Chapter 7: Caring in Nursing Practice – Flashcards

caring

presence

A nurse hears a colleague tell a nursing student that she never touches a patient unless she is performing a procedure or doing an assessment. The nurse tells the student that from a caring perspective: A. She does not touch the patients either. B. Touch is a type of verbal communication. C. There is never a problem with using touch. D. Touch forms a connection between nurse and patient.

Of the five caring processes described by Swanson, which describes "knowing the patient"? A. Anticipating the patient's cultural preferences. B. Determining the patient's physician preference. C. Establishing an understanding of a specific patient. D. Gathering task-oriented information during assessment.

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?" A. Sharing feelings about the importance of having regular woman's health examinations. B. Gaining and understanding of what a woman's health examination means to the patient. C. Recognizing that the patient is modest; obtaining gender-congruent caregiver. D. Explaining the risk factors for cervical cancer.

Helping a new mother through the birthing experience demonstrates which of the Swanson's five caring processes? A. Knowing. B. Enabling. C. Doing for. D. Being with.

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. The patient's nurse replies: A. "Spiritual care should be left to a professional." B. "You are correct, religion is a personal decision." C. "Nurses should not force their religious beliefs on patients." D. Spiritual, mind, and body connections can affect health."

Which of the following is a strategy for creating work environments that enable nurses to demonstrate more caring behaviors? A. Increasing the working hours of the staff. B. Increasing salary benefits of the staff. C. Creating a setting that allows flexibility and autonomy for staff. D. Encouraging increased input concerning nursing functions from physicians.

When a nurse helps a patient find the meaning of cancer by supporting beliefs about life, this is an example of: A. Instilling hope and faith. B. Forming a human-altruistic value system. C. Cultural caring. D. Being with.

An example of a nurse caring behavior that families of acutely ill patients perceive as important to patients' well-being is: A. Making health care decisions for patients. B. Having family members provide a patient's total personal hygiene. C. Injecting the nurse's perceptions about the level of care provided. D. Asking permission before performing a procedure on the patient.

A nurse demonstrates caring by helping family members: A. Become active participants in care. B. Provide activities of daily living (ADLs). C. Remove themselves from personal care. D. Make health care decisions for the patient.

Listening is not only "taking in" what a patient says; it also includes: A. Incorporating the views of the physician. B. Correcting any errors in the patient's understanding. C. Injecting the nurse's personal views and statements. D. Interpreting and understanding what the patient means.

A nurse is caring for an older adult who needs to enter an assisted-living facility following discharge from the hospital. Which of the following is an example of listening that displays caring? A. The nurse encourages the patient to talk about his concerns while reviewing the computer screen in the room. B. The nurse sits at the patient's bedside, listens as he relays his fear of never seeing his home again, and then asks if he wants anything to eat. C. The nurse listens to the patient's story while sitting on the side of the bed then summarizes the story. D. The nurse listens to the patient talk about his fears of not returning home and then tells him to think positively.

Presence involves a person-to-person encounter that: A. Enables patients to care for self. B. Provides personal care to a patient. C. Conveys a closeness and a sense of caring. D. Describes being in close contact with a patient.

A nurse enters a patient's room, arranges the supplies for a Foley catheter insertion, and explains the procedure to the patient. She tells the patient what to expect; just before inserting the catheter, she tells the patient to relax and that, once the catheter is in place, she will not feel the bladder pressure. The nurse then proceeds to skillfully insert the Foley catheter. This is an example of what type of touch? A. Caring touch. B. Protective touch. C. Task-oriented touch. D. Interpersonal touch.

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 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. This is an example of what type of touch? A. Caring touch. B. Protective touch. C. Task-oriented touch. D. Interpersonal touch.

Match the following caring behaviors with their definitions. 1. Knowing. 2. Being with. 3. Doing for. 4. Maintaining belief. a. Sustaining faith in one's capacity to get through a situation. b. Striving to understand an event meaning for another person. c. Being emotionally there for another person. d. Providing for another as he or she would do for themselves.

Caring is central to nursing practice, but technological advances for rapid diagnosis and treatment should lead the nurse to realize that: A. Technology has replaced caring as nurses' primary focus. B. Technology and caring cannot coexist when related to patient care. C. Technology becomes a powerful tool when it works with caring. D. Caring is the essence of nursing and is isolated from technology.

Caring is a universal phenomenon that involves: A. Being disconnected. B. Excluding outside phenomena in favor of family relationships. C. Focusing only on human relationships with one another. D. What matters to a person.

With respect to the concept of caring, most nursing theories: A. Embrace the disease oriented to health care as Watson does. B. Recognize Leininger's theory and reject culture as a caring force. C. Identify caring as highly relational involving patient and nurse. D. Stress the universality of the express of caring.

