Question 1

While caring for a client with respiratory alkalosis caused by hyperventilation,the nurse decides that having students in the room may increase the client's anxiety.Therefore,he decides to have the students watch the assessment of a different client.Which type of knowledge is the nurse demonstrating when assigning another client for care?
A)Empirical
B)Aesthetic
C)Ethical
D)Personal

Accepted Answer

A)Aesthetic knowledge is the art of nursing and is expressed by nurses in their creativity and style in meeting the needs of clients. This nurse is demonstrating aesthetic knowledge by being sensitive to the client's needs during the assigned shift. Empirical knowledge ranges from factual, observable phenomena to theoretical analysis. Personal knowledge is concerned with the knowing, encountering, and actualizing of the concrete, individual self. Ethical knowing focuses on matters of obligation or what ought to be done, and goes beyond simply following the ethical codes of the discipline.
B)Aesthetic knowledge is the art of nursing and is expressed by nurses in their creativity and style in meeting the needs of clients. This nurse is demonstrating aesthetic knowledge by being sensitive to the client's needs during the assigned shift. Empirical knowledge ranges from factual, observable phenomena to theoretical analysis. Personal knowledge is concerned with the knowing, encountering, and actualizing of the concrete, individual self. Ethical knowing focuses on matters of obligation or what ought to be done, and goes beyond simply following the ethical codes of the discipline.
C)Aesthetic knowledge is the art of nursing and is expressed by nurses in their creativity and style in meeting the needs of clients. This nurse is demonstrating aesthetic knowledge by being sensitive to the client's needs during the assigned shift. Empirical knowledge ranges from factual, observable phenomena to theoretical analysis. Personal knowledge is concerned with the knowing, encountering, and actualizing of the concrete, individual self. Ethical knowing focuses on matters of obligation or what ought to be done, and goes beyond simply following the ethical codes of the discipline.
D)Aesthetic knowledge is the art of nursing and is expressed by nurses in their creativity and style in meeting the needs of clients. This nurse is demonstrating aesthetic knowledge by being sensitive to the client's needs during the assigned shift. Empirical knowledge ranges from factual, observable phenomena to theoretical analysis. Personal knowledge is concerned with the knowing, encountering, and actualizing of the concrete, individual self. Ethical knowing focuses on matters of obligation or what ought to be done, and goes beyond simply following the ethical codes of the discipline.

Question 2

A hospital is preparing for the American Nurses' Credentialing Center's magnet hospital designation process.Nurse representatives on the Magnet Council consider several Professional Practice Models (PPMs)as their approach to nursing care.After selecting a PPM model,members of the Council plan a series of nursing grand rounds.These focus on the six Cs of caring in nursing: compassion,competence,confidence,conscience,commitment,and comportment.What particular nursing theory,philosophical approach,or framework of caring have the nurses decided to adopt?
A)Watson's Theory of Human Care
B)Leininger's Theory of Culture Care Diversity and Universality
C)Roach's Theory of Caring as the Human Mode of Being
D)Boykin and Schoenhofer's Nursing as Caring Theory

Accepted Answer

A)Roach's Theory of Caring as the Human Mode of Being includes the six Cs of caring in nursing. The other three approaches to caring in nursing focus on other major tenets related to caring. Watson's Theory of Human Care emphasizes the role of authentic caring relationships in healing. Leininger's Theory of Culture Care Diversity emphasizes actions that preserve, maintain, and accommodate the cultures of diverse clients, and Boykin and Schoenhofer's Nursing as Caring Theory describes caring as an essential aspect of nursing and a process rather than a mere goal.
B)Roach's Theory of Caring as the Human Mode of Being includes the six Cs of caring in nursing. The latter requires nurses to be knowledgeable about codes of ethics and moral behavior. The other three approaches to caring in nursing focus on other major tenets related to caring. Watson's Theory of Human Care emphasizes the role of authentic caring relationships in healing. Leininger's Theory of Culture Care Diversity emphasizes actions that preserve, maintain, and accommodate the cultures of diverse clients, and Boykin and Schoenhofer's Nursing as Caring Theory describes caring as an essential aspect of nursing and a process rather than a mere goal.
C)Roach's Theory of Caring as the Human Mode of Being includes the six Cs of caring in nursing. The latter requires nurses to be knowledgeable about codes of ethics and moral behavior. The other three approaches to caring in nursing focus on other major tenets related to caring. Watson's Theory of Human Care emphasizes the role of authentic caring relationships in healing. Leininger's Theory of Culture Care Diversity emphasizes actions that preserve, maintain, and accommodate the cultures of diverse clients, and Boykin and Schoenhofer's Nursing as Caring Theory describes caring as an essential aspect of nursing and a process rather than a mere goal.
D)Roach's Theory of Caring as the Human Mode of Being includes the six Cs of caring in nursing. The latter requires nurses to be knowledgeable about codes of ethics and moral behavior. The other three approaches to caring in nursing focus on other major tenets related to caring. Watson's Theory of Human Care emphasizes the role of authentic caring relationships in healing. Leininger's Theory of Culture Care Diversity emphasizes actions that preserve, maintain, and accommodate the cultures of diverse clients, and Boykin and Schoenhofer's Nursing as Caring Theory describes caring as an essential aspect of nursing and a process rather than a mere goal.

