(Test Bank) NURSING LEADERSHIP MANAGEMENT AND PROFESSIONAL PRACTICE FOR THE LPN LVN

DAHLKEMPER, 6

Nursing

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6th Edition

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Test Bank for NURSING LEADERSHIP MANAGEMENT AND PROFESSIONAL PRACTICE FOR THE LPN LVN, The downloadable file consists of 180 pages, and the total size of the file is 1.93 MB. Purchase now only for highly discounted price.

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TEST BANK FOR NURSING LEADERSHIP, MANAGEMENT, AND PROFESSIONAL PRACTICE FOR THE LPN/LVN 6TH EDITION TAMARA R. DAHLKEMPER Chapter 1: Historical Perspective and Current Trends Multiple Choice Identify the choice that best completes the statement or answers the question. ____1.The nursing student predominantly uses knowledge about the history of nursing for what purpose? 1.To understand the professional choices open to the student 2.To prevent making medication errors in practice 3.To determine what geographical area is the best place to practice 4.To reduce the cost of delivering quality healthcare ____2.The nurse is working in an underdeveloped country and observes the natives lighting ritual fires and pounding on primitive drums around the sick person to promote recovery. The nurse interprets this behavior as indicating the natives believe illness results from what? 1.Pathogens and genetics 2.Evil spirits 3.Tides and planets 4.Plants and animals ____3.The person credited with making a written record of healthcare practices and removing the mythical aspect of healthcare is who? 1.Hammurabi 2.Florence Nightingale 3.Hippocrates 4.Apollo ____4.Who served as the first public health nurses, caring for the sick and the poor? 1.The Presbyterian Church 2.Salerno 3.Jewish scholars 4.Convent deaconesses ____5.What is a crucial issue the nurse working in the late industrialization era would need to address in order to promote health? 1.Reducing spread of infection 2.Reducing sedentary lifestyle 3.Teaching proper use of medications 4.Teaching use of car seats____6.What types of skills would a nursing student learn while attending Kaiserworth Deaconess Institution in 1836? 1.Administering immunizations 2.Assisting in surgery 3.Washing and changing bed linens 4.Developing a plan of care ____7.The nurse demonstrates Florence Nightingale’s theory of nursing with what intervention? 1.Respecting the patient’s culture and incorporating cultural needs in the plan of care 2.Promoting good health and treating those who are ill in a holistic manner 3.Understanding how to motivate people to practice a healthy lifestyle and reduce risks 4.Teaching other nurses how to deliver the highest quality of nursing care. ____8.What action performed by the nurse directly resulted from the contribution made by Linda Richards? 1.Using an antiseptic before administering an injection 2.Exploring the psychosocial needs of the patient 3.Documenting patient care in the medical record 4.Listening to a patient describe his or her condition ____9.After graduating from nursing school, the graduate takes a licensure examination as the result of what nurse’s contribution? 1.Florence Nightingale 2.Mary Adelaid Nutting 3.Lavinia L. Dock 4.Isabel Hampton Robb ____10.In addition to caring for the sick, what other skills would the first LPN students learn when attending the Ballard School in New York in 1893? 1.Political advocacy 2.Homemaking 3.Communication 4.Carpentry ____11.The nurse responds to an alarm on a pulse oximeter and sees the patient’s oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating? 1.Annie Goodrich2.Lillian D. Wald 3.Florence Nightingale 4.Linda Richards ____12.What statement describes Florence Nightingale’s beliefs about nursing? 1.Practicing nurses should be licensed. 2.Promotion of good health and treating the ill are nursing priorities. 3.Nurses could simultaneously have a career and a marriage. 4.Organisms cause infection. ____13.What was Mary Eliza Mahoney’s contribution to nursing? 1.She organized the first visiting nurse association. 2.She founded the American Journal of Nursing. 3.She founded the National League of Nursing. 4.She worked for the acceptance of African Americans into the nursing profession. ____14.What professional organization was the first to focus on licensed practical nurses (LPNs)? 1.National Association for Practical Nurse Education and Services (NAPNES) 2.National Federation of Licensed Practical Nurses (NFLPN) 3.National League for Nursing (NLN) 4.American Nurses Association (ANA) ____15.What statement accurately describes the NFLPN? 1.It represents both registered nurses (RNs) and LPNs. 2.It represents LPNs/LVNs only. 3.It is open to anyone interested in nursing. 4.It is open to anyone in the healthcare field. ____16.What organizations represent only LPNs/LVNs? 1.ANA and NLN 2.NFLPN and NLN 3.NAPNES and NFLPN 4.NAPNES and ANA ____17.The nurse working in mental health nursing honors what historical nurse for working to improve care of the mentally ill? 1.Clara Barton 2.Florence Nightingale3.Dorothea Dix 4.Lillian D. Wald ____18.What is the difference between the LPN and LVN nursing title? 1.LPNs have a longer educational program than LVNs. 2.LVNs and LPNs have the same duties and skills, just different titles. 3.LVNs are able to perform venipuncture and LPNs cannot. 4.LPNs are working toward an RN license while LVNs are not. ____19.What mythical god was believed to promote healthcare in ancient times? 1.Apollo 2.Zeus 3.Isis 4.Ares ____20.What factor has had the greatest impact on the current nursing shortage? 1.Later age of women having children 2.Fewer women being born 3.Overall unemployment rate 4.More employment options for women ____21.What health condition is classified as a World Health Organization priority and a focus of health promotion for nurses? 