The patient has had a colostomy placed but has not yet been able to look at it. The nurse is given the task of teaching the patient how to care for it. The nurse sits with the patient, and together they form a plan on how to approach dealing with colostomy care. Which caring process is the nurse performing? A. Knowing. B. Doing for. C. Enabling. D. Maintaining belief.

In trying to determine patients' perception of caring, several studies have suggested that: A. The nurse's effectiveness in performing tasks defines her profession. B. The affective dimension of nursing care is of primary importance. C. All patients have the same needs and similar personalities. D. Patients value both task performance and the affective dimension of nursing.

The nurse is admitting a patient who will be having elective surgery. The nurse spends over an hour asking the patient questions as part of the admission process. What is the nurse's primary reason for doing this? A. It is hospital protocol and part of the admission process. B. The nurse is trying to make the patient more comfortable. C. This will help the nurse provide better care for the patient. D. The nurse needs the time to give a detailed description of what to expect.

The term "ethics" refers to the ideals of right and wrong behavior. As such, the "ethics of care" creates a professional relationship in which the nurse: A. Must make decisions for the patient solely using intellectual principles. B. Must become the patient's advocate based on the patient's wishes. C. Uses only analytical principles to determine what is best for the patient. D. Must ignore unequal family relationships because they are personal.

Providing "presence" involves "being there" and "being with." What does this involve? A. Closeness and a sense of caring. B. Focusing on the task that needs to be done. C. Jumping in to provide patient comfort. D. Being there without an identified goal.

The patient is to have thoracentesis at the bedside but tells the nurse that he is afraid and would like to cancel. The nurse sits with the patient and asks him to describe his fears. She then explains the procedure and assures the patient that she will be with him during the procedure. The patient agrees to have the procedure, and during the procedure, the nurse stays with the patient, explaining each step and providing encouragement. How has the nurse helped this patient? A. Providing a presence. B. Listening. C. Providing touch. D. Providing family care.

The nurse has cared for a patient for several days. The patient is terminal and is very near death. The nurse notices the heart rate on the monitor decreasing and then the absence of a pattern. The family is standing at the patient's bed, and when the nurse checks the patient and finds no pulse or blood pressure, the family begins sobbing and hugging each other. Some hold the patient's hand. The nurse is overwhelmed by the presence of grief and leaves the room to cry in the nurses' lounge. What is the nurse demonstrating? A. Task-oriented touch. B. Caring touch. C. Protective touch. D. None of the above.

When dealing with the concept of "touch," the nurse realizes what with regard to contact touch? A. Involves only skin-to-skin contact. B. Involves eye contact. C. Occurs only when tasks are being performed. D. Is used only to protect the patient.

The nurse is caring for a patient who has been sullen and quiet for the past three days. Suddenly, he says, "I'm really nervous about surgery tomorrow, but I'm more worried about how it will affect my family." What should the nurse do? A. Assure the patient that everything will be all right and continue what she/he is doing. B. Tell the patient that whatever happens is out of control, so he shouldn't worry. C. Stop what he/she is doing (if possible) and ask the patient to expand on his statement. D. Contact hospital clergy to come and talk with the patient.

The patient is about to undergo a certain procedure and has voiced concern about outcomes and prognosis. The nurse caring for the patient underwent a similar procedure a few years earlier and stops to listen to the patient's concerns. Which of the following responses by the nurse may be most beneficial? A. "I had a similar procedure last year and I can tell you what I went through." B. "I don't think you have anything to worry about. They do lots of these." C. "If you're really concerned, I can call the doctor and cancel the procedure." D. "Of course there are no guarantees, but I think you'll be all right."

The nurse is making her first set of rounds in the morning. In doing so, she meets a patient whom she has never worked with before. She introduces herself and explains the plan of the day. She also asks the patient how he normally takes his morning medications, such as before breakfast, after breakfast, or during breakfast. She does this because most of the morning medications in that institution are scheduled by pharmacy for 0900. Getting to know her patient will allow her to: A. Choose the most appropriate time to give the medication. B. Explain to the patient that he will not get his medication at his usual time. C. Know what information to put on the medication error report form. D. Evaluate whether or not the patient is taking his medication correctly at home.

Caring is a universal phenomenon that influences the ways in which people (Select all that apply.) A. Learn. B. Think. C. Believe. D. Feel. E. Behave.

The concept of "knowing" the patient comprises both the nurse's understanding of a specific patient and the nurse's subsequent selection of interventions. To know a patient means that the nurse (Select all that apply.) A. Avoids assumptions. B. Focuses on the patient. C. Engages in a caring relationship. D. Forms the relationship quickly.