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2. Acceptance of his physical limitations3. Personal definition of his individual health4. Acknowledgment of his chronic health problemsPersonal definition of his individual health

11. Which of the following statement's best expresses theclient's definition of personal illness?1. "I came to the emergency department when the pain got toobad to ignore."2. "I have arthritis, but I continue to enjoy knitting, embroideryand other needle work."3. "Sometimes my bad knee keeps me from the hiking, but I doit as much as I can."4. "It will be a terrible blow when my heart condition keeps mestuck in the house.""I came to the emergency department when the pain got too bad

to ignore."

12. Which of the following statements reflects the bestunderstanding of cultural caring provided by professionalnurses?1. "Nurses must be open to learning the culture of our clients."2. "Nurses need to attend to clients in a culturally sensitivemanner."3. "I care for my clients in ways that respect their culture andbeliefs."4. "Culture caring means allowing the client the freedom to be

himself.""I care for my clients in ways that respect their culture andbeliefs."

13. When facilities strive to improve client satisfaction, the areaof primary focus should be:1. Holistic client care2. Caring nursing staff3. Expert care providers4. State-of-the-art technologyCaring nursing staff

14. The nurse observes a client scheduled for an invasiveprocedure crying while discussing the procedure with a familymember. Which of the following therapeutic nursinginterventions would be the most caring?1. Arranging for the client's clergy to visit2. Inquiring, "Why is your sister crying?"

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3. Providing a detailed explanation of the procedure4. Offering to "sit and talk" if the client has any questionsOffering to "sit and talk" if the client has any questions

15. A client has confided to the nurse that she would prefer

hospice care to receiving further radical treatment for terminalpancreatic cancer. The nurse observes that the client fails toshare her wishes with her family during a discussion regardingfuture treatment plans. Ethically, the nurse should first:1. Tell the family of the client's expressed wishes2. Privately ask the client if her wishes have changed3. Inform the client's health care provider of her wishes4. Share with the client the importance of expressing herwishesPrivately ask the client if her wishes have changed

16. When the nurse offers to "just sit here with you" after aparticularly painful procedure, a homeless client asks, "Whywould you want to do that?" The nurse recognizes that theclient most likely:1. Prefers to be alone at this time2. Does not have a need for companionship3. Perceived the offer as being inappropriate4. Finds it difficult to understand the nurse's concernFinds it difficult to understand the nurse's concern

17. A client who is re-learning to walk asks the nurse, "to come

with me today to physical therapy." The nurse realizes that theclient is most likely expressing:1. A need for emotional support2. A need for familiar companionship3. An appreciation of the nurse's caring4. An interest in validating her progressAn appreciation of the nurse's caring

18. Which of the following client reactions reflects the greatestpositive response to the nurse's use of caring touch in the formof a backrub?1. The nurse observes the client smiling.2. The client falls asleep shortly after the backrub.3. The nurse feels the client's back muscles relaxing.4. The client tells his wife that, "the nurse is so nice."The nurse feels the client's back muscles relaxing.

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19. What is the single greatest factor that contributes to thestruggle of today's nurses to "know" the client?1. Nursing shortage2. High client acuity3. Shorter hospital stays

4. Increasing client loadsHigh client acuity

20. Which of the following nurse-family interactions is mostreflective of caring for the family?1. Offering to arrange for a sleep chair for the family's use2. Notifying the family that the client has returned fromsurgery3. Telling the family when the client's surgeon will be on theunit4. Always being available to spend time answering the family's

questionsTelling the family when the client's surgeon will be on the unit

21. With which of the following interventions does the nursebest reflect caring by maintaining belief in a client?1. Offering a client with cancer pain medication before a familyvisit2. Explaining to a client what to expect during a bone marrowaspiration3. Arranging for a burn client to talk with others who survivedsimilar burns

4. Explaining to a client that he may select from a variety ofentrees for dinnerArranging for a burn client to talk with others who survivedsimilar burns

22. Which of the following interventions made by a newgraduate nurse reflects the best understanding of knowing herclient?1. Asking the client, "What do you need to be morecomfortable?"2. Offering the client's family a sleeper chair for use in the

client's room3. Providing an extra blanket for a client who often complainsof being cold4. Awakening the client for a phone call from her son who livesout of townAsking the client, "What do you need to be more comfortable?"