Module 40 Professional Behaviors

Module 40   Professional Behaviors

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

The Concept of Professional Behaviors

 

1) A toddler who has just been admitted to the pediatric unit is crying and scared. No treatment has been initiated at this point. The nurse needs to start an IV, and the parent asks, “Can I stay with my child and help through the procedure?” In providing care for the family, how does the nurse respond?

1. A) “I can teach you ways to help your child throughout the procedure if you would like to be involved.”
2. B) “We do this all the time, so don’t worry. I will come get you when we are done”
3. C) “Be ready to hold the child down when I tell you to.”
4. D) “I will be very quick so there is no need for you to stay for the procedure.”

Answer:  A

Explanation:

1. A) A part of nurse competency is knowing the procedures to follow when performing skills. The nurse who is going to initiate an IV on a pediatric client should always seek assistance from the parent if the parent is willing and capable of offering assistance. Telling the parents that they need to hold the child without giving them a

Choice is not appropriate; many parents do not want to participate in activities that cause pain to their child. The nurse does not know how long the procedure will be, and telling the parent not to worry is pointless.

1. B) A part of nurse competency is knowing the procedures to follow when performing skills. The nurse who is going to initiate an IV on a pediatric client should always seek assistance from the parent if the parent is willing and capable of offering assistance. Telling the parents that they need to hold the child without giving them a

Choice is not appropriate; many parents do not want to participate in activities that cause pain to their child. The nurse does not know how long the procedure will be, and telling the parent not to worry is pointless.

1. C) A part of nurse competency is knowing the procedures to follow when performing skills. The nurse who is going to initiate an IV on a pediatric client should always seek assistance from the parent if the parent is willing and capable of offering assistance. Telling the parents that they need to hold the child without giving them a

Choice is not appropriate; many parents do not want to participate in activities that cause pain to their child. The nurse does not know how long the procedure will be, and telling the parent not to worry is pointless.

 

1. D) A part of nurse competency is knowing the procedures to follow when performing skills. The nurse who is going to initiate an IV on a pediatric client should always seek assistance from the parent if the parent is willing and capable of offering assistance. Telling the parents that they need to hold the child without giving them a

Choice is not appropriate; many parents do not want to participate in activities that cause pain to their child. The nurse does not know how long the procedure will be, and telling the parent not to worry is pointless.

Page Ref: 2482

Cognitive Level:  Analyzing

Client Need:  Safe and Effective Care Environment

Nursing Process:  Implementation

Learning Outcome:  1. Connect professional behaviors to the development of trust in the nurse.

2) A student nurse accidentally left an elderly client’s bed up after giving a bed bath. Luckily, another nurse found that the bed was not left in the lowest position and was able to rectify the matter before something happened. The student responded, “I know better. I should’ve double-checked the bed before I left the room.” Which characteristic is this student demonstrating?

1. A) Compassion
2. B) Integrity
3. C) Fidelity
4. D) Justice

Answer:  B

Explanation:

1. A) Integrity means adhering to a strict moral or ethical code. By admitting to not double-checking the position of the bed, the student shows accountability and integrity. Justice has to do with being fair. Fidelity means to be faithful to agreements and promises. Compassion is an awareness of and concern for the suffering of others.
2. B) Integrity means adhering to a strict moral or ethical code. By admitting to not double-checking the position of the bed, the student shows accountability and integrity. Justice has to do with being fair. Fidelity means to be faithful to agreements and promises. Compassion is an awareness of and concern for the suffering of others.
3. C) Integrity means adhering to a strict moral or ethical code. By admitting to not double-checking the position of the bed, the student shows accountability and integrity. Justice has to do with being fair. Fidelity means to be faithful to agreements and promises. Compassion is an awareness of and concern for the suffering of others.
4. D) Integrity means adhering to a strict moral or ethical code. By admitting to not double-checking the position of the bed, the student shows accountability and integrity. Justice has to do with being fair. Fidelity means to be faithful to agreements and promises. Compassion is an awareness of and concern for the suffering of others.

Page Ref: 2483

Cognitive Level:  Analyzing

Client Need:  Safe and Effective Care Environment

Nursing Process:  Evaluation

Learning Outcome:  2. Provide examples of how the nurse uses professional behaviors to meet the primary responsibility of nursing.

 

3) The nurse working in a neonatal intensive care unit (ICU) is caring for a critically ill 28-week-old preemie. The parent calls the nurse and asks if it would be possible to bring the client’s 2-year-old sibling to visit because the sibling is having nightmares about the client’s death. Small children are not permitted to visit because of the risk of infection to the infants on the unit. What should the nurse do?

1. A) Seek permission from unit management and the physician to allow the sibling to visit.
2. B) Offer to make counseling available to the sibling.
3. C) Tell the parent that visiting is not permitted and offer to take pictures of the client.
4. D) Tell the parent to bring the sibling in to visit in the middle of the night.

Answer:  A

Explanation:

1. A) The nurse realizes that certain rules are in place for the protection of clients. The nurse would be compassionate enough to seek permission to allow the sibling to visit and see that the infant is alive and being cared for. Telling the parent what the rules of the unit are will only increase the family’s frustration when they are looking to the nurse for assistance. Offering counseling may or may not be an effective means of assisting the family. The sibling needs to be reassured that the infant is alive. The nurse would not make the decision without the permission of the management team.
2. B) The nurse realizes that certain rules are in place for the protection of clients. The nurse would be compassionate enough to seek permission to allow the sibling to visit and see that the infant is alive and being cared for. Telling the parent what the rules of the unit are will only increase the family’s frustration when they are looking to the nurse for assistance. Offering counseling may or may not be an effective means of assisting the family. The sibling needs to be reassured that the infant is alive. The nurse would not make the decision without the permission of the management team.
3. C) The nurse realizes that certain rules are in place for the protection of clients. The nurse would be compassionate enough to seek permission to allow the sibling to visit and see that the infant is alive and being cared for. Telling the parent what the rules of the unit are will only increase the family’s frustration when they are looking to the nurse for assistance. Offering counseling may or may not be an effective means of assisting the family. The sibling needs to be reassured that the infant is alive. The nurse would not make the decision without the permission of the management team.
4. D) The nurse realizes that certain rules are in place for the protection of clients. The nurse would be compassionate enough to seek permission to allow the sibling to visit and see that the infant is alive and being cared for. Telling the parent what the rules of the unit are will only increase the family’s frustration when they are looking to the nurse for assistance. Offering counseling may or may not be an effective means of assisting the family. The sibling needs to be reassured that the infant is alive. The nurse would not make the decision without the permission of the management team.

Page Ref: 2483

Cognitive Level:  Analyzing

Client Need:  Health Promotion and Maintenance

Nursing Process:  Implementation

Learning Outcome:  3. Explore nursing behaviors that demonstrate professionalism.

 

4) A nurse is on the elevator preparing to start a 12-hour shift after visiting a sick family member when two other nurses enter. The nurses start talking negatively about a client they are caring for on a medical-surgical unit in the hospital. Although there are no clients on the elevator, how should the nurse handle this situation?

1. A) Ask the nurses to stop talking in public.
2. B) Report the nurses to the unit manager.
3. C) Speak to the nurses in a private place.
4. D) Report the nurses to the risk manager.

Answer:  C

Explanation:

1. A) Nursing integrity ensures that patients’ rights are respected in the healthcare setting. If the nurse were to confront the two colleagues on the elevator, it could be overheard by others. The nurse should wait to speak to the other nurses privately about the breach of confidentiality. The nurse could report the incident to the unit manager, but it would be best for the nurse to confront the two colleagues in a professional way. The nurse should confront the two colleagues in a private manner in a professional way. If that cannot be done, then notifying the nurse manager would be the next step. The risk manager is only involved in situations where there is an injury to the staff or a client.
2. B) Nursing integrity ensures that patients’ rights are respected in the healthcare setting. If the nurse were to confront the two colleagues on the elevator, it could be overheard by others. The nurse should wait to speak to the other nurses privately about the breach of confidentiality. The nurse could report the incident to the unit manager, but it would be best for the nurse to confront the two colleagues in a professional way. The nurse should confront the two colleagues in a private manner in a professional way. If that cannot be done, then notifying the nurse manager would be the next step. The risk manager is only involved in situations where there is an injury to the staff or a client.
3. C) Nursing integrity ensures that patients’ rights are respected in the healthcare setting. If the nurse were to confront the two colleagues on the elevator, it could be overheard by others. The nurse should wait to speak to the other nurses privately about the breach of confidentiality. The nurse could report the incident to the unit manager, but it would be best for the nurse to confront the two colleagues in a professional way. The nurse should confront the two colleagues in a private manner in a professional way. If that cannot be done, then notifying the nurse manager would be the next step. The risk manager is only involved in situations where there is an injury to the staff or a client.
4. D) Nursing integrity ensures that patients’ rights are respected in the healthcare setting. If the nurse were to confront the two colleagues on the elevator, it could be overheard by others. The nurse should wait to speak to the other nurses privately about the breach of confidentiality. The nurse could report the incident to the unit manager, but it would be best for the nurse to confront the two colleagues in a professional way. The nurse should confront the two colleagues in a private manner in a professional way. If that cannot be done, then notifying the nurse manager would be the next step. The risk manager is only involved in situations where there is an injury to the staff or a client.

Page Ref: 2483

Cognitive Level:  Evaluating

Client Need:  Safe and Effective Care Environment

Nursing Process:  Implementation

Learning Outcome:  4. Describe professional behaviors based on the ANA Code of Ethics.

5) A nurse supervisor in a hospital that is about to vote on unionizing nurses has been told by the hospital CFO to schedule union organizers during times that have been arranged for union organizational meetings. How might this nurse respond professionally?

Select all that apply.

1. A) Schedule the organizers during union meeting times.
2. B) Schedule the organizers according to clinical staffing needs.
3. C) Reprimand nurses for attempts to unionize.
4. D) Continue to implement the usual staffing procedures.
5. E) Discuss the need for professional nursing integrity with the CFO.

Answer:  B, D, E

Explanation:

1. A) Administrators may serve their careers and no longer the priorities of client-centered care. Nurses in authority who emphasize principles and who focus on client safety can extinguish negative behaviors and encourage nurses at the point of care. Some administrators can be identified by an attitude of arrogance, control, and acceptance of the hierarchical power structure. Nurses should maintain their integrity and that of their profession.
2. B) Administrators may serve their careers and no longer the priorities of client-centered care. Nurses in authority who emphasize principles and who focus on client safety can extinguish negative behaviors and encourage nurses at the point of care. Some administrators can be identified by an attitude of arrogance, control, and acceptance of the hierarchical power structure. Nurses should maintain their integrity and that of their profession.
3. C) Administrators may serve their careers and no longer the priorities of client-centered care. Nurses in authority who emphasize principles and who focus on client safety can extinguish negative behaviors and encourage nurses at the point of care. Some administrators can be identified by an attitude of arrogance, control, and acceptance of the hierarchical power structure. Nurses should maintain their integrity and that of their profession.
4. D) Administrators may serve their careers and no longer the priorities of client-centered care. Nurses in authority who emphasize principles and who focus on client safety can extinguish negative behaviors and encourage nurses at the point of care. Some administrators can be identified by an attitude of arrogance, control, and acceptance of the hierarchical power structure. Nurses should maintain their integrity and that of their profession.
5. E) Administrators may serve their careers and no longer the priorities of client-centered care. Nurses in authority who emphasize principles and who focus on client safety can extinguish negative behaviors and encourage nurses at the point of care. Some administrators can be identified by an attitude of arrogance, control, and acceptance of the hierarchical power structure. Nurses should maintain their integrity and that of their profession.

Page Ref: 2484

Cognitive Level:  Analyzing

Client Need:  Safe and Effective Care Environment

Nursing Process:  Implementation

Learning Outcome:  5. Compare and contrast organizational commitment and professional commitment.