Caring in Nursing Practice Exam

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Text version of the exam.

1. A new graduate is best able to demonstrate caring behavior towards the client by:

  1. Seeking assistance before attempting a new procedure
  2. Attempting to do new treatments as quickly as possible
  3. Being honest and informing clients that he or she has never performed the treatments before on an actual client
  4. Avoiding situations with clients that may be uncomfortable

2. A number of nursing theorists discuss and describe the concept of caring in nursing practice. According to Benner, caring is defined as a:

  1. Central, unifying, and dominant domain necessary for health and survival
  2. New consciousness and moral idea
  3. Nurturing way of relating to a valued other
  4. Person, event, project, or thing that matters to a person

3. The nurse has elected to apply Swanson’s concepts of caring. Which one of the following nursing activities is an example of Swanson’s “enabling” in the caring process?

  1. Staying with the client before surgery
  2. Performing a catheterization skillfully
  3. Assessing the client’s health history
  4. Teaching the client how to do self-injection of insulin

4. Research has been conducted on caring within nursing practice. Riemen’s study of nurses’ caring behaviors (1986) found which one of the following as a similarity between male and female client’s perceptions of nursing caring behaviors?

  1. Physical presence
  2. Promotion of autonomy
  3. Knowledge of injection technique
  4. Speed of treatment completion

5. In relation to caring, the most important aspect for a student nurse to learn in relation to knowing the client is:

  1. Establishing a relationship
  2. Gathering assessment data
  3. Treating discomforts quickly
  4. Assuming emotional needs

6. Caring is evident in many ways in nursing practice. A caring behavior is best demonstrated when the nurse:

  1. Tells the family about the client’s problems
  2. Calls the client by his or her first name during the admission interview
  3. Closes the door and covers the client during a bath
  4. Shares personal information about the client with the roommate

7. The nurse manager is not satisfied with the hygienic care that is provided by a particular staff member on the unit. To improve the care provided to the older adult clients on the unit by this staff member, the nurse manager should:

  1. Tell the staff member how to correctly give baths to the clients
  2. Provide the staff member with good resources to read on bathing older clients
  3. Ask another staff member to provide special skin care in the afternoon
  4. Bring the staff member into a client’s room and demonstrate a gentle bath

8. A nurse is reading about different theories of caring and wants to adopt Leininger’s theory as an approach for his clients. A key element in this theory is that it includes:

  1. Five categories or processes of caring
  2. Connectedness with others
  3. Spiritual dimensions and healing
  4. Transcultural perspectives
Answers and Rationale
  1. Answer A. Acquiring assistance from a staff member before performing a new procedure demonstrates caring behavior toward a client. If the graduate nurse has the assistance of someone who is skilled in the procedure, the client will be less likely to experience anxiety and the procedure will likely be completed quicker.
  2. Answer D. According to Benner, caring means that persons, events, projects, and things matter to people.
  3. Answer D. According to Swanson, enabling is defined as facilitating the other’s passage through life transitions (e.g., birth, death) and unfamiliar events (e.g., self-injection of insulin).
  4. Answer A. According to Riemen, the nurse being physically present with the client provides a perception of caring, which is shared by both female and male clients.
  5. Answer A. Nurses must focus on building a relationship that allows them to learn what is important to their clients.
  6. Answer C. When the nurse closes the door and covers the client during a bath, the nurse is displaying behaviors that make the client feel valued as a human being. The nurse is attending to the client and is preserving the client’s dignity.
  7. Answer D. Persons who do not experience care in their lives often find it difficult to act in caring ways. The nurse manager who demonstrates a gentle bath acts as a role model and conveys the value of caring. The staff member also may feel more valued because the nurse manager took the time to be with the staff member individually.
  8. Answer D. A key element of Leininger’s theory is transcultural perspectives. Leininger stresses that even though human caring is a universal phenomenon, the expressions, processes, and patterns of caring vary among cultures.