Chapter 2:

A community health nurse has been visiting a diabetic client whose morning fasting glucose levels are constantly elevated. Upon further assessment, the nurse determines that the client's spouse does not understand how to prepare meals following the prescribed diabetic diet. Using Dorothea Orem Self Care Theory, how can the nurse help meet the needs of this client? A) Authorize an unlicensed nursing personnel to cook for the client. B) Set up diabetic home meal delivery for the client. C) Assist the spouse with online grocery shopping. D) Arrange an evaluation appointment with a dietician.

D) Arrange an evaluation appointment with a dietician

PICO format

Patient, Intervention, Comparison, Outcome

theories: adjustment of living matter to other living things and environmental conditions

adaptation theory

theories: the process of growth and development of humans as orderly and predictable, beginning with conception and ending with death.

developmental theory

theories: describes how to break whole things apart and then learn how the parts work together

general systems theory

reasoning: builds from specific ideas or actions to conclusions about general ideas

inductive reasoning

theories: describing, explaining, predicting, controlling desired outcomes of desired nursing care practices

nursing theory

to examine cause and effect relationships between variables; in clinical settings to examine the effects of nursing interventions on patient outcomes A) Quasi-experimental research B) correlational research C) descriptive research D) experimental research

Quasi-experimental research

which nursing actions reflect the use of philosophy as a knowledge base when delivering evidence-based care to patients? A) a nurse interviews and examines a new patient diagnosed with prehypertension to formulate a care plan B) a nurse draws from personal experiences of being a patient to establish a therapeutic relationship with a patient C) a nurse searched the internet to find the latest treatments for type 2 diabetes D) a nurse uses spiritual training to draw strength when counseling a patient who is in hospice for an inoperable brain tumor E) a nurse follows the protocol for assesing postoperative patients in the ICU F) a nursing student studies anatomy and physiology of the body systems to understand the disease states of assigned patients

B & D

Which method of qualitative research was developed by the discipline of anthropology? A) Historical B) Ethnography C) Grounded theory D) Phenomenology

B) Ethnography

research methods: examines events of the past to increase understanding of the nursing profession A) Phenomenology B) historical C) ethnography D)grounded theory

B) historical

a charge nurse meets with staff to outline a plan to provide transcultutral nursing care for patients in their health care facility. Which theorist promoted this type of caring central theme nursing care, knowledge, and practice? A) Madeline Leininger B) Jean Watson C) Dorothy E. Johnson D) Betty Newman

A) Madeline Leininger

research methods: describe experiences as they are lived by the subjects A) Phenomenology B) grounded theory C) ethnography D) historical

A) Phenomemology

research methods: discovery of how people describe their own reality and how their beliefs are related to their actions in a social scene A) grounded theory B)historical C) ethnography D)Phenomenology

A) grounded theory

Nurses in an ICU noticed that their clients required fewer interventions for pain when the ICU was quiet. They then asked a researcher to design a study about the effects of noise on the pain levels of hospitalized clients. How does this demonstrate the ultimate goal of expanding the nursing body of knowledge? A) Nursing research involves clients in their care while hospitalized. B) Nursing research helps improve ways to promote and maintain health. C) Nursing research draws conclusions about the quality of client care. D) Nursing research explains ongoing medical studies to clients, and asks for participation.

B) Nursing research helps improve ways to promote and maintain health.

A mother has brought her 6-year-old child into the clinic. The mother is concerned that her child does not seem to skip as well as the other children in her class. In planning assessments and care for this child, the nurse might choose which theory as a foundation for decision making? A) adaptation theory B) developmental theory C) maslows theory D) general systems theory

B) developmental theory

When you ask an experienced nurse why it is necessary to change the patient's bed every day, the nurse says, "I guess we have just always done it that way." This answer is an example of what type of knowledge? a. Instinctive knowledge b. Scientific knowledge c. Authoritative knowledge d. Traditional knowledge

B. scientific knowledge D. traditional knowledge

to examine the type and degree of relationships between two or more variables. A) Quasi-experimental research B) experimental research C) correlational research D) descriptive research

C) Correlational research

research methods: developed by the anthropology discipline; examines issues of culture that are of interest to nursing A) Phenomenology B) grounded theory C) ethnography D) historical

C) Ethnography

Who is considered to be the first nursing theorist who conceptualized nursing in terms of manipulating the environment? A) Sister Callista Roy B) Lydia Hall C) Florence Nightingale D) Dorothea Orem

C) Florence Nighingale

Which statement best explains the importance of theoretic frameworks? A) Theoretic frameworks guide physiologic nursing care. B) Theoretic frameworks guide psychosocial nursing care. C) Theoretic frameworks advance nursing knowledge and practice. D) Theoretic frameworks advance the ethical aspects of practice.

C) Theoretic frameworks advance nursing knowledge and practice.

reasoning: general idea then considers specific actions

deductive reasoning

To explore and describe events in real-life situations, describing concepts and identifying relationships between and among events. Often used to generate new knowledge about topics with little or no prior research. A) descriptive research B) correlational research C) experimental research D) Quasi- experimental research

descriptive research

examine cause and effect relationships between variables under highly controlled conditions; laboratory setting A) correlational research B) descriptive research C) Quasi-experimental research D) experimental research

D) Experimental research