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Madeleine Leininger identifies the concept of care as the essence and unifying domain that sets nursing apart from other health care disciplines.Which of the following is true in her view?


A) Care and cure are synonymous.
B) Care is designed to focus only on individuals.
C) Caring acts are independent of patient values.
D) Caring depends on communication.

E) A) and B)
F) A) and D)

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D

Nurses demonstrate caring behaviors when they do which of the following? (Select all that apply.)


A) Give clear explanations.
B) Make the patient do everything for himself or herself.
C) Tell the patient that getting pain medication depends on his or her cooperation.
D) Share information about the patient's responses with other staff members.
E) Ask permission before doing something to the patient.

F) A) and B)
G) A) and C)

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A nurse enters a patient's room and is very methodical in her assessment skills and in providing a safe environment,but only speaks with the patient when necessary to gather data.This nurse is:


A) uncaring and probably always will be.
B) most likely a product of a less caring environment.
C) probably more caring with other patients.
D) a product of a caring environment.

E) A) and B)
F) A) and C)

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B

The patient was hospitalized with pneumonia.He had always been very healthy and was concerned that now his family would have to take care of him.During one conversation the nurse said to him,"This gives the ones who love you a chance to show you how much they care for you." The comment that the nurse made best demonstrated which behavior?


A) Human respect
B) Encouraging manner
C) Healing environment
D) Affiliation needs

E) None of the above
F) C) and D)

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A female patient has just found a large lump in her breast.The health care provider needs to perform a breast biopsy.The nurse assists the patient into the proper position and offers support during the biopsy.What is the nurse doing?


A) Creating a healing environment
B) Fulfilling affiliation needs
C) Providing a sense of presence
D) Demonstrating an encouraging manner

E) All of the above
F) B) and D)

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When individuals become ill,there may be a story about the meaning of the illness.When a nurse listens,the patient is:


A) able to break the distress of illness.
B) unable to express what he actually needed when he was ill.
C) usually not able to determine what is at stake because of his illness.
D) able keep the nurse from prying into his more personal life.

E) A) and C)
F) B) and C)

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The relief of pain and suffering give a patient comfort,dignity,respect,and peace.To enhance the therapeutic environment,what should the nurse do?


A) Make the environment as noise free as possible.
B) Remove personal items so that the environment is as clinical as possible.
C) Focus on removing negative physical stimuli.
D) Make the environment a place to soothe mind, body, and spirit.

E) A) and C)
F) B) and C)

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The patient was admitted to the hospital with advanced-stage cancer.As the nurse was admitting her,the patient told her about how her little dog learned a new trick,and could play dead when she said "bang-bang." Why did the nurse listen attentively to the patient's story?


A) She knew it was easy to do and she had nothing else to do at that time.
B) It was little more than two people talking back and forth.
C) She knew it was probably not going to affect the patient-nurse relationship.
D) She knew it was a way to know and respond to what matters to the patient.

E) B) and D)
F) None of the above

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One of the five caring processes described by Swanson (1991) is knowing the patient.The concept comprises both a nurse's understanding of a specific patient and subsequent selection of interventions.To become adept at knowing patients early,what should the nurse do?


A) Check on patients at irregular times so they do not get used to a routine.
B) Depend on other nurses' assessments to evaluate your own.
C) Assume that your interventions are effective because they have been ordered.
D) Reflect about your patient interactions and evaluations.

E) B) and C)
F) A) and D)

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A nurse is working in a health care clinic.She loves her work because of all the different people she meets.She professes to care for all of them and states that she understands them because she realizes which of the following is true?


A) Basically all patients are the same.
B) Each person has a unique background.
C) Caring for people requires very little experience.
D) There are standard solutions to most health care problems.

E) B) and C)
F) A) and B)

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A registered nurse who works for an orthopedic unit of an acute care hospital makes hourly rounds on his patients.He also closes the door and pulls the curtains around the beds of patients in semiprivate rooms before exposing them for treatments.This is an example of which of the following behaviors?


A) Human respect
B) Encouraging manner
C) Healing environment
D) Affiliation needs

E) A) and D)
F) All of the above

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The ANA,National League for Nursing,AONE,and American Association of Colleges of Nursing recommend strategies to reverse the current nursing shortage.A number of the strategies have potential for creating work environments that enable nurses to demonstrate more caring behaviors.Which of the following provisions is advocated to create a more desirable work environment?


A) Provide nurses with autonomy over their practice.
B) Increase the rigor in the work environment structure.
C) Increase the availability of technology.
D) Stress the cost-effectiveness of health care.

E) A) and D)
F) B) and C)

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A registered nurse who worked in an extended care facility could see that a patient was in the process of dying.The lab technician came to draw his blood.The nurse requested that the blood draw be postponed for a while so that the patient's wife,who was at his bedside,could spend some quiet time with her husband.This is an example of which caring behavior?


A) Providing presence
B) Encouraging manner
C) Healing environment
D) Affiliation needs

E) C) and D)
F) B) and D)

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Which of the following would indicate that the nurse has established a level of mutual problem solving?


A) The nurse helps the patient develop questions to ask the health care provider.
B) The nurse tells the patient what needs to be done to resolve health problems.
C) The nurse is seen as the authority when it comes to health care issues.
D) The nurse excludes the family from health discussions to protect privacy.

E) A) and C)
F) A) and B)

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Nurses care for a variety of patients.What is an activity that best demonstrates the caring role of a nurse?


A) Staying with a patient and developing a plan of care before surgery
B) Performing IV insertion with confidence
C) Assessing the patient's entire health history
D) Inserting a urinary catheter using aseptic technique

E) A) and D)
F) B) and C)

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A

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