NURS 3102 Quiz 1: Caring
A
A hospice nurse sits at the bedside of a male patient in the final stages of cancer. He and his parents made the decision that he would move home and they would help him in the final stages of his disease. The family participates in his care, but lately the nurse has increased the amount of time spent with the family. Whenever the nurse enters the room or approaches the patient to give care, the nurse touches his shoulder and states, "I am your nurse, and I am here for you." This is an example of what type of touch. A: Caring touch B: Protective touch C: Task-oriented touch D: Interpersonal touch
A
A nurse encounters the patient's wife, who is tearful and worried. Her husband was just transferred from his room to the operating room for a complex cardiovascular surgery. The nurse brings the wife a glass of water and encourages her to talk about her fears. The nurse remains in the room quietly listening. What caring behaviors is the nurse demonstrating? (Select all that apply.) 1. Touching 2. Listening 3. Knowing 4. Presence 5. Spiritual care A: 2, 4 B: 2, 3, 5 C: 4, 5 D: 2, 5
A
A nurse is caring for a patient newly diagnosed with testicular cancer. He asked the nurse to help him find the meaning of cancer by supporting beliefs about life. This is an example of: 1. Instilling hope and faith. 2. Forming a human-altruistic value system. 3. Cultural caring. 4. Being with. A: 1 B: 2 C: 3 D: 4
B
A nurse is caring for a patient who has just transferred from an intensive care unit and still has a long hospitalization ahead. Because of the complexity of care and the number of caregivers for this patient, the family members feel disconnected from their loved one and not part of the care team. Which interventions would demonstrate care by helping family members? (Select all that apply.) 1. Helping family become active participants in care 2. Removing family members from assisting with the patient's personal care 3. Allowing the family to offer opinions on health care decisions for the patient 4. Providing the family opportunities to discuss their concerns with the health care team 5. Planning uninterrupted time for the family and patient to be together A: 1, 3, 5 B: 1, 4, 5 C: 1, 3, 4 C: 2, 3, 5
C
A nurse needs to use clinical judgment before planning and implementing any touch interventions. What does the nurse need to understand about the use of touch? (Select all that apply.) 1. Some cultures may have specific restrictions about non-skill based touch. 2. Touch is a form of nonverbal communication. 3. Touch reduces only physical pain. 4. Touch can successfully influence a patient's level of comfort. 5. There is never a problem with using touch at any time. A: 2, 4 B: 1, 2, 3 C: 1, 2, 4 D: 2, 4, 5
D
A patient is fearful of upcoming surgery and a possible cancer diagnosis. He discusses his love for the Bible with his nurse, who recommends a favorite Bible verse. Another nurse tells the patient's nurse that there is no place in nursing for spiritual caring. What is the best response by the patient's nurse? 1. "You're correct; spiritual care should be left to a pastoral care professional." 2. "You're correct; religion is a personal decision." 3. "Nurses should explain their own religious beliefs to patients." 4. "Spiritual, mind, and body connections can affect health." A: 1 B: 2 C: 3 D: 4
C
A young woman comes to a clinic for the first time for a gynecological examination. She asks about the procedure, who will be in the room with her, and does she have to remove all her clothes. Which nursing behavior applies Swanson's caring process of "knowing" the patient? 1. Sharing feelings about the importance of having regular gynecological examinations 2. Explaining risk factors for cervical cancer 3. Recognizing that the patient is modest and maintaining her privacy during the examination 4. Asking the patient what it means to have a vaginal examination A: 1 B: 2 C: 3 D: 4
G
All of the following are Watson's Carative Factors EXCEPT: A: Forming a human-altruistic value system B: Instilling faith-hope C: Cultivating a sensitivity to one's self and to others D: Developing a helping, trusting, human caring relationship E: Promoting and expressing positive and negative feelings F: Using creative problem-solving, caring process G: Collaborating effectively with all members of the healthcare team H: Promoting transpersonal teaching-learning I: Promoting a supportive, protective, and/or corrective mental, societal, and spiritual environment J: Meeting human needs K: Allowing for existential-phenomenological-spiritual forces L: All above are correct
