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Chapter 25 Test Your Knowledge

Which example best illustrates the principle of knowing the client?

1.

The nurse listens as the client describes how he has been caring for his
Your diabetes at home.
Answer:

Rationale: This assessment activity gathers more information to help the nurse know
the clients usual self-care practices. Option 1 aims to provide comfort. Option 3 is a
therapeutic, not an assessment, activity. Option 4 does not meet the aim of knowing the
client.
Cognitive Level: Applying.
Client Need: Psychosocial Integrity.
Nursing Process: Implementation.

2.

The nurse teaches a client with diabetes how to make decisions about insulin
management after discharge. This teaching most clearly reflects which caring activity?
Empowering the client
Your
Answer:

Rationale: Teaching the client to make self-care decisions at home empowers him to
care for his illness. Empowerment is not the primary goal for options 2, 3, and 4.
Cognitive Level: Applying.
Client Need: Health Promotion and Maintenance.
Nursing Process: Implementation.

3.

Mayeroff described allowing the other to grow in his own way and time. This behavior
most clearly reflects which major ingredient of caring?
Patience
Your
Answer:

Rationale: Mayeroff defines patience as allowing the other to grow in his own way and
time. Options 1, 2, and 4 are not clearly the goal.
Cognitive Level: Remembering.

Client Need: Psychosocial Integrity.


Nursing Process: Planning.

4.

Leiningers theory, culture care diversity and universality, would provide the best
framework for assessing which nursing situation?
The Indonesian parents of an infant preferred to use hot/cold therapies
Your to prevent seizures and withheld the prescribed seizure medication
Answer: (phenobarbital).

Rationale: In this situation, culture care diversity addresses the differences between
Indonesian medical practices and traditional American practices. Universality addresses
the similarities among the cultures. Since Leiningers theory addresses cultural elements
relevant to nursing, options 2, 3, and 4 are incorrect.
Cognitive Level: Analyzing.
Client Need: Psychosocial Integrity. Nursing Process: Evaluation.

5.

In a reflective journal, a nursing student writes this statement about a comatose client
on the hospice unit: The Do-Not-Resuscitate order was not on the chart, and none of
the nurses knew what measures should be taken if the client stopped breathing. This
statement most clearly reflects which of the four ways of knowing?
Ethical
Your
Answer:

Rationale: This represents an ethical dilemma. Options 1, 2, and 4 are ways of


knowing less clearly related to the situation.
Cognitive Level: Applying.
Client Need: Psychosocial Integrity.
Nursing Process: Assessment.

6.

The nurse sits with the client and holds the clients hand as his pain decreases. This
situation is an example of which caring practice?
Nursing presence
Your
Answer:

Rationale: The nurses presence is most significant in this situation. Assessment


(option 2), knowing the client (option 3), and empowering the client (option 4) are not
the focus of the nurses action.
Cognitive Level:Applying.
Client Need: Psychosocial Integrity.
Nursing Process: Implementation.

7.

Which nursing theory is depicted by a model with spiritual-ethical caring in the center,
surrounded by technological, physical, legal, political, economic, social-cultural, and
educational systems?

Theory of bureaucratic caring


Correct
Answer:

Rationale: As depicted in Figure 251, this is the model for the theory of bureaucratic
caring.
Cognitive Level: Remembering.
Client Need: Psychosocial Integrity.
Nursing Process: Assessment.

8.

The nursing student reviews the pathophysiology of myocardial infarction in preparation


for the next days clinical experience. This activity is an example of which type of
knowledge development?
Empirical knowing
Your
Answer:

Rationale: Empirical knowing is gained from studying scientific models and theories.
Aesthetic knowing arises from application in practice (option 2). Personal knowing arises
from self-examination (option 3). Ethical knowing arises from confronting conflicting
values (option 4).
Cognitive Level: Applying.
Client Need: N/A.
Nursing Process: N/A.

9.

A nurse, sitting quietly in a chair, breathing deeply, and focusing on the mental image of
a crystal is using which mindbody therapy?
Meditation
Your
Answer:

Rationale: Meditation involves the described behaviors. Storytelling involves


communication with others (option 1). Yoga combines various postures with breathing
practices (option 2). Music therapy involves listening to music (option 3).
Cognitive Level: Analyzing.
Client Need: N/A.
Nursing Process: N/A.

10
.

A 40-year-old client who comes to the clinic for a routine physical exam asks the nurse
how much exercise is recommended for a healthy lifestyle. Which answer is most
appropriate?
Vigorous activity for 20 minutes on three days a week.
Your
Answer:

Rationale: Twenty minutes of vigorous activity 3 days a week is the recommendation


for a healthy lifestyle. Moderate activity has decreased physiological benefits: 10
minutes is an insufficient amount of time for moderate exercise (option 1), as is 20
minutes (option 2). Daily vigorous activity for 30 minutes may be too strenuous (option
4), depending on the clients level of conditioning.
Cognitive Level: Applying.
Client Need: Health Promotion and Maintenance.
Nursing Process: Implementation.