Mid Term Quiz Questions PDF

**Question 1** 1 / 1 point which statement about religion and spirituality is true spirituality is unique to the individual ---------------- ------------------------------------------- ------------- Spirituality encompasses religion...

**Question 1** 1 / 1 point which statement about religion and spirituality is true spirituality is unique to the individual ---------------- ------------------------------------------- ------------- Spirituality encompasses religion Religion and spirituality are synonymous  Religion is unifying **Question 2** 1 / 1 point Which way of knowing is primarily affected by the ideals that are significant or important to the person, the family, or the community? aesthetic knowing ---------------- ------------------- ------------- ethical knowing empirical knowing personal knowing **Question 3** 1 / 1 point According to Jean Watson, what is a holistic nursing model? a conscious intention to care promotes healing and wholeness. (complementary to conventional science and modern nursing science) ---------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------- Integrates human caring processes with healing environments, incorporating the life-generating and life receiving processes of human caring and healing for both nurses and their clients Caring is transpersonal- rejects the disease orientation of health care and stresses care as more important than cure. Instead of focusing on the client\'s disease, and its treatment by conventional means, transpersonal caring explores inner sources of healing to protect, enhance, and preserve a person\'s dignity allows a consciousness that allows nurses to raise new questions about what it means to be a healthcare worker, what it means for client to be ill, and how caring and healing should take place all of the above **Question 4** 1 / 1 point A nurse establishes client-centred care by doing all of the following **except:** actively including the client and significant others in the care ---------------- ------------------------------------------------------------------------------------------------------------------------------------ ------------- identifying the client\'s goals, wishes and preferences recognizing that the client\'s well-being is affected by the nurse\'s ability to establish and maintain a therapeutic relationship not acknowledging the biases and feelings can affect the relationship  **Question 5** 1 / 1 point Effective teams have which of the following characteristics? engage talented team members ---------------- --------------------------------------- ------------- all of the above support diversity and different ideas establish a climate of trust **Question 6** 1 / 1 point which of the following can be used to develop the nurse\'s own spiritual awareness while facilitating the spiritual practices of others? taking part in other religious practices ---------------- ---------------------------------------------- ------------- hosting a church group on the medical unit taking a university level course on religion engaging in mindfulness **Question 7** 1 / 1 point when, if ever, is it acceptable to accepts gifts from the clients? Select the **best **answer when the client is mentally competent and does not expect anything in return ---------------- ------------------------------------------------------------------------------ ------------- when refusal will harm the nurse-client relationship it is never acceptable to accept a gift from a client when it is a team gift **Question 8** 1 / 1 point PSW\'s and nurses can prevent conflict by: promoting a respectful work environment ---------------- ----------------------------------------------------------------------------------------------------------------------------------------------- ------------- identifying personal areas in need of improvement an strive to alter their own behaviour in situations that have previously ended in conflict recognizing that personal stress may affect professional relationships and take steps to manage that stress all of the above **Question 9** 1 / 1 point which of the following patterns of knowing relates to how a nurse, as a unique individual, chooses to respond in a situation involving a patient? ethical knowing ----------------- ------------------- ------------- aesthetic knowing empirical knowing personal knowing **Question 10** 1 / 1 point what is **NOT** true about the inter professional health care team? the composition of the health care team is not always consistent ----------------- ----------------------------------------------------------------------------------------------------- ------------- communication entails both verbal and nonverbal interactions between the team members it includes multiple members of the same profession working collaboratively to deliver quality care main focus is client-centred care **Question 11** 1 / 1 point which of the following best describes the nurse\'s role in planning care for a culturally diverse population? blending his or her values that are for the good of the patient and minimizing the patients individual values and beliefs during care ----------------- ------------------------------------------------------------------------------------------------------------------------------------------------ ------------- including care that is culturally congruent with the nursing staff based on predetermined criteria focusing only on the needs of the patient, ignoring his or her beliefs and practices providing care while remaining aware of his or her own bias and focusing on the patient\'s individual needs rather than the staff\'s practices **Question 12** 1 / 1 point To clarify the role of a nurse in patient-centred care, a nurse is responsible for which of the following? being able to explain