EAQ: Caring in Nursing
impersonal
A devoutly religious Christian patient suffers from an anxiety disorder. Which type of information should the nurse avoid providing to the patient pertaining to the religious aspect of connectedness?
maintaining belief
A patient is suffering from a hormonal disorder. The nurse tries to retain a hope-filled positive attitude for this patient. The nurse also offers realistic optimism to the patient. Which component of Swanson's caring theory is the nurse applying?
being with
A patient is talking to the nurse about being upset after receiving a cancer diagnosis. The nurse attentively listens and touches the patient gently. Which component of Swanson's theory does this action fulfill?
knowing
A patient is undergoing treatment for lung cancer and is depressed due to the diagnosis. The nurse tries to understand the patient's feelings without making any assumptions. Which caring process is this, according to Swanson's theory?
protective
A patient loses balance, and the nurse holds the patient to avoid a fall. Which kind of touch is this?
doing for
A patient who is quadriplegic complains of being cold and asks for an extra blanket. The nurse covers the patient and draws the room's curtains. Which process did the nurse follow?
explaining, supporting, generating alternatives
A patient who suffered a massive heart attack passes away. The health care provider asks the nurse to help the patient's spouse to cope with this stressful event. Which dimensions of the caring process of enabling should the nurse implement with the spouse?
instilling faith
A patient with chronic renal failure is admitted to a hospital. The patient is very religious and carries a Bible. The nurse quotes a few lines from the Bible, which helps to reinforce the patient's beliefs. Which component of Watson's theory has the nurse used?
inform the student that touch comforts the patient
A student nurse is reluctant to touch a patient who is suffering from a noncommunicable skin disorder. Which is the most appropriate action by the nurse?
"spiritual, mind and body connections can affect heath"
A patient is fearful of upcoming surgery and a possible cancer diagnosis. The patient discusses love for the Bible with the nurse, who recommends a favorite Bible verse. Another nurse disagrees with this recommendation. Which would be an appropriate response to the nurse who states that there is no place in nursing for spiritual caring?
maintain good eye contact, give complete attention, and be silent and listen carefully
A 60-year-old patient is undergoing treatment for a brain tumor. The patient is depressed due to the diagnosis. The nurse enters the room and finds that the patient is weeping. On inquiring, the patient starts speaking about the disease and the related problems. To be a good listener, what should the nurse do?
gaining and understanding of what a womens health examination means to the patient
A Muslim woman enters the clinic to have a woman's health examination for the first time. Which nursing behavior applies Swanson's caring process of knowing the patient?
instilling faith and hope, developing a trusting relationship, expressing feelings
A 60-year-old patient is undergoing treatment for a brain tumor. The patient is depressed due to the diagnosis. The nurse decides to practice Watson's carative theory for the patient. Which carative processes should the nurse include when working with this patient?
listen actively, avoid making assumptions, listen attentively and concentrate
A female patient is admitted to the psychiatric unit for major depressive disorder, and her husband has expressed concern that she has suicidal thoughts. The patient reports she feels overwhelmed at home with three children to care for and no help. Her husband travels for work and is rarely around. The patient expresses that she is unable to take it any longer and wants to end her suffering. What should be the nurse's approach when dealing with this patient?
give complete attention, maintain good eye contact, be silent and listen
A patient admitted to a hospital is very depressed. The patient wants to share personal concerns with the nurse. Which should the nurse do to be a good listener?
it can be positive or negative, it protects the nurse emotionally, it protects both the nurse and the patient
A patient has severe cancer-related pain throughout the body and tries to avoid being touched during examination by the nurse. What should the nurse learn about protective touch?
maintaining belief
A patient is admitted to a hospital after a miscarriage. The nurse offers the patient realistic optimism. Which process of care is this?
knowing
A patient is admitted to a hospital following severe pain in the abdomen. The nurse obtains the patient's complete history and assesses the patient thoroughly. Which process of Swanson's theory is the nurse using?
positions the patient comfortably, holds the patients hands, engages in conversation with the patient
A patient is admitted to a hospital for cardiac a dysrhythmia. While attending to the patient, the nurse uses a caring touch. Which actions demonstrate a caring touch?
avoid any assumptions, obtain a complete health history, perform a thorough assessment
A patient is admitted to the hospital for chest pain. The nurse has decided to follow the caring process of knowing. Which are appropriate actions with this patient?
caring
A patient is admitted to the hospital for the treatment of lymphoma. The nurse enters the patient's room to find the patient worried and depressed. The nurse warmly greets the patient and lightly touches the patient's shoulder. Which type of touch is this?
