Caring

Question 1

Caring is at the heart of a nurse’s ability to work with all patients in a respectful and therapeutic way

T/F

Answer 1

TRUE

Question 2

Theoretical Views on Caring:
Benner’s Caring

Answer 2

Is primary
- caring determines what matters to a person ( caring is specific to every nursing encounter )
- caring helps you provide patient centered care ( develop a RS with your patient to understand what their going through )

Question 3

Theoretical Views on Caring:
Leininger’s Transcultural Caring

Answer 3

Understand cultural caring behaviors
- Caring is an essential human need
- caring helps an individual or group improve a human condition
- caring helps protect, develop, nurture and sustain people

Question 4

Theoretical Views on Caring:
Watson’s Transpersonal Caring

Answer 4

Caring is spiritual
- promotes healing and wholeness
- rejects the disease orientation to healthcare
- places care before cure
- emphasizes the nurse-patient relationship

CARING HEALING PROMOTES HEALING

Question 5

Theoretical Views on Caring:
Swanson’s Theory of Caring

Answer 5

5 care processes
- knowing
- being with
- doing for
- enabling
- maintaining belief

Defines caring as a nurturing way of relating to an individual
States that caring is a central nursing phenomenon but is not necessarily unique to nursing practice

Question 6

Summary of theoretical views

• Nursing caring theories have common theme
• Caring is highly rational
• Caring theories are valuable when assessing patient perceptions of being cared for in a multicultural environment
• Enabling is an aspect of caring
• Knowing the context of pt’s illness helps you choose and individualize interventions that will help the pt

Answer 6

nursing caring theories have common theme
( human interaction/ communication, mutuality, appreciating uniqueness of IND, and important welfare of pt and family )
caring is highly rational
caring theories are valuable when assessing patient perceptions of being cared for in a multicultural environment
enabling is an aspect of caring
knowing the context of pt’s illness helps you choose and ind interventions that will help the pt

Question 7

Which are the patients perspective of caring

• connecting with pt and their family
• being present
• respecting values, beliefs, and health care choices

Answer 7

connecting with pt and their family
being present
respecting values, beliefs, and healthcare choices

Question 8

Ethic of care includes

• any pt encounter a nurse needs to know what behavior is ethically appropriate
• ethic of care is unique, so professional nurses don’t make professional decisions based solely on intellectual or analytical principles
• instead, ethic of care places caring at the center of decision making
• always be your patients advocate

Answer 8

any pt encounter, a nurse needs to know what behavior is ethically appropriate
Ethic of care is unique, so professional nurses don’t professional decisions based solely on intellectual or analytical principles
instead, ethic of care places caring at the center of decision making
ALWAYS BE YOUR PATIENTS ADVOCATE

Question 9

Caring in nursing practice

• as you deal with health and illness in your practice, you grow in your ability to care and develop caring behaviors
• caring is one of those human behaviors that we can give and receive
• recognize the importance of self-care
• use caring behaviors to reach out to your colleagues and care for them as well

Answer 9

as you deal with health and illness in your practice, you grow your ability to care and develop caring behaviors

caring is one of those human behaviors that we can give and receive

recognize the importance of self-care

use caring behaviors to out to your colleagues and care for them as well

Question 10

How to provide presence with the patient?

• eye contact
• body language
• tone of voice
• listening
• positive
• encouraging attitude

Answer 10

eye contact
body language
tone of voice
listening
positive
encourage attitude

Question 11

What does touch do

• provides comfort
• creates a connection

Answer 11

provides a connection

creates a connection
- noncontact touch
- contact touch
- task oriented touch
- caring touch
- protective touch ( ie: backrub )

Question 12

what does listening to pt do?

• creates trust
• open lines of communication
• creates a mutual relationship

Answer 12

creates trust
open lines of communication
creates a mutual relationship

Question 13

Knowing the patient

• develops over time
• the core process of clinical decision making
• aspects of knowing include?