own role and knowledge and skills that the nurse brings to patient-centred care ----------------- ------------------------------------------------------------------------------------------------------- ------------- shadowing other interprofessional team members to experience their roles asking other interprofessional team members about their roles being able to explain the roles of all interprofessional team members **Question 13** 1 / 1 point a laissez-faire leader: all of the above ----------------- ------------------------------------------------------------------- ------------- makes all the decisions in the group  encourages group discussion and decision making participates minimally and often only at the request of the group **Question 14** 1 / 1 point what is the nurse\'s initial action while working with a patient to assess and support the patient\'s spirituality? helping the patient to use faith to get well ----------------- -------------------------------------------------------- ------------- determining the patients perceptions and belief system providing a variety of religious literature  referring the patient to the agency chaplain **Question 15** 1 / 1 point Jackie works as a PSW at a LTC facility. Currently, she is caring for Mr. Mohammad, an 85 year old Muslim man. Jackie knows that the following factor(s) may affect her caring behaviours: age ----------------- ---------------------- ------------- culture patient\'s diagnosis all of the above **Question 16** 1 / 1 point which is **NOT** a warning sign that a nurse may be crossing a boundary? changing assignments to give care to the client ----------------- --------------------------------------------------------- ------------- refusing to disclose personal information to the client often thinking about the client spending extra time with the client  **Question 17** 1 / 1 point which of the following is the most important aspect for a student nurse to learn in relation to knowing the patient? establishing a caring relationship ----------------- ------------------------------------ ------------- gathering assessment data assuming emotional needs treating discomforts quickly **Question 18** 1 / 1 point Mark has started working on a new unit of a LTC facility. He has found everyone friendly and helpful for the most part. However Karen, has been leaving without giving him verbal report. Which is the best way for Mark to approach the conflict? Mark should ask other co-worker\'s for their opinion of Karen ----------------- --------------------------------------------------------------- ------------- Mark should approach this conflict directly  Mark should speak to the manager to talk to Karen Mark should ignore the conflict **Question 19** 0 / 1 point when a nurse provides instructions and determines that a PSW is competent to perform a procedure, what action are they taking? delegating ------------------------------------- ------------- ------------- Incorrect Response supervising  teaching assigning  **Question 20** 1 / 1 point family members can be considered unregulated health care providers True ----------------- -- ------------- False **Question 21** 1 / 1 point by maintaining confidentiality and protecting a client\'s privacy, what components of the nurse-client relationship are you demonstrating? power ----------------- ------------- ------------- empowerment respect trust **Question 22** 1 / 1 point new technologies, especially information systems are changing and improving nursing practice, education, research and administration. True ----------------- -- ------------- False **Question 23** 1 / 1 point indications of group commitment include members are motivated by working in the group ----------------- ---------------------------------------------------------- ------------- members feel that the goals of the group are achievable  members express good feelings openly all of the above **Question 24** 0 / 1 point when a nurse suspects that a colleague has crossed a boundary, they should consider all of the following **except**: the impact on the practice setting ------------------------------------- ------------------------------------ ------------- Incorrect Response the managers reaction  the impact on the client what behaviour was observed **Question 25** 1 / 1 point negative consequences of intraprofessional conflict include all of the following **except**: dysfunctional team work ----------------- -------------------------------- ------------- decreased employee turnover decreased patient satisfaction oppression **Question 26** 0 / 1 point which of the following should the nurse do when planning nursing care for a patient whose cultural background is different from the nurse\'s? speak slowly and show pictures to make sure the patient always understands ------------------------------------- ---------------------------------------------------------------------------------------------------------- ------------- Incorrect Response allow the family to provide care during the hospital stay so that all rituals or customs are carried out explain how the patient must adapt to hospital routines to be effectively care for while in the hospital  identify how these cultural variables affect the health problem **Question 27** 1 / 1 point the client in the nurse-client relationship is in a vulnerable position so it is important that promises are kept and \_\_\_\_\_\_\_ is established. This can be difficult to re-establish once breached. empathy ----------------- --------- ------------- power respect trust **Question 28** 1 / 1 point a client is refusing to eat, you understand that this may be because the client is fasting as part of a religious practice. By exploring the client\'s refusal to eat, you\'re respecting the client\'s beliefs and values, and can integrate