G
All of the following are caring aspects of Duffy's Quality Care Model EXCEPT: A: Basic human needs B: Affiliation needs C: Healing environment D: Appreciation of unique meanings E: Encouraging manner F: Mutual problem-solving G: Cultural sensitivity H: Attentive reassurance I: Human respect J: All above are correct
B
All of the following are caring processed from Swanson's Theory of Caring EXCEPT: A: Knowing B: Collaborating C: Being with D: Doing for E: Enabling F: Maintaining belief G: All above are correct
E
All of the following are caring relationships included in Duffy's Quality Caring Model EXCEPT: A: Caring for self B: Caring for others and communities C: Caring for patients and families D: Caring for health professionals and health systems E: All above are correct
G
All of the following are challenges of caring EXCEPT: A: Task-oriented biomedical model B: Institutional demands C: Time constraints D: Reliance on technology E: Cost-effective strategies F: Standardized work processes G: All above are correct
E
All of the following are true of family care as an aspect of caring in nursing practice EXCEPT: A: Caring for an individual includes a person's family B: Nurses should help family caregivers be an active participant C: Understand the stress the patient's illness places on family members D: Make sure the family trusts you in delivering care E: Family does not include friends G: All above are correct
C
All of the following are true of knowing the patient as an aspect of caring in nursing practice EXCEPT: A: It is the core of clinical decision-making and patient-centered care B: Two elements that facilitate knowing are continuity of care and clinical expertise C: Happens strictly through conversation with the patient D: Factors include time, continuity of care, the teamwork of the nursing staff, trust, and experience. E: All above are correct
F
All of the following are true regarding AONE's Guiding Principles for Future Care Delivery EXCEPT: A: Puzzle block diagram showing 3 concentric levels, marked inside to outside as follow: patient/population, patient safety, and quality, then various aspects of knowledge, relationships, and caring. B: Describes caring and knowledge as the core of nursing, with caring being a key component of what a nurse brings to a patient experience. C: Competent nursing practice values and embraces caring practices and expert knowledge. D: Compassion creates an opennedd with patient who then choose to share more of their illness experiences with you. This knowledge then enables you to make better clinical judgments and decisions about patient's needs. E: Your expertise in caring will come with experience in clinical practice. F: Your expertise in caring will come with understanding nursing theories. G: All above are correct
C
All of the following are true regarding Ethic of Care EXCEPT: A: Caring is an interaction of mutual respect and trust B: The term "ethic" refers to the ideals of right and wrong behavior C: An ethic of care is concerned with relationships between organizations with a nurse's character and attitude toward the organization. D: An ethic of care is concerned with relationships between people with a nurse's character and attitude toward others. E: Nurses who function from an ethic of care are sensitive to unequal relationships that lead to an abuse of one person's power over another - intentional or otherwise. F: All above are correct
H
All of the following are true regarding Leininger's Transcultural Caring theory EXCEPT: A: Even though human caring is a universal phenomenon, the expressions, processed, and patterns of caring vary among people of different cultures. B: Caring includes knowing your patient's cultural values and beliefs, respecting privacy, diversity, and individual needs, and interacting and listening to the patient and family. C: Collect a culturally based nursing history by letting the patient tell their stories and listen to them. D: Know and clarify a patient's beliefs, attitudes, and cultural practices regarding health care, caring practices, and end-of-life care. E: Determine whether a member of a patient's family or cultural group is the best resource to guide the use of caring practices, such as providing presence or touching. F: Encourage the patient and the family caregiver, if appropriate, to share the perspective of the personal impact of the patient's illness/trauma. G: Know the patient's cultural practices (such as touching, and family involvement) or beliefs that impact the uncertainty related to diagnoses, treatments, and outcomes of care. H: All above are correct
B
All of the following are true regarding Swanson's Theory of Caring EXCEPT: A: Developed from 3 perinatal studies involving interviews with women who miscarried, parents and healthcare professionals in a newborn intensive care unit, and mothers who were socially at risk and received long-term public health intervention B: Caring includes knowing your patient's cultural values and beliefs, respecting privacy, diversity, and individual needs, and interacting and listening to the patient and family. C: After analyzing stories from patients, Swanson developed this theory of caring as a nurturing way of relating to an individual D: Includes 5 caring processes E: All above are correct
D
All of the following are true regarding Watson's Transpersonal Caring theory EXCEPT: A: Caring is a central focus of nursing, and it is integral to maintaining the ethical and philosophical roots of the profession. B: Holistic model that support's a nurse's conscious intention to care to promote healing and wholeness. C: Describes a consciousness that allows nurses to raise new questions about what it means to be a nurse, to be ill, and to be caring and healing. D: Accepts the disease orientation to health care and places cure before care. E: Rejects the disease orientation to health care and places care before cure. F: A nurse who focuses on transpersonal caring looks for deeper sources of inner healing to protect, enhance, and preserve a person's dignity, humanity, wholeness, and inner harmony. G: A nurse communicates caring-healing to a patient through the nurse's consciousness. This takes place during a single caring moment between nurse and patient when a connection forms. H: The model is transformative because the relationships influence both the nurse and the patient for better or for worse. I: All above are correct
B
All of the following are true regarding caring in nursing practice EXCEPT: A: As you encounter patients in various states of health and illness in practice, you grow in your ability to care and develop caring behaviors. B: As you study nursing theory on caring, you grow in your ability to care and develop caring behaviors. C: Caring is one of those human behaviors that we can give and receive. D: Recognize the importance of self care E: Use caring behaviors to reach out to your colleagues and care for them as well. F: All above are correct
C
All of the following are true regarding listening as an aspect of caring in nursing practice EXCEPT: A: Necessary for meaningful interactions with patients. B: Provide eye contact, no distractions, sit down C: A nurse can listen to a patient while performing other tasks D: True listening leads to knowing and responding to what really matters to a patient and family. E: To listen effectively you need to silence yourself and listen with an open mind. F: Through active listening, you begin to truly know your patient and what is important to them. G: All above are correct
E
All of the following are true regarding providing presence as an aspect of caring in nursing practice EXCEPT: A: Providing presence is a person-to-person encounter conveying a closeness and sense of caring B: Presence involves "being there" and "being with" C: Nursing presence is the connectedness between a nurse and a patient D: Establishing a presence strengthens your ability to provide effective patient-centered care E: All above are correct
D
All of the following are true regarding relieving symptoms and suffering as an aspect of caring in nursing practice EXCEPT: A: Reducing symptoms and suffering requires caring nursing actions that give a patient comfort, dignity, respect, and peace. B: Conveying a quiet, caring presence, touching a patient, or listening helps you to assess and understand the meaning of your patient's discomfort. C: Provide comfort through a listening, nonjudgmental, caring presence. D: All above are correct
C
All of the following are true regarding spiritual care as an aspect of caring in nursing practice EXCEPT: A: Spiritual health is achieved when a person can find a balance between his life value, goals, and belief system and those of others. B: Includes religion C: Does not include religion D: Spirituality offers a sense of interpersonal, interpersonal, and transpersonal connectedness.