Answer 13

develops over time
the core process of clinical decision making
aspects of knowing include
- responses to therapy, routines, and habits
- coping resources
- physical capacities and endurance

Question 14

Spiritual Caring

• spiritual health is achieved when a person can find a balance between their life values, goals, and belief systems and those of others
• spirituality offers a sene of intrapersonal, interpersonal, and transpersonal connectedness

Answer 14

spiritual health is achieved when a person can find a balance between their life values, goals and belief systems and those of others

spirituality offers a sense of intrapersonal. interpersonal and transpersonal connectedness

Question 15

Relieving symptoms and suffering

• performing caring nursing actions that give a pt comfort, dignity, respect, and peace
• providing necessary comfort and support measures to the family or significant others
• creating a physical patient care environment that soothes and heals the mind, body, and spirit
• comforting through a listening, nonjudgemental, caring presence

Answer 15

performing caring nursing actions that give a pt comfort dignity respect and peace

providing necessary comfort and support measures to the fam or SO

creating a physical pt care environment that soothes and heals the mind body and spirit

comforting through a listening nonjudgemental caring presence

Question 16

Challenge of caring

• task oriented biomedical model
• institutional demands
• time constraints
• reliance on tech, cost effective strategies and standardized work process

(if health care is to make a positive difference in pts lives, health care must become more holistic and humanistic)

Answer 16

task oriented biomedical model
institutional demands
time constraints
reliance on tech cost effective strategies and standardized work process

if health care is to make a positive difference in pts lives, health care must become more holistic nd humanistic

Question 17

Caring key points

• caring is specific and relational for each nurse pt encounter
• caring involves a mutual give and take
• caring involves being there and being with pts
• touch
• listening
• truly knowing the pt

Answer 17

caring is specific and relational for each nurse pt encounter
caring involves a mutual give and take
caring involves being there and being with pts
touch
listening
truly knowing the pt

Question 18

Family durability means

• system of support and structure within a family that extends beyond the walls of the household

Answer 18

system of support and structure within a family that extends beyond the walls of the household

Question 19

Family resiliency

• ability to cope with expected and unexpected stressors

Answer 19

ability to cope with expected and unexpected stressors

Question 20

Family diversity means

• uniqueness of each family unit

Answer 20

uniqueness of each family unit

Question 21

Concept of family

• families represent more than a set of individuals
• a family is more than a sum of its individual members
• families are diverse

Answer 21

families represent more than a set of individuals
a family is more than a sum of its individual members
families are diverse

Question 22

What is a family

• the family can be defined biologically, legally, or as a social network with personally constructed ties and ideologies
• no 2 families are alike, each has its own strengths weaknesses resources and challenges

Answer 22

the family can be defined biologically legally or as a social network with personally constructed ties and ideologies
no 2 families are alike, each has its own strength weaknesses resources and challenges

Question 23

Family forms and current trends

• nuclear family
• extended family
• single parent family
• blended family
• alternative family

Answer 23

nuclear family
extended family
single parent family
blended family
alternative family

Question 24

family forms and current trends cont

• people are marrying later
• women are delaying childbirth
• couples are having fewer children or none at all
• remarriage results in blended families
• single parent families are stabilizing

Answer 24

people are marrying later
women are delaying childbirth
couples are having fewer children or none at all
remarriage results in blended families
single parent families are stabilizing

Question 25

Family forms and current trends cont - more people are living alone - adolescent pregnancy is increasing concern - many homosexual couples are family units - america is aging - more grandparents are raising their grandchildren

Answer 25

more people are living alone adolescent pregnancy is increasing concern many homosexual couples are family units america is aging more grandparents are raising their grandchildren

Question 26

Changing economic status - inadequate health insurance coverage - increasing number of children living below poverty level

Answer 26

inadequate health insurance coverage increasing number of children living below poverty level

