Deck 8: Caring in Nursing Practice

Question 1

Riemen's study of nurses' caring behaviors (1986)found which one of the following as a similarity between male and female clients' perceptions of nursing caring behaviors?
1) Physical presence
2) Promotion of autonomy
3) Knowledge of injection technique
4) Speed in the completion of treatment

Answer 1

1
According to Riemen,the nurse being physically present with the client provides a perception of caring,which is shared by both female and male clients.
Promotion of autonomy was not found to be a perception of caring behavior by female and male clients in Riemen's study.Mayer found promotion of autonomy to be identified as nurse caring behavior as perceived by families of clients with cancer.
Mayer found knowledge of injection technique to be perceived as a nursing caring behavior by cancer clients.
Speed of treatment completion was not perceived as a nursing caring behavior.

Question 2

A client who is re-learning to walk asks the nurse,"to come with me today to physical therapy." The nurse realizes that the client is most likely expressing:
1) A need for emotional support
2) A need for familiar companionship
3) An appreciation of the nurse's caring
4) An interest in validating her progress

Answer 2

3
Providing presence is a person-to-person encounter conveying a closeness and a sense of caring.This type of presence is something the nurse offers to the client with the purpose of achieving some goal,such as support,comfort,or encouragement,to diminish the intensity of unwanted feelings or for reassurance.If clients accept the nurse,they will invite him or her to see,share,and touch their vulnerability and suffering.Although the other options may be true,the client will not likely seek out the nurse for emotional comfort if there is not a sense of presence between them.

Question 3

A client with chronic respiratory problems tells the nurse,"I haven't felt this good in a long time." The nurse realizes that the statement most reflects the client's:
1) Willingness to share his feelings
2) Acceptance of his physical limitations
3) Personal definition of his individual health
4) Acknowledgment of his chronic health problems

Answer 3

3
Health is a state of being that people define in relation to their own values,personality,and lifestyle.
While this is an example of the client's willingness to share his feelings,its primary significance is its expression of his personal definition of health as it relates to himself.
Although the statement does allude to the client's impaired physical health,its primary significance is its expression of his personal definition of health as it relates to himself.
While the statement does allude to the client's impaired physical health,its primary significance is its expression of his personal definition of health as it relates to himself.

Question 4

Which of the following statement's best expresses the client's definition of personal illness?
1) "I came to the emergency department when the pain got too bad to ignore."
2) "I have arthritis,but I continue to enjoy knitting,embroidery and other needle work."
3) "Sometimes my bad knee keeps me from the hiking,but I do it as much as I can."
4) "It will be a terrible blow when my heart condition keeps me stuck in the house."

Question 5

The nurse observes a client scheduled for an invasive procedure crying while discussing the procedure with a family member.Which of the following therapeutic nursing interventions would be the most caring?
1) Arranging for the client's clergy to visit
2) Inquiring,"Why is your sister crying?"
3) Providing a detailed explanation of the procedure
4) Offering to "sit and talk" if the client has any questions

Question 6

When the nurse offers to "just sit here with you" after a particularly painful procedure,a homeless client asks,"Why would you want to do that?" The nurse recognizes that the client most likely:
1) Prefers to be alone at this time
2) Does not have a need for companionship
3) Perceived the offer as being inappropriate
4) Finds it difficult to understand the nurse's concern

Question 7

Which of the following nurse-family interactions is most reflective of caring for the family?
1) Offering to arrange for a sleep chair for the family's use
2) Notifying the family that the client has returned from surgery
3) Telling the family when the client's surgeon will be on the unit
4) Always being available to spend time answering the family's questions

Question 8

The nurse should realize that the most important aspect of knowing the client involves:
1) Establishing a relationship
2) Gathering assessment data
3) Treating discomforts quickly
4) Assuming the client's emotional needs

Question 9

A client has confided to the nurse that she would prefer hospice care to receiving further radical treatment for terminal pancreatic cancer.The nurse observes that the client fails to share her wishes with her family during a discussion regarding future treatment plans.Ethically,the nurse should first:
1) Tell the family of the client's expressed wishes
2) Privately ask the client if her wishes have changed
3) Inform the client's health care provider of her wishes
4) Share with the client the importance of expressing her wishes

Question 10

Which of the following statements reflects the best understanding of cultural caring provided by professional nurses?
1) "Nurses must be open to learning the culture of our clients."
2) "Nurses need to attend to clients in a culturally sensitive manner."
3) "I care for my clients in ways that respect their culture and beliefs."
4) "Culture caring means allowing the client the freedom to be himself."

