Caring
A patient with cancer says, “I feel alone and scared.” The nurse sits quietly, holds the patient’s hand, and listens without interrupting.
What is presence + caring touch + active listening?
A nurse assumes all patients from a certain culture prefer the same treatments.
What is stereotyping (unsafe care)?
A nurse uses SBAR to call the provider about a patient’s sudden drop in BP.
What is structured communication to improve safety?
A nurse teaches a patient how to inject insulin and observes return demonstration.
What is psychomotor domain learning?
An older adult with vision loss keeps tripping over objects in the room.
What is priority intervention: create a safe environment to prevent falls?
A nurse is rushing through tasks and avoids eye contact with patients. Patients begin reporting dissatisfaction and anxiety.
What is lack of caring encounter leading to poor outcomes?
A nurse asks about a patient’s beliefs, traditions, and family roles before planning care.
What is cultural assessment?
During shift change, the outgoing nurse gives incomplete patient information, leading to missed care.
What is poor handoff communication → safety risk?
A patient repeats instructions back to the nurse to confirm understanding.
What is teach-back method (best evaluation)?
A patient with hearing impairment is missing important instructions from the nurse.
What is risk for communication breakdown → use assistive devices & clear communication?
A nurse asks, “What does this illness mean to you?” instead of assuming the patient’s feelings.
What is Swanson’s “Knowing”?
A patient refuses certain foods due to religious beliefs. The nurse adjusts the diet without judgment.
What is culturally congruent care?
A nurse, physician, pharmacist, and therapist create a care plan together.
What is interprofessional collaboration?
A patient in severe pain cannot focus during teaching.
What is not ready to learn (barrier)?
A hospitalized patient becomes withdrawn, bored, and shows decreased interaction after being in isolation for days.
What is sensory deprivation → increase stimulation (social interaction, activities)?
A nurse comforts a patient by adjusting pillows, maintaining dignity, and protecting privacy during bathing.
What is Swanson’s “Doing For”?
A patient believes illness is a punishment. The nurse respects this and supports coping.
What is culture/spirituality affecting illness perception?
A patient suddenly develops respiratory distress and altered LOC. The nurse calls a specialized emergency team.
What is Rapid Response Team (RRT)?
A nurse asks, “Can you show me how you will take this medication at home?”
What is return demonstration (psychomotor evaluation)?
A patient is confused, overwhelmed, and unable to focus due to loud alarms and multiple conversations in the room.
What is sensory overload → reduce stimuli (quiet environment, dim lights)?
A nurse encourages a patient who feels hopeless by saying, “I believe you can get through this.”
What is Maintaining belief?
A nurse reflects on personal biases and remains open to learning from patients.
What is cultural humility?
A nurse includes a patient in deciding whether to start chemotherapy.
What is nurse–patient collaboration?
A nurse asks a patient to explain medication instructions in their own words.
What is teach-back method (best way to evaluate learning)?
A patient with expressive aphasia understands questions but cannot respond verbally.
What is use alternative communication methods (communication board, writing tools)?