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The home care nurse is assigned to make the first home visit to a new client who has been discharged from the hospital. After initial introductions, the nurse should take which action to convey respect?
- A. Ask the client to develop a list of needs to discuss at the next visit.
- B. Wear a name badge that clearly identifies the home care agency.
- C. Provide contact information for several other clients who can serve as references.
- D. Tell the client that information obtained will not be shared with others.
Correct Answer: B
Rationale: The correct answer is B because wearing a name badge that clearly identifies the home care agency conveys professionalism and respect. It helps establish trust and credibility with the client. This action also ensures transparency and allows the client to easily identify and verify the nurse's credentials.
Choices A, C, and D are incorrect:
A: Asking the client to develop a list of needs for the next visit is not about conveying respect but rather about gathering information. It does not focus on establishing a professional and respectful relationship.
C: Providing contact information for other clients as references is inappropriate and breaches confidentiality. It does not demonstrate respect for the client's privacy.
D: Assuring the client that information obtained will not be shared with others is expected as part of maintaining confidentiality and privacy. However, it does not specifically address conveying respect during the initial visit.
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The nurse is performing a well-child assessment on a 15-month-old child. The child's mother and father are present. Which action by the nurse will best determine the health beliefs and values of the parents?
- A. Have the parents independently complete the Myers-Briggs Type Indicator survey.
- B. Read the documented health histories of the child's parents and grandparents.
- C. Actively listen to the parents talk about their lives and health concerns.
- D. Review the traditional health practices of the ethnic group identified by the parents.
Correct Answer: C
Rationale: Rationale:
C is the correct answer because actively listening to the parents talk about their lives and health concerns allows the nurse to understand their perspectives, beliefs, and values. This helps build rapport and trust, providing insight into how they approach healthcare for their child.
A: The Myers-Briggs Type Indicator survey is not relevant to understanding health beliefs and values.
B: Reading documented health histories may provide medical information but does not necessarily reveal beliefs and values.
D: Reviewing traditional health practices may be informative but does not directly assess the parents' personal beliefs and values.
The nurse cares for a patient who has just been diagnosed with lung cancer. Which statement by the nurse is therapeutic?
- A. "You sound really frightened about your diagnosis of cancer."
- B. "You will get better because the treatment will be started this week."
- C. "I think you should take a vacation and try to forget about the cancer."
- D. "An apple a day will keep the doctor away."
Correct Answer: A
Rationale: Answer A is correct because it shows empathy and validation of the patient's feelings. It acknowledges the patient's fear, which is important for building trust and rapport. Answer B is incorrect because it offers false reassurance. Answer C is incorrect because it suggests avoidance, which is not helpful for coping with a cancer diagnosis. Answer D is incorrect because it is a generic and unrelated statement.
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.
According to a study by Robinson (2014), three parts of our true presence (how we connect with patients) are found in being:
- A. Friendly, kind, and sweet
- B. Genuine, gifted, and creative
- C. Humorous, partial, and grateful
- D. Genuine, attentive, and immersed
Correct Answer: D
Rationale: The correct answer is D because being genuine shows sincerity and authenticity in interactions with patients. Attentiveness implies active listening and focus on the patient's needs, fostering a strong connection. Immersion signifies being fully engaged and present during patient interactions, enhancing the quality of care provided. In contrast, choices A, B, and C lack the essential components of active listening, authenticity, and full engagement, making them incorrect. Being friendly, kind, and sweet (choice A) may not necessarily reflect genuine presence. Similarly, being humorous, partial, and grateful (choice C) or genuine, gifted, and creative (choice B) do not fully capture the core elements of true presence as outlined in the study by Robinson (2014).
As an experienced staff nurse, you have been asked to create a teaching guide for nursing orientation on respect. Accessing the list from Ehow about being genuine, you would include all of the following. (Select all that apply)
- A. Acting natural around others
- B. Listening when others are speaking
- C. Denying your mistakes
- D. Compliment only when you sincerely mean it
Correct Answer: A
Rationale: Step 1: Being genuine means acting natural around others, which fosters trust and respect in relationships.
Step 2: Acting natural promotes authenticity and conveys sincerity, enhancing communication and connection.
Step 3: Listening when others are speaking is also crucial for respect, as it shows empathy and understanding.
Step 4: Denying mistakes goes against respect and honesty, leading to mistrust and lack of credibility.
Step 5: Complimenting only when sincere is important, but not directly related to being genuine in this context.