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Chapter 3: Understanding the Changing Roles in Nursing
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Chapter 3: Understanding the Changing Roles in Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is teaching a group about paradigm thinking and defines it as what?
| 1. | One’s mathematical knowledge and ability to solve math problems |
| 2. | The ability to see 20 feet away without wearing glasses |
| 3. | An individual’s perception or frame of reference about the world |
| 4. | A nurse’s ability to solve patient-care problems |
____ 2. Most nursing paradigms are based on what?
| 1. | The nurse’s ability to perform procedures with skill |
| 2. | Dr. Jean Watson’s transpersonal caring theory |
| 3. | Maslow’s theory of hierarchy of needs |
| 4. | Learning by studying nursing theories and clinical experiences |
____ 3. The increasing use of licensed practical nurses (LPNs) in management positions, especially in long-term care facilities, is an example of what?
| 1. | Assertive management |
| 2. | A shifting paradigm |
| 3. | Critical thinking |
| 4. | Smarter LPN graduates |
____ 4. Why is critical thinking necessary for the nurse to identify and understand paradigms that exist in nursing practice?
| 1. | Critical thinking allows the nurse to make superficial decisions. |
| 2. | Critical thinking allows the nurse to thoroughly examine situations and issues. |
| 3. | Critical thinking provides the nurse with quick answers. |
| 4. | Critical thinking allows the nurse to accept information without needing to check its validity. |
____ 5. The nurse values respect for the individual, more than anything else, as defining high-quality patient care. What does this describe about the nurse?
| 1. | Critical thinking |
| 2. | Caritas |
| 3. | Paradigm |
| 4. | Hierarchy of needs |
____ 6. The nurse reads a peer-reviewed nursing journal article that recommends changing the procedure for caring for a patient with an indwelling urinary catheter. The nurse displays critical thinking with what action?
| 1. | Changing how the nurse provides care for a patient with an indwelling catheter according to the article |
| 2. | Taking the journal article to the nurse manager and suggesting the procedure be rewritten |
| 3. | Searching for other peer-reviewed articles that support this author’s recommendation |
| 4. | Ignoring the article and following the procedure as written at the facility where the nurse works |
____ 7. The nurse applies Maslow’s hierarchy of needs to what aspect of care?
| 1. | Judging the patient’s behavior |
| 2. | Improving the skillfulness of care |
| 3. | Understanding the patient’s behavior |
| 4. | Improving communication skills |
____ 8. The nurse is caring for a patient who has just received a cancer diagnosis. The patient is crying. The nurse recognizes this patient is operating on what level of Maslow’s hierarchy of needs?
| 1. | Self-esteem |
| 2. | Love and belonging |
| 3. | Safety |
| 4. | Self-actualization |
Chapter 3: Understanding the Changing Roles in Nursing
Answer Section
MULTIPLE CHOICE
Paradigm refers to a model, theory, assumption, or a frame of reference. Generally, it means the way a person “sees” the world; this does not refer to a person’s visual sight, but a person’s mental perception.
PTS: 1 REF: Chapter: 3 OBJ: Objective: 1
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding
Most nursing paradigms, or ways of seeing nursing practice, are based on learning through theories or clinical experiences. Culture is another paradigm that impacts nursing.
PTS: 1 REF: Chapter: 3 OBJ: Objective: 1
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying
The use of LPNs in more management positions is a paradigm shift. A shifting paradigm is a break with older ways of thinking. This shift changes the world of those who experience it, and it is the source of attitudes and behaviors.
PTS: 1 REF: Chapter: 3 OBJ: Objective: 2
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying
The LPN must have the tools to identify paradigm strategies. One tool is critical thinking, which allows the nurse to identify existing paradigms and to devise strategies needed to shift paradigms. Critical thinking also allows the nurse to be open to alternative ways of thinking and to be wary of “quick-fix” solutions.
PTS: 1 REF: Chapter: 3 OBJ: Objective: 3
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying
Respect is the nurse’s perspective of how care should be delivered, so this describes the nurse’s paradigm.
PTS: 1 REF: Chapter: 3 OBJ: Objective: 2
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying
The critically thinking nurse seeks further support for the author’s conclusions to determine if further research is available.
PTS: 1 REF: Chapter: 3 OBJ: Objective: 3
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying
Maslow’s hierarchy of needs allows the nurse to understand the patient’s behavior by recognizing the level of need from which the patient is operating.
PTS: 1 REF: Chapter: 3 OBJ: Objective: 5
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Health Promotion and Maintenance | Cognitive Level: Understanding
Cancer diagnoses often result in fear of death, even when the patient is told the disease is curable, so this patient is operating at the level of safety as he or she copes with the fear of death.
PTS: 1 REF: Chapter: 3 OBJ: Objective: 5
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Applying
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$30.00 Original price was: $30.00.$20.00Current price is: $20.00.
$30.00 Original price was: $30.00.$20.00Current price is: $20.00.
$30.00 Original price was: $30.00.$20.00Current price is: $20.00.
$30.00 Original price was: $30.00.$20.00Current price is: $20.00.
$30.00 Original price was: $30.00.$20.00Current price is: $20.00.