Nurs Final Exam Ch 7

Chapter 7: Being Genuine Multiple Choice 1. Which demonstrates the nurse’s genuine concern for clients? a. Tell a patient who has a terminal illness that everything will be fine. b. Delay notifying the patient about the death of a dependent child. c. Provide a placebo to a patient in severe pain to assess for substance abuse. d. Inform the patient about a medication error along with symptoms to report. ANS: D Genuineness is the presentation of one’s true thoughts and feelings. Nurses should be genuine (or honest) when appropriate; honesty is appropriate if there is benefit to the patient (i.e., medication error with potential adverse effects). The nurse should not speak a falsehood (i.e., < everything will be fine=) or withhold the truth (i.e., information about a child, placebo use). 2. Which individual is displaying thoughts or actions that are genuine? a. A nurse who advocates for clients in order to qualify for a raise in personal hourly pay. b. A nurse who takes action to increase awareness of the need for cultural sensitivity. c. A nurse who supports a change in a project in front of supervisors but complains to staff. d. A nurse who verbally supports a new policy but does not follow the policy in practice. ANS: B Expression of genuine thoughts and feelings about issues results in clear messages to clients and colleagues. Genuineness has positive therapeutic outcomes. When a mismatch exists between nurses’ thoughts and feelings and actions, falseness or deceit occurs. 3. A nurse openly and genuinely discusses thoughts and feelings about sexually transmitted infections with a group of college students. Which benefit(s) may occur for these college students? (Select all that apply) a. The college students are reluctant to continue discussions with the nurse. b. The college students develop a trusting relationship with the nurse. c. The college students question the nurse’s credibility. d. The college students believe the information is reliable and accurate. e. The college students are able to express important concerns. ANS: B, D, E If a nurse is genuine, clients may benefit by (1) developing a feeling of trust for the nurse; (2) being able to express true thoughts and emotions; and (3) receiving helpful information that is credible. 4. An experienced nurse is supervising a student nurse in an acute care setting. Which statement, if made by the experienced nurse, would be most appropriate to help the student nurse establish credibility with other nurses on the unit? a. < It is impossible to be credible when you are a student because you lack experience.= b. < Try to hide your feelings of inadequacy and portray a sense of confidence.= c. < Be honest with the nurses about your strengths and about areas that need improvement.= d. < It would help if you bring special treats for the nurses so that they will like you.= ANS: C Building of trust is the most important reason for being genuine; being genuine is important in gaining credibility with colleagues. An individual can be genuine and credible without extensive experience. Genuineness occurs when both verbal and nonverbal behaviors are congruent. Being liked is not equivalent to being genuine or being honest. 5. According to a study by Robinson (2014), three parts of our true presence (how we connect with patients) are found in being: a. Friendly, kind, and sweet b. Genuine, gifted, and creative c. Humorous, partial, and grateful d. Genuine, attentive, and immersed ANS: D If we say a person is genuine, what does it mean? Why is it important to be < your natural self= in human relationships? We connect with patients by being genuine, attentive, and immersed in the moment with the person … true presence (Robinson, 2014). 6. As an experienced staff nurse, you have been asked to create a teaching guide for nursing orientation on respect. Accessing the list from Ehow about being genuine, you would include all of the following. (Select all that apply) a. Acting natural around others b. Listening when others are speaking c. Denying your mistakes d. Compliment only when you sincerely mean it e. Lying to make friends f. Skipping invitations to event you wouldn’t genuinely enjoy ANS: A, B, D, F According to the Ehow link provided on < How to Be Genuine,= these were some of the recommendations: acting natural around others, listening when others are speaking, admitting when you have made a serious mistake, complimenting only when you sincerely mean it, avoiding lying just to make friends, and skipping invitations for any event that you simply wouldn’t enjoy.