D
All of the following are true regarding touch as an aspect of caring in nursing practice EXCEPT: A: Provides comfort B: Creates a connection C: Includes non-contact touch and task-oriented touch D: Is received equally by all people E: Because touch conveys messages, use it with discretion F: All above are correct
D
All of the following are trues regarding Benner's Caring is Primary theory EXCEPT: A: Developed through research involving the interpretation of expert nurses' stories. B: Caring means that people, events, projects, and things matter to people. It is a word for being connected. C: Through caring, nurses help patient recover in the face of illness, give meaning to their illness, and maintain or reestablish connections. D: Caring is fixed for each nurse-patient encounter. E: Caring is specific and relational for each nurse-patient encounter. F: Develop a caring relationship with your patient and listen to their stories to fully understand the meaning and impact of their conditions and provide patient-centered care. G: All above are correct
D
All of the following are trues regarding caring EXCEPT: A: Caring is highly relational B: It is obvious when caring is absent C: Enabling is an aspect of caring D: The biomedical model enable caring and patient-centered care E: Knowing the context of a patient's illness helps you choose and individualize interventions that will actually help the patient. F: All above are correct
C
All of the following are types of task-oriented touch EXCEPT: A: Caring touch B: Protective touch C: Progressive touch D: Therapeutic touch E: All above are correct
D
An example of a nurse caring behavior that families of patients who are acutely ill perceive as important to patients' well-being is: 1. Making health care decisions for patients. 2. Having family members provide a patient's total personal hygiene. 3. Injecting the nurse's perceptions about the level of care provided. 4. Asking permission before performing a procedure on a patient. A: 1 B: 2 C: 3 D: 4
D
Caring in nursing practice includes all of the following EXCEPT: A: Providing presence B: Touch C: Listening D: Collaboration E: Knowing the patient F: Spiritual care G: Relieving symptoms and suffering H: Family care I: All above are correct
C
Match the following caring behaviors with a nursing action. 1. Knowing 2. Being with 3. Doing for 4. Maintaining belief Match with ... a. Encouraging a patient or family to use resources and trust previous decisions that have helped to resolve issues. b. Asking a patient to talk about what the loss of a loved one means for the patient and the family. c. Telling a family that you understand their anger about the side effects of chemotherapy. d. Providing an opportunity for a patient's specific religious practice as the patient would do it. A: 1b, 2c , 3a, 4d B: 1c, 2b, 3d, 4a C: 1b, 2c, 3d, 4a D: 1c, 2b, 3a, 4d
A
True or False: Duffy's Quality Care Model focuses on building relationships and fostering the emotion of felling care for. A: True B: False
A
True or False: Health care must be compassionate to make a positive difference. A: True B: False
A
True or False: Watson states the changing healthcare delivery system, the increasing economic pressure for productivity, and the shortages of healthcare professionals increase the risk of dehumanized care. A: True B: False
B
True or False: You do not have to be sensitive to different cultures when using touch or get consent from the patient. A: True B: False
A
Which caring principle/theory is pictured? A: AONE Guiding Principles for Future Care Delivery B: Benner's Caring is Primary C: Leininger's Transcultural Caring D: Watson's Transpersonal Caring E: Swanson's Theory of Caring F: Duffy's Quality Care Model
C
Which caring process from Swanson's Theory of Caring is described below? - Action for the other as one would for self if it were at all possible A: Knowing B: Being with C: Doing for D: Enabling E: Maintaining belief
B
Which caring process from Swanson's Theory of Caring is described below? - Being emotionally present to the other A: Knowing B: Being with C: Doing for D: Enabling E: Maintaining belief
D
Which caring process from Swanson's Theory of Caring is described below? - Facilitating the other's passage through life transitions (e.g., birth, death) and unfamiliar events A: Knowing B: Being with C: Doing for D: Enabling E: Maintaining belief
A
Which caring process from Swanson's Theory of Caring is described below? - Striving to understand an event as it has meaning in the life of the other A: Knowing B: Being with C: Doing for D: Enabling E: Maintaining belief
E
Which caring process from Swanson's Theory of Caring is described below? - Sustaining faith in the other's capacity to get through an event or transition and face a future with meaning A: Knowing B: Being with C: Doing for D: Enabling E: Maintaining belief
