The nurse is working in a busy intensive care unit. A client is ...

[bobbysung]

The nurse is working in a busy intensive care unit. A client is admitted with extensive medical problems and requires a ventilator.
 
  Because the nurse already has two other clients assigned to his care, he requests that the nurse manager change assignments so that appropriate attention can be given to this new admission. According to Roach's six C's of caring, which one is the nurse emulating?
  1. Compassion
  2. Confidence
  3. Commitment
  4. Conscience

Question 2

While evaluating how care is delivered at various hospitals, the nurse identifies a facility where caring in the emergency department is perceived differently than caring in the rehabilitation unit. Whose theory of caring is the nurse observing in action?
 
  1. Leininger
  2. Ray
  3. Roach
  4. Boykin and Schoenhofer

[macagn]

Answer to Question 1

Correct Answer: 4
Rationale 1: Compassion is about being aware of one's relationship to others; sharing joys, sorrows, pain, and accomplishments; and participating in the experience of another.
Rationale 2: Confidence is the quality that fosters trust. It means the nurse has comfort with himself, his clients, and his family.
Rationale 3: Commitment is a convergence between one's desires and obligations and the deliberate choice to act in accordance with them.
Rationale 4: Conscience deals with morals, ethics, and an informed sense of right and wrong as well as an awareness of personal responsibility. This nurse understands the situation of taking on a critically ill client when he is already busy enough and makes an appropriate request for a change in assignment.

Answer to Question 2

Correct Answer: 2
Rationale 1: Leininger's theory is focused on cultural congruency.
Rationale 2: Ray's theory of bureaucratic caring suggests that caring in nursing is contextual and is influenced by the organizational structure. Each unit had its own specific meaning of caring and how it was influenced.
Rationale 3: Roach focuses on the philosophical concept of caring and proposes that caring is the human mode of being.
Rationale 4: Boykin and Schoenhofer's theory suggests that caring is a lifelong process, lived moment to moment by the nurse and constantly unfolding.