Chapter 25 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 25 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

The student nurse is following a preceptor on the assigned clinical shift. Which behavior of the nurse should the student interpret as caring?

1. Making sure that all medications and treatments are done on time
2. Using aseptic technique when performing a dressing change
3. Advising the physician that the client wants to speak to him or her prior to a procedure
4. Explaining an invasive procedure to the client, then asking if it is all right to begin the procedure

Correct Answer: 4

Rationale 1: Caring is more than just performing skills adequately or even efficiently.

Rationale 2: Caring is more than just performing skills adequately or even efficiently.

Rationale 3: Caring is more than just performing skills adequately or even efficiently.

Rationale 4: Caring practice involves connection, mutual recognition, and involvement. It’s a sense that the nurse has made a difference to someone else. Caring means that people, relationships, and things matter. Explaining a procedure, then seeking permission to begin, lets the client know that the nurse respects the client as an individual.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care:

AACN Essentials Competencies: IX. 21. Engage in caring and healing techniques that promote a therapeutic nurse-patient relationship

NLN Competencies: Personal and Professional Development; Ethical Comportment; Demonstrate caring and compassion

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 4. Describe how nurses demonstrate caring in practice.

MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice.

Page Number: 398

Question 2

Type: MCSA

The nurse is reviewing Mayeroff’s philosophy of caring prior to providing care to a client. What should the nurse include to demonstrate caring to the client?

1. Honesty
2. Trust
3. Humility
4. Professionalism
5. Courtesy

Correct Answer: 1, 2, 3

Rationale 1: Mayeroff defines major ingredients of caring that provide structure and further description of this process. Honesty includes awareness and openness to one’s own feelings and a genuineness in caring for the other person.

Rationale 2: Mayeroff defines major ingredients of caring that provide structure and further description of this process. Trust involves letting go, to allow the other to grow in his or her own way and own time.

Rationale 3: Mayeroff defines major ingredients of caring that provide structure and further description of this process. Humility means acknowledging that there is always more to learn, and that learning may come from any source.

Rationale 4: Professionalism and courtesy are not ingredients described by Mayeroff.

Rationale 5: Professionalism and courtesy are not ingredients described by Mayeroff.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care:

AACN Essentials Competencies: IX. 21. Engage in caring and healing techniques that promote a therapeutic nurse-patient relationship

NLN Competencies: Personal and Professional Development; Ethical Comportment; Demonstrate caring and compassion

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 2. Identify nursing theories that focus on caring.

MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice.

Page Number: 398

Question 3

Type: MCSA

The nurse is emulating the characteristics of caring, as described by Mayeroff. Which action demonstrates knowing, in relationship to caring?

1. Seeing that a client is withdrawn and sullen, and spending extra time when providing cares or treatments
2. Understanding the reason a client’s lab values are elevated
3. Seeing the connection between the pathophysiology of the cardiac condition and treatment and giving the rationale for certain medications when the client asks
4. Getting an extra blanket when the client says he is cold

Correct Answer: 1

Rationale 1: Knowing means understanding the other’s needs and how to respond to those needs. Sensing that a client is withdrawn and sullen, the nurse knows that spending extra time can sometimes allow the client to feel comfortable in talking about what might be bothering him.

Rationale 2: Understanding the reason for elevated lab values is an example of knowing in the didactic sense.

Rationale 3: Seeing the connection between the pathophysiology and treatment of a condition is an example of knowing in the didactic sense.

Rationale 4: Getting an extra blanket is responding to client needs after being told what those needs are, not sensing or understanding them.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care:

AACN Essentials Competencies: IX. 21. Engage in caring and healing techniques that promote a therapeutic nurse-patient relationship

NLN Competencies: Personal and Professional Development; Ethical Comportment; Demonstrate caring and compassion

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 2. Identify nursing theories that focus on caring.

MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice.

Page Number: 398