Nsg 130 Caring/Advocacy
D.) "I understand that you and your husband have decided to let him speak for you."
The nurse notes that the spouse of a female Hispanic patient answers questions and makes decisions about the patient's care. Which statement should the nurse make when talking with this patient? A.) "I think your husband is too controlling and this is a problem." B.) "I would like to refer you and your husband to counseling." C.) "It is not appropriate for your husband to make your healthcare decisions." D.) "I understand that you and your husband have decided to let him speak for you."
D.) Report the occurrence to the nurse manager.
The nurse notices a coworker using a cell phone to take pictures of a comatose patient. Which action should the nurse take? A.) Ask the coworker to immediately delete the pictures from the phone. B.) Assume the coworker was taking pictures to upload to the patient's medical chart. C.) Ask the coworker why they were taking pictures of the patient. D.) Report the occurrence to the nurse manager.
C.) "It is primarily concerned with moral codes."
The nurse preceptor explains ethical knowing to a nurse who has recently graduated. Which statement by the recently graduated nurse requires further teaching about ethical knowing? A.) "It involves all voluntary actions that are deliberate and subject to the judgment of right and wrong." B.) "To develop this knowledge, nurses must understand the current codes of ethics outlined for nurses, in addition to the values held by the institution in which they work." C.) "It is primarily concerned with moral codes." D.) "Nurses should possess an understanding of different philosophical positions regarding what is good."
A.) Using simplified speech, with shorter sentences and words
The nurse preceptor is helping a new graduate care for an older adult patient in the clinic. Which behavior by the new graduate would require follow-up with the colleague? A.) Using simplified speech, with shorter sentences and words B.) Allowing longer time for appointments C.) Encouraging the patient to do volunteer work D.) Giving up-to-date and extensive health information
D.) Develop programs to educate the larger community
The nurse researches ways to become an effective community advocate. Which method should the nurse use to remove environmental hazards? A.) Develop protocols for cancer treatment B.) Develop discharge teaching plans C.) Teach patients who come to the clinic D.) Develop programs to educate the larger community
A.) A confused older patient
The nurse reviews advocacy and patient autonomy with a new nurse. Which patient should the nurse explain may be limited in making autonomous decisions? A.) A confused older patient B.) An adolescent with traumatic injuries following a motor vehicle crash C.) Parents of an 18-month-old child D.) A patient who designates the spouse to make all healthcare decisions
D.) "The goal of patient advocacy is to assist our patients to receive services or rights that benefit them, but that they may not otherwise receive."
The nurse reviews patient advocacy with a new nurse. Which statement indicates that teaching about the goals of advocacy have been effective? A.) "The goal of patient advocacy is to achieve positive outcomes for all patients." B.) "The goal of patient advocacy is to communicate the patient's needs to other members of the healthcare team." C.) "The goal of patient advocacy is to provide nurses with a sense of professional satisfaction." D.) "The goal of patient advocacy is to assist our patients to receive services or rights that benefit them, but that they may not otherwise receive."
A.) Environmental quality
The nurse reviews the Healthy People 2020 high-priority list. Which condition should the nurse consider to be a leading health indicator? A.) Environmental quality B.) Heart disease C.) Diabetes mellitus D.) Flu vaccinations
A.) National Resources Defense Council (NRDC)
The nurse reviews ways to eliminate environmental hazards with a group of community leaders. Which agency should the nurse mention that is responsible for monitoring air and water quality? A.) National Resources Defense Council (NRDC) B.) Centers for Disease Control (CDC) C.) American Nurses Association (ANA) D.) Environmental Defense Fund (EDF)
B.) Steady gait
The nurse suspects that a peer is impaired. Which peer behavior should help alleviate the nurse's concern about possible impairment? A.) Mood swings B.) Steady gait C.) Tremors D.) Wearing long sleeves in a hot climate
A.) Representing the patient's needs and wishes to other healthcare professionals
The nurse who is bilingual is caring for a patient who speaks only Spanish. In which way should the nurse advocate for this patient? A.) Representing the patient's needs and wishes to other healthcare professionals B.) Signing consent forms on the patient's behalf C.) Discussing the patient's care with the patient's visitors D.) Arranging for bill payment for the patient
B.) "Let me share several options with you, and you can choose."
