NURS 204 Final Exam EAQ
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. Which approach would the nurse use when dealing with this patient?
Actively listen to the patient with an open mind Avoid making any assumptions about the patient Listen attentively to the patient's complaint and concentrate on what the patient is saying
A 40-year-old patient is admitted with severe pain in the lower abdomen. A newly hired nurse is assigned to care for this patient. Which level of critical thinking according to Kataoka-Yahiro and Saylor's model would the nurse use?
Basic Complex Commitment
Which nursing action would be included in Swanson's theory of caring?
Being emotionally present to the patient Doing for the patient as the patient would do for self it all possible Striving to understand an event as it has meaning in the life of the patient
The nurse attentively listens and touches a patient gently. Which component of Swanson's theory does this action fulfill?
Being with
The hospice nurse sits at the bedside of a male patient in the final stages of cancer. 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?
Caring touch
A patient has severe cancer-related pain throughout the body and tries to avoid being touched during examination by the nurse. Which aspect of the protective touch would the nurse distinguish?
Emotionally protects the nurse Protects both the nurse and the patient Can be positive or negative
Helping a new mother through the birthing experience demonstrates which component of Swanson's five caring processes?
Enabling
The nurse wants to experiment with a new intervention on a patient. How would the nurse confirm the effectiveness of this intervention in an ethical manner?
Follow evidence-based practice Focus on the patient's values and beliefs related to the new intervention
Which behavior indicates the nurse's understanding of integrity?
Following the highest standards of practice Questioning own knowledge and beliefs Being honest and willing to accept own mistakes or inadequacies
A patient admitted to a hospital is very depressed and wants to share personal concerns with the nurse. Which action would the nurse execute to be a good listener?
Give complete attention to the patient Maintain good eye contact with the patient Be silent and listen to the patient
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, which action would the nurse perform?
Greet the patient and gently touch the patient's shoulder Make good eye contact and sit next to the patient Ask the patient about any concerns and listen to complaints patiently
A patient is observed by the nurse to be having difficulty getting up to a sitting position. Which action by the nurse applies the process of doing for?
Help the patient move into the sitting position
In which way would the nurse demonstrate caring to family members?
Helping the family to become active participants in care
Which nursing intervention indicates a protective touch for a patient with a major injury after an accident?
Holding the patient while assisting with walking
Which action is an example of caring touch?
Holding the patient's hand
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?
explaining the procedure to the patient
A child tells the nurse. "My father abuses me every day after drinking alcohol. It makes me feel so depressed/" The nurse then speaks with both the parents. Which critical thinking attitude is the nurse showing?
fairness
An elderly debilitated patient is confined to bed. The patient has reduced libido, is unable to eat, and is incontinent of urine. Which intervention would be the priority for this patient?
improve skin integrity
The nurse notes that a hospitalized patient has a Bible on the bedside table and inquires about spiritual practices. Which component of Watson's theory has the nurse used?
instilling faith
Which carative factor does the nurse demonstrate when helping a patient with cancer find meaning by supporting beliefs about life?
instilling hope & faith
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?
intention to care
A patient is admitted to a hospital after a miscarriage. The nurse offers the patient realistic optimism. Which process of care does this demonstrate?
maintaining belief
When a nurse retains a hope-filled positive attitude and offers realistic optimism to a patient, which component of Swanson's caring theory is being applied?
maintaining belief
A patient with diabetes has come to the nurse with symptoms suggestive of hypoglycemia. Which action would be the first appropriate nursing intervention?
offer foods rich in glucose
Which method would the student nurse use to reflect on and analyze the student's own thoughts, actions, and knowledge?
reflective journaling
Which technique would the student nurse follow to develop critical thinking skills and bring theory into practice?
reflective journaling
Which behaviors by the nurse are included in the process of listening?
Interpreting and understanding what the patient means
Which nursing intervention indicates that the nurse is providing family care for a patient who is in the last stage of cancer?
Involving the patient's family in treatment-related decisions
The nurse holds the hands of a patient when talking to the patient during rounds. Which likely effect may result from the nurse's behavior?
It enhances the self-esteem and mental health of the patient
A patient is undergoing treatment for lung cancer and is depressed as a result of 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?
Knowing
Which process is included in Swanson's theory of caring?
