Deck 2: Values, Beliefs, and Caring

Question 1

The nurse recognizes that a vital aspect of providing effective and appropriate nursing care is being able to actively listen to a patient and then demonstrates this concept when carrying out which activity?

A) Pays attention as if in a social conversation with the patient.
B) Practices and develops this skill over many years.
C) Focuses on what the patient is saying.
D) Passively listens with the ears.

Answer 1

Practices and develops this skill over many years.

Question 2

When planning to change a dressing on an anxious patient, the nurse recognizes which to be the best approach?

A) Ask another staff member to perform the task.
B) Tell the patient the dressing change will take 30 minutes.
C) Schedule a time in collaboration with the patient.
D) Review the physician's order prior to the procedure.

Answer 2

Schedule a time in collaboration with the patient.

Question 3

A patient with terminal cancer says to the nurse, "I just don't know if I should allow CPR in the event I quit breathing. What do you think?" Which statement by the nurse would be most beneficial to the patient?

A) "If it were me, I would want to live no matter what."
B) "Don't worry. You have plenty of time to decide that later on."
C) "It's totally up to you. Have you discussed this with your family?"
D) "Let's talk about what CPR means to you."

Answer 3

"Let's talk about what CPR means to you."

Question 4

The student nurse is planning care for a patient who believes that Western medicine is effective but not always accurate and recognizes which nursing theory would best explain the patient's health practices?

A) Nursing: Human Science and Human Care
B) Theory of Cultural Care Diversity and Universality
C) Theory of Nursing as Caring
D) Five caring processes

Question 5

Collaborating effectively with patients to find treatment methods that are congruent with the patients' belief systems and that promote healthy outcomes is an approach that requires the nurse to include which activity?

A) Focus on patient values only and disregard family desires in setting goals.
B) Rely more and more on their scientific background.
C) Listen carefully to how the patient's beliefs impact their health beliefs.
D) Understand that the nurse's beliefs are the most important.

Question 6

Which action observed by a nurse manager is not indicative of the qualities and behaviors of caring?

A) A staff nurse orders extra desserts for a patient diagnosed with morbid obesity.
B) A medication nurse administers scheduled pain medication to patients as ordered.
C) A respiratory therapist teaches a patient's spouse how to adjust an oxygen mask.
D) A nursing assistant encourages a patient to assist with the morning bath.

Question 7

The nurse is observed sitting at the bedside of a patient discussing the nursing care plan for the shift. The nurse identifies which theory or model most accurately reflects this nurse-patient relationship?

A) Swanson's Theory of Caring
B) Travelbee's human-to-human relationship model
C) Watson's Theory of Caring
D) Leininger Cultural Care Theory

Question 8

While helping patients with values clarification and care decisions, the nurse should complete which action?

A) Convince the patient to do what the nurse believes is best.
B) Give advice about what the nurse would do.
C) Tell the patient what the right thing to do is.
D) Provide information so the patient can make informed decisions.

Question 9

The nurse is caring for a patient scheduled for heart surgery. Which statement made by the patient requires further discussion?

A) "My friend died on the operating table several months ago."
B) "The surgeon has a great reputation in the community."
C) "I believe that this surgery is going to make me better."
D) "Yesterday I asked my pastor to visit me after the procedure."

Question 10

The nurse is caring for a patient with lung disease. The patient tells the nurse that the most important thing to do during the shift is to walk down to the nurses' station and back without having shortness of breath. The patient's request is an example of which nursing theory?

A) Leininger's Cultural Care Theory
B) Boykin & Schoenhofer's Theory of Nursing as Caring
C) Swanson's Theory of Caring
D) Watson's Human Science and Human Care Theory

Question 11

The nurse knows providing care that is consistent and predictable can make the health care experience less intimidating for the patient. What additional action can the nurse take to enhance this experience?

A) Explaining what is going to take place beforehand
B) Never making promises to patients
C) Assuring the patient that his/her requests will get done eventually
D) Protecting the patient from knowing why things are happening

Question 12

A values system is a set of somewhat consistent values and measures that are organized hierarchically into a belief system on a continuum of relative importance. The nurse knows that a value system is also identified by which concept?