The patient asks the nurse about ways to decrease anxiety. Which is the best response from a nurse to implement presencing? A.) "Yoga will give you flexibility as well as calmness." B.) "Let me share several options with you, and you can choose." C.) "Medication is the option that your provider recommended." D.) "I will stay with you until you are less anxious."
C.) Empowerment
The patient tells the nurse, "You helped me learn how to recognize my own health needs without telling me how I should think." Which nursing caring behavior or process is the patient describing? A.) Competence B.) Compassion C.) Empowerment D.) Presencing
A.) Throughout the life of the nurse, the nurse finds different ways to express caring.
Which statement is an example of caring as an evolutionary process? A.) Throughout the life of the nurse, the nurse finds different ways to express caring. B.) Caring is a skill that the nurse masters before licensure. C.) Caring is developed early in childhood through modeling. D.) The nurse's early experiences and training creates a static baseline of caring.
D.) Aesthetic knowing
Which way of knowing encompasses the "art of nursing"? A.) Empirical knowing B.) Personal knowing C.) Ethical knowing D.) Aesthetic knowing
C.) A nurse recovering from surgery takes a pain pill during lunch
Which situation should the nurse identify that may result in an unsafe situation for a patient? A.) A coworker has posted about a patient on social media B.) A nurse has posted a picture with a patient currently admitted on a social media site C.) A nurse recovering from surgery takes a pain pill during lunch D.) A nurse coerces a patient to sign a consent form
C.) 6-year-old with asthma
A community is experiencing an increase in ground-level ozone because of recent wildfires, heat, and stagnant air. Which patient should the nurse expect to seek medication attention because of the increase in air pollution? A.) 12-year-old with type 1 diabetes mellitus B.) 65-year-old with type 2 diabetes mellitus C.) 6-year-old with asthma D.) 83-year-old recovering from a stroke
C.) "Tell me about your beliefs and values regarding medicine."
A patient is reluctant to agree to have the pneumonia vaccination. To better advocate for the patient, which question should the nurse ask? A.) "Why don't you want to take the vaccine?" B.) "I will document your refusal of the vaccine in your chart." C.) "Tell me about your beliefs and values regarding medicine." D.) "Do you trust your healthcare provider?"
B.) Providing adequate, age-appropriate information about the disease and treatment options
A school-age patient with cancer wants to learn about the disease process in order to participate in decision-making about care. Which action should the nurse take? A.) Telling the patient's mother that they needs to explain things to their child B.) Providing adequate, age-appropriate information about the disease and treatment options C.) Informing the healthcare team that the child is going to be a problem D.) Distracting the child with a video game
D.) Recommending support measures that safeguard the environment
The nurse is advocating for improved housing in the community. Which action should the nurser take to help influence legislative decisions? A.) Teaching schools about preventing the spread of infections B.) Teaching parents about how to avoid lead poisoning C.) Teaching to parents about vaccine safety D.) Recommending support measures that safeguard the environment
A.) Increased risk for certain birth defects
Hazardous waste may have been dumped near a local community school. Which information should be communicated to members of the community? A.) Increased risk for certain birth defects B.) Increase in the incidence of smoking C.) Increased risk for flu outbreak D.) Increased risk for a wildfire through that section of the community
B.) Empirical
In which type of knowing are nurses engaging when going to the library to explore scientific research to help direct patient care? A.) Aesthetic B.) Empirical C.) Personal D.) Ethical
A.) Increase in smoking rates over the last 5 years
The nurse is attending a meeting regarding the health of a community. Which condition should the nurse identify as an environmental health hazard? A.) Increase in smoking rates over the last 5 years B.) Low level of compliance with tuberculosis treatments C.) Increased incidence of the flu D.) Closure of a gym where many children went after school
A.) "Nurses who are substance abusers feel they are vulnerable to addiction."
