Nursing Sciences EAQ

How does a nurse prepare a "factual" record when performing a client documentation?

By recording descriptive and objective information of what the nurse sees, hears, feels, and smells

How does a nurse incorporate the quality of accuracy into client documentation?

By using exact measurements for each client's activity

The school nurse conducts a class in nutrition planning for parents. What is the goal of school health nursing programs?

Health promotion

A nursing student is listing various stages of Lawrence Kohlberg's Theory of Moral Development. Which situation indicates that the individual has reached the Instrumental Relativist Orientation stage?

"An individual identifies that there is more than one right view."

A nurse is recalling Piaget's theory of cognitive development. What is the characteristic of the preoperational stage?

"An infant may learn to think with the use of symbols and mental images."

A nursing instructor asks a student to describe Betty Neuman's theory. Which statement by the student indicates the need for further education?

"Betty Neuman's theory outlines that the external environmental factors act as stressor."

A nurse is recollecting Sigmund Freud's psychoanalytical model of personality development. What are the characteristics of the phallic stage, as per this model? Select all that apply.

"In this stage, a child may develop an oedipal complex." "In this stage, a girl may experience 'penis envy' feelings." "In this stage, the genital organs are the focus of pleasure.

A registered nurse is teaching a student nurse about a rapid-improvement event (RIE), a quality improvement model. Which statement by the student nurse indicates effective learning?

"It is a very intense, usually week-long, event."

A nurse conducting a research study is obtaining informed consent from a research subject. Which statement made by the nurse to the client needs correction?

"Let me explain all the details about the research and why it is the best available method of treatment."

A nurse is evaluating situations based on the responses of several clients. Which client's statement confirms that he or she has reached the Integrity versus Despair stage according to Erikson's theory of psychosocial development? Select all that apply.

"Looking back at my entire life, I find that I have actually achieved nothing." "In the twilight of my life, I regret not fulfilling the promises I made to my wife." "Now that I am at the end of the road, I think I am the luckiest person on the earth because God has given me everything that I had asked for."

A registered nurse is teaching a nursing student about Nightingale's theory, which is an initial model for nursing. Which statements of a nursing student indicate an understanding of the theory? Select all that apply.

"Nightingale's theory deals with visionary principles that include areas of practice, research, and education." "Nightingale's theory deals with descriptive theories that provides nurses with a way to think about clients and their environment." "Nightingale's theory focuses on the fact that nursing is caring through the environment and helping the client deal with symptoms related to illness."

A registered nurse is teaching a student nurse about Gesell's theory of biophysical development. Which statement by the student nurse indicates the need for further teaching? Select all that apply.

"Proximodistal growth describes the sequence in which growth is fastest from the head down." "In the cephalocaudal pattern, growth starts at the center of the body and moves toward the extremities."

A nursing student is listing the steps that need to be followed for applying developmental theory when caring for chronically ill older adults with depression. Which step listed by the nursing student needs correction?

"The nurse should recognize the need to identify depression so that heart failure can be prevented."

A healthcare facility is using the "plan, do, study, act (PDSA)" cycle model for performing a quality improvement. Arrange the order in which quality improvement takes place based on this model.

1. Review available data. 2. Choose the appropriate intervention. 3. Evaluate the outcomes. 4. Incorporate new practices in daily performance

How many levels of critical thinking exist for nursing judgment?

3

Which program is an example of a continuing education program?

A program on caring for the elderly with dementia offered by a university

Which age is considered the phallic stage according to Sigmund Freud's developmental theory?

3 to 6 years old

A nurse is examining different situations that represent the superego component of human personality, as per Sigmund Freud. Which situations accurately represent superego? Select all that apply.

A client controls the urge to eat candy because he or she knows that it will affect the blood sugar levels. A client having a craving for fruits does not steal them from the next client because that client needs it more. A client experiencing a stomachache refrains from stealing medications from a friend because it is illegal.

A nurse is evaluating different situations related to Maslow's hierarchy of needs. Which situations come under the second level of needs? Select all that apply.

