NURS 272 Exam 2 Study Guide
Questions and Answers 2024
Advocacy: - Correct Ans-:the act of pleading for, supporting, or representing a cause or
individual
- advocacy in nursing applies to any act in which the nurse is serving in the best
interests of the patient
Speaking up - Correct Ans-ensures that health needs are met and is an expectation
within the scope of professional nursing practice
What are highly valuable communication skills that are critical for effective pt advocacy?
- Correct Ans-ability to speak assertively, credibly, and authoritatively
Is the Patient Bill of Rights a type of advocacy - Correct Ans-yes
Self-determination: - Correct Ans-making up one's own mind regarding what to do or
think without regard to outside influence
- free will, independence
Social Justice: - Correct Ans-the principle that all persons are entitled to have their basic
human needs met, regardless of difference in economic status, class, gender, race
ethnicity, citizenship, religion, age, sexual orientation, disability, or health
- includes the eradication of poverty and illiteracy, the equality of sound environmental
policy, and equality of opportunity for healthy personal and social development
Altruism: - Correct Ans-the unselfish regard for others welfare
Valuing: - Correct Ans-to consider or rate highly, to prize or esteem, to appreciate. - --
Nurses must value the patient's beliefs and concerns in order to be their advocate. This
requires knowledge of the patient's story.
Aspiring: - Correct Ans-information, to tell, to educate
- in addition to knowing the pt's story, nurse needs to know what the pt knows
- fill in gaps
Interceding: - Correct Ans-to intervene in order to defend or help another person,
speaking to someone to assist another
- this is advocating
What is required to advocate for a pt? - Correct Ans-- effective communication skills
- full knowledge of pt
- knowledge of interrelated concepts
,Caring: - Correct Ans-:a universal phenomenon that influences the way humans think,
feel and behave in relation to one another
Caring (specific to nursing): - Correct Ans-- nurse's empathy for connection with the pt
- ability to translate these effective characteristics into compassionate, sensitive,
appropriate care
Theoretical views on Caring - Correct Ans-- universal phenomenon that influences the
way we think, feel, and behave
- Florence nightingale
- Patricia Brenner with Judith Wrubel's definition
Patricia Brenner and Judith Wrubel's definition of caring - Correct Ans-- the essence of
excellent nursing is caring
- caring means things matter to people
- caring determines what matters to a person
- personal concern for another person, event, or thing that provides motivation and
direction for people to care for
Compassion: - Correct Ans-desire/motivation to help others that comes from the human
response to suffering of others, motivates people to go out of their way to help physical,
spiritual, or emotional hurts and pains of others
Caring Tough - Correct Ans-provides comfort
Contact Touch - Correct Ans-nonverbal communication that provides comfort and
security
ex: holding hand, back rub
Noncontact touch - Correct Ans-eye contact
Protective touch - Correct Ans-used to protect pt
ex: prevent pt from falling
Task-oriented Touch - Correct Ans-used when performing a procedure or task
Comforting: - Correct Ans-acts toward another individual that displays both an emotional
and physical calm
Empathy: - Correct Ans-knowing, understanding, and accepting a person's feelings and
the ability to sense the person's private world
Ethics of Care - Correct Ans-- concerned with relationship between the pt and the nurse
and the attitude of each toward the other
- places the nurse as the pt's advocate who solves ethical dilemmas by creating a
relationship
, - listening: creates trust
- Prescence
- therapeutic: desired benefit of meds, tx, or procedure
Attributes and Criteria of Caring - Correct Ans-- caring is central/vital to nursing practice
- caring is relational
- caring appreciated the uniqueness of individuals
- caring contributes to the health and well-being of pts
- caring is a product of culture, values, experiences, and relationships with others
Leininger's Transcultural Caring - Correct Ans-- care is the essence and central unifying
and dominant domain that distinguishes nursing from other health disciplines
- around the world care helps to protect, develop, nurture, and provide survival
- takes into account values, needs, culture
Watson's Transpersonal Caring - Correct Ans-- conscious intention to care promotes
healing and wholeness
- rejects the disease orientation to health care
- care before cure
- emphasizes nurse pt relationship
- transformative
- preserves human dignity
- believes caring becomes spiritual
- 10 Caritive factors
Watson's 10 Caritive Factos - Correct Ans-1) Forming a human altruistic value system
-ex: use kindness to extend yourself, use self-disclosure to promote a therapeutic
alliance
2) instilling faith and hope
- ex: provide a connection with pt to find meaning of illness
3) cultivating a sensitivity to oneself and others
- ex: learn to accept yourself and others to their full potential
4) developing a helping, trusting, human caring relationship
- ex: learn to develop and sustain helping, trusting, authentic, caring relationships
through effective communication
5) promoting and expressing positive and negative feeling
- ex: support and except your pt's feelings
6) using creative problem solving, caring process
- ex: apply nursing process in systematic scientific problem solving, decision making in
providing PCC
7) promoting transpersonal teaching and learning
- ex: learn together while educating pt to acquire self-care skills
8) providing a supportive, protective, and/or corrective mental, physical, societal, and
spiritual environment
- ex: create a healing environment at all levels
9) meeting human needs
