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Exam (elaborations)

NURS 3101 Quiz 1: Caring Questions & Answers Graded A+

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NURS 3101 Quiz 1: Caring Questions & Answers Graded 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 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 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 C 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 D 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 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 A 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 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 B 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. 1. Caring touch 2. Protective touch 3. Task-oriented touch 4. Interpersonal touch A: 1 B: 2 C: 3 D: 4 A 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 C Define the caring process of Knowing in Swanson's Theory of Caring. A: Facilitating the other's passage through life transitions (ex: birth, death, and unfamiliar events) B: Being emotionally present to the other C: Sustaining faith in the other's capacity to get through an event or transitions and face a future with meaning D: Striving to understand an event as it had meaning in the list of the other E: Completing actions for the other as one would for self if it were at all possible D Define the caring process of Being With in Swanson's Theory of Caring. A: Facilitating the other's passage through life transitions (ex: birth, death, and unfamiliar events) B: Being emotionally present to the other C: Sustaining faith in the other's capacity to get through an event or transitions and face a future with meaning D: Striving to understand an event as it had meaning in the list of the other E: Completing actions for the other as one would for self if it were at all possible B Define the caring process of Doing For in Swanson's Theory of Caring. A: Facilitating the other's passage through life transitions (ex: birth, death, and unfamiliar events) B: Being emotionally present to the other C: Sustaining faith in the other's capacity to get through an event or transitions and face a future with meaning D: Striving to understand an event as it had meaning in the list of the other E: Completing actions for the other as one would for self if it were at all possible E Define the caring process of Enabling in Swanson's Theory of Caring. A: Facilitating the other's passage through life transitions (ex: birth, death, and unfamiliar events) B: Being emotionally present to the other C: Sustaining faith in the other's capacity to get through an event or transitions and face a future with meaning D: Striving to understand an event as it had meaning in the list of the other E: Completing actions for the other as one would for self if it were at all possible A Define the caring process of Maintaining Belief in Swanson's Theory of Caring. A: Facilitating the other's passage through life transitions (ex: birth, death, and unfamiliar events) B: Being emotionally present to the other C: Sustaining faith in the other's capacity to get through an event or transitions and face a future with meaning D: Striving to understand an event as it had meaning in the list of the other E: Completing actions for the other as one would for self if it were at all possible C A health system upgraded its electronic health record across all its practice settings to enhance patient care and communication among health care providers. This is an example of which component of the Chronic Care Model? 1. Health systems 2. Decision support 3. Clinical information systems 4. Community A: 1 B: 2 C: 3 D: 4 C A nurse is providing education to a patient with type 2 diabetes mellitus. Which characteristics does the nurse include in her teaching to explain why type 2 diabetes mellitus is considered a chronic disease? (Select all that apply.) 1. Type 2 diabetes mellitus lasts throughout a person's life. 2. Genetic mutations drive the treatment for type 2 diabetes mellitus. 3. People with type 2 diabetes mellitus have to modify some of their daily activities. 4. Type 2 diabetes mellitus occurs in elderly people. 5. People with type 2 diabetes mellitus require ongoing medical care. A: 1, 5 B: 3, 5 C: 1, 3, 5 D: 3, 4, 5 C Which of the family caregivers listed below will the nurse expect to be most at risk for experiencing poor health outcomes? 1. A 20-year-old daughter caring for a mother who needs help setting up her medications weekly 2. The 68-year-old spouse of a patient who is experiencing worsening dementia 3. A 32-year-old parent of a child who has an ear infection 4. A married couple who is sharing the caregiving responsibilities for a parent who was recently diagnosed with hypertension and coronary artery disease

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