Nurs Final Exam Ch 6

Chapter 6: Showing Respect Multiple Choice 1. The nurse cares for a client who does not follow dietary recommendations for treatment of heart failure. Which statement, if made by the nurse, demonstrates respect for the client? a. < It doesn’t make any difference to me whether you decide to eat healthy or not.= b. < You will get more attention from your physician, if you follow diet restrictions.= c. < I care about you even if you are not following your dietary restrictions.= d. < Have you noticed that patients who eat healthy foods receive better healthcare?= ANS: C The nurse demonstrates respect by giving unconditional acceptance of the client’s ideas, feelings, and experiences without conditions. The nurse demonstrates respect with statements that convey caring; respectful statements make the client feel important and valued. The nurse is not demonstrating respect if conditions for acceptance (i.e., < more attention= or < better healthcare=) are required. 2. The nurse prepares to obtain a health history from a hospitalized patient. Which action by the nurse is appropriate? a. Set time limits for the interview to reduce cost. b. Avoid asking questions that may upset the patient. c. Respect the patient’s privacy by closing the door. d. Stand at the foot of the bed to maintain eye contact. ANS: C The nurse should ensure privacy before engaging in a discussion of confidential matters when obtaining a health history. The nurse should allow for adequate time for the client to discuss the health history. The nurse must be able to discuss sensitive health issues with clients; the nurse should establish rapport and respectfully discuss sensitive subjects. The nurse should avoid standing over the patient; the nurse should be at eye level with the patient. 3. 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. ANS: B The home care nurse can convey respect at the initial visit by wearing a name badge that clearly identifies the home care agency. Another action that conveys respect during the initial visit is to determine the client’s needs; the nurse should not wait until the next visit. In addition, the nurse must respect the client’s right to confidentiality; client contact information should not be shared with other clients. Also, the nurse should not promise to keep secrets because the nurse must use clinical judgment about shared information that might cause potential harm to the client or someone else. 4. According to the Workplace Bullying Institute, nurses are also exposed to this type of behavior within their professional environment. In teaching the possibility to an incoming graduate nurse, you know that the nurse understands when he or she includes which of the following as abusive conduct? (Select all that apply) a. Threats b. Humiliation c. Intimidation d. Physical abuse e. Sabotage ANS: A, B, C, E The Workplace Bullying Institute defines workplace bullying as < repeated, health harming mistreatment of one or more persons (the targets) by one or more perpetrators. It is abusive conduct, that is, threatening, humiliating or intimidating, workplace interference (sabotage), or verbal abuse (2014). Physical abuse would be assault. 5. The nurse cares for elderly clients in an assisted living center. Which action by the nurse would best show respect for these clients? a. Patronize clients who share ideas or voice concerns. b. Identify healthcare needs by listening to the clients. c. Address the clients formally by their last names. d. Limit the clients’ opportunities to express opinions. ANS: B The nurse shows respect by listening to clients discuss ideas, concerns, or healthcare needs. The nurse should not belittle, judge, demean, or patronize clients; these actions are disrespectful. The nurse demonstrates respect by asking the clients their preferences for being addressed; not all elderly clients want to be called by their last names. The nurse demonstrates respect by providing opportunities for the clients to express opinions. 6. The nurse instructs a client who is diagnosed with hypertension about weight reduction and dietary guidelines. Which action by the nurse would most likely improve the client’s willingness to lose weight and eat healthy foods? a. Avoid interacting with the client during meals to prevent embarrassment. b. Ignore the client’s requests for foods that are high in fat or calories. c. Give genuine praise to the client for trying to improve dietary habits. d. Warn the client that individuals who are overweight will be treated differently. ANS: C Respect has a beneficial influence on client compliance with the therapeutic regimen. Respect is given when the nurse recognizes the client for efforts to improve health. The nurse who either avoids or ignores the client is demonstrating disrespectful behavior. Treating a client differently because of noncompliance is disrespectful. 7. The nurse is caring for a client who is diagnosed with type 1 diabetes mellitus. Which nursing action would most likely improve client compliance with the therapeutic regimen? a. Consistently ignore negative statements made by the client. b. Avoid touching the client to reduce tension and uneasiness. c. Focus on the physical aspects of care such as insulin administration. d. Listen attentively to the client’s perception of having a chronic illness. ANS: D Respect has a beneficial influence on client compliance with the therapeutic regimen. Respect is communicated by giving the client undivided attention and listening to the client’s perceptions. Other actions that demonstrate respect include appropriate contact by gently touching the client, listening to both positive and negative client statements without judgments, and giving attention to the client as a whole (body, mind, and spirit). 8. The nurse cares for an adult client who is diagnosed with active tuberculosis. Which action, if performed by the nurse during introductions, shows respect for the client? (Select all that apply) a. Maintain eye contact by looking at the client. b. Avoid touch to reduce transmission of the disease. c. Stay at least 4 to 6 feet away from the client. d. Briefly converse about the weather to break the ice. e. Determine how the client would like to be addressed. ANS: A, D, E Respect is demonstrated by acknowledgment. Actions during an introduction that show respect include looking at the client and maintaining eye contact, using a brief period of impersonal or trivial exchanges (such as the weather) to break the ice, or determining how the client likes to be addressed. The nurse can touch and move close to a patient with active tuberculosis if appropriate precautions are taken (i.e., airborne infection isolation and a high-efficiency particulate air mask).