Question 1

Which of the following statements about the nursing practice of being with are accurate?&#10;A) Being with puts the nurse at risk for burn-out.&#10;B) Being with adds more time to providing individual care.&#10;C) Being with can be conveyed through tone of voice, eye contact, and body language.&#10;D) Being with requires the nurse to have an open mind and understand a variety of perspectives.&#10;

Accepted Answer

The nurse is at higher risk for burn-out when he does not practice being with patients and families. The idea that being with the patient takes more time is a myth that can act as a barrier to developing a caring relationship. The nurse conveys being with through modulating his tone of voice, eye contact, and body language. Having an open mind and understanding a variety of perspectives are important aspects of the nurse's capacity for being with patients.

Question 2

What can the nurse do to overcome extrinsic barriers to caring?&#10;A) Employ active listening skills with individuals and families.&#10;B) Ask the family to identify their most important goal for well-being.&#10;C) Sign up for the hospital committee on obtaining Magnet status.&#10;D) Maintain a journal on personal insights about family interactions.&#10;

Accepted Answer

Joining the hospital committee on obtaining Magnet status can help address extrinsic barriers by promoting a supportive work environment and improving institutional policies that facilitate better patient care.

Question 3

Which of the following situations reflects a time when doing for the family takes priority over being with the family?&#10;A) At the end of the shift when the nurse knows she will be leaving the family&#10;B) When the family needs to work through the answer rather than being provided an answer&#10;C) When the family doesn't understand what is happening to their ill member&#10;D) When the nurse wants to persuade the family of her point of view&#10;

Accepted Answer

When the family doesn't understand what is happening to their ill member, the nurse may prioritize providing information and clarity over simply being present with them.

Question 4

The nurse notices that family members appear upset shortly after learning about the patient's poor prognosis from the physician. What would be the action on the part of the nurse that best conveys being with the family?

A) Tell the family you can see they would prefer to be by themselves.
B) Maintain a cheerful, upbeat attitude in the face of the family's distress.
C) Make eye contact and ask the family what is troubling them.
D) Ask the family if they want to talk to their minister.

Accepted Answer

Making eye contact and inviting the family to share their concerns conveys empathy and a willingness to listen, which can help to establish trust and foster a therapeutic relationship between the nurse and the family. Option A may be appropriate if the family requests privacy, but it does not address their emotional needs. Option B may be perceived as dismissive or insensitive to their distress. Option D assumes that the family's preferred source of support is their minister, which may not always be the case.

Question 5

The nurse is teaching a class on family-focused care in critical care environments. Which response from a nursing student indicates a need for additional teaching?&#10;A) Families need information and support.&#10;B) Families want to be involved in caregiving activities.&#10;C) It is important to ensure that the family can be with the patient.&#10;D) The nurse should protect the family from getting too involved in the illness experience.&#10;

Accepted Answer

The statement about the nurse protecting the family from getting too involved in the illness experience goes against the principles of family-focused care, which aim to involve the family in the patient's care and decision-making process as much as possible. Therefore, the student may need additional teaching in this area.

Question 6

The home health nurse visits a family for the first time. She meets a 40-year old woman and her 75-year old father, a 12-year old girl, and a 16-year old boy. She does not understand the language they speak in the home. The grandfather has limited mobility due to a stroke and appears confused. The nurse who learns to think family uses which of the following assessment practices?

A) Includes family members in client assessment.
B) Recognizes her own attitudes toward the family cultural practices.
C) Strives to understand the relationships of all family members and how each is affected by the client's illness.
D) Focuses her assessment on the grandfather because he is the only one who has an obvious illness.

Accepted Answer

Family-focused nursing care means including all family members in the assessment of the client and striving to understand the family relationships and how each member might be affected by the client's illness. It is necessary to recognize family cultural practices and one's own attitude toward them.

Question 7

Which of the following represents an intrinsic barrier to caring and learning ways to provide family care?&#10;A) Understaffing&#10;B) Fear of not knowing what to say to a family&#10;C) Advances in technology&#10;D) Cultural upbringing&#10;

Accepted Answer

The answer of Which of the following represents an intrinsic...

Question 8

____________________ is often seen in instrumental behaviors of caring, whereas ____________________ is an expressive caring behavior.

Accepted Answer

The answer of ____________________ is often seen in instrumental behaviors...

Question 9

Which of the following represents an extrinsic barrier to caring and learning ways to provide family care?&#10;A) An attitude that caring is innate and cannot be learned&#10;B) An assumption that family care takes too much time&#10;C) Fear of becoming too involved with the individual or family&#10;D) An expectation to meet workplace outcomes&#10;

Accepted Answer

An extrinsic barrier is something external to the individual's personal beliefs or attitudes that impedes their ability to learn or perform. An expectation to meet workplace outcomes is an external factor related to job performance and organizational demands, making it an extrinsic barrier. Choices A, B, and C are intrinsic barriers, as they are based on personal beliefs, attitudes, or fears.

Question 10

Which of the following examples of nursing actions that demonstrate being with is inaccurate?&#10;A) Being emotionally present to another&#10;B) Seeking to understand another point of view&#10;C) Learning what matters most to each patient and family&#10;D) Assessing the patient's physical well-being&#10;

Accepted Answer

Assessing the patient's physical well-being is an example of doing for, not being with. Being with involves being emotionally present, seeking to understand the patient's perspective, and learning what matters most to them.

Question 11

A patient who is known to the nurse requests pain medication shortly after the physician leaves the room after discussing the patient's poor prognosis. The nurse enters the room to find the patient in tears. What would be the action on the part of the nurse that best conveys being with the patient?

A) Sitting on the bed to talk to the patient
B) Giving the pain medication as soon as possible
C) Encourage the patient to rest
D) Change the subject to distract the patient from worrying

Accepted Answer

The answer of A patient who is known to the...

Question 12

The nurse is trying to hold a family care conference as her 12-year old patient is being discharged home with a chronic illness. Which response by a family member indicates a need for the nurse to teach about family-focused nursing care?

A) Why should I be here? It is my sister who is sick, not me.
B) We need to make a plan for home care so I can still work.
C) I can't believe how this illness is affecting the whole family.
D) What kind of resources will be available to us?

Accepted Answer

The answer of The nurse is trying to hold a...

Question 13

Which of the following situations reflects a time when doing for the patient takes priority over being with the patient?&#10;A) A patient in active labor&#10;B) When physical care is needed&#10;C) A patient who takes a long time to feed herself&#10;D) When the family member is doing the patient's dressing change incorrectly&#10;

Accepted Answer

The answer of Which of the following situations reflects a...

Question 14

Which of the following personal strengths enhance caring relationships?&#10;A) Willingness to engage in regular self-reflection&#10;B) Being an early adopter of technology&#10;C) Efficiency in completing a variety of nursing tasks&#10;D) Paying attention to finishing tasks in a timely manner&#10;

Accepted Answer

The answer of Which of the following personal strengths enhance...

Question 15

A nurse who periodically asks himself What makes me happy? is engaging in which of the following processes?&#10;A) Self-discovery that is helpful to building caring relationships&#10;B) Egocentrism that threatens development of caring relationships&#10;C) Self-indulgence important to developing resilience in nursing practice&#10;D) Superficial assessment of his life&#10;

Accepted Answer

The answer of A nurse who periodically asks himself What...

Deck 13: Doing for Versus Being With