PNC 1 Caring

Swanson's Theory of Caring

knowing, being with, doing for, enabling, maintaining belief

Personal Knowing

promotes wholeness and integrity in the personal encounter, achieves engagement rather than detachment, and denies the manipulative or impersonal approach

aesthetic knowing

providing care and meeting the needs of clients through creativity and style

The mother of 6-year-old twins says to the nurse, "My mother-in-law doesn't think our children should come to the funeral service for their grandfather. What do you advise?" Which response made by the nurse would be the most appropriate? 1. "What do you and your husband believe is the right thing for your children?" 2."By all means have them attend. Not to do so should promote postmortem grief." 3."It's a difficult decision, but given their young age, perhaps omitting the wake and just including the funeral should be best." 4."I agree with your mother-in-law. Your mother-in-law is upset enough as it is. Tell your children that their grandfather is in heaven."

1. "What do you and your husband believe is the right thing for your children?"

The nurse should implement which activity to promote reminiscence among older clients? 1. Having storytelling hours 2.Setting up pet therapy sessions 3.Displaying calendars and clocks 4.Encouraging client participation in a pottery class

1. Having storytelling hours

After a precipitous delivery, the nurse notes that the new mother is passive and only touches her newborn briefly with her fingertips. The nurse should do which to help the woman process what has happened? 1.Encourage the mother to breastfeed soon after birth. 2.Support the mother in her reaction to the newborn. 3.Tell the mother that it is important to hold the newborn. 4.Document a complete account of the mother's reaction in the birth record.

2.Support the mother in her reaction to the newborn.

The nurse is caring for a client who is scheduled for surgery. The client is concerned about the surgical procedure. Which action should alleviate the client's fears and misconceptions about surgery? 1. Tell the client that preoperative fear is normal. 2.Explain all nursing care and possible discomfort that may result. 3.Ask the client to discuss information known about the planned surgery. 4.Provide explanations about the procedures involved in the planned surgery.

3.Ask the client to discuss information known about the planned surgery.

The nurse should plan which to encourage rebreak in the client who is a resident in a long-term care facility? 1. Choosing his meals 2.Decorating his room 3.Scheduling his barber appointments 4.Choosing his social activities

4. Choosing his social activities

The nurse is assisting with caring for a postpartum client who is experiencing uterine hemorrhage. When planning to meet the psychosocial needs of the client, the nurse should plan which action? 1.Maintaining strict bed rest 2.Monitoring the vital signs every 2 hours 3.Performing firm fundal massage every 2 hours 4.Keeping the client and her family members informed of her progress

4.Keeping the client and her family members informed of her progress

What is the definition of caring?

a universal phenomenon influencing the ways in which people think, feel, and behave in relation to one another.

empirical knowing

knowledge that comes from science; ranges from factual, observable phenomena to theoretical analysis

Ethical Knowing

knowledge that focuses on matters of obligation or what ought to be done

A stillborn was delivered in the birthing suite a few hours ago. After the birth, the family has remained together, holding and touching the baby. Which statement by the nurse should further assist the family in their initial period of grief? 1."Would you like to hold your baby?" 2."We need to take the baby from you now so that you can get some sleep." 3."Don't worry, there is nothing you could have done to prevent this from happening." 4."We will see to it that you have an early discharge so that you don't have to be reminded of this experience."

1."Would you like to hold your baby?"

The nurse is assisting in caring for a newborn with respiratory distress syndrome. Which initial action should the nurse plan to best facilitate bonding between the newborn and parents? 1.Encourage the parents to touch their newborn. 2.Identify specific caregiving tasks that may be assumed by the parents. 3.Explain the equipment used and how it functions to assist their newborn. 4.Give the parents pamphlets that will help them understand their newborn's condition.

1.Encourage the parents to touch their newborn.

A client has died, and the nurse asks a family member about the funeral arrangements. The family member refuses to discuss the issue. Which is the appropriate nursing action? 1. Show acceptance of feelings. 2.Provide information needed for decision making. 3.Suggest a referral to a mental health professional. 4.Remain with the family member without discussing funeral arrangements.

4.Remain with the family member without discussing funeral arrangements.