Question 27

Homelessness - families with children Domestic violence - occurs all social classes - long term physical and emotional consequences

Answer 27

families with children occurs all social classes long term physical and emotional consequences

Question 28

Impact of illness and injury - acute/ chronic illness - trauma - end of life care

Answer 28

acute/ chronic illness trauma end of life care

Question 29

Approaches to family nursing: an overview Developmental stages - each stage has its own challenges and needs

Answer 29

each stage has its own challenges and needs

Question 30

Mcgoldrick and carter family life cycle - unattached young adult - joining of families through marriage - family with young children - family with adolescents - family with young adults - family without childrens - family later in life

Answer 30

unattached young adult joining of families through marriage family with young children family with adolescents family with young adults family without childrens family later in life

Question 31

Attributes of families - structure: the ongoing membership of the family and the pattern of relationships - FUNCTION: what the family does

Answer 31

structure: the ongoing membership of the family and the pattern of relationships FUNCTION: what the family does

Question 32

Family and health - many factors influences health - class and ethnicity produce different access to the health care system - the family's beliefs, values, and practice influence health behaviors

Answer 32

many factors influences health class and ethnicity produce different access to the health care system the families beliefs, values, and practice influence health behaviors

Question 33

Genetic factors - heredity or genetic susceptibility does not guarantee the actual development of disease - knowing the risks allows families to make informed choices

Answer 33

heredity or genetic susceptibility does not guarantee the actual development of disease knowing the risks allows families to make informed choices

Question 34

Nursing process for the family assessing the needs of a family - cultural aspects - discharge planning - family focused care

Answer 34

cultural aspects discharge planning family focused care

Question 35

Nursing Diagnosis - identify actual and at risk nursing diagnoses

Answer 35

identify actual and at risk nursing diagnoses

Question 36

Planning care - plan care that members clearly understand and agree to follow - set goals and outcomes that are realistic, compatible with a family's developmental stage and acceptable to family members and their lifestyle - collaborate with other disciplines - support communication among family members

Answer 36

plan care that members clearly understand and agree to follow set goals and outcomes that are realistic compatible with a families developmental stage and acceptable to family members and their lifestyle Collab with other disciplines Support comm among family members

Question 37

Family caregiving - the routine provision of services and personal care activities for a family member by spouses siblings friends or patients - activites include finding resources providing personal care monitoring for complications or side effects providing instrumental activities of daily living and ongoing emotional support and decision making

Answer 37

The routine provision of services and personal care activities for a family member by spouses siblings friends or patients Activities include finding resources providing personal care monitoring for complications or side effects providing instrumental activities of daily living and ongoing emotional support and decision making

Question 38

Health Promotion - choose health promotion behaviors that are tied to the family's developmental stage - help fam focus on their strengths instead of problems and weaknesses - refer fam to health promotion programs that meet their needs

Answer 38

Choose health promotion behaviors that are tied to the families developmnetal stage Help fam focus on their strengths instead of problems and weaknesses Refer fam to the health promotion programs that meet their needs

Question 39

Acute care - be aware of the implication of early discharge from a hospital for patients and their families - help the family identify methods to maintain open lines of communication with you and the health care team

Answer 39

Be aware of the implication of early discharge from a hospital for patients and their families Help the family identify methods to maintain open lines of communication with you and the health care team

Question 40

Restorative and continuing care - try to maintain pt functional abilities within the context of the family

Answer 40

Try to maintain pt functional abilities within the context of the family

Question 41

Caring for Families Key Points - family members influence one anothers health beliefs practices and status - the concept of family is highly individual - measures of family health involve more than a summary of individual members health - cultural sensitivity is vital to family nursing - family caregiving is an interactive process

Answer 41

Family members influence one anothers health beliefs practices and status The concept of family is highly individual Measures of family health involve more than a summary of individual members health Cultural sensitivity is vital to family nursing Family caregiving is an interactive process