Question 3

The pediatric nurse is caring for a 17-year-old client who has type 1 diabetes.What caring intervention can the nurse implement as the client transitions to adulthood?
A)Advocate for the client to receive pain-relieving interventions for routine procedures such as blood glucose tests.
B)Encourage the client to use a retail clinic for acute care problems unrelated to diabetes.
C)Emphasize the importance of having a medical home to routinely monitor and treat chronic conditions.
D)Provide recommendations for a provider who can integrate all findings from specialists into a comprehensive overview.

Accepted Answer

As the client transitions to adulthood, the nurse should emphasize the importance of having a medical home to routinely monitor and treat chronic conditions, such as diabetes. This will ensure that the client receives consistent, comprehensive care and has a healthcare provider who understands their unique health needs. Advocating for pain-relieving interventions and providing recommendations for a provider who can integrate findings from specialists are also important interventions, but they do not specifically address the transition to adulthood for a client with type 1 diabetes. Encouraging the use of a retail clinic is not recommended as it may not provide appropriate or comprehensive care for a client with a chronic condition like diabetes.

Question 4

The nurse is caring for an older adult client who visits the clinic semiannually to help maintain quality of life.When providing caring interactions to this client,what intervention should the nurse avoid?
A)Self-care
B)Assessment for mental health problems
C)Referral to a geriatrician
D)Use of elderspeak

Accepted Answer

The nurse should avoid using elderspeak, which refers to a manner of speaking to older adults that is patronizing and assumes cognitive decline. This can have negative effects on the client's self-esteem and may lead to a decrease in quality of life. Self-care, assessment for mental health problems, and referral to a geriatrician are all appropriate interventions for maintaining the client's quality of life.

Question 5

During a care conference,the nursing student differentiates between the different theories of caring when discussing client care.Which type of knowledge is the student demonstrating?
A)Aesthetic knowing
B)Ethical knowing
C)Personal knowing
D)Empirical knowing

Accepted Answer

A) This student is exhibiting empirical knowing as the student is able to analyze the different theories of caring. Aesthetic knowing is the art of nursing and is expressed in creativity and style in meeting the needs of the client. Personal knowing is concerned with knowing, encountering, and actualizing the concrete, individual self. Ethical knowing focuses on matters of obligation or what ought to be done, and goes beyond simply following the ethical codes of the discipline. Empirical knowledge is systematic and helps to describe, explain, and predict phenomena.
B) This student is exhibiting empirical knowing as the student is able to analyze the different theories of caring. Aesthetic knowing is the art of nursing and is expressed in creativity and style in meeting the needs of the client. Personal knowing is concerned with knowing, encountering, and actualizing the concrete, individual self. Ethical knowing focuses on matters of obligation or what ought to be done, and goes beyond simply following the ethical codes of the discipline. Empirical knowledge is systematic and helps to describe, explain, and predict phenomena.
C) This student is exhibiting empirical knowing as the student is able to analyze the different theories of caring. Aesthetic knowing is the art of nursing and is expressed in creativity and style in meeting the needs of the client. Personal knowing is concerned with knowing, encountering, and actualizing the concrete, individual self. Ethical knowing focuses on matters of obligation or what ought to be done, and goes beyond simply following the ethical codes of the discipline. Empirical knowledge is systematic and helps to describe, explain, and predict phenomena.
D) This student is exhibiting empirical knowing as the student is able to analyze the different theories of caring. Aesthetic knowing is the art of nursing and is expressed in creativity and style in meeting the needs of the client. Personal knowing is concerned with knowing, encountering, and actualizing the concrete, individual self. Ethical knowing focuses on matters of obligation or what ought to be done, and goes beyond simply following the ethical codes of the discipline. Empirical knowledge is systematic and helps to describe, explain, and predict phenomena.

