Care of Adults and Older Adults

1. The nursing unit manager on a medical teaching unit says that she would like a nurse to present a case study at interdisciplinary rounds on a patient who has compartment syndrome from a leg injury. This is the first patient you have cared for with this complication, and you have difficulty presenting your ideas in front of a group. What would you do? A. Ask to attend the rounds to increase your understanding of the condition. B. Research the condition and present what you have learned as well as your assessment findings and care measures. C. Suggest that a more experienced nurse be selected to present this case study. D. Approach the unit manager, explain your difficulty presenting in front of interdisciplinary team members, and ask to be excused from presenting. Answer: B Rationale: This is an opportunity for new learning about a complication that pertains to your patient and an important safety consideration when assessing and performing care measures. Presenting this case would also provide a professional growth opportunity. 2. Which of the following situations would indicate a professional boundary violation? A. To empathize with a patient's situation, sharing a personal experience with a patient that is very similar to the situation the patient is experiencing. B. Reminding a patient who has dementia that certain sexual touch behaviours are not acceptable. C. Being concerned about a patient's welfare and seeking ways to protect the client's best interests. D. Having well-intentioned behaviours that detract from achievable health outcomes for patients. Answer: D Rationale: Professional boundaries focus on provision of professional care that assists clients in achieving health outcomes. 3. An important component of professional practice is self-awareness. Why is self-awareness an important basis for nursing practice? A. It may prevent biases and assumptions from affecting relationships.