these into the plan of care. The nurse achieves therapeutic communication by: recognizing that all behaviour has meaning ----------------- -------------------------------------------------------------------- -------------- respecting the client\'s beliefs and values integrating the client\'s beliefs and values into the plan of care all of the above **Question 29** 4 / 4 points Please match the following forms of abuse with the correct example. +-----------------------+-----------------------+-----------------------+ | \_\_{.underli | | **1**. a nurse co | | ne}\_\_ physical | | mplains to a coworker | | abuse | | about how much educa | | -- ---------------- | | tional courses cost a | | --------- -- -------- | | nd how she is a singl | | --------- | | e mother and that she | | \_\_{.underli | | can\'t afford course | | ne}\_\_ neglect | | s right now. A client | | \_\_{.underli | | overhears this conve | | ne}\_\_ financia | | rsation and offers to | | l abuse | | pay her tuition. | | \_\_{.underli | | -------- ---------- | | ne}\_\_ verbal a | | --------------------- | | buse | | --------------------- | | | | --------------------- | | | | --------------------- | | | | --------------------- | | | | --------------------- | | | | --------------------- | | | | --------------------- | | | | --------------------- | | | | --------------------- | | | | --------------------- | | | | --------------------- | | | | --------------------- | | | | --------------------- | | | | --------------------- | | | | --------------------- | | | | --------- | | | | **2**. a nurse an | | | | swering a call be fin | | | | ds a client who wishe | | | | s to go out and have | | | | a smoke break again. | | | | The nurse responds wi | | | | th, \"I don\'t know w | | | | hy you continue to ru | | | | in your life like thi | | | | s.\" | | | | **3**. a client i | | | | s awake all night wit | | | | h severe vomiting dia | | | | rrhea. Several times | | | | the nurses ignored hi | | | | s call bell, resultin | | | | g in soiling of his b | | | | ed linens and gown. W | | | | hen he requests the n | | | | urse change his linen | | | | s, she replies that h | | | | e will have to wait f | | | | or the day shift when | | | | his linens would nor | | | | mally be changed | | | | **4**. an elderly | | | | client is admitted a | | | | nd the doctor orders | | | | a urinary catheter to | | | | be put in place. Whe | | | | n the nurse enters th | | | | e room she mumbles so | | | | mething to the client | | | | about him needing a | | | | catheter and begins t | | | | o uncover the client. | | | | The client not knowi | | | | ng what a catheter is | | | | , is alarmed and begi | | | | ns to resist, but she | | | | holds him down and p | | | | uts the catheter in a | | | | nyways. | +=======================+=======================+=======================+ | **Question 30** | | 1 / 1 point | +-----------------------+-----------------------+-----------------------+ according to Jeans Watson\'s theory of caring, a conscious intention to care promotes which of the following? positive differences in well-being outcomes ----------------- --------------------------------------------- ------------- the nurse-patient relationship  health  healing and wholeness  **Question 31** 1 / 1 point statements that outline acceptable requirements of determining the quality of nursing care a client receives are: professional boundaries ----------------- ---------------------------- ------------- accountable practices competencies nursing practice standards **Question 32** 1 / 1 point which of the following scenarios represent client abuse? 1. Accepting power of attorney for a client who is currently under your care 2. withholding food and drink when a client is NPO (nothing by mouth) before surgery 3. Ignoring a client\'s call bell because they are not being compliant with their medication 4. Pulling a client\'s hair to get them to stop thrashing while you are trying to get them dressed +-----------------------+-----------------------+-----------------------+ | 5. | 1 & 3 | | +=======================+=======================+=======================+ | | 1, 2, 4 | | +-----------------------+-----------------------+-----------------------+ | | 1, 3, 4 | | +-----------------------+-----------------------+-----------------------+ | | 2 & 3 | | +-----------------------+-----------------------+-----------------------+ | **Question 33** | | 1 / 1 point | +-----------------------+-----------------------+-----------------------+ the interprofessional team comes together, purpose is established, introductions are made, and universal norms for attendance, participation, and confidentiality are defined. What stage of Tuckman\'s model of the group process is this? storming ----------------- ------------ ------------- adjourning forming performing **Question 34** 1 / 1 point what is it called when a nurse misuses the power in the relationship? abuse ----------------- ------------- ------------- suppression respect denial **Question 35** 1 / 1 point group cohesiveness is demonstrated when: group member participation is high ----------------- ------------------------------------ ------------- a sense of togetherness exists both a and b individual communication is high **Question 36** 1 / 1 point a client whom you have come to know has a calm disposition starts yelling frantically from their room. When you enter the room, you come to find they are clutching at the curtains and about to fall. The communication is likely being influenced by: intimacy ----------------- ----------------- ------------- control immediacy responsibility  **Question 37** 1 / 1 point an autocratic leader  makes all the decisions for the group ----------------- -------------------------------------------------------------- ------------- encourages