The nurse manager is teaching the staff about substance abuse among nurses. Which statement by a nurse about risk factors requires further teaching? A.) "Nurses who are substance abusers feel they are vulnerable to addiction." B.) "Easy access to medications is a risk factor for substance abuse among nurses." C.) "The role strain experienced by nurses is a factor in substance abuse." D.) "The inclination of nurses to self-diagnose contributes to substance abuse."
B.) Exposure to particulate matter
The community health nurse is assessing environmental hazards that increase the risk of cancer. Which factor should the nurse identify as being the least concern? A.) Exposure to ionizing radiation B.) Exposure to particulate matter C.) Exposure to industrial chemicals D.) Exposure to secondhand smoke
B.) The nurse seeks a genuine relationship of trust between the nurse and patient.
The experienced nurse teaches the newly graduated nurse about personal knowing. Which is an example of the use of self? A.) The nurse seeks to educate the patient on issues that the nurse knows more about. B.) The nurse seeks a genuine relationship of trust between the nurse and patient. C.) The nurse sees the patient as a problem to be fixed. D.) The nurse prioritizes tasks that need to be done for the patient.
A.) Americans with Disabilities Act of 1990 (ADA)
The family of a patient with Down syndrome seeks assistance because the patient was recently denied employment. The nurse should refer to which piece of federal legislation when advocating for this patient? A.) Americans with Disabilities Act of 1990 (ADA) B.) Patient Protection and Affordable Care Act of 2010 (PPACA) C.) Social Security Act Amendments of 1965 (SSA) D.) Patient Self-Determination Act of 1991 (PSDA)
C.) Child with asthma
The nurse cares for patients in a clinic located in an area where ground-level ozone forms at high levels. Which patient should the nurse identify that is more at risk for developing an air quality related respiratory illness? A.) Child living in an older home with peeling paint B.) Child recently diagnosed with measles C.) Child with asthma D.) Child who has not been vaccinated
A.) "Compassion can exist well without competence in nursing."
The nurse explains to a colleague the relationship of compassion with competence. Which information, when stated by the colleague, would require correction by the nurse? A.) "Compassion can exist well without competence in nursing." B.) "Compassion must coexist with competence for good nursing." C.) "Competence without compassion can seem impersonal." D.) "Compassion without competence can be unsafe for the patient."
C.) Compassion
The nurse has recently returned to work after recovering from surgery. Having recently been a patient, which aspect about postsurgical patients would the nurse most likely have developed? A.) Autonomy B.) Empowerment C.) Compassion D.) Justice
B.) "Drink this juice. It is good for you."
The nurse hears an unlicensed assistive personnel (UAP) speaking to an older adult patient in the home. The nurse should follow up with the UAP after hearing which statement? A.) "Have you thought about volunteering in your community?" B.) "Drink this juice. It is good for you." C.) "What kinds of activities do you do for fun?" D.) "What activity can I help you with today?"
