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According to Kimble and Bamford-Wade, what distinguishes the behavior of one caring and competent nurse from another nurse who is simply competent but not engaged with the patient?
- A. Immediacy, the availability of the nurse
- B. Warmth, the hallmark of compassion
- C. Attention, the focus of the nurse
- D. Communication, the instructional side of the nurse
Correct Answer: B
Rationale: The correct answer is B: Warmth, the hallmark of compassion. This is because warmth, or the ability to convey care and empathy, is what distinguishes a caring and competent nurse from one who is simply competent but lacks emotional engagement. Kimble and Bamford-Wade emphasize the importance of compassion and connection in nursing care, as it enhances the patient experience and contributes to better outcomes.
A: Immediacy, the availability of the nurse - While being available and responsive is important, it does not necessarily capture the essence of emotional connection and compassion in nursing care.
C: Attention, the focus of the nurse - While attention and focus are crucial in providing quality care, they do not fully encapsulate the emotional aspect of caring that sets one nurse apart from another.
D: Communication, the instructional side of the nurse - Effective communication is essential in nursing, but it primarily addresses the transfer of information rather than the emotional connection and compassion that define a caring nurse.
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There are 2 hours left before the shift ends. The new UAP tells the team leader that she must leave now because she has a family emergency. What should the team leader do? Select all that apply.
- A. Ask her what tasks and duties are pending for the next 2 hours.
- B. Call a UAP who is scheduled for the next shift to come early.
- C. Allow her to leave but remind her she is still on probation as a new staff member.
- D. Call another unit and see if there is a UAP who could float to the unit.
Correct Answer: A
Rationale: The correct answer is A. The team leader should ask the UAP what tasks and duties are pending for the next 2 hours to assess the workload and determine if it's possible for the UAP to leave immediately. By understanding the pending tasks, the team leader can make an informed decision on whether the UAP leaving will impact patient care or workload. This approach ensures that patient care is not compromised and that the team's responsibilities are managed effectively.
Choices B, C, and D are incorrect because they do not directly address the immediate situation of the UAP needing to leave due to a family emergency. Calling another UAP, reminding the UAP of probation status, or seeking assistance from another unit may not be necessary or relevant if the tasks can be managed effectively without the UAP who needs to leave. These options do not prioritize understanding the pending tasks and duties to make an informed decision.
The nurse is caring for a patient who states, "I tossed and turned last night." The nurse responds to the patient, "You feel like you were awake all night?" This is an example of:
- A. open-ended question.
- B. restatement.
- C. reflection.
- D. offering self. Restatement is a
Correct Answer: B
Rationale: The correct answer is B: restatement. Restatement involves repeating the patient's words to confirm understanding. In this scenario, the nurse echoed the patient's statement to show empathy and acknowledge the patient's feelings. This technique helps build rapport and fosters therapeutic communication.
Explanation of why other choices are incorrect:
A: Open-ended question: This involves encouraging the patient to elaborate on their feelings or experiences, not just repeating what the patient said.
C: Reflection: This involves restating the patient's feelings to show understanding, not simply repeating their words.
D: Offering self: This involves offering oneself to the patient for support, which was not demonstrated in the scenario.
The nurse cares for a client who has several options for cancer treatment. Which document supports the client's right to have access to information about treatment options?
- A. The Standards of Clinical Practice
- B. An Advance Health Care Directive
- C. The Patient's Bill of Rights
- D. A Client's Living Will
Correct Answer: C
Rationale: The correct answer is C: The Patient's Bill of Rights. This document supports the client's right to access information about treatment options as it ensures that clients have the right to make informed decisions about their healthcare. The Patient's Bill of Rights outlines the rights and responsibilities of patients, including the right to receive information about their medical condition, treatment options, risks, and benefits.
The other choices are incorrect because:
A: The Standards of Clinical Practice provide guidelines for healthcare professionals and do not specifically address the client's right to access information.
B: An Advance Health Care Directive is a legal document that specifies a person's wishes regarding medical treatment in the event they are unable to communicate, but it does not necessarily address the right to access treatment information.
D: A Client's Living Will is a legal document that outlines a person's preferences for medical care in certain situations, but it does not specifically address the right to access information about treatment options.
The nurse observes a student nurse who demonstrates nonverbal expressions that are cold and convey disinterest when caring for patients. Which statement, if made by the nurse, is best?
- A. "Patients will complain about you because your behaviors are unprofessional.=
- B. "Have you noticed that your patients do not like you very much?=
- C. "For the next few shifts, closely observe how I display warmth to patients.=
- D. "You need to change your behavior when interacting with your patients.=
Correct Answer: C
Rationale: The correct answer is C because it provides constructive feedback and offers a solution to the observed issue. By suggesting the student nurse to closely observe how the nurse displays warmth to patients, it encourages learning through modeling and self-reflection. This approach promotes a positive learning environment and emphasizes the importance of improving communication skills.
Choice A is incorrect as it focuses on negative reinforcement and may lead to defensive reactions. Choice B is incorrect as it uses a confrontational approach, which can be demotivating and damaging to the student's self-esteem. Choice D is incorrect as it lacks specificity and guidance on how to improve, making it less effective in addressing the observed behavior.
The nurse has selected an outcome for the patient to eat all of the food on the breakfast tray each day. Assessing that the patient has eaten all of the breakfast, the nurse would give positive feedback by saying:
- A. "Wow! That breakfast must have been pretty good."
- B. "I like pancakes too. Everyone on the hall seemed to enjoy them."
- C. "I hope you can keep all that breakfast down."
- D. "Hurray! You finished your whole meal! What would you like for tomorrow?" Giving positive feedback increases the likelihood of the desired behavior to be repeated. Commenting on the tastiness of the food or the fact that others liked it is not responding directly to the patient's having eaten the whole meal.
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the patient's achievement of finishing the whole meal, provides positive reinforcement, and invites the patient to make choices for the next meal, encouraging continued compliance with the desired outcome. This response directly reinforces the behavior that was targeted, making it more likely for the patient to repeat the behavior in the future. Choices A, B, and C do not specifically address the patient's accomplishment of eating all the food, therefore they do not provide effective positive feedback for reinforcing the desired behavior.