Knowing Being with Enabling Maintaining belief
Which caring process would be included in Swanson's theory?
Knowing Doing for Being with
The nurse is caring for an older adult who needs to enter an assisted-living facility after discharge from the hospital. Which action by the nurse is an example of listening that displays caring?
Listening to the patient's story while sitting on the side of the bed and then summarizing the story
The nurse finds a patient weeping in the hospital room. When asked why, the patient starts talking about the disease and related problems. Which listening behavior would the nurse perform?
Maintain eye contact Give complete attention to the patient Be silent and listen to the patient carefully
Which characteristics are a component of critical thinking?
Open-mindedness, continual inquiry, and perseverance Recognition of an issue, analysis of related info, and formation of conclusions Imagination and exploration of alternatives, consideration of ethical principles, and informed decision-making
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?
Smiling at the patient and talking in polite language
Which definition describes the knowing component of Swanson's theory of caring?
Striving to understand an event as it has meaning in the life of the patient
Which action by the nurse best describes knowing according to Swanson's theory?
Striving to understand an event's meaning for another person
The nurse has instructed the assistive personnel (AP) on the tasks that need to be performed, including getting patient A out of bed, collecting a urine specimen from patient B, and checking vital signs on patient C, who is scheduled to go home. Which scenario is an example of successful delegation?
The nurse explains to the AP the approach to use in getting the patient up and why the patient has activity limitations The nurse sees the AP preparing to help a patient out of bed, goes to assist, and thanks the AP for her efforts to get the patient up early The nurse offers support to the AP when needed but allows her to complete patient care tasks without constant oversight
A patient who has undergone an appendectomy complains of pain. On assessment, the nurse finds that the patient is anxious which is increasing the perception of pain. Which nursing intervention is appropriate in this situation?
administer drugs that relieve anxiety per standing orders
The student nurse is assigned to check to BP of a patient and refers to the manual before doing so. Which level of thinking does this illustrate?
basic
A patient requires a Foley catheter to be inserted, so the nurse reads the procedure manual for the institution to review how to insert it. Which level of critical thinking is the nurse using?
basic critical thinking
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?
being with
The nurse is examining a pregnant 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?
"Keep faith that you will be a good mother"
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 response would be appropriate to the nurse who states that there is no place in nursing for spiritual caring?
"Spiritual, mind, and body connections can affect health"
The patient is disabled as a result of cancer-related pain. Which nonpharmacologic intervention would help enhance the patient's comfort, dignity, and peace?
A clean and pleasant environment
Which action shown by the registered nurse reflects integrity?
Admitting own mistakes
A male patient underwent a prostatectomy and expresses that he is experiencing some pain and discomfort. The nursing student examines the patient's wound. Which describes a good critical thinker?
Analytic Systematic Inquisitive
Which skill is unique to the commitment level of critical thinking?
Anticipating when to make choices without others' assistance
The nurse is teaching a group of nursing students about the use of concept maps in developing critical thinking skills. Which statement is true about concept maps?
Are visual presentations of relationships between problems and interventions Help to better synthesize relevant data about the patient Help to form meaningful patterns from diverse patient information
Which nursing behavior is considered important to patients' well-being by families of acutely ill patients?
Asking permission before performing a procedure on a patient
Which action by the nurse is representative of the caring process of knowing?
Avoid any assumptions Perform a thorough assessment Obtain a complete health history
According to RW Paul, which intellectual standard would the nurse have for critical thinking?
Clear Plausible Complete
Which attitude is essential for critical thinking?
Confidence Fairness Discipline Curiosity
Which person-to-person encounter best describes presence?
Conveying closeness and sense of caring
Which strategy for creating work environments enables nurses to demonstrate caring behaviors?
Creating a setting that allows flexibility and autonomy for staff
Which behavior is included in Watson's 10 carative factors theory?
Cultivating sensitivity toward each other Instilling faith and hope about the prognosis to the patient Promoting transpersonal teaching-learning between the nurse and the patient Preserving the patient's human dignity
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?
Developing a human caring relationship
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?
Distance oneself from the patient
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?
Doing for
Of the five caring processes described by Swanson, which action describes knowing the patient?