1.HIV 2.MRSA 3.Natural disasters 4.Terrorism ____22.What trend in healthcare has only existed for the past decade and has changed nursing education to prepare student nurses for practice after graduation? 1.Technology 2.Cultural diversity 3.HIV 4.Nursing shortage Multiple Response Identify one or more choices that best complete the statement or answer the question. ____23.What factors are contributing to the nursing shortage? (Select all that apply.)1.Increased demand for nurses 2.Shortage of nursing faculty 3.Lack of nursing organizations 4.Nurses leaving the profession due to poor working conditions 5.Not enough interest in nursing ____24.The newly licensed LPN joins a professional organization for what benefits? (Select all that apply.) 1.Opportunities to maintain current nursing knowledge 2.Most facilities mandate membership before hiring a nurse. 3.Organizations offer a way for the LPN’s voice to be heard regarding concerns. 4.They advocate for the LPN in professional matters. 5.It is a requirement for licensure in most states. ____25.In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.) 1.How to perform the procedure correctly 2.Why the procedure is being performed 3.How the procedure will affect the patient 4.The cost of performing the procedure 5.The equipment needed to perform the procedureChapter 1: Historical Perspective and Current Trends Answer Section MULTIPLE CHOICE 1.ANS:1 Understanding nursing history helps the nurse to better recognize the many choices available when choosing their own future path. PTS:1REF:Chapter: 1OBJ:Objective: 1 KEY:Content Area: History | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying 2.ANS:2 A belief that disease was caused by evil spirits would result in lighting fires or candles and making loud noise to try to ward off the spirits. PTS:1REF:Chapter: 1OBJ:Objective: 2 KEY:Content Area: History | Integrated Processes: Nursing Process | Client Need: Psychosocial Integrity | Cognitive Level: Analyzing 3.ANS:3 Hippocrates wrote the first medical textbook, outlining current healthcare practices and removed the mythical belief that Apollo was responsible for health. Hammurabi wrote a code of laws to protect the patient and define legal limitations of caregivers, Florence Nightingale introduced modern nursing during the Crimean War, and Apollo was a mythical God who was believed to control health and wellness. PTS:1REF:Chapter: 1OBJ:Objective: 2 KEY:Content Area: History | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding 4.ANS:4 Deaconesses from local convents acted as the first public health nurses, providing care for the sick and the poor based on the Christian belief in the importance of caring for one another. PTS:1REF:Chapter: 1OBJ:Objective: 2 KEY:Content Area: History | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding 5.ANS:1 Many deaths resulted from communicable diseases and lack of cleanliness in hospitals, so the nurse’s priority concern with health promotion would be reducing the spread of infection. PTS:1REF:Chapter: 1OBJ:Objective: 2 KEY:Content Area: History | Integrated Processes: Teaching/Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Analyzing 6.ANS:3Washing and changing bed linens, mopping floors, and housekeeping tasks were included as part of the nurse’s education. Immunizations did not exist at that time in history, and surgery was uncommon and very primitive with frequent poor outcomes. Thus assistants were rarely required and not part of nursing school. Plan of care considerations were not used until after the mid 1900s. PTS:1REF:Chapter: 1OBJ:Objective: 2 KEY:Content Area: History | Integrated Processes: Teaching/Learning | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding 7.ANS:2 Nightingale believed the nurse’s primary responsibilities included promoting health and treating the ill. PTS:1REF:Chapter: 1OBJ:Objective: 3 KEY:Content Area: History | Integrated Processes: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Applying 8.ANS:3 Linda Richards developed a system for recording details about patients and patient care. This system evolved into today’s documentation system. PTS:1REF:Chapter: 1OBJ:Objective: 3 KEY:Content Area: History | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying 9.ANS:4 Isabel Hampton Robb fought for licensing examinations and registration to protect patients from incompetent nurses, in order to raise the standard of the profession. PTS:1REF:Chapter: 1OBJ:Objective: 3 KEY:Content Area: History | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying 10.ANS:2 LPN students learned homemaking skills, because much of the patient care they provided was within the patient’s home. PTS:1REF:Chapter: 1OBJ:Objective: 4 KEY:Content Area: History | Integrated Processes: Teaching/Learning | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding 11.ANS:3 Florence Nightingale promoted treating the patient based on the patient’s individual needs rather than treating the disease or, in this case, the machinery. PTS:1REF:Chapter: 1OBJ:Objective: 3 KEY:Content Area: History | Integrated Processes: Communication and Documentation | Client Need: Safe, Effective Care Environment | Cognitive Level: Analyzing12.ANS:2 One of Florence Nightingale’s strongest beliefs was that promoting good health and treating the ill were nursing priorities. Throughout her career, Nightingale implemented changes in the nursing practice to enhance the health of all who were ill. PTS:1REF:Chapter: 1OBJ:Objective: 3 KEY:Content Area: History | Integrated Processes: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Understanding 13.ANS:4 Mary Eliza Mahoney was the first African American nurse in the United States. She