C
Which factor of knowing the patient is described below? - As you pass off patient make sure you are giving accurate information to the next health care team member A: Time B: Continuity of care C: Teamwork of the nursing staff D: Trust E: Experience
B
Which factor of knowing the patient is described below? - Make sure patients are getting from point A to discharge - Make sure they understand the plan past the initial visit for their care and where they may need to go A: Time B: Continuity of care C: Teamwork of the nursing staff D: Trust E: Experience
A
Which factor of knowing the patient is described below? - Optimize your time with the patient A: Time B: Continuity of care C: Teamwork of the nursing staff D: Trust E: Experience
E
Which factor of knowing the patient is described below? - The longer you practice knowing the patient the better you will be A: Time B: Continuity of care C: Teamwork of the nursing staff D: Trust E: Experience
D
Which factor of knowing the patient is described below? - The patient must be able to trust you in order to divulge information to you A: Time B: Continuity of care C: Teamwork of the nursing staff D: Trust E: Experience
C
Which form of task-oriented touch is described below? - Alternative medicine to provide relief to the patient. Can be non-contact with the use of energy field or contact with the area of pain. A: Caring touch B: Protective touch C: Therapeutic touch D: None of the above
B
Which form of task-oriented touch is described below? - Preventing a fall A: Caring touch B: Protective touch C: Therapeutic touch D: None of the above
A
Which form of task-oriented touch is described below? - touching a shoulder; back massage A: Caring touch B: Protective touch C: Therapeutic touch D: None of the above
J
Which of Watson's Carative Factors does the example below demonstrate? - Allow spiritual forces to provide a better understanding of yourself and your patient. A: Forming a human-altruistic value system B: Instilling faith-hope C: Cultivating sensitivity to one's self and to others D: Developing a helping, trusting, human caring relationship E: Promoting and expressing positive and negative feelings F: Using creative problem-solving, caring processes G: Promoting transpersonal teaching-learning H: Providing a supportive, protective, and/or corrective mental, societal, and spiritual environment I: Meeting human needs J: Allowing for existential-phenomenological-spiritual forces
F
Which of Watson's Carative Factors does the example below demonstrate? - Apply critical thinking in the nursing process to systematically make sound clinical judgments. A: Forming a human-altruistic value system B: Instilling faith-hope C: Cultivating sensitivity to one's self and to others D: Developing a helping, trusting, human caring relationship E: Promoting and expressing positive and negative feelings F: Using creative problem-solving, caring processes G: Promoting transpersonal teaching-learning H: Providing a supportive, protective, and/or corrective mental, societal, and spiritual environment I: Meeting human needs J: Allowing for existential-phenomenological-spiritual forces
H
Which of Watson's Carative Factors does the example below demonstrate? - Create a healing environment at all levels, physical and non-physical. This promotes wholeness, beauty, comfort, dignity, and peace. A: Forming a human-altruistic value system B: Instilling faith-hope C: Cultivating sensitivity to one's self and to others D: Developing a helping, trusting, human caring relationship E: Promoting and expressing positive and negative feelings F: Using creative problem-solving, caring processes G: Promoting transpersonal teaching-learning H: Providing a supportive, protective, and/or corrective mental, societal, and spiritual environment I: Meeting human needs J: Allowing for existential-phenomenological-spiritual forces
I
Which of Watson's Carative Factors does the example below demonstrate? - Intentionally help patients meet basic needs with a caring consciouness. A: Forming a human-altruistic value system B: Instilling faith-hope C: Cultivating sensitivity to one's self and to others D: Developing a helping, trusting, human caring relationship E: Promoting and expressing positive and negative feelings F: Using creative problem-solving, caring processes G: Promoting transpersonal teaching-learning H: Providing a supportive, protective, and/or corrective mental, societal, and spiritual environment I: Meeting human needs J: Allowing for existential-phenomenological-spiritual forces
C
