The nurse decides to use Swanson's theory of caring in clinical practice. Which caring processes are
included in this theory? Select all that apply.
1
Bias
2
Knowing
3
Doing for
4
Being with
5
Randomization - Answers 2, 3, 4
The caring processes of Swanson's theory of caring include knowing, doing for, and being with.
Knowing helps to understand an event and adds meaning to life. Doing for a patient is comforting to
the patient. Being with a patient provides emotional support to the patient. Bias and randomization
are not part of Swanson's theory.
A patient is experiencing paraplegia after a motorcycle accident. How can the nurse involve the family
members in patient care?
1
Keep the family members excluded from patient care.
2
Tell the family members jokes to keep them happy during the hospitalization.
3
Give the family members information about services such as respite care and community resources.
4
Teach the family members about caregiving techniques and have them participate in the care -
Answers 4
The nurse should involve the family in the patient's care. This helps in the emotional well-being of the
patient. The nurse should teach family members some techniques that can help them participate in
caregiving. Excluding the family is not advised. The nurse should involve the family but should not
make them perform all the caregiving interventions. The use of humor and giving information about
respite care may be effective in relieving tension, building relationships and protecting the caregiver's
health, but it does not help in the patient's care.
Which is a strategy for creating work environments that enable nurses to demonstrate more caring
behaviors?
1
Increasing the working hours of the staff
2
Decreasing salary benefits of the staff
3
Creating a setting that allows flexibility and autonomy for staff
4
Encouraging increased input concerning nursing functions from physicians - Answers 3
Encouraging flexibility and autonomy increases nursing satisfaction. When nurses' job satisfaction is
high, they have a greater connectedness with their patients and believe that caring practices are part
of the nursing culture. Increasing the working hours of staff usually decreases nursing satisfaction.
Encouraging increased input concerning nursing functions from physicians decreases nursing
autonomy and thus decreases nursing satisfaction. Decreasing salary benefits usually decreases job
satisfaction.
, 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? Select all that apply.
1
Give complete attention to the patient.
2
Maintain good eye contact with the patient.
3
Listen to the patient while performing tasks simultaneously.
4
Be silent and listen to the patient.
5
Promise to come back after finishing the task at hand. - Answers 1, 2, 4
When dealing with any patient, the nurse should be a caring listener. The nurse should pay attention
to the patient's concerns. The nurse should make good eye contact, which signifies that the nurse is
interested in the patient's problems. The nurse should listen to the patient with openness, keep
silent, and let the patient speak. It is easy for the nurse to get distracted by tasks and workload, but
the nurse should listen to the patient first and then complete the tasks.
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?
1
Explaining the procedure to gain the patient's confidence
2
Remaining quiet while securing the tube
3
Securing the tube after administering antianxiety drugs
4
Securing the tube as quickly as possible before the patient's anxiety becomes overwhelming -
Answers 1
The nurse can relieve the patient's anxiety and enhance comfort by explaining the procedure in detail.
Explaining the procedure can also help to gain the patient's confidence. The nurse should speak to the
patient quietly to provide reassurance and support while securing the nasogastric tube. There is no
need for antianxiety drugs. Performing the procedure very quickly will not necessarily prevent patient
anxiety and may cause a safety risk.
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?
1
The nurse does not touch patients either.
2
Touch is a type of verbal communication.
3
There is never a problem with using touch.
4
Touch forms a connection between nurse and patient - Answers 4
Touch is relational and leads to a connection between nurse and patient. It involves contact and
noncontact touch. Contact touch involves obvious skin-to-skin contact, whereas noncontact touch
refers to eye contact. Before implementing touch, the nurse should be aware of the patient's cultural
practices and past experiences. While comforting to some, for others touch may be perceived as
invasive or threatening.
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