spent her life working for the acceptance of African Americans into the nursing profession, and was also the organizer and the first president of the National Association for Colored Graduate Nurses. PTS:1REF:Chapter: 1OBJ:Objective: 3 KEY:Content Area: History | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding 14.ANS:1 NAPNES was the first professional organization to focus on LPNs. NAPNES is very active today, with continuing education opportunities and publications for LPNs. While NFLPN focuses on LPNs, they were not the first to do so. NLN and ANA focus on both RNs and LPNs. PTS:1REF:Chapter: 1OBJ:Objective: 5 KEY:Content Area: Nursing Organizations | Integrated Processes: Teaching/Learning | Client Need: Safe, Effective Care Environment | Cognitive Level: Remembering 15.ANS:2 The NFLPN is considered the official membership organization for the licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore, only the LPN/LVN may join this organization. PTS:1REF:Chapter: 1OBJ:Objective: 5 KEY:Content Area: Nursing Organizations | Integrated Processes: Teaching/Learning | Client Need: Safe, Effective Care Environment | Cognitive Level: Remembering 16.ANS:3 The two vocational LPN organizations are the National Federation for Licensed Practical Nurses (NFLPN) and the National Association for Practical Nurse Education and Service (NAPNES). Both the ANA and the NLN focus on both RNs and LPNs. PTS:1REF:Chapter: 1OBJ:Objective: 5 KEY:Content Area: Nursing Organizations | Integrated Processes: Teaching/Learning | Client Need: Safe, Effective Care Environment | Cognitive Level: Remembering 17.ANS:3 Dorothea Dix championed the development of psychiatric hospitals, and her work also brought about improvement for prisoners in jails.PTS:1REF:Chapter: 1OBJ:Objective: 3 KEY:Content Area: History | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying 18.ANS:2 Both LPNs and licensed vocational nurses (LVNs) are legally recognized and practice in diverse healthcare settings today. LVN education predominantly takes place in California and Texas, whereas LPN education is common in other geographic areas of the country. PTS:1REF:Chapter: 1OBJ:Objective: 4 KEY:Content Area: Role of LPN | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding 19.ANS:1 The primitive healthcare that was available was provided by males, except for the midwives, and was promoted by a belief in Apollo, the mythical Greek healer. PTS:1REF:Chapter: 1OBJ:Objective: 2 KEY:Content Area: History | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Remembering 20.ANS:4 One reality of the nursing shortage is that the 21st century woman has more employment options than women had previously. PTS:1REF:Chapter: 1OBJ:Objective: 6 KEY:Content Area: Trends | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Analyzing 21.ANS:1 The prevention and treatment of HIV is a World Health Organization priority. While MRSA is a focus of health promotion for nurses, it is the CDC that is focusing on reducing occurrence. The World Health Organization has not set natural disasters as a priority because they cannot be controlled, and it is not focused on reducing terrorism; nurses respond to terrorist events when they occur, but it is not a source of health promotion. PTS:1REF:Chapter: 1OBJ:Objective: 6 KEY:Content Area: Trends | Integrated Processes: Caring | Client Need: Health Promotion and Maintenance | Cognitive Level: Remembering 22.ANS:1 The use of technology in healthcare has increased dramatically over the last decade, and has become a major consideration in nursing education. PTS:1REF:Chapter: 1OBJ:Objective: 6 KEY:Content Area: Trends | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Analyzing MULTIPLE RESPONSE23.ANS:1, 2, 4 Aging Baby Boomers, people living longer, and the increasing complexity of healthcare have all increased the demand for nurses. Insufficient nursing faculty results in turning potential nursing students away from nursing programs because there aren’t enough educated faculty to teach them. Mandatory overtime, working holidays and weekends, long hours without breaks, and other working conditions can cause nurses to leave the profession. There is no lack of nursing organizations and this does not contribute to the nursing shortage, and there is no lack of interest in nursing but not everyone is designed to be a nurse. PTS:1REF:Chapter: 1OBJ:Objective: 6 KEY:Content Area: Trends | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding 24.ANS:1, 3, 4 Professional organizations provide lifelong learning opportunities for the LPN in the form of journals, seminars, and annual meetings. They also provide the LPN a voice for concerns and opinions, and they serve as an advocate for LPNs at the state and national level. Membership in a nursing organization is not usually a requirement for employment, but it can serve as a favorable indicator that the nurse is maintaining current knowledge. While ongoing education is required by some boards of nursing for licensure, there is no requirement the nurse belong to an organization. PTS:1REF:Chapter: 1OBJ:Objective: 6 KEY:Content Area: Trends | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding 25.ANS:1, 2, 3, 5 Understanding how to perform the procedure correctly is important if the nurse is to maintain safety. The nurse should never perform any procedure without understanding why it is being performed and what outcome is desired. The nurse is responsible for teaching the patient what to expect before the procedure is begun, so the nurse must understand how the procedure will impact the patient. The nurse will gather the equipment required to perform the procedure, therefore needs to know what will and what might be needed. The nurse is not responsible for knowing the cost of the procedure. PTS:1REF:Chapter: 1OBJ:Objective: 6 KEY:Content Area: QSEN | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying Chapter 2: Caring as a Personal and Professional Behavior Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with what response? 