A) It is culturally based.
B) It is unique to each individual.
C) It is a poor basis for making decisions.
D) It is rigid and uniform within a culture.

Question 13

The nurse identifies the concept of enduring ideas about what a person considers desirable or has worth in life is known by which term?

A) Values
B) First-order belief
C) Higher-order belief
D) Stereotype

Question 14

When the nurse is dealing with the concept of beliefs and values, the nurse recognizes which type is based in the unconscious?

A) Zero-order beliefs
B) First-order beliefs
C) Higher-order beliefs
D) Prejudices

Question 15

The nurse identifies which nursing theorist/theorists who describes/describe the nurse-patient relationship as a situation in which the nurse and patient share the lived experience of caring?

A) Kristen Swanson
B) Jean Watson
C) Madeleine Leininger
D) Anne Boykin & Savina Schoenhofer

Question 16

The nurse on a busy medical-surgical floor contacts a social worker requesting a home care referral prior to a patient's discharge. This action is best illustrated by which of Swanson's five caring processes?

A) Enabling
B) Knowing
C) Doing for
D) Being with
E) Maintaining belief

Question 17

The nurse is caring for a patient who is under arrest for murder and is attempting to perform nursing care duties while, at the same time, feeling a sense of repugnance toward the patient. The nurse recognizes this situation is identified by which term?

A) Value clarification
B) Value conflict
C) First-order beliefs
D) Higher-order beliefs

Question 18

The nurse recognizes that when developing a nursing practice, it is important for the nurse to: carry out which action?

A) Be exposed to negative as well as positive role models.
B) Avoid negative role models as much as possible.
C) Understand that caring and compassion are taught in class.
D) Consider another profession if he/she is not naturally compassionate.

Question 19

The nurse is discussing the use of a values clarification tool with a patient. The patient asks, "What is the goal of the values clarification tool?" Which is the best response by the nurse?

A) "The tool will help change your value system so that you can make the right decision."
B) "The tool will dispel your current beliefs and formulate brand new ones."
C) "The tool will assist you in prioritizing your value preferences and help you make decisions."
D) "The tool allows you to make decisions without the need of self-awareness."

Question 20

A group of nursing students are discussing the history of nursing to a staff nurse. When a student states, "Yeah, nurses used to be called the doctors' handmaidens." the staff nurse recognizes that this comment is identified by which term?

A) Prejudice
B) Generalization
C) Stereotype
D) Belief

Question 21

When dealing with patient who has a values conflict in which substance abuse or an addiction is involved, the nurse should conduct an assessment interview and use which techniques that will make the interview most effective?

A) Listen for subtle signs of denial.
B) Directly confront the patient about his drug abuse.
C) Use a matter-of-fact approach to inform the patient.
D) Provide straightforward information.
E) Avoid direct confrontation.

Question 22

Caring, according to the American Nurses Association (ANA) Code of Ethics (2015), is having concern or regard for that which affects the welfare of another. The nurse recognizes that as a profession, nursing can trace its earliest beginnings to what types of nurturing activities that demonstrate care?

A) Active listening
B) Advocating for the vulnerable
C) Valuing all individuals
D) Separating healing from spirit
E) Attempting to relieve pain

Question 23

A nurse working in a dermatology clinic observes that a patient of Mexican-American descent typically arrives 10 to 15 minutes late to every appointment. Based on an understanding of first-order beliefs, what characteristics can the nurse associate with this level of beliefs?

A) First-order beliefs serve as the basis of a person's belief system.
B) First-order beliefs begin to develop in early adolescence.
C) First-order beliefs are completely formed in childhood.
D) People seldom question their first-order beliefs.
E) Challenging a patient's first-order beliefs may cause cognitive upset.

Question 24

Touch is the intentional physical contact between two or more people and it is deemed to be an essential and universal component of nursing care. The nurse knows that task-oriented touch occurs during which activities?

A) Holding the patient's hand during a painful procedure
B) Giving the patient an injection to treat discomfort
C) Starting an intravenous (IV) line for fluid administration
D) Inserting a nasogastric tube to decompress the patient's stomach
E) Shaking the patient's hand in order to establish rapport