A.) Right to safety
The nurse is advocating for a patient with a mental health disorder. Which issue should the nurse be aware of to protect the patient's personal rights? A.) Right to safety B.) Public transportation issues C.) Clinic schedule requirements D.) Healthcare provider schedule preferences
A.) Proximity to a facility that treats hazardous waste
The nurse is advocating for additional funding for an elementary school with an abnormally high number of children with birth defects. Which should the nurse suspect as being the most likely environmental cause for these birth defects? A.) Proximity to a facility that treats hazardous waste B.) Increase in the incidence of smoking C.) A recent flu outbreak D.) A wildfire that swept through that section of the community
C.) Encouraging the patient to tell the surgeon that she wants to speak with her tribal healer before deciding whether to have surgery
The nurse is caring for a female American Indian patient who requires surgery. The patient states, "I want to talk with my tribe's healer before I make my decision, but that surgeon seems like she's in a hurry for me to make up my mind." In the context of Leininger's theory of culture care diversity and universality, which nursing action represents culture care accommodation and/or negotiation? A.) Talking with the surgeon to advocate for the patient's desire to speak with her tribal healer before making any decisions B.) Supporting the patient in her decision to speak with her tribal healer before making any decisions about her healthcare C.) Encouraging the patient to tell the surgeon that she wants to speak with her tribal healer before deciding whether to have surgery D.) Asking the patient if she is comfortable with speaking to the surgeon again to discuss how the surgery may affect her health
B.) Collaboration with other healthcare providers
The nurse is caring for a patient recently diagnosed with diabetes mellitus. The nurse should realize that which advocacy intervention would least promote patient empowerment? A.) A thorough explanation of all treatment options B.) Collaboration with other healthcare providers C.) Addressing both potential benefits and risks when explaining treatment options D.) Providing the patient with an opportunity to ask questions
C.) Monitor the quality and safety of healthcare delivered to the patient.
The nurse is caring for a patient who is sedated and on a ventilator. Which approach should the nurse take when acting on behalf of the patient? A.) Help the patient to reach healthcare goals. B.) Provide the patient with a thorough and sensitive explanation of all treatment options. C.) Monitor the quality and safety of healthcare delivered to the patient. D.) Elicit the patient's concerns, ideas, and expectations.
A.) A recent heat wave coupled with pollutants from a local factory
The nurse is caring for a school-age patient with an acute exacerbation of asthma. Which recent event should the nurse suspect as the most likely cause for the patient's acute illness? A.) A recent heat wave coupled with pollutants from a local factory B.) A recent snowstorm C.) Exposure to disinfection by-products in the drinking water D.) Exposure to ionizing radiation
D.) Aesthetic knowing is the art of nursing, while ethical knowing transcends mere following of moral codes.
The nurse is comparing aesthetic knowing with ethical knowing. Which statement should the nurse identify as true about aesthetic and ethical knowing? A.) Aesthetic knowing is the science of nursing, while ethical knowing is the art of nursing. B.) Aesthetic knowing is the art of nursing, while ethical knowing is the science of nursing. C.) Aesthetic knowing is the science of nursing, while ethical knowing involves providing culturally competent care. D.) Aesthetic knowing is the art of nursing, while ethical knowing transcends mere following of moral codes.
C.) "The nurse's lack of confidence could interfere with patient trust, causing cultural barriers to be more challenging."
The nurse is discussing with a colleague how to apply Roach's theory of caring to clinical practice. Which statement represents the colleague's correct understanding of how confidence can affect cultural influences? A.) "Confidence includes empathizing with the patient in order to be aware of the patient's cultural influences." B.) "Confidence incorporates awareness of personal responsibility, which is affected by the patient's cultural influences." C.) "The nurse's lack of confidence could interfere with patient trust, causing cultural barriers to be more challenging." D.) "Confidence reflects the nurse's understanding that culture influences a patient's moral and ethical beliefs."
D.) Comparing self with others
The nurse is evaluating current practices that affect the self-esteem of staff members. Which behavior should the nurse address? A.) Attending continuing education conferences B.) Finding a mentor C.) Practicing hands-on skills D.) Comparing self with others
C.) "Caring is reflected when viewing the patient's illness as being of central importance."
The nurse is explaining to colleagues the meaning of caring in nursing. Which statement by a colleague requires clairification? A.) "Caring is the essence of nursing." B.) "Caring is a central and unifying feature of all humanistic theories." C.) "Caring is reflected when viewing the patient's illness as being of central importance." D.) "Caring theories grew out of humanism."