1. “If you would rather die young than quit smoking, that is your choice to make.” 2. “Let’s look at ways you could reduce the harm from smoking as much as possible.” 3. “I am going to enroll you in a smoking cessation program and maybe you’ll change your mind.” 4. “Continuing to smoke is your choice but that leaves me no way to help you stay healthy.” ____ 2. The hospital nurse caring for a terminally ill patient who wi shes she could see her dog one more time demonstrates holistic care with what action? 1. Explaining the infection risk associated with animals 2. Arranging for the patient to be discharged to see the dog 3. Explaining the hospital rules against animals 4. Arranging a reunion with the dog in front of the hospital ____ 3. The nurse demonstrates transpersonal caring for patients when maintaining what attitude? 1. Nonjudgmental 2. Detached 3. Loving 4. Friendly ____ 4. The nurse is teaching the newly diagnosed diabetic patient how to provide self -care, and demonstrates a caring paradigm with what statement? 1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.” 2. “Check your blood sugar 4 times a day —before each meal and at bedtime.” 3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out the best times for you.” 4. “Ask your doctor to tell you when to check blood sugar levels each day.” ____ 5. The medical model of nursing is demonstrated when the nurse does what? 1. Takes time to learn more about the patient 2. Sits with a dying patient and holds her hand 3. Administers medications 4. Uses touch as an indication of concern and caring ____ 6. The nursing model of care is demonstrated with what nursing intervention? 1. Administering medications 2. Changing a sterile dressing skillfully 3. Inserting an indwelling catheter using aseptic technique 4. Consoling a fearful mother whose child is in surgery This study source was downloaded by 100000826342158 from CourseHero.com on 05-25-2021 22:01:00 GMT -05:00 https://www.coursehero.com/file/18422381/Test-Bank-for-Andersons-Nursing-Leadership-Management-and-Professional-Practice-For-The-LPNLVN-In/This study resource was shared via CourseHero.com____ 7. What action would be interpreted as the nurse demonstrating a coparticipative manner? 1. The nurse tells the patient exactly what to do. 2. The nurse works as part of a team with coworkers. 3. The nurse asks the patient to choose activities. 4. The nurse works together with the patient to choose activities. ____ 8. The student nurse demonstrates transpersonal caring in the classroom with what action? 1. Correcting a comment made by another student in front of the class 2. Earning A’s in every class tes t and assignment 3. Leading most discussions and offering opinions on each question asked 4. Encouraging shy class members to share their thoughts and ideas ____ 9. What is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring? 1. Patient -centered care 2. Holistic nursing care 3. Spiritual care 4. Transcultural care ____ 10. The nurse demonstrates the concept of caritas with what intervention? 1. Holding the patient’s hand while undergoing a painful procedure 2. Requesting an order for a low pressure bed to prevent decubitus ulcers 3. Using sterile technique when changing IV tubing 4. Ordering a low -sodium diet for the patient with heart failure ____ 11. The nurse observes another nurse performing a procedure incorrectly. How would the nurse apply Dr. Watson’s theory to this situation? 1. Avoid asking the errant nurse to perform this procedure again. 2. Talk with the nurse privately and review the procedure together. 3. Tell the nursing supervisor that the nurse needs a review class. 4. Speak with other nurses on the floor and devise a plan to help this nurse. ____ 12. A nursing assistant asks the nurse, “I keep hearing talk of transpersonal nursing care. What does that mean?” What i s the best response to explain the concept? 1. Transpersonal nursing care is care that treats everyone the same. 2. Transpersonal nursing care is care that is based on self -respect. 3. Transpersonal nursing care is based on the belief that people can’t live in a vacuum. 4. Transpersonal nursing care is care based on the belief that everyone is unique and deserves respect. ____ 13. The nurse is caring for a patient who just received a terminal diagnosis and is tearful and frightened. What is the best action to demonstrate caring? 1. Call the nurse’s spiritual leader to talk to the patient. 2. Call the family and ask them to come sit with the patient. 3. Cry with the patient while sympathizing with her situation. 4. Sit with the patient and listen to his or her fears. ____ 14. How does the nurse best demonstrate the spiritual aspect of caring for the patient? 1. Explain the nurse’s spiritual beliefs to the patient. This study source was downloaded by 100000826342158 from CourseHero.com on 05-25-2021 22:01:00 GMT -05:00 https://www.coursehero.com/file/18422381/Test-Bank-for-Andersons-Nursing-Leadership-Management-and-Professional-Practice-For-The-LPNLVN-In/This study resource was shared via CourseHero.com2. Ask the patient to explain all the intricacies of his or her beliefs. 3. Ask what the patient requires to meet spiritual needs. 4. Talk with the family to learn the patient’s spiritual needs. ____ 15. The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. What is the nurse’s best caring response? 1. Yell at the physician for yelling at a new graduate, and report the incident to the supervisor. 