Chapter 18 Caring in Nursing Practice

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Chapter 18  Caring in Nursing Practice

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. A 72-year-old great-grandmother has always considered herself to be in good health. She has always been a few pounds overweight, so a few months ago when she began losing weight she was delighted, although her daughter thought she ought to seek medical care. About a month ago she also became easily fatigued, which interfered with her active lifestyle. She decided to make an appointment with her health care provider. Which of the following was the most likely reason for the woman to seek health care?
A.
Her daughter’s urging
B.
Her unexplained weight loss
C.
Time for her annual checkup
D.
Her fatigue

ANS: D
Some persons have a disease (e.g., arthritis or diabetes) but do not experience the sense of being ill. An individual usually does not seek health care until there is a disruption, loss, or concern.

PTS: 1 DIF: Cognitive Level: Analysis REF: 524
OBJ: Discuss the evidence that exists about patients’ perceptions of caring
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

2. Madeleine Leininger identifies the concept of care as setting nursing apart from other health care disciplines. Which of the following examples best demonstrates the concept of caring within nursing?
A.
Performing a physical assessment
B.
Inserting a Foley catheter
C.
Measuring vital signs
D.
Exploring personal preferences

ANS: D
Acts of caring refer to the direct or indirect nurturant and skillful activities, processes, and decisions that assist people in ways that are empathetic, compassionate, and supportive.

PTS: 1 DIF: Cognitive Level: Analysis REF: 524
OBJ: Discuss the evidence that exists about patients’ perceptions of caring
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

3. Which of the following statements by a nurse demonstrates attentive reassurance?
A.
“The procedure you are having done isn’t painful and shouldn’t last more than an hour.”
B.
“The machine used to test your pulse-oximetry reading uses two kinds of light.”
C.
“I am going to insert a 24-gauge cannula into your basilic vein.”
D.
“The automatic blood pressure machine will cycle every 15 minutes.”

ANS: A
Patients perceive nurses to be caring when they are accessible and show interest in the patient’s well-being. Being able to foresee the future (whatever it holds) and confidently express possibilities often gives patients hope. Attentive reassurance is consistent with Watson’s faith, hope, sensitivity, and helping-trust relationship factors. It is also consistent with Swanson’s maintaining belief.

PTS: 1 DIF: Cognitive Level: Analysis REF: 528
OBJ: Discuss the role that caring plays in building nurse-patient relationships
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

4. Dr. Harris was hospitalized with pneumonia. He had always been very healthy and was concerned that now his family had to take care of him. During one conversation that he had with his nurse in which he told her that he was worried that he was a burden to his family, she said to him, “This give the ones who love you a chance to show you how much they care for you.” The comment that the nurse made best demonstrated which behavior?
A.
Human respect
B.
Encouraging manner
C.
Healing environment
D.
Basic human needs

ANS: B
When a nurse remains poised and cheerful and points out the good in a difficult situation, patients perceive these behaviors as caring. Having an encouraging manner also involves helping a patient deal with negative feelings.

PTS: 1 DIF: Cognitive Level: Application REF: 528
OBJ: Discuss the role that caring plays in building nurse-patient relationships
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

5. A registered nurse who works for an orthopedic unit of an acute care hospital makes hourly rounds to his patients. He also closes the door and pulls the curtains around the beds of patients in private rooms before exposing them for treatments. This is an example of which of the following behaviors?
A.
Human respect
B.
Encouraging manner
C.
Healing environment
D.
Basic human needs

ANS: C
A healing environment, for example, is one where nurses check patients frequently, respect patient privacy, and treat the body carefully. Such an environment leads patients to a sense of security and protection from harm.

PTS: 1 DIF: Cognitive Level: Application REF: 528
OBJ: Discuss the role that caring plays in building nurse-patient relationships
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

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