Test Bank for Fundamentals of Nursing 3rd Edition by Yoost 9780323828093 TEST BANK

While helping patients with values clarification and care decisions, nurses must be aware of the potential influence of their professional nursing role on patient decision-making. Nurses should be careful to assist patients to clarify their own values in reaching informed decisions. Providing information to patients so that they can make informed decisions is a critical nursing role. Giving advice, trying to convince the patient that the nurse knows best, or telling patients what to do in difficult circumstances are approaches that are unethical and ill-advised. DIF: Applying REF: Concepts: Professionalism OBJ: 2.2 TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Psychosocial Integrity 6. 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.= ANS: D The use of the value clarification process is helpful when assisting patients in making health care decisions regarding end-of-life care. Giving advice or telling patients what to do is unethical and not recommended. Ignoring a patient concern or changing the subject is inappropriate. Patients should be given factual information in order for them to make their own decisions. DIF: Applying REF: Concepts: Professionalism OBJ: 2.2 TOP: Nursing Process: Implementation MSC: NCLEX Client Needs Category: Psychosocial Integrity 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 nurse3patient relationship? a. Swanson’s Theory of Caring b. Boykin and Schoenhofer’s Theory of Nursing as Caring c. Watson’s Theory of Human Caring d. Leininger’s Theory of Cultural Care Diversity and Universality ANS: A Swanson’s five caring processes include being with and enabling. Sitting at the bedside and sharing information are activities that exemplify these behaviors. Boykin and Schoenhofer’s Theory of Nursing in Caring sees caring as the intentional and authentic presence of the nurse with another who is recognized as person living caring and growing in caring. Watson’s Theory of Caring impacts both the person and the universe and is built upon 10 caritas processes. Leininger’s theory is based on several beliefs including but not limited to the following assumptions: care is a central unifying focus of nursing; a cure cannot occur without caring; culture is embedded in all aspects of one’s being; and culturally congruent care promotes health and well-being