Question 6

During a performance appraisal,a unit manager praises a staff nurse on the ability to use presencing when caring for terminally ill clients.What did the nurse demonstrate that would exemplify this caring behavior? Select all that apply.
A)Face-to-face discussions with clients
B)Instructing clients on how they should perform certain functions
C)Sitting quietly with clients
D)Validating the client's experience through active listening
E)Guaranteeing quality and safety in care

Accepted Answer

A)Presencing is a nursing concept that involves the interpersonal arts of perception and communication. Presencing is described as face-to-face discussions, silent immersions, and lingering presence. Instructing clients on how they should perform certain functions empowers the client. Guaranteeing quality and safety in care demonstrates competence. Validating the client's experience through active listening demonstrates compassion.
B)Presencing is a nursing concept that involves the interpersonal arts of perception and communication. Presencing is described as face-to-face discussions, silent immersions, and lingering presence. Instructing clients on how they should perform certain functions empowers the client. Guaranteeing quality and safety in care demonstrates competence. Validating the client's experience through active listening demonstrates compassion.
C)Presencing is a nursing concept that involves the interpersonal arts of perception and communication. Presencing is described as face-to-face discussions, silent immersions, and lingering presence. Instructing clients on how they should perform certain functions empowers the client. Guaranteeing quality and safety in care demonstrates competence. Validating the client's experience through active listening demonstrates compassion.
D)Presencing is a nursing concept that involves the interpersonal arts of perception and communication. Presencing is described as face-to-face discussions, silent immersions, and lingering presence. Instructing clients on how they should perform certain functions empowers the client. Guaranteeing quality and safety in care demonstrates competence. Validating the client's experience through active listening demonstrates compassion.
E)Presencing is a nursing concept that involves the interpersonal arts of perception and communication. Presencing is described as face-to-face discussions, silent immersions, and lingering presence. Instructing clients on how they should perform certain functions empowers the client. Guaranteeing quality and safety in care demonstrates competence. Validating the client's experience through active listening demonstrates compassion.

Question 7

In holistic nursing,the nurse should emphasize the client's personal responsibility in maintaining health.This idea is most closely related to which concept in caring interventions?
A)Nursing presence
B)Empowerment
C)Compassion
D)Competence

Accepted Answer

Empowerment is the concept that encourages individuals to take charge of their own health and wellness, which aligns with the idea that the client has personal responsibility in maintaining their health. Nursing presence refers to being fully present with the client in a supportive and therapeutic manner. Compassion refers to the empathetic understanding of the client's experiences. Competence refers to the proficiency and effectiveness in performing nursing interventions. While all of these concepts may be present in holistic nursing, the emphasis on personal responsibility highlights the importance of empowerment.

Question 8

The nurse decides to take a few days of personal time to invest in self-nurturing activities.Which activities indicate the nurse is taking steps to care for self? Select all that apply.
A)Sleeping 4 hours each night
B)Eating one meal a day
C)Being active in church
D)Participating in regular exercise
E)Participating in daily meditation

Accepted Answer

A) Some examples of activities that can help the nurse care for self include a balanced diet, regular exercise, adequate rest and sleep, recreational activities, and meditation and prayer. Eating only once a day and sleeping for an hour each night are not activities that help the nurse care for self.
B) Some examples of activities that can help the nurse care for self include a balanced diet, regular exercise, adequate rest and sleep, recreational activities, and meditation and prayer. Eating only once a day and sleeping for an hour each night are not activities that help the nurse care for self.
C) Some examples of activities that can help the nurse care for self include a balanced diet, regular exercise, adequate rest and sleep, recreational activities, and meditation and prayer. Eating only once a day and sleeping for an hour each night are not activities that help the nurse care for self.
D) Some examples of activities that can help the nurse care for self include a balanced diet, regular exercise, adequate rest and sleep, recreational activities, and meditation and prayer. Eating only once a day and sleeping for an hour each night are not activities that help the nurse care for self.
E) Some examples of activities that can help the nurse care for self include a balanced diet, regular exercise, adequate rest and sleep, recreational activities, and meditation and prayer. Eating only once a day and sleeping for an hour each night are not activities that help the nurse care for self.

