Chapter 3 Understanding the Changing Roles in Nursing

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Chapter 3  Understanding the Changing Roles in Nursing

 

 

Complete chapter Questions And Answers
 

Sample Questions

 

 

Chapter 3: Understanding the Changing Roles in Nursing

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

The nurse is teaching a group about paradigm thinking and defines it as what?

  1. One’s mathematical knowledge and ability to solve math problems
  2. The ability to see 20 feet away without wearing glasses
  3. An individual’s perception or frame of reference about the world
  4. A nurse’s ability to solve patient-care problems

Most nursing paradigms are based on what?

  1. The nurse’s ability to perform procedures with skill
  2. Dr. Jean Watson’s transpersonal caring theory
  3. Maslow’s theory of hierarchy of needs
  4. Learning by studying nursing theories and clinical experiences

The increasing use of licensed practical nurses (LPNs) in management positions, especially in long-

term care facilities, is an example of what?

  1. Assertive management
  2. A shifting paradigm
  3. Critical thinking
  4. Smarter LPN graduates

Why is critical thinking necessary for the nurse to identify and understand paradigms that exist in

nursing practice?

  1. Critical thinking allows the nurse to make superficial decisions.
  2. Critical thinking allows the nurse to thoroughly examine situations and issues.
  3. Critical thinking provides the nurse with quick answers.
  4. Critical thinking allows the nurse to accept information without needing to check

    its validity.

The nurse values respect for the individual, more than anything else, as defining high-quality patient

care. What does this describe about the nurse?

  1. Critical thinking
  2. Caritas
  3. Paradigm
  4. Hierarchy of needs

The nurse reads a peer-reviewed nursing journal article that recommends changing the procedure for caring for a patient with an indwelling urinary catheter. The nurse displays critical thinking with what action?

  1. Changing how the nurse provides care for a patient with an indwelling catheter according to the article
  2. Taking the journal article to the nurse manager and suggesting the procedure be rewritten
  3. Searching for other peer-reviewed articles that support this author’s recommendation

4. Ignoring the article and following the procedure as written at the facility where the nurse works

The nurse applies Maslow’s hierarchy of needs to what aspect of care?

  1. Judging the patient’s behavior
  2. Improving the skillfulness of care
  3. Understanding the patient’s behavior
  4. Improving communication skills

 

Chapter 3: Understanding the Changing Roles in Nursing Answer Section

MULTIPLE CHOICE

1. ANS: 3
Paradigm refers to a model, theory, assumption, or a frame of reference. Generally, it means the way a person “sees” the world; this does not refer to a person’s visual sight, but a person’s mental perception.

PTS: 1 REF: Chapter: 3 OBJ: Objective: 1
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding

2. ANS: 4
Most nursing paradigms, or ways of seeing nursing practice, are based on learning through theories or clinical experiences. Culture is another paradigm that impacts nursing.

PTS: 1 REF: Chapter: 3 OBJ: Objective: 1
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

3. ANS: 2
The use of LPNs in more management positions is a paradigm shift. A shifting paradigm is a break with older ways of thinking. This shift changes the world of those who experience it, and it is the source of attitudes and behaviors.

PTS: 1 REF: Chapter: 3 OBJ: Objective: 2
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

4. ANS: 2
The LPN must have the tools to identify paradigm strategies. One tool is critical thinking, which allows the nurse to identify existing paradigms and to devise strategies needed to shift paradigms. Critical thinking also allows the nurse to be open to alternative ways of thinking and to be wary of “quick-fix” solutions.

PTS: 1 REF: Chapter: 3 OBJ: Objective: 3
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

5. ANS: 3
Respect is the nurse’s perspective of how care should be delivered, so this describes the nurse’s paradigm.

PTS: 1 REF: Chapter: 3 OBJ: Objective: 2
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

6. ANS: 3
The critically thinking nurse seeks further support for the author’s conclusions to determine if further research is available.

PTS: 1 REF: Chapter: 3 OBJ: Objective: 3
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

7. ANS: 3
Maslow’s hierarchy of needs allows the nurse to understand the patient’s behavior by recognizing the level of need from which the patient is operating.

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