Chapter 82. Putting Caring Into Practice: Caring for Self
MULTIPLE CHOICE
1. The World Health Organization defines self-care as:
A.
An important global activity for all health-care providers
B.
A set of deliberate actions that all individuals, families, and communities should
engage in to maintain good health
C.
Essential to efficacious advanced practice nursing practice
D.
An awareness by the Advanced Practice Registered Nurse (APRN) of their
self-care behaviors as related to diet, activity, and mental attitude
2. Nurse theorist Dorothea Orem defines self-care activities as:
A.
Attainment of professional self-development goals
B.
Ability to persevere through hardship
C.
Striving to attain balance and harmony in one’s life
D.
Comprising activities that are performed independently by an individual to
promote and maintain well-being throughout life
3. Self-care and personal development are built into the standards of practice of:
A.
The American Holistic Nurses Association
B.
The American Nurses Association
C.
The American Association of Nurse Practitioners
D.
The American Academy of Nursing
4. There are many pressures inherent in primary-care practice today for APRNs. These pressures
include all of the following:
A.
Electronic medical record, the Affordable Care Act, and the implementation of
socialized medicine
B.
Patient-care outcomes being tied to reimbursement, role diffusion with physicians
and physician assistants
C.
Uncertainty, the team approach to care, and the need for patient-centered care
D.
Availability of medical information on the Internet, educational programs for
patients, and Medicare drug benefits
5. A new era of health care leads to:
A.
Greater opportunity for independent practice, yet increased legal risk in
accountability for patients
B.
Lowered reimbursement for all health-care services and providers
C.
Decrease in status for health-care providers
D.
No ability to individualize care
6. Compassion fatigue is another side effect of today’s health-care delivery system. This term
means:
A.
The APRN feels sudden guilt and distress when he or she cannot rescue or save an
individual, such as when bad health habits persist despite the best efforts of the
APRN.
B.
This happens over time related to the need to see increasing numbers of patients in
busy primary-care practices.
C.
This may persist over time, even when the APRN transfers to a new and different
setting.
D.
Patients’ problems and circumstances can be so overwhelming that the APRN
needs to set severe boundaries to maintain safe function.
7. Another term used, burn out, is differentiated by:
A.
Numbness of feelings leading to substance abuse
B.
How novice APRNs feel at the end of the day in primary care
C.
Feelings of aloneness, desperation, and despair
D.
A gradual response to the inability to achieve one’s goals with patients in the work
setting; it is characterized by frustration and diminishing morale
8. The following statement is TRUE:
A.
APRNs are often sensitive to patients’ deficiencies but not their own.
B.
APRNs always respond appropriately to patients, families, and team members.
C.
APRNs are well-equipped from their APRN educational programs to care for self.
D.
Re-licensure in some states mandates continuing education units in self-care.
9. Emotional intelligence is defined as:
A.
Being highly attuned to the needs of others
B.
The ability to engage in self-care
C.
Being able to recognize and understand the meaning of emotions, and how they
affect other people
D.
The holistic integration of self-care and self-development practices
10. APRNs need to develop their own self-care management plans. Two key elements of self-care
management plans are:
A.
Taking vacations and keeping up with new knowledge and developments in
medicine
B.
Resilience and positive intentionality
C.
Family support and a healthy diet
D.
Being physically and emotionally “fit”
11. The term resilience implies:
A.
Ability to look to a higher power to get you through a crisis
B.
Response to difficult and adverse circumstances through positively adjusting to
stressors
C.
That the APRN can weather any emergency
D.
Learning to set appropriate boundaries
12. Qualities associated with resilience include:
A.
Hope, self-efficacy, and positivity
B.
Stick-to–it-ness, belief in a higher power
C.
Education, self-regulation, and use of activity to decrease stress
D.
Ability to take vacations and the availability of support systems and a secure work
environment
13. Patsy, a 42-year-old experienced APRN, is orienting a new APRN to the Minute Clinic, where
she has worked for more than 5 years. Patsy loves her work and was concerned when the new
APRN, Sue, expressed her dissatisfaction with this setting. “I hate the idea of being here on
my own, with no backup and support after orientation” was one of Sue’s concerns. Sue
confessed that this was the only job she could find. Patsy felt good in her independent role and
felt she had worked to create a positive atmosphere for her patients at all times. She derived
joy and satisfaction from her ability to do this for her patients. Patsy found Sue’s endless
complaints debilitating. Patsy demonstrated resiliency by using which of the following
strategies?
A.
Patsy distanced Sue by listening to her as little as possible.
B.
Patsy openly shared her positive feelings about the work environment and took a
risk by sharing with Sue that she found her endless complaining draining.
C.
Patsy spoke privately with their supervisor, Pamela, stating that she did not think
Sue could be successful in this environment.
D.
Patsy requested that Sue be assigned to a different APRN for orientation.
14. The qualities of resilience that Patsy demonstrated when responding to Sue include:
A.
Protecting her own positive attitude by lessening her contact with Sue, a negative
person
B.
The ego strength to admit failure in her ability to orient Sue, a destructive person
C.
Protecting her organization by sharing Sue’s deficiencies with their supervisor
D.
Asserting her positive approach and basic optimism by initiating an honest
discussion with Sue and having the emotional insight to recognize Sue’s negative
effect on her
15. According to nurse theorist Jean Watson, a focus on positive intentionality—holding caring
thoughts, loving kindness, and open receptivity—enhances caring energy, which leads to
healing. How can the APRN bring this to their practice?
A.
Spiritual readings, centering oneself before patient encounters, engaging in
behaviors that help build positive energy
B.
Review of materials on primary care before going into the work environment to
increase one’s confidence, leading to caring energy
C.
Travel to sacred places
D.
Helping the poor and homeless—volunteering at a domestic violence shelter, for
example—in addition to one’s regular practice