Chapter 14: Setting Meaningful Priorities

Chapter 14: Setting Meaningful Priorities

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   A nursing student’s friends ask her to go on a weekend camping trip. The student has a major exam on Monday. In helping set personal priorities, what should be considered?

1.	The student’s diminishing finances, which must last throughout the semester.
2.	The student’s parents’ pride in her academic success.
3.	The student’s personal stress level as finals grades are approaching.
4.	The student’s friends, who have supported her in the past.

 

 

____     2.   Which of the following statements is true about your personal mission statement?

1.	It remains unchanged throughout your life.
2.	It defines your relationship with society.
3.	It describes your purpose in life.
4.	It requires knowledge of triage and disaster planning.

 

 

____     3.   When setting nursing priorities, which factors must be considered?

1.	Compassion and patient needs
2.	Patient and family requests
3.	Physician’s orders and patient status
4.	Knowledge base and nursing theories

 

 

____     4.   The nurse has given report to the oncoming nurse. She must clock out in 10 minutes to avoid overtime, which has been looked upon as poor time management and discouraged by nursing administration. The oncoming nurse has been called away. A client who has experienced ineffective pain management during the shift is due for more medication and requests it. What is the nurse’s decision-making regarding personal priorities based on?

1.	Alternative plans to meet all of the objectives
2.	A strong knowledge base
3.	Input from others
4.	A personal value system

 

 

____     5.   You have received oncoming report. Using concepts of Maslow and Watson for priority setting, which client would you assess first?

1.	A diabetic patient with a newly diagnosed foot ulcer
2.	A patient who is 3-days postoperative following abdominal surgery with no bowel sounds
3.	An asthmatic pediatric patient with expiratory wheezing
4.	A cardiac client who had chest pain relieved after the third nitroglycerin 1 hour ago.

 

 

____     6.   How does priority setting in your personal setting differ from a clinical setting?

1.	Priority setting in a personal setting requires teamwork.
2.	Priority setting in a personal setting requires advanced planning.
3.	Priority setting in a clinical setting requires teamwork.
4.	Priority setting in a clinical setting requires advanced planning.

 

 

____     7.   Your hospital has moved from paper and pen documentation to computerized documentation. Although you have attended the required training session, you still feel it takes longer and is not as descriptive. What is your best response?

1.	Continue charting using paper and pen.
2.	Ask another nurse to chart for you in exchange for you passing her medications.
3.	Resign and look for another job at a hospital with a paper documentation system.
4.	Ask your supervisor for additional training on computerized documentation.

 

 

____     8.   The nurse is caring for a client admitted for complications following an abortion. The nurse values adoption over abortion. How will the nurse best serve this patient?

1.	Discussing her feeling about adoption with the client
2.	Asking the charge nurse for an alternate assignment
3.	Clustering care so she will not have to go into the room often
4.

 

MULTIPLE CHOICE

 

1. ANS:  3

The only consideration that incorporates the student’s own personal values is the one related to personal stress level.

 

PTS:   1                    REF:   Chapter: 14    OBJ:   Objective: 1

KEY:  Content Area: Priorities | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

 

2. ANS:  3

A personal mission statement is your own purpose in life, frequently influenced by family values. It changes as you progress through life.

 

PTS:   1                    REF:   Chapter: 14    OBJ:   Objective: 2

KEY:  Content Area: Priorities | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding

 

3. ANS:  1

Maslow’s (needs) and Watson’s (caring) theories are perfect examples of a framework for setting meaningful priorities in nursing.

 

PTS:   1                    REF:   Chapter: 14    OBJ:   Objective: 3

KEY:  Content Area: Priorities | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Knowing

 

4. ANS:  4

The first step in setting personal priorities is to develop a personal value system that will guide the nurse in determining what is most important.

 

PTS:   1                    REF:   Chapter: 14    OBJ:   Objective: 3

KEY:  Content Area: Priorities | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

 

5. ANS:  3

Applying the theorist concepts and the ABCs, the patient with altered airway or breathing gets first priority, followed by the patient with circulatory problems.

 

PTS:   1                    REF:   Chapter: 14    OBJ:   Objective: 3

KEY:  Content Area: Priorities | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

 

6. ANS:  3

When setting your personal priorities, you often can do that by yourself; but when setting priorities in the clinical arena, teamwork is required.

 

PTS:   1                    REF:   Chapter: 14    OBJ:   Objective: 4

KEY:  Content Area: Priorities | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding

 

7. ANS:  4

The nurse must learn to work on the changing priorities of the organization and progress toward emerging practice opportunities. The nurse should keep her personal value system of quality and time-efficient patient care representative of the new things she learns.

 

PTS:   1                    REF:   Chapter: 14    OBJ:   Objective: 5

KEY:  Content Area: Priorities | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying

 

8. ANS:  2

Abortion is against the nurse’s personal values, so the nurse should ask the charge nurse to change her assignment. The nurse was better able to serve the client because she was familiar with her own personal values.

 

PTS:   1                    REF:   Chapter: 14    OBJ:   Objective: 5

KEY:  Content Area: Priorities | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying