Chapter 7 - Caring in Nursing Practice

Patient-centered

A nurse is caring for a patient in pain. Which nursing approach is priority?

Caring

A nurse is providing pain medication to patients after surgery. Which component is key for the nurse's personal philosophy of nursing?

Benner identifies caring as highly connected involving patient and nurse

A nurse attends a seminar on nursing theories for caring. Which information from the nurse indicates a correct understanding of these theories?

Enabling

The patient has a colostomy but has not yet been able to look at it. The nurse teaches the patient how to care for the colostomy. The nurse sits with the patient, and together they form a plan on how to approach dealing with the colostomy care. Which caring process is the nurse performing?

Instilling faith-hope

A nurse is using Watson's model to provide care to patients. Which caritive factor will the nurse use?

Provides clear, accurate information

A nurse provides care that is receptive to the patients' families' perceptions of caring. Which action will the nurse take?

Becomes the patient's advocate based on the patient's wishes

A nurse follows the ethics of care when working with patients. Which action will the nurse take?

Providing closeness and a sense of caring

A nurse is providing presence to a patient and the family. Which nursing action does this involve?

Providing a presence

The patient is afraid to have a thoracentesis at the bedside. The nurse sits with the patient and asks about the fears. During the procedure, the nurse stays with the patient, explaining each step and providing encouragement. What is the nurse displaying?

Protective touch

The patient has a terminal diagnosis and is very near death. When the nurse assesses the patient and finds no pulse or blood pressure, the family begins sobbing and hugging each other. Some family members hold the patient's hand. The nurse is overwhelmed by the presence of grief and leaves the room. What is the nurse demonstrating?

Rubs a patient's back

Which action indicates a nurse is using caring touch with a patient?

Listen to the patient's concerns and fears

The nurse is caring for a patient who has been sullen and quiet for the past 3 days. Suddenly, the patient says "I'm really nervous about surgery tomorrow, but I'm more worried about how it will effect my family." What should the nurse do first?

"I had a similar procedure and I can tell you what I went through if you want."

The patient is about to undergo a certain procedure and has voiced concern about outcomes and prognosis. The nurse caring for the patient underwent a similar procedure and stops to listen. Which response by the nurse may be the most beneficial?

Choose the most appropriate time to give the medications

In making rounds, the nurse meets a patient for the first time. The nurse asks the patient when they usually take their morning medications. What does knowing the patient allow the nurse to do?

The way in which patients feel

The way in which patients think

The way in which patients behave

A nurse cares for patients. Which areas does caring influence?

Avoid assumptions

Focus on the patient

Engage in a caring relationship

Which actions by the nurse should be done in order to get to know the patient?

Saying "I'm here"

Including the family in care

Staying with the patient during during a bedside test

Which actions by the nurse indicate compassion and caring to patients?

Intrapersonally - Connection with oneself

Interpersonally - Connection with others

Transpersonally - Connect with higher power

Match the examples to the areas the nurse will promote connectedness for patient's spirituality needs.

a. Connection with others

b. Connection with higher power

c. Connect with oneself

1. Intrapersonally

2. Interpersonally

3. Transpersonally