A client tells the nurse that he or she is taunted by his or her boss every day. A client tells the nurse that his or her spouse belongs to a criminal gang. A client tells the nurse that he or she lives beside a factory that manufactures harmful chemicals.

A nursing student is taking down notes about paradigm. Which point noted down by the nursing student needs correction?

A paradigm is the perspective of a profession.

The nurse finds that a client with bilateral oral swelling, pain, and trismus had undergone a surgical extraction of an impacted tooth five days ago. What type of nursing diagnosis does the documentation of acute pain refer to?

Actual nursing diagnosis

What is the order of evidence-based practice that a nurse should follow while caring for a client?

Ask a question Collect evidence Appraise the evidence Make a decision Evaluate changes Share outcomes

Which intervention by the nurse is an important aspect of client-centered care according to the survey conducted by the Picker Institute?

Asking the client if the family should be involved in his or her care

What are the similarities between Medicare and Medicaid? Select all that apply.

Both programs assist older clients. Both programs pay for home care services

A hospital needs to hire a nursing staff for the intensive care of cancer clients. Which of these positions is most likely to be filled by the nurse?

Clinical nurse specialist

According to Watson's theory, in which practice is the nurse least likely to engage?

Curing the disease before engaging in care of the client

Which theory describes the phenomenon of grief or caring?

Descriptive theories

A registered nurse is educating a nursing student about descriptive theories. Which point stated by the nursing student needs correction?

Descriptive theories help direct specific nursing activities.

Which degree does The American Association of Colleges of Nursing (AACN) recommend as terminal practice degree for all advanced practice registered nurses (APRNs)?

Doctor of Nursing Practice (DNP)

Which nursing interventions are examples of the nurse as a caregiver? Select all that apply.

Encouraging the client to exercise daily Setting goals for the client to reduce weight Arranging for the client to meet a spiritual advisor

While teaching a nursing student, a registered nurse says "This is a study in which the investigator controls the study variable and randomly assigns subjects to different conditions to test the variable." Which type of research is the above statement?

Experimental research

The nurse is caring for a client who is recovering from a stroke. The primary health care provider has referred the client for rehabilitative care. Which interventions by the nurse help to make a successful referral process? Select all that apply.

Explain the need for referral to the client and family. Provide the referral with adequate client information. Determine what the referral recommends for client care.

A nurse is heading a performance improvement team. The nurse collects records of needlestick injuries due to improper needle recapping techniques used during medicine administration. What is the next step to be followed by the nurse, if he or she is using the "plan, do, study, act model

Facilitate a training program for all nurses to teach the proper technique of recapping needles

How is a SOAP progress note different from a PIE progress note? Select all that apply.

In a SOAP progress note, the P stands for plan; in a PIE progress note, the P stands for problem. SOAP progress notes originate from medical records; PIE progress notes have a nursing origin. SOAP progress notes include assessment information; PIE progress notes do not include assessment information

A hospital organization plans to conduct a study on the effect of dried plums for lowering the risk of colon cancer. After selecting the subjects, a nurse researcher provides adequate information about the research and then inquires about the preference of the subjects to associate with the research. What does this procedure indicate?

Informed consent

The nurse uses evidence-based practice while providing nursing care to clients. What distinguishes research-based practice different from evidence-based practice?

It uses knowledge based only on research studies.

Which internal variable influences health beliefs and practices?

Intellectual background

A nurse finds that there is an inaccurate match between clinical cues and the nursing diagnosis. What is the category of the diagnostic error?

Interpreting

What makes a crisis access hospital (CAH) different from an intensive care unit (ICU)?

It provides temporary care for 96 hours or less.

While caring for a group of clients from different ethnicities, the nurse observes that a client from Ireland is stoic and not complaining about pain. Which theory should the nurse follow in this situation?

Leininger's Theory

A nurse is completing the Resident Assessment Instrument (RAI) for a resident at the nursing center. What should the nurse consider while completing the RAI? Select all that apply.