expressing feelings, instilling faith and hope, developing a trusting relationship
A patient is admitted to the hospital for treatment of breast cancer. The nurse assigned to this patient decides to practice implementing Watson's caring theory. Which are carative factors of this theory?
greet and gently touch the patients shoulder, make good eye contact and sit next to the patient, ask for concerns
A patient is admitted to the hospital for treatment of lymphoma. The nurse enters the patient's room to find the patient worried and depressed. According to the caring principles, what should the nurse do?
knowing, being for and doing for
A patient is admitted to the hospital for treatment of lymphoma. The nurse enters the patient's room to find the patient worried and depressed. The nurse decides to use Swanson's theory of caring. Which processes are part of this theory?
mobilizes hope for the patient, recognize that caring relationships connect humans to each other, helps the patient understand illness, symptoms and emotions
A patient is admitted to the psychiatric unit for major depressive disorder and suicidal thoughts. The nurse decides to explore healing through spiritual health. Which statements are true of spiritual caring?
being emotionally present, doing for the other as the person would do for self, striving to understand the event,
A patient is admitted to the psychiatric unit for major depressive disorder. The nurse wants to follow Swanson's theory of caring for this patient. Which are components of this caring theory?
holding the patients hand
A patient is depressed due to chronic illness and disability and reports being unable to sleep. The nurse uses caring touch. Which is an example of caring touch?
a clean and pleasant environment
A patient is disabled due to cancer-related pain. Which nonpharmacological intervention can help enhance the patient's comfort, dignity, and peace?
teach the family members about caregiving techniques and have them participate in care
A patient is experiencing paraplegia after a motorcycle accident. How can the nurse involve the family members in patient care?
it will help to assist the patient in using social resources
The nurse has long conversations with a patient about the patient's health, family, religious, and cultural practices. What impact will such a conversation likely have on the healing relationship?
enabling
Helping a new mother through the birthing experience demonstrates which of Swanson's five caring processes?
helping the family to be active participants in care
How does the nurse demonstrate caring to family members?
intention to care
If the nurse only practices the curative regimen prescribed by the health care provider while dealing with patients, which aspect of Watson's transpersonal caring theory does the nurse fail to apply?
interpreting and understanding what the patient means
Listening is multifaceted. Besides taking in what a patient says, what else does listening include?
the nurse skillfully inserts the tube and positions it
The nurse has to insert a nasogastric tube in a patient. The nurse explains the procedure to the patient and uses task-oriented touch. Which action by the nurse would be considered task-oriented touch?
touch forms a connection between nurse and patient
The nurse hears a colleague tell a nursing student that she never touches a patient unless performing a procedure or doing an assessment. Which response by the nurse focuses on a caring perspective?
establishing an understanding of a specific patient
Of the five caring processes described by Swanson, which describes knowing the patient?
caring touch
The 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 she spends with the family. Whenever she enters the room or approaches the patient to give care, she touches his shoulder and tells him that she is present. Which type of touch is this?
Striving to understand an event as it has meaning in the life of the other
The nurse applies Swanson's theory of caring while attending to patients. Which definition best describes the knowing component of Swanson's theory of caring
knowing, doing for, being with
The nurse decides to use Swanson's theory of caring in clinical practice. Which caring processes are included in this theory?
task-oriented touch
The nurse enters a patient's room, arranges the supplies for a Foley catheter insertion, explains the procedure to the patient, and tells the patient what to expect. Just before inserting the catheter, the nurse tells the patient to relax and says that, once the catheter is in place, the patient will not feel the bladder pressure. The nurse then proceeds to skillfully insert the Foley catheter. Which type of touch is this?
caring touch
The nurse gently touches the shoulder of a patient lying with eyes closed. When the patient opens his eyes, the nurse smiles and asks how he is feeling. Which kind of touch is this?
explain the procedure to gain the patients confidence
The nurse has been asked to secure a nasogastric tube for a patient with abdominal distention. The patient becomes anxious upon seeing the tube. Which nursing intervention would be helpful to manage this patient's anxiety?
it enhances the self esteem and mental health of the patient
The nurse holds the hands of a patient when talking to the patient during rounds. Which is a likely impact of the nurse's behavior?
sitting beside the patient and holding their hand while emphathizing
The nurse is caring for a critically ill patient and listens to the patient's history. Which intervention by the nurse indicates that the nurse is actively listening to the patient to create a mutual relationship?
smiling at the patient and talking in polite language
The nurse is caring for a critically ill patient. Which intervention supports the formation of a human-altruistic value system, according to Watson's transpersonal caring theory?
enabling
The nurse is caring for a patient who has lost her husband in an accident. The nurse is helping the patient cope with this loss in her life. Which caring process is the nurse applying?
distance oneself from this patient
The nurse is caring for a patient who is in the terminal stage of a fatal disease. This is taking a toll on the nurse's emotional well-being. Which action is an example of protective touch that nurses can employ for their own well-being?
the nurse listens and them summarizes the story
The nurse is caring for an older adult who needs to enter an assisted-living facility following discharge from the hospital. Which is an example of listening that displays caring?