Question 11

Which of the following client reactions reflects the greatest positive response to the nurse's use of caring touch in the form of a backrub?
1) The nurse observes the client smiling.
2) The client falls asleep shortly after the backrub.
3) The nurse feels the client's back muscles relaxing.
4) The client tells his wife that,"the nurse is so nice."

Question 12

The nurse can best demonstrate caring behavior by:
1) Updates the family about the client's condition
2) Asks to address the client by the client's first name
3) Closes the door and covers the client during morning care
4) Shares with the client's roommate that she is scheduled for tests

Question 13

To best improve the bathing care provided by a particular staff member,the nurse manager should:
1) Tell the staff member how to correctly give baths to clients
2) Provide the staff member with good resources to read on bathing clients
3) Ask another staff member to provide the unit's bathing care in the afternoon
4) Assist and observe the staff member in the bathing care of a client on the unit

Question 14

What is the single greatest factor that contributes to the struggle of today's nurses to "know" the client?
1) Nursing shortage
2) High client acuity
3) Shorter hospital stays
4) Increasing client loads

Question 15

The nurse knows that a key element in Leininger's theory of caring is that it includes:
1) Five categories of caring
2) Connectedness with others
3) Transcultural perspectives
4) Spiritual dimensions and healing

Question 16

When facilities strive to improve client satisfaction,the area of primary focus should be:
1) Holistic client care
2) Caring nursing staff
3) Expert care providers
4) State-of-the-art technology

Question 17

Caring enables a nurse to know the client and thereby focus on identifying the client's specific needs.This ability is most typically impacted by a nurse's:
1) Assessment skills
2) Sense of compassion
3) Clinical experience
4) Communication proficiency

Question 18

Which one of the following nursing activities is an example of Swanson's "enabling" in the caring process?
1) Staying with the client before surgery
2) Performing a urinary catheterization skillfully
3) Assessing the client's health history
4) Teaching the client how to inject fast-acting insulin

Question 19

The best way for a new graduate to demonstrate caring behavior towards the client is by:
1) Seeking assistance before attempting a new procedure
2) Attempting to do new treatments as quickly as possible
3) Informing the client when performing a treatment for the first time on an actual client
4) Avoiding situations with clients that may be uncomfortable for either the nurse or the client

Question 20

The nurse knows that according to Benner,caring is defined as a:
1) New consciousness and moral idea
2) Nurturing way of relating to a valued other
3) Person,event,project,or thing that matters to a person
4) Central,unifying,and dominant domain necessary for health and survival

Question 21

The nurse is caring for a homeless client who recently emigrated from China.The client has a language barrier,and the hospital has been unsuccessful in locating any relatives.The health care provider is considering the option of placing the client on a respirator to manage a severe respiratory tract problem.To be a caring advocate for this client,the nurse must first:
1) Ask the hospital chaplain to arrange for appropriate religious support
2) Be sure that the client receives the best available care for his condition
3) Arrange for a Chinese interpreter to facilitate client-staff conversations
4) Become familiar with the Chinese culture's attitudes regarding life support

Question 22

With which of the following interventions does the nurse best reflect caring by maintaining belief in a client?
1) Offering a client with cancer pain medication before a family visit
2) Explaining to a client what to expect during a bone marrow aspiration
3) Arranging for a burn client to talk with others who survived similar burns
4) Explaining to a client that he may select from a variety of entrees for dinner

Question 23

Which of the following interventions made by a new graduate nurse reflects the best understanding of knowing her client?
1) Asking the client,"What do you need to be more comfortable?"
2) Offering the client's family a sleeper chair for use in the client's room
3) Providing an extra blanket for a client who often complains of being cold
4) Awakening the client for a phone call from her son who lives out of town