2. Wait until the situation ends and comfort the graduate privately. 3. Suggest that the physician take a quieter and more private approach to the problem. 4. Ignore the situation to avoid embarrassing the graduate further. ____ 16. The student nurse enters the cafeteria and joins others who are making fun of the nursing instructor for being so particular in the skills lab. What is the most caring respons e the student can make? 1. Tell the other students that they are being mean and then leave the table. 2. Shame the students for being so uncaring and cruel. 3. Ask the other students why they think the instructor is so picky. 4. Laugh and tell a story of a personal reprimand received from the instructor. ____ 17. The student nurse demonstrates care for classmates with what behavior? 1. Preparing for class discussion by reading the assigned chapter 2. Calling the instructor to explain the reason for arriving late 3. Ducking behind a book to hide eye rolling 4. Arriving for class on time and prepared for class ____ 18. The new graduate nurse is sharing a journal article about caring with peers when a more experienced nurse says, “You’d be a lot better off studying pathophysiology instead of wasting time on caring.” How does the graduate interpret the experienced nurse’s comment? 1. The experienced nurse is just mean and doesn’t like new graduates. 2. The experienced nurse is most likely overwork ed and cranky. 3. The experienced nurse was educated in the medical model. 4. The experienced nurse is uncaring and dislikes new graduates. ____ 19. What is the reason for things the nurse does, whether at work or off duty? 1. Personal motivation 2. Facility policies 3. Fear of reprisals 4. Parental expectations ____ 20. The nurse is caring for a patient transferred from the local prison who was arrested and convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid being judgmental by understanding what? 1. Motivation 2. State laws 3. The patient’s social history 4. Code of ethics ____ 21. How does the nurse describe motivation? This study source was downloaded by 100000826342158 from CourseHero.com on 05-25-2021 22:01:00 GMT -05:00 https://www.coursehero.com/file/18422381/Test-Bank-for-Andersons-Nursing-Leadership-Management-and-Professional-Practice-For-The-LPNLVN-In/This study resource was shared via CourseHero.com1. As a stagnant, unchanging force 2. As a fluid, dynamic process that changes over time 3. As a process that requires great force to change 4. As a process that differs every day ____ 22. The nurse accepts a new job and will move from a long -term care facility to a job in an acute care facility. The nurse will need to do what? 1. Adapt motivational approaches 2. Work more hours per week 3. Obtain further formal education 4. Reduce the time spent caring for patients Multiple Response Identify one or more choices that best complete the statement or answer the question. ____ 23. What actions performed by the nurse reflect a nursing model of patient care? (Select all that apply.) 1. Administer medications as ordered. 2. Call the patient by title and last name, such as Mr. or Mrs. 3. Arrange for a translator for the patient who doesn’t speak English. 4. Offer an opinion of the patient’s choice of plan of care. 5. Spend time with the patient who received bad news. ____ 24. What features are components of Jean Watson’s caring theory of nursing? (Select all that apply.) 1. Caritas 2. Transpersonal caring 3. High -touch 4. Intentionality 5. Hierarchy of needs ____ 25. The nurse uses what terms to describe Dr. Watson’s concept of caritas? (Select all that apply.) 1. Transpersonal caring 2. High -touch care 3. Curative care 4. Medical model 5. Nursing model This study source was downloaded by 100000826342158 from CourseHero.com on 05-25-2021 22:01:00 GMT -05:00 https://www.coursehero.com/file/18422381/Test-Bank-for-Andersons-Nursing-Leadership-Management-and-Professional-Practice-For-The-LPNLVN-In/This study resource was shared via CourseHero.comChapter 2: Caring as a Personal and Professional Behavior Answer Section MULTIPLE CHOICE 1. ANS: 2 Caring means responding to others as unique individuals, sensing their emotions, and accepting them as they are, unconditionally. This response accepts the patient’s choice without condemning or frightening him. PTS: 1 REF: Chapter: 2 OBJ: Objective: 6 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Health Promot ion and Maintenance | Cognitive Level: Analyzing 2. ANS: 4 Finding a way for the patient to see the dog, even if she can only look out a window, shows caring by understanding this patient’s needs. PTS: 1 REF: Chapter: 2 OBJ: Objective: 6 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Applying 3. ANS: 1 The definition of transpersonal caring includes accepting individuals for who they are, so a nonjudgmental attitude is essential. PTS: 1 REF: Chapter: 2 OBJ: Objective: 3 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding 4. ANS: 3 This statement includes the patient in planning care, demonstrating caring for the patient’s needs and preferences. PTS: 1 REF: Chapter: 2 OBJ: Objective: 3 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Analyzing 5. ANS: 3 Curative nursing care is high -tech, or nursing care that is based on the medical model of care, which often is based on the use of technology. PTS: 1 REF: Chapter: 2 OBJ: Objective: 2 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying 6. ANS: 4 Consoling a family member is a high -touch demonstration of the nursing model of care. PTS: 1 REF: Chapter: 2 OBJ: Objective: 2 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying 7. ANS: 4 This study source was downloaded by 100000826342158 from CourseHero.com on 05-25-2021 22:01:00 GMT -05:00 