Chapter 7 Caring in Nursing Practice-Fundamentals of Nursing

Chapter 07: Caring in Nursing Practice
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MULTIPLE CHOICE ra




1. A nursing attendant is caring for a hospital client in pain. Which nursing approach is priority? a.
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Hospital client -centered ra ra




b. Technology-centered
c. High tech-centered ra



d. Family-centered
ACCURATE ra



ANSWER:-A
It is important to preserve a hospital client -
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centered approach to hospital client care for all aspects of nursing, whether the care focuses
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on pain management, teaching selfcare, or basic hygiene measures.
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While technology, high tech, and family are important, they are not the priority.
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DIF:Understand (comprehension) ra



OBJ:Discuss the role that caring plays in building the nursing attendant hospital client
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relationship. TOPIC:-Implementation ra



MSC: Psychosocial ra ar



Integrity

2. A nursing attendant is providing pain medication to hospital client s after surgery. Whi
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c h component is key for the nursing attendant ’s personal philosophy of nursing? a.
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Caring
b. Technology
c. Informatics
d. Therapeutics
ACCURATE ANSWER:-A ra



The American Organization of Nursing attendant Executives describes caring and knowledge
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as the core of nursing, with caring being a key component of what a nursing attendant brings
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to a hospital client experience. While technology, informatics, and therapeutics are import
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ant, they are not the key components of nursing.
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DIF:Understand (comprehension) ra



OBJ:Explain the relationship of compassion to caring. TOPIC:-Caring ra ra ra ra ra ra ar



MSC: Management of Care ra ra ra




3. A nursing attendant attends a seminar on nursing theories for caring. Which informati
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o n from the nursing attendant indicates a correct understanding of these theories?
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a. Benner identifies caring as highly connected involving hospital client and nursing attendant
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.
b. Swanson develops four caring processes to convey caring in nursing. ra ra ra ra ra ra ra ra ra




c. Watson’s transcultural caring views inclusion of culture as caring. ra ra ra ra ra ra ra ra




d. Leininger’s theory places care before cure and is transformative. ra ra ra ra ra ra ra ra




ACCURATE ANSWER:-A ra

, Benner believes caring is highly connected involving each nursing attendant hospital client enco
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unter. Swanson developed five caring processes, not four. Watson’s theor
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y places care before cure and is transformative, whereas Leininger’s transcultural caring view
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s inclusion of culture as caring.
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DIF:Understand (comprehension) ra



OBJ:Compare and contrast theories on caring. TOPIC:-Teaching/Learning ra ra ra ra ra ar MSC: ra



Management of Care ra ra




4. The hospital client has a colostomy but has not yet been able to look at it. The nursing
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attend ant teaches the hospital client ra ra ra ra r a



how to care for the colostomy. The nursing attendant sits with
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the hospital client , and together they form a plan on how to approach dealing with col
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ostom y care. Which caring process is the nursing attendant performing?
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a. Knowing
b. Doing for ra




c. Enabling
d. Maintaining belief ra




ACCURATE ANSWER:-C ra



Enabling is facilitating another’s passage through a life transition and unfamiliar events. Wor
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king with the hospital client to find alternate ways to perform the task is doing just that. Kno
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wing is striving to understand an event because it has meaning in the life of another. This mus
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t be done before enabling can occur. Doing for is doing for the other as he or she would do for
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self if it were at all possible. The nursing attendant in this situation is not doing for the hospit
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al client but is teaching/informing on how to care for the colostomy. Maintaining belief is sust
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aining faith in the other’s capacity to get through an event or transition and face a future with
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meaning. This may be an underlying theme to the process but is not what the nursing attenda
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nt is actually doing.
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DIF:Analyze (analysis) OBJ:Compare and contrast theories on caring. TOPIC:-Teaching/Learning
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MSC: Basic Care and Comfort ra ra ra ra