group discussion and decision making participates minimally and often at the request of the group all of the above **Question 38** 1 / 1 point if a nurse suspects that they are crossing a boundary in the nurse-client relationship, they should: reflect on the situation ----------------- ---------------------------------- ------------- seek assistance from colleagues  both a & b consult the client all of the above **Question 39** 1 / 1 point which of the following statements best reflects effective leadership? all of the above ----------------- -------------------------------------------------------------------------------- ------------- ability to listen and determine a specific group approach ability to adapt their leadership style to fit the changing needs of the group committed to the group goals and in supporting group members **Question 40** 1 / 1 point which is an example of showing respect towards your client? asking personal questions to satisfy your curiosity ----------------- ------------------------------------------------------------------- ------------- asking for explanations on why they acted a certain way standing above a person (looking downward) while speaking to them explaining things in a way that client will understand **Question 41** 1 / 1 point Suzanne is a nurse working in home care. Another nurse, Stephanie, works for the same agency. Stephanie knows that Suzanne and her husband are having serious financial difficulties and may lose their house. One day Suzanne calls in sick and Stephanie goes to visit one of Suzanne\'s clients, a man who happens to live in a wealthy neighbourhood.  At the end of the visit, the client gives Stephanie a cheque and asks her to make sure it gets too Suzanne. When Stephanie asks what the cheque is for, the client tells her that he has been helping out with Suzanne\'s mortgage payments in exchange for the wonderful care that she provides. What should Stephanie do with the Cheque?  she should refuse the cheque, but not report it because it is none of her business ----------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------- she should accept the cheque, and donate it to charity Stephanie should take the cheque and give it too Suzanne. She is helping a friend who is in trouble, and the client can clearly afford to give Suzanne money She should refuse the cheque and report Suzanne, this is financial abuse **Question 42** 1 / 1 point according to CNO\'s key components of the therapeutic nurse-client relationship, which component can be described as expressing an understanding of what the health care experience means from the client\'s perspective? professional intimacy ----------------- ----------------------- ------------- empathy respect power **Question 43** 1 / 1 point which of the following is **not** a requirement for teaching a PSW? the nurse has determined that the PSW has acquired, through teaching and supervision of practice, the knowledge, skill and judgement to perform the procedure ----------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------- the nurse has the additional knowledge, skill and judgement to teach the procedure the nurse has the knowledge, skill and judgement to perform the procedure competently the PSW accepts sole accountability for the decision to teach the procedure **Question 44** 1 / 1 point Janet was recently admitted to hospital for an elective surgical procedure. While her nurse, Dan, is completing a health history, he asks her if she is single, and continues the interview with sexually explicit comments. Which statement is true? Dan\'s remarks may reasonably be interpreted as physical abuse under CNO guidelines ----------------- --------------------------------------------------------------------------------------------------------------------------------------------- ------------- These sorts of remarks are appropriate as Dan is just joking around Dan is completing a thorough medical history Dan\'s remarks may reasonably be interpreted as sexually suggestive and therefor fall within the realm of client abuse under CNO guidelines **Question 45** 0 / 1 point a patient expresses concerns about their upcoming knee replacement surgery. The nurse listens to the patients concerns and validates their feelings. What component of the nurse-client relationship is the nurse demonstrating? trust ------------------------------------- ----------------------- ------------- Incorrect Response professional intimacy patience  empathy **Question 46** 1 / 1 point who is the expert in the patient\'s management of illness? the patient ----------------- ----------------------------------- ------------- the interprofessional team member the physician the nurse **Question 47** 0 / 1 point this type of professional intimacy involves acceptance, respect, empathy, recognition, and compassion physical intimacy ------------------------------------- ----------------------- ------------- Incorrect Response emotional intimacy motivational intimacy  therapeutic intimacy **Question 48** 1 / 1 point interprofessional conflict may occur if: bullying and lateral violence occurs ----------------- -------------------------------------- ------------- their is equality among members team members support each other all of the above **Question 49** 1 / 1 point according to Sister Simone Roach\'s \"Human Act of Caring\" theory; By applying the knowledge, you acquired through evidence based practice to care for your patient, which component of caring are you practicing? competence ----------------- ------------- ------------- comportment commitment conscience **Question 50** 0 / 1 point some boundary crossings are acceptable if in the nurse\'s professional judgement, they help meet the client\'s therapeutic needs. Correct Answer True ----------------------------------------- -- -------------  False **Question 51** 1 / 1 point **caring for clients as whole unique human beings, and not as problems or diagnoses**, refers to which foundational belief of client-centred care? continuity and consistency of care and caregiver ----------------- --------------------------------------------------------- ------------- client\'s goals coordinate care of the health care team human dignity clients as leaders **Question 52** 1 / 1 point if the nurse is indirectly supervising the PSW, they must: periodically observe the PSW\'s activities ----------------- -------------------------------------------- ------------- have the PSW report regularly to them remain accountable for the PSW all of the above **Question 53** 1 / 1 point cultural competence is the process of which of the following? acquiring specific knowledge, skills, and attitudes toward the appreciation of different cultures ----------------- --------------------------------------------------------------------------------------------------- ------------- learning about the large number of cultures developing motivation and commitment to caring using the dominant culture to influence care **Question 54** 1 / 1 point Please match the following  +-----------------------+-----------------------+-----------------------+ | \_\_{.underli | | **1**. meeting th | | ne}\_\_ Caring | | e client\'s physical | | -- ---------------- | | and basic needs | | --------- -- -------- | | -------- ---------- | | \_\_{.underli | | --------------------- | | ne}\_\_ Care | | ----------------- | | | | **2**. refers to | | | | humanistic, emotional | | | | needs | +=======================+=======================+=======================+ | **Question 55** | | 1 / 1 point | +-----------------------+-----------------------+-----------------------+ When unsure if accepting a gift is appropriate who/what should you consult? nurse manager ----------------- -------------------------------- ------------- CNO practice standard document agency policy all of the above **Question 56** 0 / 1 point Alexa, an RPN, witnesses her colleague cross boundaries with her client. what is the first step Alexa should do? Correct Answer speak to her colleague directly about what was observed  ----------------------------------------- ---------------------------------------------------------- -------------  speak to the supervisor report the issue directly to the college speak to the client and confirm your suspicions **Question 57** 0 / 1 point what are the four standards a nurse is accountable for in establishing a nurse-client relationship? Incorrect Response beneficence, non-malificence, justice, autonomy ------------------------------------- ---------------------------------------------------------------------------------------------------------- ------------- professional intimacy, empathy, power, trust trust, respect, empathy, therapeutic communication  Therapeutic communication, client-centred care, maintaining boundaries, protecting the client from abuse **Question 58** 1 / 1 point what should a nurse do if she can not establish a therapeutic relationship with her client? consult the family members for recommendations ----------------- -------------------------------------------------------------------- ------------- request transfer of care continue providing care for the client remind the client that the nurse has the power in the relationship **Question 59** 1 / 1 point the point at which the relationship changes from professional and therapeutic to unprofessional and personal is called: boundary  ----------------- ----------- ------------- abuse respect intimacy  **Question 60** 0 / 1 point Destiny, a registered nurse, is transferring the authority to Jacob, a PSW, to perform stoma care on a client, What action is Destiny doing? teaching  ------------------------------------- ------------- ------------- Incorrect Response assigning  delegating supervising **Question 61** 1 / 1 point which of the following is **[not]** a main element of the Theory of Human Caring? Caritas factors ----------------- --------------------------------------- ------------- The caring occasion/moment healing of physical ailments only the transpersonal caring relationship **Question 62** 1 / 1 point when a PSW is in close contact with a patient and providing personal care, which type of professional intimacy is this referring to? physical intimacy ----------------- ----------------------- ------------- therapeutic intimacy  emotional intimacy all of the above **Question 63** 1 / 1 point communication can breakdown in the nurse-client relationship because the nurse: has a communication style that the client perceives as caring ----------------- --------------------------------------------------------------- ------------- assumed the client\'s values are the same as the nurse\'s addressed a language barrier identified the client\'s goals **Question 64** 1 / 1 point caring behaviours that be demonstrated are: all of the above ----------------- ------------------ ------------- touch listening presence **Question 65** 1 / 1 point a group is defined as which of the following statements? forces in the group situation that determines the behaviour fo the group and its members -- --------------------------------------------------------------------------------------------------------------------------------------------- when loyalty to the group and approval by other group members becomes so important that the members are afraid to express conflicting views interpersonal influences that are exercised in situations and directed through the communication process toward a specified goal. a gathering of two or more individuals who share a common purpose and meet over a period of time to achieve an identifiable goal