https://www.coursehero.com/file/18422381/Test-Bank-for-Andersons-Nursing-Leadership-Management-and-Professional-Practice-For-The-LPNLVN-In/This study resource was shared via CourseHero.comA coparticipative manner is demonstrated when the nurse works with the patient and family to achieve the best outcome. PTS: 1 REF: Chapter: 2 OBJ: Objective: 3 KEY: Content A rea: Caring | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying 8. ANS: 4 Encouraging the shy student shows appreciation for that student’s value and what he or she can add to class discussions, and it demonstrates transpersonal caring. PTS: 1 REF: Chapter: 2 OBJ: Objective: 4 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Applying 9. ANS: 2 Nightingale talked about holistic care, providing care for the physical, spiritual, and psychological needs of patients, and seeing them not as a diagnosis but as unique individuals. PTS: 1 REF: Chapter: 2 OBJ: Objective: 1 KEY: Content Area: Caring | Integrated Processes: Caring | Client Nee d: Safe, Effective Care Environment | Cognitive Level: Remembering 10. ANS: 1 Caritas measures, such as holding the patient’s hands during a painful procedure, are high -touch. PTS: 1 REF: Chapter: 2 OBJ: Objective: 6 KEY: Content Area: Caring | Integra ted Processes: Caring | Client Need: Health Promotion and Maintenance | Cognitive Level: Applying 11. ANS: 2 Talking to the nurse privately will prevent embarrassment, and reviewing the procedure together will offer the opportunity to improve patient care for both nurses. PTS: 1 REF: Chapter: 2 OBJ: Objective: 5 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying 12. ANS: 4 Transpersonal nursing care is care that reco gnizes the value and unique qualities of each individual and treats everyone with respect. PTS: 1 REF: Chapter: 2 OBJ: Objective: 3 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level : Understanding 13. ANS: 4 Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates caring and provides the nurse with needed information about how to best support the patient. PTS: 1 REF: Chapter: 2 OBJ: Objective : 6 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Applying 14. ANS: 3 Asking the patient what the nurse can do to support spiritual beliefs shows caring. This study source was downloaded by 100000826342158 from CourseHero.com on 05-25-2021 22:01:00 GMT -05:00 https://www.coursehero.com/file/18422381/Test-Bank-for-Andersons-Nursing-Leadership-Management-and-Professional-Practice-For-The-LPNLVN-In/This study resource was shared via CourseHero.com PTS: 1 REF: Chapter: 2 OBJ: Objective: 6 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Applying 15. ANS: 3 Quietly talking to the physician to deescalate the situation immediately is the most caring way to handle it. PTS: 1 REF: Chapter: 2 OBJ: Objective: 5 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying 16. ANS: 3 Guiding the conversation toward thinking about why the instructor is so particular and how patient care improves as a result is a productive response to the situation. PTS: 1 REF: Chapter: 2 OBJ: Objective: 4 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Applying 17. ANS: 4 Arriving to class prepared and on time shows caring for other students, because the student will be able to participate fully and will not disrupt the class. PTS: 1 REF: Chapter: 2 OBJ: Objective: 4 KEY: Content Are a: Caring | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Applying 18. ANS: 3 Nurses with many years of experience were most likely educated in the medical model, in which less emphasis was placed on the nursing mo del. PTS: 1 REF: Chapter: 2 OBJ: Objective: 2 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Applying 19. ANS: 1 All actions are based on personal motivation, whether performed at work or off duty, because the nurse, and every individual, chooses how to respond to a given situation. PTS: 1 REF: Chapter: 2 OBJ: Objective: 7 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Applying 20. ANS: 1 Understanding the patient’s motivation may help the nurse be less judgmental. PTS: 1 REF: Chapter: 2 OBJ: Objective: 7 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognit ive Level: Applying 21. ANS: 2 Motivation is a dynamic process that changes over time because of experiences and the influence of others. This study source was downloaded by 100000826342158 from CourseHero.com on 05-25-2021 22:01:00 GMT -05:00 https://www.coursehero.com/file/18422381/Test-Bank-for-Andersons-Nursing-Leadership-Management-and-Professional-Practice-For-The-LPNLVN-In/This study resource was shared via CourseHero.comPTS: 1 REF: Chapter: 2 OBJ: Objective: 7 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Understanding 22. ANS: 1 The nurse will need to adapt motivational approaches to suit the new job, the change in acuity, and the many changes that will come with working in a new facility. PTS: 1 REF: Chapter: 2 OBJ: Objective: 7 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Psychosocial Integrity | Cognitive Level: Applying MULTIPLE RESPONSE 23. ANS: Showing respect by the manner in which the nurse addresses the patient, arranging for a translator to show caring about and consideration of the patient’s unique individuality, and spending time with the anxious or upset patient all demonstrate the nursing model of care. PTS: 1 REF: Chapter: 2 OBJ: Objective: 2 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Analyzing 24. ANS: 1, 2, 3, 4 Caritas measures are high -touch or nursing models of patient care and are part of Jean Watson’s caring theory of nursing. Transpersonal caring and high -touch are important terms discussed by Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care. Intentionality is a term used by Dr. Watson to indicate the need for nurses to en ter every interaction