed decisions about their care and treatment, and ensures that their voices are heard and respected. Nursing advocacy is an essential component of patient-centered care, and helps to improve patient outcomes and experiences.

Question 6

What skills does nursing knowledge foster in order to enable empowerment?&#10;A) decision making based on intuition&#10;B) values development and their impact on choices&#10;C) application of scientific principles and evidence-based practice&#10;D) imposing personal values on others

Accepted Answer

The answer of What skills does nursing knowledge foster in...

Question 7

Which of the following factors influences professional empowerment in nursing?&#10;A) professional disobedience&#10;B) support of professional colleagues&#10;C) faith that the right thing is done&#10;D) abdicating responsibility for decision making

Accepted Answer

Support of professional colleagues is a significant factor in professional empowerment in nursing. When nurses feel supported by their colleagues and the overall workplace environment, they are more likely to feel empowered to make decisions, advocate for patients, and take ownership of their professional role. Professional disobedience and abdicating responsibility for decision making are not examples of professional empowerment, and a faith that the right thing is done can be important but is less significant than having supportive colleagues.

Question 8

What is a nurse demonstrating when sharing knowledge about health care decisions and involving patients in making those decisions?&#10;A) power over&#10;B) power protection&#10;C) power with&#10;D) power control

Accepted Answer

When a nurse involves patients in making health care decisions and shares knowledge about those decisions, it is an example of power with. This approach recognizes the expertise and autonomy of patients and respects their ability to make informed choices about their own health care. Power over, power protection, and power control are all examples of more paternalistic approaches that do not prioritize patient autonomy in decision-making.

Question 9

Which of the following might hinder nursing empowerment?&#10;A) taking action to address system issues&#10;B) eliminating divergent and conflicting views&#10;C) collaborating and sharing in decision making&#10;D) participating in forming institutional policies

Accepted Answer

Eliminating divergent and conflicting views can hinder nursing empowerment because it leads to a lack of diverse perspectives and potential solutions. Nursing empowerment thrives on collaboration and open communication, which naturally involves a range of opinions and ideas. By eliminating differing views, nurses may feel undervalued and disempowered, leading to decreased job satisfaction and an inability to affect change. The other choices (A, C, and D) are all actions that can promote nursing empowerment.

Question 10

To enable patient empowerment, what do nurses need to recognize?&#10;A) Health professionals know what is best for patients.&#10;B) Patients need help in making health care decisions.&#10;C) Patients are responsible for their own health.&#10;D) Health professionals give power to patients.

Accepted Answer

The answer of To enable patient empowerment, what do nurses...

Question 11

How is nursing empowerment derived from the perspective of power with or power to?&#10;A) It is given to or delegated to the nurse.&#10;B) It is a directive process regarding change.&#10;C) It is more focused on outcome than process.&#10;D) It is based on mutual love and respect.

Accepted Answer

The answer of How is nursing empowerment derived from the...

Question 12

Which of the following is implied by the term power over?&#10;A) incorporating diversity&#10;B) sharing responsibility with others&#10;C) protecting limited resources&#10;D) enhancing patients' abilities

Accepted Answer

The answer of Which of the following is implied by...

Question 13

Which of the following is a potential barrier to patient empowerment?&#10;A) comfort with change&#10;B) sufficient knowledge&#10;C) social labelling&#10;D) available resources

Accepted Answer

The answer of Which of the following is a potential...

Question 14

What descriptive term do nurse scholars use when discussing people who are empowered?&#10;A) rigid&#10;B) disobedient&#10;C) assertive&#10;D) aggressive

Accepted Answer

The answer of What descriptive term do nurse scholars use...

Question 15

Which of the following does the process of motivating and empowering individuals and groups require?&#10;A) positive self-esteem&#10;B) protectionism&#10;C) attitude of superiority&#10;D) obligations of beneficence

Accepted Answer

The answer of Which of the following does the process...

Question 16

What is the term for a person who waits and hopes something or someone else will change, and makes excuses for not taking action?&#10;A) disempowered&#10;B) a whistle-blower&#10;C) a victim&#10;D) an empowered person

Accepted Answer

The answer of What is the term for a person...

Deck 19: Empowerment for Nurses