Which of Watson's Carative Factors does the example below demonstrate? - Learn to accept yourself and others for their full potential. A caring nurse matures into becoming a self-actualizing nurse. A: Forming a human-altruistic value system B: Instilling faith-hope C: Cultivating sensitivity to one's self and to others D: Developing a helping, trusting, human caring relationship E: Promoting and expressing positive and negative feelings F: Using creative problem-solving, caring processes G: Promoting transpersonal teaching-learning H: Providing a supportive, protective, and/or corrective mental, societal, and spiritual environment I: Meeting human needs J: Allowing for existential-phenomenological-spiritual forces
D
Which of Watson's Carative Factors does the example below demonstrate? - Learn to develop and sustain helping, trusting, authentic caring relationships through effective communication with your patients. A: Forming a human-altruistic value system B: Instilling faith-hope C: Cultivating sensitivity to one's self and to others D: Developing a helping, trusting, human caring relationship E: Promoting and expressing positive and negative feelings F: Using creative problem-solving, caring processes G: Promoting transpersonal teaching-learning H: Providing a supportive, protective, and/or corrective mental, societal, and spiritual environment I: Meeting human needs J: Allowing for existential-phenomenological-spiritual forces
G
Which of Watson's Carative Factors does the example below demonstrate? - Learn together while educating the patient to acquire self-care skills. The patient assumes responsibility for learning. A: Forming a human-altruistic value system B: Instilling faith-hope C: Cultivating sensitivity to one's self and to others D: Developing a helping, trusting, human caring relationship E: Promoting and expressing positive and negative feelings F: Using creative problem-solving, caring processes G: Promoting transpersonal teaching-learning H: Providing a supportive, protective, and/or corrective mental, societal, and spiritual environment I: Meeting human needs J: Allowing for existential-phenomenological-spiritual forces
B
Which of Watson's Carative Factors does the example below demonstrate? - Provide a connection with the patient that offers purpose and direction when trying to find the meaning of an illness. A: Forming a human-altruistic value system B: Instilling faith-hope C: Cultivating sensitivity to one's self and to others D: Developing a helping, trusting, human caring relationship E: Promoting and expressing positive and negative feelings F: Using creative problem-solving, caring processes G: Promoting transpersonal teaching-learning H: Providing a supportive, protective, and/or corrective mental, societal, and spiritual environment I: Meeting human needs J: Allowing for existential-phenomenological-spiritual forces
E
Which of Watson's Carative Factors does the example below demonstrate? - Support and accept your patients' feelings. In connecting with your patient, you show a willingness to take risks in sharing in the relationship. A: Forming a human-altruistic value system B: Instilling faith-hope C: Cultivating sensitivity to one's self and to others D: Developing a helping, trusting, human caring relationship E: Promoting and expressing positive and negative feelings F: Using creative problem-solving, caring processes G: Promoting transpersonal teaching-learning H: Providing a supportive, protective, and/or corrective mental, societal, and spiritual environment I: Meeting human needs J: Allowing for existential-phenomenological-spiritual forces
A
Which of Watson's Carative Factors does the example below demonstrate? - Use loving kindness to extend yourself. Use self-disclosure appropriately to promote a therapeutic alliance with your patient (e.g., share a personal experience in common with your patients such as a child-rearing experience, an illness, or an experience with a parent who needs assistance) A: Forming a human-altruistic value system B: Instilling faith-hope C: Cultivating sensitivity to one's self and to others D: Developing a helping, trusting, human caring relationship E: Promoting and expressing positive and negative feelings F: Using creative problem-solving, caring processes G: Promoting transpersonal teaching-learning H: Providing a supportive, protective, and/or corrective mental, societal, and spiritual environment I: Meeting human needs J: Allowing for existential-phenomenological-spiritual forces
A
Which of the following are strategies for creating work environments that support nurse caring interventions? (Select all that apply.) 1. Increasing technological support 2. Improving flexibility for scheduling 3. Providing opportunities to discuss care practices 4. Promoting autonomy of practice 5. Encouraging increased input concerning nursing functions from health care providers A: 2, 3, 4 B: 1, 2, 3, 4 C: 2, 4, 5 D: 2, 3, 4, 5