with the intention of giving good care in a personalized, patient -focused manner. PTS: 1 REF: Chapter: 2 OBJ: Objective: 3 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding 25. ANS: 1, 2, 5 Caritas measures are described as transpersonal caring and high -touch care. The nursing model of care can be called caritas or caring measures. PTS: 1 REF: Chapter: 2 OBJ: Objective: 3 KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding This study source was downloaded by 100000826342158 from CourseHero.com on 05-25-2021 22:01:00 GMT -05:00 https://www.coursehero.com/file/18422381/Test-Bank-for-Andersons-Nursing-Leadership-Management-and-Professional-Practice-For-The-LPNLVN-In/This study resource was shared via CourseHero.com Powered by TCPDF (www.tcpdf.org)Chapter 3: Understanding the Changing Roles in Nursing Multiple Choice Identify the choice that best completes the statement or answers the question. ____1.The nurse is teaching a group about paradigm thinking and defines it as what? 1.One’s mathematical knowledge and ability to solve math problems 2.The ability to see 20 feet away without wearing glasses 3.An individual’s perception or frame of reference about the world 4.A nurse’s ability to solve patient-care problems ____2.Most nursing paradigms are based on what? 1.The nurse’s ability to perform procedures with skill 2.Dr. Jean Watson’s transpersonal caring theory 3.Maslow’s theory of hierarchy of needs 4.Learning by studying nursing theories and clinical experiences ____3.The increasing use of licensed practical nurses (LPNs) in management positions, especially in long- term care facilities, is an example of what? 1.Assertive management 2.A shifting paradigm 3.Critical thinking 4.Smarter LPN graduates ____4.Why is critical thinking necessary for the nurse to identify and understand paradigms that exist in nursing practice? 1.Critical thinking allows the nurse to make superficial decisions. 2.Critical thinking allows the nurse to thoroughly examine situations and issues. 3.Critical thinking provides the nurse with quick answers. 4.Critical thinking allows the nurse to accept information without needing to check its validity. ____5.The nurse values respect for the individual, more than anything else, as defining high-quality patient care. What does this describe about the nurse? 1.Critical thinking 2.Caritas 3.Paradigm 4.Hierarchy of needs ____6.The nurse reads a peer-reviewed nursing journal article that recommends changing the procedure for caring for a patient with an indwelling urinary catheter. The nurse displays critical thinking with what action? 1.Changing how the nurse provides care for a patient with an indwelling catheter according to the article 2.Taking the journal article to the nurse manager and suggesting the procedure be rewritten 3.Searching for other peer-reviewed articles that support this author’s recommendation4.Ignoring the article and following the procedure as written at the facility where the nurse works ____7.The nurse applies Maslow’s hierarchy of needs to what aspect of care? 1.Judging the patient’s behavior 2.Improving the skillfulness of care 3.Understanding the patient’s behavior 4.Improving communication skills ____8.The nurse is caring for a patient who has just received a cancer diagnosis. The patient is crying. The nurse recognizes this patient is operating on what level of Maslow’s hierarchy of needs? 1.Self-esteem 2.Love and belonging 3.Safety 4.Self-actualization ____9.The caring LPN manager avoids what approach when dealing with staff? 1.Delegating 2.Understanding 3.Judging 4.Evaluating ____10.The student nurse experiences a paradigm shift as a result of increasing knowledge and finds the result of the shift is what? 1.Life changing 2.Temporary 3.Short-lived 4.Overwhelming ____11.The nurse is caring for an adolescent who will be hospitalized for several weeks while in traction. The patient frequently has a room full of friends and they can be heard laughing. The nurse recognizes this patient is meeting which of Maslow’s hierarchy of needs? 1.Self-esteem 2.Love and belonging 3.Safety 4.Self-actualization ____12.The nurse is providing pre-operative teaching to the anxious patient, who doesn’t seem to be learning. What need must the nurse help this patient meet before continuing to teach? 1.Self-esteem 2.Love and belonging 3.Safety 4.Self-actualization ____13.The nurse manager learns that one of the staff nurses on the unit has a substance addiction and is arriving at work under the influence of the substance. Using Watson’s theory, how should the nurse manager deal with this staff member? 1.Send the nurse home with instructions not to return until clear of the substance. 2.Call the police and have the nurse arrested for working while impaired.3.Confront the nurse privately, order drug testing, and suggest a substance-abuse program. 4.Notify the board of nursing and fire the nurse immediately. ____14.The nurse receives a shift report from the nurse going off shift and asks about a patient’s state of mind and emotional needs, which demonstrates what aspect of Dr. Watson’s theory? 1.Intentionality 2.Curiosity 3.Caritas 4.Holism ____15.While working in a long-term care facility, the nurse notices that older residents take pleasure in telling stories about their earlier lives and reliving special events. The nurse recognizes this helps residents meet what level of Maslow’s Hierarchy of needs? 1.Self-esteem 2.Love and belonging 3.Safety 4.Self-actualization ____16.The nurse makes the decision to return to school to obtain a bachelor of science degree in nursing. What theme of critical thinking is the nurse displaying? 1.Critical thinking is a productive and positive activity. 2.Critical thinking is a process, not an outcome. 