Lucy Richards is a 20-year-old nursing student who is in her first clinical rotation. She has not had experience in any health care setting but wants to be a good nurse. She is assigned to Thelma Miller, an 88-year-old patient who is on the medical-surgical unit for treatment of congestive heart failure. Mrs. Miller is alert and oriented but has difficulty with her speech because of a stroke that she had 5 years ago. Mrs. Miller is alone and crying when Lucy walks into her room.
Which of the following best demonstrates a caring practice for Lucy? CASE STUDY #1
Provide presence by being attentive to Mrs. Miller by sitting down and making eye contact.
Avoid touching Mrs. Miller because she doesn't know her yet.
Tell Mrs. Miller that everything is alright and that she can stop crying.
Pat Mrs. Miller's hand and tell her that she is busy right now but will be back later.
The Correct Answer is A
A. Providing presence by sitting down, making eye contact, and offering a comforting presence is a key aspect of caring practice. It helps Mrs. Miller feel heard and supported, showing empathy.
B. Avoiding touch may not be necessary unless the patient expresses discomfort with physical contact. Offering a caring presence, including appropriate touch, can help build rapport and show compassion.
C. Telling Mrs. Miller that everything is alright may dismiss her feelings, even if the nurse means well. Acknowledge the patient's emotions and offer emotional support instead of minimizing her experience.
D. Telling Mrs. Miller that the nurse is busy and will return later may seem dismissive of her current emotional state, rather than offering immediate emotional support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
A. This demonstrates acceptance of the information and a commitment to taking responsibility for their own care, which indicates that the patient is at the acceptance stage of learning.
B. This demonstrates acceptance of the information and a commitment to taking responsibility for their own care, which indicates that the patient is at the acceptance stage of learning.
C. indicates motivation based on a reward, which does not demonstrate full acceptance of the behavior.
D. reflects feelings of guilt or regret, which are more aligned with the denial or anger stage, rather than acceptance.
E. reflects a refusal to take responsibility for learning the skill, which indicates the patient is not in the acceptance stage.
Correct Answer is D
Explanation
A. Appreciating unique meanings refers to understanding the cultural or personal significance of the patient's health experience, which is important but not the primary behavior in this scenario.
B. Meeting affiliation needs involves providing support for social connections and relationships. While teaching the family could enhance their relationship with the patient, this is more about practical care.
C. Providing presence refers to being physically and emotionally present with the patient. While this is important in care, the scenario is about teaching specific skills for a practical need.
D. Meeting basic human needs is the most fitting answer because the nurse is providing the family with the tools and knowledge they need to assist with a physical care task, which directly addresses a basic need for the patient’s health and well-being.
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