D.) Implementing self scheduling
The nurse is exploring strategies to improve safety on the unit. Which scheduling policy would be appropriate? A.) Limiting breaks during the nurse's shift B.) Enforcing punitive actions for nurses who reject a work assignment based on fatigue C.) Utilizing mandatory overtime as a staffing solution D.) Implementing self scheduling
A.) Assist the patient to reach healthcare goals.
The nurse is reviewing advocacy actions for a patient who is sedated and on a ventilator. Which intervention to demonstrate advocacy should the nurse alter? A.) Assist the patient to reach healthcare goals. B.) Monitor the quality and safety of healthcare delivered to the patient. C.) Ensure the patient has appropriate legal representation. D.) Intervene when necessary to express the patient's wishes, directives, and best interests.
C.) "Which of these healthy choices would you prefer?"
The nurse is teaching a patient about healthy choices for eating. Which response shows that the nurse is using presencing? A.) "Which of these healthy choices did your physician say you could eat?" B.) "Which of these healthy choices did you eat as a child?" C.) "Which of these healthy choices would you prefer?" D.) "Which of these healthy choices did you eat in the hospital?"
B.) "We should keep the storm drains clear of trash."
The nurse is teaching at a local school about a new public policy to keep the waterways cleaner. Which statement by a student should indicate to the nurse that teaching was effective? A.) "It's okay to wash harsh chemicals down the drain." B.) "We should keep the storm drains clear of trash." C.) "To keep medicine away from children, it is okay to flush any leftover medication." D.) "Our pet's waste makes good fertilizer."
A.) Fresh fruit and unsalted peanuts
The nurse manager promotes healthy nutrition for self-care. Which snacks should the manager encourage on the unit? A.) Fresh fruit and unsalted peanuts B.) Granola bars and candy bars C.) Unsalted peanuts and chocolate D.) Apples and mint candies
A.) Nurses are inspired to care for others when they are cared for themselves.
There is a severe staffing shortage at the hospital. Which is the primary reason that nurses should support each other? A.) Nurses are inspired to care for others when they are cared for themselves. B.) They see caring modeled for them. C.) They do not notice the shortage of staff so much. D.) They tend to be more loyal to their employer.
A.) Aesthetic
When the nurse shows empathy to a patient in pain, which way of knowing is demonstrated? A.) Aesthetic B.) Empirical C.) Ethical D.) Personal
A.) Denying prejudices
Which behavior would be considered a hinderance to self-awareness and thus self-care? A.) Denying prejudices B.) Being able to identify strengths and weaknesses C.) Being conscious of beliefs D.) Increasing empathy and respect
B.) Providing nursing care that recognizes the body, mind, and spirit
Which element was especially important to the theory Watson developed? A.) Providing nursing care that includes respect for the patient's culture B.) Providing nursing care that recognizes the body, mind, and spirit C.) Providing nursing care that does not occur in a vacuum D.) Providing nursing care that is not static
B.) Urinary tract defects
Which health hazard should the nurse identify that could be related to drinking water contaminated by disinfection by-products? A.) Cleft palate defects B.) Urinary tract defects C.) Developmental problems D.) Down syndrome
A.) Allowing the patient's parents to stay during an examination
Which intervention is appropriate for caring for preschool children? A.) Allowing the patient's parents to stay during an examination B.) Insisting that parents leave during an examination C.) Offering the patient a choice of whether the parents stay during the examination D.) Performing procedures on the parents before doing them on the child
D.) Conducting an experiment
Which is an example of empirical knowing? A.) Having subjective feelings about a patient B.) Deciding what the best course of action would be C.) Achieving self-actualization D.) Conducting an experiment
C.) Caring relationships can have a positive impact on a patient's health.
Which statement illustrates Jean Watson's theory of human care? A.) Caring reflects being supportive of a patient's positive, not negative, feelings. B.) Competence is the core of nursing. C.) Caring relationships can have a positive impact on a patient's health. D.) Caring addresses the body first.
