A client begins to vomit blood. The nurse immediately measures ...

[jrubin]

A client begins to vomit blood. The nurse immediately measures the blood pressure and prepares to insert a nasogastric tube while directing others to notify the healthcare provider and prepare to perform iced saline lavage.
 
  Which features of the Tanner Clinical Judgment Model did this nurse demonstrate?
  Select all that apply.
  A) Presencing
  B) Noticing
  C) Empowerment
  D) Interpreting
  E) Responding

Question 2

A mountain climber in his early 30s with a love for the outdoors became critically ill with pancreatic cancer. The client states to the nurse, I want to die outdoors where I can see the mountains.
 
  The nurse takes the client to an outdoor patio that overlooks open space and the distant mountains. The nurse is applying the carative factor of Engaging in creative, individualized problem-solving caring processes. This action exemplifies which theory of caring in nursing?
  A) Roach's Theory of Caring as the Human Mode of Being
  B) Benner and Wrubel's Theory of Caring
  C) Leininger's Theory of Culture Care Diversity and Universality
  D) Watson's Theory of Human Care

[johnharpe]

Answer to Question 1

Answer: B, D, E

Noticing is having a sense about what is happening in the client situation. Interpreting and responding involve the use of logical reasoning to gain understanding about a situation and determine appropriate actions. This includes analyzing a situation, choosing the best course of action, and performing responsive actions by the nurse. Presencing is being present for a client and engaging in face-to-face contact. Empowerment is encouraging a client to make autonomous health care decisions.

Answer to Question 2

Answer: D

The nurse's care reflects one of the carative factors identified by theorist Jean Watson in her Theory of Human Caring identified as Engaging in creative, individualized problem-solving caring processes. The nurse's care for this client in his final hours was indeed creative and reflected unparalleled problem solving.

[jrubin]

Excellent

[triiciiaa]

TYSM