3.Manifestations of critical thinking vary, depending on the context in which they occur. 4.Critical thinking is triggered by both positive and negative events. ____17.The nursing assistant asks the nurse to explain the meaning of advocacy. The nurse explains the fundamental principle of patient advocacy is what? 1.Independence 2.Caring 3.Competence 4.Protection ____18.The nurse listens as the physician asks the patient to participate in a research study and realizes the physician is not adequately explaining the risks of the study. As they leave the patient’s room, the nurse encourages the physician to go back and explain the risks more thoroughly. What role is this nurse playing in patient care? 1.Teacher 2.Caregiver 3.Advocate 4.Communicator ____19.The nurse is caring for a patient with HIV who is known to have infected others due to unsafe sexual practices. What is the nurse’s priority action to advocate for this client and others with whom he may have a relationship? 1.Teach the patient of the increased risk to his own health from sexually transmitted diseases.2.Inform the patient that he can be sued or arrested for endangering the health of others. 3.Explore the patient’s knowledge of safer sexual practices and help him find methods that work for him. 4.Report his behavior to the public health department for follow-up as needed. ____20.The charge nurse is preparing assignments when one of the staff nurses requests not to be assigned a specific patient, using a derogatory name to refer to the patient’s ethnicity. What is the charge nurse’s best response? 1.Encourage the nurse to embrace diversity and reject prejudice. 2.Report the nurse to human resources for demonstrating prejudicial behavior. 3.Assign the patient to a different nurse and make a note not to ever assign this patient to this nurse. 4.Schedule a staff meeting to talk to the entire staff about avoiding prejudice. ____21.The nurse is caring for a diabetic patient whose religious beliefs require fasting from sun up to sun down on holy days. How can the nurse best advocate for this patient? 1.Teach the patient the importance of eating throughout the day to avoid hypoglycemia. 2.Choose the nursing diagnosis of noncompliance if the patient becomes hypoglycemic due to fasting. 3.Invite the spiritual leader of his faith to talk with him about exceptions to the need to fast. 4.Meet the patient’s caloric needs before sunrise and after sunset and monitor blood sugar closely. ____22.The nurse arrives to work impaired and under the influence of alcohol. What patient right has this nurse infringed on? 1.Research-related rights 2.Right to refuse treatment or medication 3.Right to be fully informed about procedures 4.The right to safe care Multiple Response Identify one or more choices that best complete the statement or answer the question. ____23.Which patient rights is the nurse likely to be called to advocate for? (Select all that apply.) 1.Research-related rights 2.Right to refuse treatment or medication 3.Right to be fully informed about procedures 4.The right to safe care 5.The right to the treating physician of choice ____24.The nurse identifies critical thinking through which themes? (Select all that apply.) 1.Critical thinking is a productive and positive activity. 2.Critical thinking is a process, not an outcome. 3.Manifestations of critical thinking vary depending on the context in which they occur. 4.Critical thinking is triggered by both positive and negative events. 5.Critical thinking requires supreme intellect to be effective. ____25.The successful nurse manager applies Anderson’s rules for successfully working with people, which include what two statements? (Select all that apply.) 1.It is better to understand people than to judge them. 2.There is a reason for every behavior. 3.Follow the Golden Rule when working with people. 4.The nurse manager must have control of all situations. 5.Set expectations high and people will rise to meet them.Chapter 3: Understanding the Changing Roles in Nursing Answer Section MULTIPLE CHOICE 1.ANS:3 Paradigm refers to a model, theory, assumption, or a frame of reference. Generally, it means the way a person “sees” the world; this does not refer to a person’s visual sight, but a person’s mental perception. PTS:1REF:Chapter: 3OBJ:Objective: 1 KEY:Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding 2.ANS:4 Most nursing paradigms, or ways of seeing nursing practice, are based on learning through theories or clinical experiences. Culture is another paradigm that impacts nursing. PTS:1REF:Chapter: 3OBJ:Objective: 1 KEY:Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying 3.ANS:2 The use of LPNs in more management positions is a paradigm shift. A shifting paradigm is a break with older ways of thinking. This shift changes the world of those who experience it, and it is the source of attitudes and behaviors. PTS:1REF:Chapter: 3OBJ:Objective: 2 KEY:Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying 4.ANS:2 The LPN must have the tools to identify paradigm strategies. One tool is critical thinking, which allows the nurse to identify existing paradigms and to devise strategies needed to shift paradigms. Critical thinking also allows the nurse to be open to alternative ways of thinking and to be wary of “quick-fix” solutions. PTS:1REF:Chapter: 3OBJ:Objective: 3 KEY:Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying 5.ANS:3 Respect is the nurse’s perspective of how care should be delivered, so this describes the nurse’s paradigm. PTS:1REF:Chapter: 3OBJ:Objective: 2 KEY:Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment | Cognitive Level: Applying 6.ANS:3 The critically thinking nurse seeks further support for the author’s conclusions to determine if further research is available.