Minimum Data Set (MDS) Resident Assessment Protocols Utilization guidelines of the state

A pregnant woman complains, "I have had morning sickness for one week, which caused me to eat less. I am experiencing irritability because of weakness." The nurse taught the client relaxation and distraction techniques to overcome this problem. During a follow-up visit, the nurse evaluates the client's response and determines if the condition is resolved. Which model is the nurse using in this situation?

Neuman systems model

A registered nurse is teaching a nursing student about Nightingale's theory of nursing. Which statements have been correctly stated by the nursing student as a result of the teaching? Select all that apply.

Nightingale's theory states that the focus of nursing is caring through the environment. Nightingale's theory is oriented towards providing fresh air, light, warmth, cleanliness, quiet, and adequate nutrition. Nightingale's theory focuses on helping the client deal with the symptoms and changes in function related to an illness.

Which are the core roles for an advanced practice registered nurse (APRN)? Select all that apply.

Nurse practitioner Clinical nurse specialist (CNS) Certified nurse midwife (CNM) Certified registered nurse anesthetist (CRNA)

What kind of health service does the nurse offer in a health promotion or primary care program?

Nutrition counseling

Which steps are taken by a nurse during the implementation phase of drug research? Select all that apply.

Obtaining necessary approvals Recruiting subjects and collecting data obtained from the study

Which nursing theory focuses on the client's self-care needs?

Orem's theory

Which group benefits from Medicare?

People who are 65 years or older

Which of these is a part of health belief model?

Perception of susceptibility to an illness

How is public health nursing different from community health nursing?

Public health nursing focuses on population.

A nursing student is listing the goals of theoretical nursing models. Which goal listed by the nursing student needs correction?

Provide knowledge to validate nursing interventions

A new toy is shown to a baby, and after his or her attention is drawn, the parent hides the toy under the bed. Then the baby tries to find the toy, which is hidden. Which stage of cognitive development does the child belong, according to Jean Piaget?

Sensorimotor

Client A is recovering from heart surgery and needs to adapt to his or her environment. Client B is at the last stage of cancer. Which of these theories may the nurse use for better health maintenance of both the clients?

Roy's theory for client A and Henderson's theory for client B

The Institute of Medicine (IOM) identified five interrelated competencies for all health care workers in the twenty-first century. What should the nurse do to provide patient-centered care?

Share decision-making and management.

What information should the nurse provide for a client who is discharged from the health care facility with a surgical wound? Select all that apply.

Skill to care for the surgical wound Safe and effective use of medications List of appropriate community resources

According to Piaget's theory, what are the cognitive or moral developmental changes in children aged 6 to 12 years? Select all that apply.

The child develops logical thinking. The child is in the concrete operations period

Which intervention by the home health care nurse conforms to the use of safety competency while providing health care?

The nurse ensures the furniture does not obstruct the client's movement.

A middle-aged client says, "I have been unsuccessful in raising my kids." Which stage should the nurse expect the client to have reached, according to Erikson's theory of psychosocial development?

The client has reached the Generativity versus Self-Absorption and Stagnation stage.

A nurse is working in a health care organization that has Magnet status. What specific responsibility does the nurse have in this organization?

The nurse must collect data for comparison against a national level.

What is the duty of a nurse while caring for a client?

The nurse should determine the client's care preferences.

A nurse needs to provide preventive and primary care to adults during a health camp. Which of these actions should the nurse perform? Select all that apply.

The nurse should discuss vaccinations. The nurse should discuss family planning The nurse should instruct the health camp about road safety measures.

Evidence-informed nursing uses a variety of sources to support nursing practice. Which are sources of evidence-informed practice? Select all that apply.

Theory Research Clinical expertise

A client who has sustained an accident says, "I have a dream of conquering the world's highest mountain range." To which level of need does the given scenario refer to, according to Maslow's hierarchy of needs?

Toddler Preschool

Which statement is applicable to Watson's theory of transpersonal caring?

Watson's theory defines the outcome of nursing activity in relation to the humanistic aspects of life.