Care of Adults and Older Adults
1. The nursing unit manager on a medical teaching unit says that she
would like a nurse to present a case study at interdisciplinary rounds
on a patient who has compartment syndrome from a leg injury. This is
the first patient you have cared for with this complication, and you
have difficulty presenting your ideas in front of a group. What would
you do?
A. Ask to attend the rounds to increase your understanding of the
condition.
B. Research the condition and present what you have learned
as well as your assessment findings and care measures.
C. Suggest that a more experienced nurse be selected to present
this case study.
D. Approach the unit manager, explain your difficulty presenting
in front of interdisciplinary team members, and ask to be
excused from presenting.
Answer: B
Rationale: This is an opportunity for new learning about a complication
that pertains to your patient and an important safety consideration
when assessing and performing care measures. Presenting this case
would also provide a professional growth opportunity.
2. Which of the following situations would indicate a professional
boundary violation?
A. To empathize with a patient's situation, sharing a personal
experience with a patient that is very similar to the situation the
patient is experiencing.
B. Reminding a patient who has dementia that certain
sexual touch behaviours are not acceptable.
C. Being concerned about a patient's welfare and seeking ways to
protect the client's best interests.
D. Having well-intentioned behaviours that detract from
achievable health outcomes for patients.
Answer: D
Rationale: Professional boundaries focus on provision of professional
care that assists clients in achieving health outcomes.
3. An important component of professional practice is self-
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awareness. Why is self-awareness an important basis for nursing
practice?
A. It may prevent biases and assumptions from affecting
relationships.
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B. It may allow the nurse to examine how biases and
assumptions could interfere with therapeutic effectiveness.
C. It may enable the nurse to treat people from different cultural
backgrounds according to the dominant beliefs of their culture.
D. It allows for mo re objectivity in facilitating the healing process.
Answer: B
Rationale: Sell-awareness in nurses allows openness and a willingness to
enhance therapeutic relationships. Answer B is an example of ways
nurses can examine their biases and examine how they interfere with
rapport building.
4. Which of the following is a theoretical perspective that underlies
group process and effectiveness?
A. The personality style theory acknowledges that the nature of
individuals in a group helps us understand group dynamics and
sources of conflict in the group.
B. When groups are formed to complete a task, the task functions
need to be assigned to individuals to ensure effective group
functioning.
C. Considering the roles and functions or groups would
explain the developmental theory of groups.
D. For group effectiveness, a group needs to have
homogeneity and common views and interests.
Answer: A
Rationale: Effective principles of group process emphasize getting to
know individuals and understanding the diverse nature of participants.
5. Which of the following group principles interfere with the
effectiveness of a group?
A. Groups get to know each other while focusing on accomplishing
tasks.
B. Groups set norms, cooperate, and monitor progress.
C. Groups encourage similarity of viewpoints and minimize differing
opinions.
D. Groups deal with conflicts and allow members to express their
differences.
Answer: C
Rationale: When groups arc forced to conform and when
there is little acknowledgement or differing opinions, group
effectiveness is limited.
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6. Janna, age 27 years, a sing le mother, appreciates the help you
have given her through the birth of her first child. When you
conclude your last follow-up