3.

"Sometimes my bad knee keeps me from the hiking, but I do

it as much as I can."
4. "It will be a terrible blow when my heart condition keeps me
stuck 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 best
understanding of cultural caring provided by professional
nurses?
1. "Nurses must be open to learning the culture of our clients."
2. "Nurses need to attend to clients in a culturally sensitive
manner."
3. "I care for my clients in ways that respect their culture and
beliefs."
4. "Culture caring means allowing the client the freedom to be
himself."
"I care for my clients in ways that respect their culture and
beliefs."
13. When facilities strive to improve client satisfaction, the area
of primary focus should be:
1. Holistic client care
2. Caring nursing staff
3. Expert care providers
4. State-of-the-art technology
Caring nursing staff
14. The nurse observes a client scheduled for an invasive
procedure crying while discussing the procedure with a family
member. Which of the following therapeutic nursing
interventions would be the most caring?
1. Arranging for the client's clergy to visit
2. Inquiring, "Why is your sister crying?"
3. Providing a detailed explanation of the procedure
4. Offering to "sit and talk" if the client has any questions
Offering 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 terminal
pancreatic cancer. The nurse observes that the client fails to
share her wishes with her family during a discussion regarding
future treatment plans. Ethically, the nurse should first:
1. Tell the family of the client's expressed wishes
2. Privately ask the client if her wishes have changed
3. Inform the client's health care provider of her wishes

4. Share with the client the importance of expressing her

wishes
Privately ask the client if her wishes have changed
16. When the nurse offers to "just sit here with you" after a
particularly painful procedure, a homeless client asks, "Why
would you want to do that?" The nurse recognizes that the
client most likely:
1. Prefers to be alone at this time
2. Does not have a need for companionship
3. Perceived the offer as being inappropriate
4. Finds it difficult to understand the nurse's concern
Finds 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 the
client is most likely expressing:
1. A need for emotional support
2. A need for familiar companionship
3. An appreciation of the nurse's caring
4. An interest in validating her progress
An appreciation of the nurse's caring
18. Which of the following client reactions reflects the greatest
positive response to the nurse's use of caring touch in the form
of 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.
19. What is the single greatest factor that contributes to the
struggle of today's nurses to "know" the client?
1. Nursing shortage
2. High client acuity
3. Shorter hospital stays
4. Increasing client loads
High client acuity
20. Which of the following nurse-family interactions is most reflective of caring for the
family?
1. Offering to arrange for a sleep chair for the family's use
2. Notifying the family that the client has returned from surgery