Nursing Chapter 25 Competencies Personal And Professional Development Ethical

Question 16

Type: MCSA

A student asks the nursing instructor which types of knowledge are important in the clinical area. How should the

instructor respond to the student?

1. “Empirical knowledge—you have to know the physiology of the problem before you decide which

interventions to use.”

2. “A good nurse will have a mix of all four types of knowledge.”

3. “Ethical knowledge—nurses must be able to identify principles and norms, handle conflicts, and be sensitive to

sensitive issues.”

4. “Aesthetic knowledge—a nurse must appreciate the special qualities of each client and the individual situation.”

Question 17

Type: MCSA

The nurse working on an acute psychiatric unit learns that a client with bipolar disorder is being admitted and says

to a coworker, “We better be ready for a busy night.” This nurse is exemplifying which process of Swanson’s

theory of caring?

1. Knowing

2. Being with

3. Doing for

4. Enabling

Question 18

Type: MCSA

The nurse is working in the school system with a group of students who are struggling with the death of a

classmate. The nurse encourages the students to talk about their friend, bring pictures, and share memories with

each other. The nurse also invites the deceased’s family members to come to the school and visit with their child’s

classmates. This nurse is working in which of Swanson’s processes?

1. Knowing

2. Being with

3. Doing for

4. Enabling

Question 19

Type: MCSA

The nurse manager determines that a staff nurse demonstrates compassion when providing client care. What did

the manager observe to come to this conclusion?

1. A nurse who has expert technical skills and has the most experience with critical care

2. A nurse who routinely gives back rubs to clients before they go to sleep

3. A nurse who has written procedures and policies in language that is both professional and realistic

4. A nurse who takes time to understand the spiritual needs of clients

Question 20

Type: MCSA

The nurse educator teaches students about caring nursing practice. Which situation demonstrates a nurse

implementing the whole idea of caring?

1. The nurse who takes time for a favorite hobby, at least once a week

2. The nurse who volunteers at church and school events

3. The nurse who makes lists every morning so the day stays organized and planned

4. The nurse who takes care of his elderly parents as well as providing care to his immediate family

Question 21

Type: MCSA

The nurse has adopted a healthy lifestyle. What action demonstrates that the nurse is being successful in this

endeavor?

1. Exercising every day, at least for an hour and a half

2. Buying only fat-free foods and allowing absolutely no deviation from this

3. Balancing good nutrition and exercise in moderation

4. Exercising more on days when feeling “guilty” about a snack

Question 22

Type: MCSA

A nurse practitioner emphasizes the importance of the staff engaging in activities that help restore peace and

balance between the mind and body. Which might be an appropriate therapy for this?

1. Bike riding

2. Cake decorating

3. Reading

4. Storytelling

Question 23

Type: MCSA

A nursing student was involved in a very difficult situation with a client, the client’s family, and a physician. The

student felt like she was caught in the middle and wasn’t sure how to respond to some of the questions that were

being asked about care, treatment, and scheduling. Instead of getting her instructor, the student fielded these

questions as best she could. In order to help the student work through this situation, the nursing instructor might

advise the student to try which action?

1. Meditation

2. Guided imagery

3. Reflection

4. Music therapy

Question 24

Type: MCSA

A nurse is providing bathing assistance to a young client who was seriously injured and is unable to care entirely

for herself. Which action demonstrates the nurse implementing the doing for process in Swanson’s theory of

caring?

1. Allowing the client to wash her perineal area

2. Drying the client completely

3. Seeing the client is uncomfortable with the whole bathing process

4. Touching the client’s shoulder when she starts to cry

Question 25

Type: MCMA

The nurse is identifying strategies to support a client’s empowerment. What strategies should the nurse use?

Standard Text: Select all that apply.

1. Making it possible for the client diagnosed with mild Alzheimer’s disease to continue to dance regularly, as it

has always been a passion of hers

2. Being sure to polish the client’s nails now that she is not able to do it herself, as it has always been important to

her that she “have pretty hands”

3. Suggesting to a client’s family members that they should insist that the client move into an assisted living

facility so as to ensure her safety

4. Helping the client’s family identify community support services that will make it possible for the client to

remain in her own home

5. Encouraging the client to use a walker and stay indoors, “just in case she might fall”

Question 26

Type: MCMA

The new graduate nurse has committed to improving self-care activities. Which behaviors exemplify that the

nurse is following through on this personal commitment?

Standard Text: Select all that apply.

1. Using meditation to de-stress at the end of a long day at work

2. Eating a low fat-diet, as there is a family history of heart disease

3. Attending workshops designed to enhance professional skills at least twice yearly

4. Volunteering to cover a friend’s weekend shifts so the friend can fully recover from a sprained ankle

5. Making sure to reserve the time to read a favorite book between 12 hours of shift work

Question 27

Type: MCMA

The graduate nurse learns of failing the NCLEX-RN examination but realizes that passing the examination is a

challenge worth achieving. To improve her outlook, the graduate nurse writes positive affirmations that are

reviewed daily before studying for the examination. Which affirmations would be the most beneficial for the

graduate nurse to use?

Standard Text: Select all that apply.

1. I will focus on a new career.

2. I should have studied harder .

3. I am doing what brings me joy.

4. This is an opportunity to grow.

5. I cannot remember everything.

Question 28

Type: MCMA

The nurse suspects that an older client has no living family members and observes the client sitting quietly in the

room, crying. What actions should the nurse take to intentionally know this client?

Standard Text: Select all that apply.

1. Seek cues from the client.

2. Assess the client thoroughly.

3. Avoid assumptions about the client.

4. Center actions on the client’s needs.

5. Assume the client wants to be alone.