Question 9

A nurse in a rural community is employed in a facility that has had a shortage of nurses for several years.As a result,several nurses have left the institution citing burnout.To avoid risking burnout,the nurse regularly works out,practices yoga,socializes with friends once or twice a week,and participates in at least one annual national or state nursing conference.This approach to work-life balance reflects which concept within the framework of Caring Interventions?
A)Self-compassion
B)Self-care
C)Self-control
D)Self-actualizing

Accepted Answer

The nurse's approach to work-life balance reflects the concept of self-care, which involves taking intentional actions to promote physical, emotional, and spiritual well-being in order to prevent burnout and enhance work satisfaction. The nurse's practices of working out, practicing yoga, socializing, and attending conferences are all examples of self-care activities. Self-compassion involves treating oneself kindly and understanding one's own limitations and imperfections, but it is not reflected in the nurse's actions described here. Self-control refers to regulating one's own behavior and impulses, and self-actualizing refers to the process of realizing one's full potential. While these concepts may be related to work-life balance and self-care, they are not specifically reflected in the nurse's actions described in this scenario.

Question 10

When a client's or family's wishes about a client's care clash with what the nurse believes would be the best possible care for the client,this could cause a conflict between caring interventions and what other nursing concept?
A)Accountability
B)Ethics
C)Quality Improvement
D)Communication

Accepted Answer

Ethics. When the client's or family's wishes clash with what the nurse believes would be the best possible care for the client, it could create an ethical dilemma for the nurse. The nurse must balance their duty to advocate for the client's best interests with respecting the client's autonomy and right to make decisions about their own care.

Question 11

The family members of a recently deceased client wrote a letter to the unit manager,expressing their appreciation for the way the client was treated while dying in the hospital.The family mentioned characteristics that indicate the nurses were caring.What behaviors did the family most likely use to explain the caring actions of the nurses? Select all that apply.
A)Delivered care with style
B)Treated the client as a human being
C)Respected the client
D)Maintained client confidentiality
E)Established limits with the client

Accepted Answer

A) Caring has been described as encompassing various intentions and actions. There are 10 behaviors within caring, which include appreciating the client as a human being, showing respect for the client, and treating client information confidentially. Delivering care with style describes aesthetic knowing, which includes the concepts of empathy, holistic thinking, compassion, and sensitivity. Establishing or setting limits is an action that a nurse would perform as part of self-care actions.
B) Caring has been described as encompassing various intentions and actions. There are 10 behaviors within caring, which include appreciating the client as a human being, showing respect for the client, and treating client information confidentially. Delivering care with style describes aesthetic knowing, which includes the concepts of empathy, holistic thinking, compassion, and sensitivity. Establishing or setting limits is an action that a nurse would perform as part of self-care actions.
C) Caring has been described as encompassing various intentions and actions. There are 10 behaviors within caring, which include appreciating the client as a human being, showing respect for the client, and treating client information confidentially. Delivering care with style describes aesthetic knowing, which includes the concepts of empathy, holistic thinking, compassion, and sensitivity. Establishing or setting limits is an action that a nurse would perform as part of self-care actions.
D) Caring has been described as encompassing various intentions and actions. There are 10 behaviors within caring, which include appreciating the client as a human being, showing respect for the client, and treating client information confidentially. Delivering care with style describes aesthetic knowing, which includes the concepts of empathy, holistic thinking, compassion, and sensitivity. Establishing or setting limits is an action that a nurse would perform as part of self-care actions.
E) Caring has been described as encompassing various intentions and actions. There are 10 behaviors within caring, which include appreciating the client as a human being, showing respect for the client, and treating client information confidentially. Delivering care with style describes aesthetic knowing, which includes the concepts of empathy, holistic thinking, compassion, and sensitivity. Establishing or setting limits is an action that a nurse would perform as part of self-care actions.

Quiz 35: Caring Interventions

The pediatric nurse is caring for a 17-year-old client who has type 1 diabetes.What caring intervention can the nurse implement as the client transitions to adulthood?

The nurse is caring for an older adult client who visits the clinic semiannually to help maintain quality of life.When providing caring interactions to this client,what intervention should the nurse avoid?

During a care conference,the nursing student differentiates between the different theories of caring when discussing client care.Which type of knowledge is the student demonstrating?

During a performance appraisal,a unit manager praises a staff nurse on the ability to use presencing when caring for terminally ill clients.What did the nurse demonstrate that would exemplify this caring behavior? Select all that apply.

In holistic nursing,the nurse should emphasize the client's personal responsibility in maintaining health.This idea is most closely related to which concept in caring interventions?

The nurse decides to take a few days of personal time to invest in self-nurturing activities.Which activities indicate the nurse is taking steps to care for self? Select all that apply.

When a client's or family's wishes about a client's care clash with what the nurse believes would be the best possible care for the client,this could cause a conflict between caring interventions and what other nursing concept?