Question 1

Self-compassion is the ability to be compassionate to one's self and is positively correlated with emotional intelligence.Emotional intelligence is defined as:&#10;A)Being highly attuned to the needs of others&#10;B)The ability to engage in self-care&#10;C)Being aware of self, having the capacity to self-regulate, possessing motivation, empathy, and social skills&#10;D)The holistic integration of self-care and self-development practices

Accepted Answer

Emotional intelligence involves being aware of oneself and having the ability to self-regulate emotions, as well as possessing empathy and social skills. This definition aligns with the idea of self-compassion, which involves being compassionate to oneself and regulating one's own emotions in a healthy way. Choices A, B, and D do not fully capture the essence of emotional intelligence in the same way that choice C does.

Question 2

The qualities of resilience that Patsy demonstrated when responding to Sue include:&#10;A)Protecting her own positive attitude by lessening her contact with Sue, a negative person&#10;B)The ego strength to admit failure in her ability to orient Sue, a destructive person&#10;C)Protecting her organization by sharing Sue's deficiencies with their supervisor&#10;D)Asserting her positive approach and basic optimism by initiating an honest discussion with Sue and having the emotional insight to recognize Sue's negative effect on her

Accepted Answer

Patsy demonstrated her resilience by asserting her positive approach and basic optimism by initiating an honest discussion with Sue, while also having the emotional insight to recognize Sue's negative effect on her. She did not protect her own positive attitude by lessening her contact with Sue (A) or admit failure in her ability to orient Sue (B). She also did not share Sue's deficiencies with their supervisor (C).

Question 3

Patsy, a 42-year-old experienced APRN, is orienting a new APRN to the Minute Clinic, where she has worked for more than 5 years.Patsy loves her work and was concerned when the new APRN, Sue, expressed her dissatisfaction with this setting."I hate the idea of being here on my own, with no back-up and support after orientation" was one of Sue's concerns.Sue confessed that this was the only job she could find.Patsy felt good in her independent role and felt she had worked to create a positive atmosphere for her patients at all times.She derived joy and satisfaction from her ability to do this for her patients.Patsy found Sue's endless complaints debilitating.Patsy demonstrated resiliency by using which of the following strategies?

A)Patsy distanced Sue by listening to her as little as possible.
B)Patsy openly shared her positive feelings about the work environment and took a risk by sharing with Sue that she found her endless complaining draining.
C)Patsy spoke privately with their supervisor, Pamela, stating that she did not think Sue could be successful in this environment.
D)Patsy requested that Sue be assigned to a different APRN for orientation.

Accepted Answer

Patsy used a positive approach to address Sue's complaints by openly sharing her positive feelings about the work environment. Patsy also took a risk by sharing with Sue that her complaints were draining. This approach demonstrates resiliency as Patsy is addressing the issue openly instead of distancing herself or moving away from the situation. Additionally, Patsy did not go to their supervisor or request that Sue be assigned to a different APRN for orientation, which could be seen as an avoidance strategy.

Question 4

The World Health Organization defines self-care as:&#10;A)An important global activity for all health-care providers&#10;B)A set of deliberate actions that all individuals, families, and communities should engage in to maintain good health&#10;C)Essential to efficacious advanced practice nursing (APRN) practice&#10;D)An awareness by the APRN of their self-care behaviors as related to diet, activity, and mental attitude

Accepted Answer

The World Health Organization defines self-care as a set of deliberate actions that all individuals, families, and communities should engage in to maintain good health.

Question 5

The following statement is true:&#10;A)APRNs are often sensitive to patients' deficiencies but not their own.&#10;B)APRNs always respond appropriately to patients, families, and team members.&#10;C)APRNs are well-equipped from their APRN educational programs to care for self.&#10;D)Relicensure in some states mandates continuing education units in self-care.

Accepted Answer

The answer of The following statement is true:&#10;A)APRNs are often...

Question 6

A new era of health care leads to:&#10;A)Greater opportunity for independent practice, yet increased legal risk in accountability for patients&#10;B)Lowered reimbursement for all health-care services and providers&#10;C)Decrease in status for health-care providers&#10;D)No ability to individualize care

Accepted Answer

With greater emphasis on patient-centered care and increased use of technology, health-care providers have more opportunities to practice autonomously, but also face greater legal risks and accountability for patient outcomes.

B and C are incorrect as current trends suggest that reimbursement rates for health-care providers are increasing and the status of healthcare professionals is also on the rise.

D is incorrect as individualized care and precision medicine are becoming more prevalent in the era of personalized health-care.

Question 7

Qualities associated with resilience include:&#10;A)Hope, self-efficacy, and optimism&#10;B)Stick-to-it-ness, belief in a higher power&#10;C)Education, self-regulation, and use of activity to decrease stress&#10;D)Ability to take vacations and the availability of support systems and a secure work environment

Accepted Answer

Resilience is associated with qualities such as hope, self-efficacy, and optimism. These traits help individuals to cope with and persevere through difficult situations. Stick-to-it-ness and belief in a higher power may be personal characteristics that contribute to resilience for some individuals, but these are not universally applicable. Similarly, education, self-regulation, and stress reduction strategies can support resilience, but these are not the defining characteristics. Finally, the ability to take vacations and the availability of support systems and a secure work environment can be helpful for reducing stress and promoting well-being, but they are not necessarily related to resilience specifically.