Promoting transpersonal teaching-learning
The nurse is educating a patient to perform self-care. Which factor of Watson's caring theory should the nurse apply?
"You need to keep faith that you will be the best mother"
The nurse is examining a pregnant American Indian patient. Which statement by the nurse indicates that the nurse is providing the caring process of maintaining belief, according to Swanson's theory of caring?
understanding the patient and the patients suffering as a whole
The nurse is following Swanson's theory in caring for a patient. Which actions are included in knowing the patient?
being with
The nurse is interacting with a patient who is experiencing depression and reassures the patient by saying, "I know you are feeling sad; please speak up and do not keep your feelings to yourself. It will help you feel better." Which caring process of Swanson's theory is the nurse following in this situation?
enabling
The nurse is providing emotional support for a patient who has lost a parent in an accident. Which caring process of Swanson's theory of caring is the nurse following?
promoting transpersonal learning
The nurse is teaching a physically handicapped patient to acquire self-care skills and to perform basic care. Which of Watson's carative factors does this illustrate?
sit down and ask the patient whats wrong
The nurse needs to insert an intravenous (IV) line and measure urine output for a patient. The nurse enters the patient's room and finds the patient weeping. What should the nurse do first?
developing a human caring relationship
The nurse visits the patient for a chat every morning and evening. Which carative factor does this illustrate, according to Watson's theory of care?
knowing, being with, doing for, enabling, maintaining belief
The nurse wants to care for a patient using Swanson's theory of caring. Which of the following are processes included in Swanson's theory of caring?
knowing, being with, enabling, maintaining belief
The nurse wants to care for a patient using Swanson's theory of caring. Which of the following are processes included in Swanson's theory of caring?
instilling faith and hope, cultivating sensitivity towards one another, preserving human dignity, promoting transpersonal teaching and learning
The nurse wants to follow Watson's 10 carative factors while caring for patients. Which are the characteristic features of this theory?
striving to understand an events meaning for another person
Which best describes knowing, according to Swanson's theory?
instilling hope and faith
Which carative factor does the nurse illustrate when helping a patient find the meaning of cancer by supporting beliefs about life?
cultivating sensitivity, instilling faith and hope, providing for a spiritual and supportive environment, and developing a trusting relationship
Which factor in Watson's carative theory could the nurse utilize in any setting?
increasing the number of staff members, allowing autonomy over nursing practices
Which factors enhance patient-centered care?
Creating a setting that allows flexibility and autonomy for staff
Which is a strategy for creating work environments that enable nurses to demonstrate more caring behaviors?
recognizing a patients discomfort and providing an assistant of the same gender
Which nursing action is an example of Watson's Carative Factor "creative problem-solving, caring processes"?
holding the patient while assisting with walking
Which nursing intervention indicates a protective touch for a patient with a major injury after an accident?
involving the patients family in treatment-related decisions
Which nursing intervention indicates that the nurse is providing family care for a patient who is in the last stage of cancer?
active listening
Which type of intervention is the best way to know the patient?
help the patient move to the sitting position
While attending to a patient, the nurse finds that the patient is having difficulty in getting up to a sitting position. The nurse cares for this patient by applying the process of doing for. Which is the most appropriate action the nurse can take?
meeting human needs
While caring for a patient in the home, the nurse ensures a hygienic environment, a proper diet, and recreation. Which of Watson's carative factors is the nurse following through this intervention?
sitting beside the patient and holding their hand
While caring for a patient who is in severe pain, the nurse uses a comforting approach. Which nursing intervention is most beneficial in this situation?
doing for
While inserting a catheter, the nurse drapes the patient with a cloth and instructs the patient to take deep breaths. Which caring process of Swanson's theory does the nurse address in this situation?
explaining the procedure to the patient
While inserting a nasogastric tube, the nurse finds that the patient is lying at the corner of the bed with arms tensed and extended along the side of the body. Which intervention indicates a task-oriented touch?
