Chapter 19: Caring in Nursing Practice

Chapter 19: Caring in Nursing Practice

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nurse is working in a health care clinic. She loves her work because of all the different people she meets. She professes to care for all of them and states that she understands them because she realizes which of the following is true?

a.	Basically all patients are the same.
b.	Each person has a unique background.
c.	Caring for people requires very little experience.
d.	There are standard solutions to most health care problems.

 

 

ANS:   B

Patients are not all the same. Each person brings a unique background of experiences, values, and cultural perspectives to a health care encounter. Caring is always specific and relational for each nurse-patient encounter. As nurses acquire more experience, they learn that caring helps them to focus on the patients for whom they care. Caring facilitates a nurse’s ability to know a patient, allowing the nurse to recognize a patient’s problems and to find and implement individualized solutions.

 

PTS:    1                      DIF:    Cognitive Level: Remembering (Knowledge)

REF:    518                  OBJ:    Describe ways to express caring in practice.

TOP:    Nursing Process: Planning                 MSC:   NCLEX: Psychosocial Integrity

 

2. Madeleine Leininger identifies the concept of care as the essence and unifying domain that sets nursing apart from other health care disciplines. Which of the following is true in her view?

a.	Care and cure are synonymous.
b.	Care is designed to focus only on individuals.
c.	Caring acts are independent of patient values.
d.	Caring depends on communication.

 

 

ANS:   D

Caring is very personal. One challenge is to find ways to communicate with patients so as to learn the culturally specific behaviors and words that reflect human caring. Care is an essential human need, necessary for the health and survival of all individuals. Care, unlike cure, assists an individual or group in improving a human condition. A caring act depends on the needs, problems, and values of a patient.

 

PTS:    1                      DIF:    Cognitive Level: Remembering (Knowledge)

REF:    519                  OBJ:    Describe the commonalities among theories of caring.

TOP:    Nursing Process: Planning                 MSC:   NCLEX: Psychosocial Integrity

 

3. Nurses care for a variety of patients. What is an activity that best demonstrates the caring role of a nurse?

a.	Staying with a patient and developing a plan of care before surgery
b.	Performing IV insertion with confidence
c.	Assessing the patient’s entire health history
d.	Inserting a urinary catheter using aseptic technique

 

 

ANS:   A

Caring is highly relational. A nurse and a patient enter into a relationship that is much more than one person simply “doing tasks for” another. There is a mutual give-and-take that develops as nurse and patient begin to know and care for one another. As a nurse-patient relationship forms, a nurse becomes a coach and partner rather than a detached provider of care. Performing an IV insertion, assessing a health history, and inserting a catheter are all tasks that can be accomplished with or without a caring nurse-patient relationship being developed.

 

PTS:    1                      DIF:    Cognitive Level: Applying (Application)

REF:    520 | 521         OBJ:    Describe ways to express caring in practice.

TOP:    Nursing Process: Implementation      MSC:   NCLEX: Psychosocial Integrity

 

4. Which of the following would indicate that the nurse has established a level of mutual problem solving?

a.	The nurse helps the patient develop questions to ask the health care provider.
b.	The nurse tells the patient what needs to be done to resolve health problems.
c.	The nurse is seen as the authority when it comes to health care issues.
d.	The nurse excludes the family from health discussions to protect privacy.

 

 

ANS:   A

A caring nurse helps hospitalized patients understand how to think about their health and illness and to figure out questions to ask of their health care providers. In addition, a caring nurse helps patients explore options for resolving health problems and provides information and instruction. Using evidence in practice is an aspect of mutual problem solving, with a nurse continuously learning and engaging patients and families in discussions about their health issues. Basic to nursing practice is the inclusion of family members in a patient’s care.

 

PTS:    1                      DIF:    Cognitive Level: Remembering (Knowledge)

REF:    521 | 522

OBJ:    Discuss the role that caring plays in building nurse-patient relationships.

TOP:    Nursing Process: Assessment MSC:   NCLEX: Psychosocial Integrity