5. A nursing attendant is using Watson’s model to provide care to hospital client s. Whic
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h carative factor will the nursing attendant use? a. Maintaining belief
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b. Instilling faith-hope ra




c. Maintaining ethics ra




d. Instilling values ra




ACCURATE ANSWER:-B ra



Watson has 10 carative factors, one of which is instilling faithhope. Maintaining belief is a caring
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process of Swanson’s theory. Ethics and values are important i
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n caring but they are not examples of Watson’s carative factors.
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DIF:Understand (comprehension) ra



OBJ:Compare and contrast theories on caring. TOPIC:-Caring ra ra ra ra ra ar



MSC: Psychosocial Integrity ra ra




6. A nursing attendant provides care that is receptive to hospital client s’ and families’
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perceptions of caring. Which action will the nursing attendant take?
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Provides clear, accurate information. ra ra ra




b. Just performs nursing tasks competently. ra ra ra ra

, c. Does as much for the hospital client as possible.ra ra ra ra ra ra r a ra




d. Focuses solely on the hospital client ’s diagnosis. ra ra ra ra ra ra ra




ACCURATE ANSWER:-A ra



Research indicates caring behaviors of nursing attendant s from the hospital client ’s/families’
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perspective include the following: (1) providing honest, clear, and accurate information; (2) a
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sking permission before doing something to a hospital client ; (3) helping hospital client s do a
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s much for themselves as possible; and (4) teaching the family how to keep the relative physic
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ally comfortable. Hospital client s continue to value nursing attendant s’ effectiveness in perfo
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rming tasks, but clearly hospital client s value the affective dimension of nursing care.
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DIF:Understand (comprehension) ra



OBJ:Discuss the evidence about hospital client s’ perceptions of caring. TO ra ra ra ra ra ra ra ra ra ra



PIC:-Implementation MSC: Basic Care and Comfort ra ra ra ra




7. A nursing attendant follows the ―ethics of care‖ when working with hospital client s.
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Whic h action will the nursing attendant take? ar ra ra ra ra ra




a.Becomes the hospital client ’s advocate based on the hospital client ’s wishes. ra ra ra ra ra ra ra ra ra ra ra ra




b.Makes decisions for the hospital client solely using analytical principles.
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c.Uses only intellectual principles to determine what is best for the hospital client .
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d.Ignores unequal family relationships since that is a personal matter for the family.
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ACCURATE ANSWER:-A ra



An ethic of care places the nursing attendant as the hospital client ’s advocate, solving ethical
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dilemmas by attending to relationships and by giving priority to each hospital client ’s unique
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personhood. An ethic of care is unique so that professional nursing attendant s do not make p
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rofessional decisions based solely on intellectual or analytical principles. Instead, an ethic of c
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are places ―caring‖ at the center of decision making. Nursing attendant s who function from
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an ethic of care are sensitive to unequal relationships that lead to abuse of one person’s power
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over another—intentional or otherwise.
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DIF:Understand (comprehension) ra



OBJ:Explain how an ethic of care influences nursing attendant s’ decisi on making. TOPIC:-
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Implementation MSC: Management of Care ra ra ra ra




8. A nursing attendant is providing presence to a hospital client and the family. Whic
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h nursing action does this involve?
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a. Focusing on the task that needs to be done ra ra ra ra ra ra ra ra




b. Providing closeness and a sense of caring ra ra ra ra ra ra




c. Jumping in to provide hospital client comfort ra ra ra ra ra ra




d. Being there without an identified goal ra ra ra ra ra




ACCURATE ANSWER:-B ra



Providing presence is a person-to-person encounter conveying closeness and a sense of caring.
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―Being there‖ seems to depend on the fact that a nursing attendant is attentive to the hospital c
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lient more than the task. ―Being with‖ means being available and at the hospital client ’s disp
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osal. If the hospital client accepts the nursing attendant , the nursing attendant will be invite
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d to see, share, and touch the hospital client ’s vulnerability and suffering. Jumping in may no
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t be welcomed. Being there is something the nursing attendant offers to the hospital client wi
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th the purpose of achieving some hospital client care goal.
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DIF:Understand (comprehension) ra