Ch 2 Beliefs and Values

Question 1

The nurse is concerned that a patient they are treating may have psychological issues that could affect their care. Which type of belief is the nurse expressing?
- awareness
- Conviction
- Experience
- Stereotyping

Answer 1

experience

Question 2

which scenarios show implicit bias toward patients with disabilities?
- A nurse helps a disabled person onto a scale without first asking the person if they want help
- The health care provider examines a patient who uses a wheelchair while the patient is in the wheelchair
- there is not a ramped entry to the clinic
- A nurse uses a teach-back approach to determine learning
- evidence-based practice methods are used for patient care

Answer 2

• A nurse helps a disabled person onto a scale without first asking the person if they want help
• The health care provider examines a patient who uses a wheelchair while the patient is in the wheelchair
• there is not a ramped entry to the clinic

Question 3

which methods suggest the nurse is applying their beliefs to patient care?
- use of direct pressure to control bleeding on post angioplasty patients based on previous cases
- Application of aromatherapy based on comments from family members
- use of Stand-and-pivot process to transfer a patient from bed to chair as learned in a nursing course
- use of Hydrogen peroxide to clean a wound based on a health care provider’s directive
- Application of care by listening to the patient while performing a dressing change

Answer 3

• use of direct pressure to control bleeding on post angioplasty patients based on previous cases
• use of Stand-and-pivot process to transfer a patient from bed to chair as learned in a nursing course
• Application of care by listening to the patient while performing a dressing change

Question 4

which approach would the nurse take to help with their internal conflicts related to the provision of palliative care to a stage IV cancer patient who has decided to discontinue care mode modalities?
- values system
- Higher-order reasoning
- values clarification
- self-awareness

Answer 4

values clarification

Question 5

A patient and a family member disagree about the use of alternative medicine. After the family member leaves the room, the patient asks the nurse for advice. Using the values clarification process, which action would the nurse take?
- suggest the patient leave the hospital
- suggest patient find alternative treatment
- Administer a sedating medication so treatment can be initiated
- help the patient make an informed decision about next steps

Answer 5

help the patient make an informed decision about next steps

Question 6

A nurse is assisting in the care of a woman having in vitro fertilization. The nurse’s religious belief system considers natural fertilization to be the appropriate means of conception. Which concept describes what the nurse is experiencing?
- self-reflection
- values clarification
- Self-awareness
- values conflict

Answer 6

values conflict

Question 7

The nurse is caring for a patient who received multiple doses of naloxone after an opioid overdose. After regaining consciousness, the patient is visibly upset and regrets what happened. Which actions would the nurse take?
- tell the patient that they should not engage in risk behavior
- allow the patient to share their feelings
- explain to the patient that drugs are illegal and should not be used as a means to avoid dealing with issues
- let the patient know that the nurse understands what is happening and will work with them to determine the best course of action
- Explain to the patient that will be placed on a psychiatric floor pending further investigation from a health care provider
- work with the patient to determine a plan of care that is consistent with their values and beliefs

Answer 7

• allow the patient to share their feelings
• let the patient know that the nurse understands what is happening and will work with them to determine the best course of action
• work with the patient to determine a plan of care that is consistent with their values and beliefs

Question 8

A nurse explains all options related to the patient’s surgery, reminding the patient the decision is theirs. Which ethical principal is the nurse respecting?
- justice
- Autonomy
- Beneficence
- nonmaleficence

Answer 8

autonomy

Question 9

Match the values clarification concept with the question examples.
“What would happen if this choice were implemented?”
- Choosing
- Acting
- Prizing

Answer 9

Choosing

Question 10

Match the values clarification concept with the question examples.
“why is this important to you?”
- Choosing
- Acting
- Prizing

Answer 10

Prizing

Question 11

Match the values clarification concept with the question examples.
“Have you done anything about this yet?”
- Choosing
- Acting
- Prizing

Answer 11

Acting

Question 12

The nurse is caring for a young adult patient who confides that they are apt to engage in risky sexual activity because HIV is no longer a problem. Which steps would the nurse take to help the patient understand the significant implications of risky behavior?
Listen step:
- reach an agreement on a behavior plan in partnership with the patient
- explain to the patient that their thoughts are being heard
- consider the patient’s knowledge about HIV
- ask the patient to consider alternative behaviors
- provide current information about sexually transmitted diseases

Answer 12

consider the patient’s knowledge about HIV

Question 13

The nurse is caring for a young adult patient who confides that they are apt to engage in risky sexual activity because HIV is no longer a problem. Which steps would the nurse take to help the patient understand the significant implications of risky behavior?
Explain step:
- reach an agreement on a behavior plan in partnership with the patient
- explain to the patient that their thoughts are being heard
- consider the patient’s knowledge about HIV
- ask the patient to consider alternative behaviors
- provide current information about sexually transmitted diseases

Answer 13

provide current information about sexually transmitted diseases

Question 14

The nurse is caring for a young adult patient who confides that they are apt to engage in risky sexual activity because HIV is no longer a problem. Which steps would the nurse take to help the patient understand the significant implications of risky behavior?
Acknowledge step:
- reach an agreement on a behavior plan in partnership with the patient
- explain to the patient that their thoughts are being heard
- consider the patient’s knowledge about HIV
- ask the patient to consider alternative behaviors
- provide current information about sexually transmitted diseases

Answer 14

explain to the patient that their thoughts are being heard

Question 15

The nurse is caring for a young adult patient who confides that they are apt to engage in risky sexual activity because HIV is no longer a problem. Which steps would the nurse take to help the patient understand the significant implications of risky behavior?
Recommend step:
- reach an agreement on a behavior plan in partnership with the patient
- explain to the patient that their thoughts are being heard
- consider the patient’s knowledge about HIV
- ask the patient to consider alternative behaviors
- provide current information about sexually transmitted diseases

Answer 15

ask the patient to consider alternative behaviors

Question 16

The nurse is caring for a young adult patient who confides that they are apt to engage in risky sexual activity because HIV is no longer a problem. Which steps would the nurse take to help the patient understand the significant implications of risky behavior?
Negotiate step:
- reach an agreement on a behavior plan in partnership with the patient
- explain to the patient that their thoughts are being heard
- consider the patient’s knowledge about HIV
- ask the patient to consider alternative behaviors
- provide current information about sexually transmitted diseases

Answer 16

reach an agreement on a behavior plan in partnership with the patient