Establishing an understanding of a specific patient
During the 12-hour shift, a patient had 40 ml of drainage in the surgical drainage collection device. The nurse refers to the written plan of care and notes that the health care provider should be informed when drainage in the device exceeds 100 ml for the day. Which type of action is the nurse performing when observing the drainage volume in the device to determine if it has exceeded the prescribed daily maximum?
Evaluation
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 dimension of the caring process of enabling would the nurse implement with the spouse?
Explaining Supporting Generating alternatives
Which action does not exemplify critical thinking skills by the nurse?
Explaining the procedure for giving a tube feeding to a second nurse who has floated to the unit to assist with care
The nurse has been asked to insert a nasogastric tube for a patient who becomes anxious upon seeing the tube. Which nursing intervention would be helpful to manage the patient's anxiety?
Explaining the procedure to gain the patient's confidence
A devout Christian patient suffers from an anxiety disorder. Which type of information would the nurse avoid providing to the patient pertaining to the religious aspect of connectedness?
Impersonal
A student nurse is reluctant to touch a patient who is suffering from a noncommunicable skin disorder. Which action by the nurse is most appropriate?
Inform the student nurse that touch comforts the patient
Which process from Watson's carative theory would the nurse include when working with a patient who is depressed as a result of serious medical diagnosis?
Instilling faith and hope Expressing feelings Developing a trusting relationship
While caring for a patient in the home, the nurse ensures a hygienic environment, a proper diet, and recreation. Which carative factor of Watson is the nurse following through this intervention?
Meeting human needs
Which description is true of spiritual caring?
Mobilizes hope for the patient and the nurse Recognizes that caring relationships connect humans to each other Helps the patient understand the illness, symptoms, or emotions
The nurse wishes to use critical thinking skills in clinical practice. Which trait is an obstacle to the development of critical thinking?
Overconfidence Biased views Failure to accept mistakes
Which action would demonstrate a caring touch?
Positioning the patient comfortably Comforting the patient and holding the patient's hands Engaging in a conversation with the patient
The nurse is teaching a physically handicapped patient to acquire self-care skills and to perform basic care. Which carative factor of Watson does this illustrate?
Promoting transpersonal teaching-learning
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. Which action would the nurse perform?
Sit down beside the patient and ask what's wrong
While comforting a patient who is in severe pain, which nursing intervention is beneficial?
Sitting beside the patient and holding the patient's hand
The nurse explains a procedure to a patient and uses task-oriented touch. Which action by the nurse would be considered task-oriented touch?
Skillfully inserting the tube and positioning it
The nurse skillfully inserts a Foley catheter in a patient. Which type of touch is this?
Task-oriented touch
Which statement about touching patients is accurate?
Touch forms a connection between nurse and patient
Which action is included in knowing the patient in Swanson's theory?
Understanding the patient and the patient's suffering as a whole
A patient has undergone throat surgery and is unable to speak. The nurse finds it difficult to interact with the patient. How would the nurse manage this situation?
Use message boards to communicate with the patient
The nurse has long conversations with a patient about the patient's health, family, and religious and cultural practices. Which likely effect will such a conversation have on the healing relationship?
Will help to assist the patient in using social resources
Which type of intervention is the best way to know the patient?
active listening
Use of the pain scale is an example of which intellectual standard?
consistent
The nurse speaks with a patient who lost a sister 2 weeks ago. The patient is unable to sleep, feels very fatigued during the day, and is having trouble at work. The nurse asks the patient to clarify the type of trouble. The patient explains she cannot concentrate or even solve simple problems. The nurse records the results of the assessment, describing the patient as having ineffective coping. Of which skill is this an example?
diagnostic reasoning
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?
doing for
The nurse is caring for a patient who has lost her husband and is helping the patient cope with this loss. Which caring process is the nurse applying?
enabling
The nurse is providing emotional support for a patient who has lost a parent. Which caring process of Swanson's theory of caring is the nurse following?
enabling
The nurse received the Employee of the Year award for knowledge, courage, honesty, and objectivity. Which concept of critical thinking does the nurse possess, according to Facione and Facione?
truth seeking
A patient who received penicillin developed a rash on the right hand. The patient asked the nurse why the rash developed. How would the nurse explain this to the patient?
use previous knowledge
