Deck 2: Values, Beliefs, and Caring

Question 1

Nurses must collaborate effectively with patients to find treatment methods that are congruent with the patients' belief systems and that promote healthy outcomes. This approach requires:

A) focusing on patient values only and disregard family desires in setting goals.
B) relying more and more on their scientific background.
C) listening carefully to how the patient's beliefs impact their health beliefs.
D) Understanding that the nurse's beliefs are the most important.

Answer 1

listening carefully to how the patient's beliefs impact their health beliefs.

Question 2

While helping patients with values clarification and care decisions, nurses should:

A) convince the patient to do what the nurse believes is best.
B) give advice about what the nurse would do.
C) tell the patient what the right thing to do is.
D) provide information so that the patient can make informed decisions.

Answer 2

provide information so that the patient can make informed decisions.

Question 3

Which nursing theorist describes the nurse-patient relationship as interpersonal with a focus on compassion and empathy?

A) Kristen Swanson
B) Jean Watson
C) Madeleine Leininger
D) Joyce Travelbee

Answer 3

Joyce Travelbee

Question 4

The nurse is discussing the use of a values clarification tool with a patient. The patient asks, "What is the goal of the values clarification tool?" Which is the best response by the nurse?

A) "The tool will help change your value system so that you can make the right decision."
B) "The tool will dispel your current beliefs and formulate brand new ones."
C) "The tool will assist you in prioritizing your value preferences and help you make decisions."
D) "The tool allows you to make decisions without the need of self-awareness."

Question 5

Enduring ideas about what a person considers is desirable or has worth in life is known as a:

A) value.
B) first-order belief
C) higher order belief
D) stereotype

Question 6

The nurse is caring for a patient with lung disease. The patient tells the nurse that the most important thing to do during the shift is to walk down to the nurses' station and back without having shortness of breath. The patient's request is an example of which nursing theory?

A) Leininger's Cultural Care Theory
B) Travelbee's Human-to-Human Relationship Model
C) Swanson's Theory of Caring
D) Watson's Human Science and Human Care Theory

Question 7

The nurse is planning to change a dressing on an anxious patient. The best approach for the nurse is to:

A) ask another staff member to perform the task.
B) tell the patient the dressing change will take 30 minutes.
C) schedule a time in collaboration with the patient.
D) review the physician's order prior to the procedure.

Question 8

The nurse is caring for a patient who is under arrest for murder. She is attempting to perform her duties while, at the same time, feeling a sense of repugnance toward the patient. The nurse is undergoing:

A) value clarification
B) value conflict
C) first-order beliefs
D) higher-order beliefs

Question 9

The nurse is caring for a patient scheduled for heart surgery. Which statement made by the patient requires further discussion?

A) "My friend died on the operating table several months ago."
B) "The surgeon has a great reputation in the community."
C) "I believe that this surgery is going to make me better."
D) "Yesterday I asked my pastor to visit me after the procedure."

Question 10

Which action observed by a nurse manager may be indicative of codependency behavior?

A) A staff nurse orders extra desserts for a patient diagnosed with morbid obesity.
B) A medication nurse administers scheduled pain medication to patients as ordered.
C) A respiratory therapist teaches a patient's wife how to adjust an oxygen mask.
D) A nursing assistant encourages a patient to assist with the morning bath.

Question 11

A values system is a set of somewhat consistent values and measures that are organized hierarchically into a belief system on a continuum of relative importance. A value system is also:

A) culturally based.
B) unique to each individual.
C) a poor basis for making decisions.
D) rigid and uniform within a culture.

Question 12

A vital aspect of providing effective and appropriate nursing care is being able to actively listen to a patient. This requires the nurse to:

A) pay attention as if in a social conversation with the patient.
B) practice and develop this skill over many years.
C) focus on what the patient is saying.
D) passively listen with the ears.

Question 13

The student nurse is planning care for a patient who believes that Western medicine is effective but not always accurate. Nursing theory would best explain the patient's health practices?

A) Nursing: Human Science and Human Care
B) Cultural Care Theory
C) Human-to-Human Relationship Model
D) Five Caring Processes

Question 14

The nurse on a busy medical-surgical floor contacts a social worker requesting a home care referral prior to a patient's discharge. This action is best illustrated by which of Swanson's Five Caring Processes?