Question 8

There are many pressures inherent in primary care practice today for APRNs.These pressures include all of the following:&#10;A)Electronic medical record, the Affordable Care Act, and the implementation of socialized medicine&#10;B)Patient care outcomes being tied to reimbursement, role diffusion with physicians and physician assistants&#10;C)Uncertainty, the team approach to care, and the need for patient-centered care&#10;D)Availability of medical information on the internet, educational programs for patients, and Medicare drug benefits

Accepted Answer

Patient care outcomes being tied to reimbursement creates pressure for APRNs to ensure positive outcomes. Role diffusion with physicians and physician assistants can create additional pressure as APRNs may feel the need to prove their unique value and role in the team. The other options listed do not accurately reflect the current pressures facing APRNs in primary care practice.

Question 9

According to nurse theorist Jean Watson, a focus on positive intentionality_holding caring thoughts, loving kindness, and open receptivity_enhances caring energy, which leads to healing.How can the APRN bring this to their practice?

A)Spiritual readings, centering oneself before patient encounters, engaging in behaviors that help build positive energy
B)Review of materials on primary care before going into the work environment to increase one's confidence, leading to caring energy
C)Travel to sacred places
D)Helping the poor and homeless_volunteering at a domestic violence shelter, for example_in addition to one's regular practice .

Accepted Answer

The APRN can bring a focus on positive intentionality to their practice by engaging in behaviors such as spiritual readings, centering themselves before patient encounters, and building positive energy. These actions can help enhance caring energy and lead to healing, in line with Jean Watson's theory of caring. Review of primary care materials or traveling to sacred places may not necessarily enhance caring energy or have a direct impact on patient care. While volunteering may align with the APRN's values and beliefs, it may not necessarily enhance care provided in the regular practice setting.

Question 10

APRNs need to develop their own self-management plans.Two key elements of self-management plans are:&#10;A)Taking vacations and keeping up with new knowledge and developments in medicine&#10;B)Resilience and positive intentionality&#10;C)Family support and a healthy diet&#10;D)Being physically and emotionally &#34;fit&#34;

Accepted Answer

Resilience and positive intentionality are key elements of self-management plans for APRNs. This includes developing the ability to bounce back from stressors and maintaining a positive outlook on work and life. While taking vacations and keeping up with new knowledge are important, they are not the primary elements of self-management plans. Family support and a healthy diet, as well as being physically and emotionally fit, can contribute to overall well-being but are not specific to self-management plans.

Question 11

Self-care and personal development are built into the standards of practice of:&#10;A)The American Holistic Nurses Association&#10;B)The American Nurses Association&#10;C)The American Association of Nurse Practitioners&#10;D)The American Academy of Nursing

Accepted Answer

The answer of Self-care and personal development are built into...

Question 12

The term resilience implies:&#10;A)Ability to look to a higher power to get you through a crisis&#10;B)Response to difficult and adverse circumstances through positively adjusting to stressors&#10;C)That the APRN can weather any emergency&#10;D)Learning to set appropriate boundaries

Accepted Answer

The answer of The term resilience implies:&#10;A)Ability to look to...

Question 13

Nurse theorist Dorothea Orem defines self-care activities as:&#10;A)Attainment of professional self-development goals&#10;B)Ability to persevere through hardship&#10;C)Striving to attain balance and harmony in one's life&#10;D)Comprising activities that are performed independently by an individual to promote and maintain well-being throughout life

Accepted Answer

The answer of Nurse theorist Dorothea Orem defines self-care activities...

Question 14

Compassion fatigue is another side-effect of today's health-care delivery system.This term means :&#10;A)The APRN feels sudden guilt and distress when he or she cannot rescue or save an individual, such as when bad health habits persist despite the best efforts of the APRN.&#10;B)This happens over time related to the need to see increasing numbers of patients in busy primary care practices.&#10;C)This may persist over time, even when the APRN transfers to a new and different setting.&#10;D)Patients' problems and circumstances can be so overwhelming that the APRN needs to set severe boundaries to maintain safe function.

Accepted Answer

The answer of Compassion fatigue is another side-effect of today's...

Question 15

Another term used, burn out, is differentiated by:&#10;A)Numbness of feelings leading to substance abuse&#10;B)How novice APRNs feel at the end of the day in primary care&#10;C)Feelings of aloneness, desperation, and despair&#10;D)A gradual response to the inability to achieve one's goals with patients in the work setting; it is characterized by frustration and diminishing morale

Accepted Answer

The answer of Another term used, burn out, is differentiated...

Deck 24: Putting Caring Into Practice: Caring for Self