The nursing unit manager on a medical teaching unit says that she would like
a nurse to present a case study at interdisciplinary rounds on a patient who
... [Show More] has
compartment syndrome from a leg injury. This is the first patient you have cared
for with this complication, and you have difficulty presenting your ideas in front of
a group. What would you do?
A. Ask to attend the rounds to increase your understanding of the condition.
B. Research the condition and present what you have learned as well as
your assessment findings and care measures.
C. Suggest that a more experienced nurse be selected to present this case
study.
D. Approach the unit manager, explain your difficulty presenting in front of
interdisciplinary team members, and ask to be excused from presenting.
Answer: B
Rationale: This is an opportunity for new learning about a complication that
pertains to your patient and an important safety consideration when assessing
and performing care measures. Presenting this case would also provide a
professional growth opportunity.
2. Which of the following situations would indicate a professional boundary
violation?
A. To empathize with a patient's situation, sharing a personal experience with
a patient that is very similar to the situation the patient is experiencing.
B. Reminding a patient who has dementia that certain sexual touch
behaviours are not acceptable.
C. Being concerned about a patient's welfare and seeking ways to protect the
client's best interests.
D. Having well-intentioned behaviours that detract from achievable health
outcomes for patients.
Answer: D
Rationale: Professional boundaries focus on provision of professional care that
assists clients in achieving health outcomes.
3. An important component of professional practice is self-awareness. Why is
self-awareness an important basis for nursing practice?
A. It may prevent biases and assumptions from affecting relationships.
B. It may allow the nurse to examine how biases and assumptions could
interfere with therapeutic effectiveness.
C. It may enable the nurse to treat people from different cultural backgrounds
according to the dominant beliefs of their culture.
D. It allows for mo re objectivity in facilitating the healing process.
Answer: B
Rationale: Sell-awareness in nurses allows openness and a willingness to
enhance therapeutic relationships. Answer B is an example of ways nurses can
examine their biases and examine how they interfere with rapport building.
4. Which of the following is a theoretical perspective that underlies group process
and effectiveness?
A. The personality style theory acknowledges that the nature of individuals in
a group helps us understand group dynamics and sources of conflict in the
group.
B. When groups are formed to complete a task, the task functions need to be
assigned to individuals to ensure effective group functioning.
C. Considering the roles and functions or groups would explain the
developmental theory of groups.
D. For group effectiveness, a group needs to have homogeneity and
common views and interests.
Answer: A
Rationale: Effective principles of group process emphasize getting to know
individuals and understanding the diverse nature of participants.
5. Which of the following group principles interfere with the effectiveness of a
group?
A. Groups get to know each other while focusing on accomplishing tasks.
B. Groups set norms, cooperate, and monitor progress.
C. Groups encourage similarity of viewpoints and minimize differing opinions.
D. Groups deal with conflicts and allow members to express their differences.
Answer: C
Rationale: When groups arc forced to conform and when there is little
acknowledgement or differing opinions, group effectiveness is limited.
6. Janna, age 27 years, a sing le mother, appreciates the help you have given
her through the birth of her first child. When you conclude your last follow-up
community visit, she expresses gratitude and suggests that you come back and
visit her and the baby for regular outings. How would you respond?
A. Acknowledge your appreciation of this experience, explain that her nursing
needs have been met, and tell her you have to leave to care for other new
mot hers.
B. Thank her for the offer and tell her that you will have to give her a call to
see whether you will be able to work in outings in your personal schedule.
C. Tell her this would be unprofessional.
D. Stale that you would really like to do this but you are too busy with your
other commitments.
Answer: A
Rationale: Clarification of the professional role is important so the patient
understands the boundaries of the professional relationship and that it differ s
from a social relationship [Show Less]