A) Enabling
B) Knowing
C) Doing For
D) Being with
E) Maintaining Belief

Question 15

When developing a nursing practice, it is important for the nurse to:

A) be exposed to negative as well as positive role models.
B) avoid negative role models as much as possible.
C) understand that caring and compassion are taught in class.
D) consider another profession if he/she is not naturally compassionate.

Question 16

The nurse is preparing to perform a health history interview with a non-English speaking patient. An interpreter has been assigned to assist in the translation. Which action by the nurse indicates understanding the guidelines for working with an interpreter?

A) Use short sentences and allow time for translation.
B) Ask the interpreter to use third person.
C) Look at the interpreter during the interview.
D) Suggest the use of paraphrasing whenever possible.

Question 17

A group of students are discussing the history of nursing. A student states, "Yea, nurses used to be called the doctor's handmaiden." This type of comment is known as a:

A) prejudice.
B) generalization.
C) stereotype.
D) belief.

Question 18

The nurse is observed sitting at the bedside of a patient discussing the nursing care plan for the shift. Which theory or model most accurately reflects this nurse-patient relationship?

A) Swanson's Theory of Caring
B) Travelbee's Human-to-Human Relationship Model
C) Watson's Theory of Caring
D) Leininger Cultural Care Theory

Question 19

A patient with terminal cancer says to the nurse, "I just don't know if I should allow CPR in the event I quit breathing. What do you think?" Which statement by the nurse would be most beneficial to the patient?

A) "If it were me, I would want to live no matter what."
B) "Don't worry. You have plenty of time to decide that later on."
C) "It's totally up to you. Have you discussed this with your family?"
D) "Let's talk about what CPR means to you."

Question 20

Patients who enter the health care system have two reasonable expectations. The first is not to be harmed, and the second is that the nurses providing care will be both competent and compassionate. Provision of care that is consistent and delivered in a predictable way can make the experience less intimidating for the patient. The nurse provides predictable care by:

A) Explaining what is going to take place beforehand.
B) Never making promises to patients.
C) Assuring the patient that his/her requests will get done eventually.
D) Protect the patient from knowing why things are happening.

Question 21

Touch is the intentional physical contact between two or more people. It occurs so often in patient care situations that it has been deemed to be an essential and universal component of nursing care. Task-oriented touch occurs when the nurse: (Select all that apply.)

A) holds the patient's hand during a painful procedure.
B) gives the patient an injection to treat discomfort.
C) starts an intravenous (IV) line for fluid administration.
D) inserts a nasogastric tube to decompress the patient's stomach.
E) shakes the patient's hand in order to establish rapport.

Question 22

Caring, according to the American Nurses Association (ANA) Code of Ethics (2001), is having concern or regard for that which affects the welfare of another. As a profession, nursing can trace its earliest beginnings to the types of nurturing activities that demonstrate care, such as: (Select all that apply.)

A) active listening.
B) advocating for the vulnerable.
C) valuing all individuals.
D) separating healing from spirit.
E) attempting to relieve pain.

Question 23

The most effective approach for dealing with a values conflict in which substance abuse or an addiction is involved is to begin with an assessment interview, during which the nurse should: (Select all that apply.)

A) listen for subtle signs of denial.
B) directly confront the patient about his drug abuse.
C) use a matter-of-fact approach to inform the patient.
D) provide straightforward information.
E) avoid direct confrontation.

Question 24

In dealing with beliefs and values, the type that is based in the unconscious are:

A) zero-order beliefs.
B) first-order beliefs.
C) higher-order beliefs.
D) prejudices.

Question 25

A nurse working in a dermatology clinic observes that a patient of Mexican-American descent typically arrives 10 to 15 minutes late to every appointment. Based on an understanding of first-order beliefs, the nurse determines that: (Select all that apply.)

A) first-order beliefs serve as the basis of a person's belief system.
B) first-order beliefs begin to develop in early adolescence.
C) first-order beliefs are completely formed in childhood.
D) people seldom question their first-order beliefs.
E) challenging a patient's first-order beliefs may cause cognitive upset.