3110 Exam2

The registered nurse (RN) is teaching a nursing student about Kohlberg's Theory of Moral Development. Which information provided by the RN regarding postconventional reasoning in Kohlberg's Theory of Moral Development needs correction?

"Emphasis is given on social rules and a community-centered approach."

Which statements made by the nursing student are accurate regarding Neuman's systems theory? Select all that apply. One, some, or all responses may be correct.

"Factors that change the environment also affect an open system." "The components are interrelated and share a common purpose to form a whole." "An open system interacts with the environment, with an exchange of information between the system and the environment."

Which statement of a client confirms that he or she has reached the intimacy versus isolation stage according to Erikson's theory of psychosocial development

"I did so much for my partner, but I was dumped for someone more attractive."

Which point needs correction regarding steps to follow when obtaining informed consent from research subjects?

"I would make sure clients understand that any information provided by them will be available outside the research team."

Which statement by the nursing student describes Leininger's theory?

"Incorporate the client's cultural traditions, values, and beliefs into the plan of care."

Which statement by the student nurse indicates effective learning regarding a rapid-improvement event (RIE)?

"It is a very intense, usually weeklong, event."

The 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."

Which goal listed by the nursing student needs correction regarding the goals of theoretical nursing models?

"Provide knowledge to validate nursing interventions."

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?

"Recognize the need to identify depression so that heart failure can be prevented."

Which points mentioned by the nursing student are accurate regarding nursing research? Select all that apply. One, some, or all responses may be correct.

"Research means to search again or to examine carefully." "Nursing research is a way to identify new knowledge, improve professional education and practice, and use resources effectively." "The knowledge that is generated provides a scientific basis for nursing practice and validates the effectiveness of nursing interventions."

Which information would the nurse provide about the sensorimotor period of Piaget's theory of cognitive development?

"The child learns that he or she is separate from his or her parents or favorite toy." "The child develops a schema or action pattern for dealing with his or her environment." "The child learns about himself or herself and the environment through motor and reflex actions."

Which information provided by the registered nurse regarding preconventional reasoning needs correction?

"The client sees moral reasoning based on his or her personal internalization of societal and others' expectations."

After selecting the subjects for a research study, the nurse researcher provides adequate information about the research and then inquires about the preference of the subjects to associate with the research. Which would this procedure indicate?

- Informed Consent

Which statements would the nurse include when teaching a group of students about evidence-based practice?

-"Evidence-based practice is conducted by practicing nurses and other health care team members." -"Institutional review board approval is not needed to implement evidence-based practice." -"Evidence-based practice uses information drawn from research to determine safe and effective nursing care."

Which questions would the nurse ask to elicit psychosocial issues in a client with cancer? Select all that apply. One, some, or all responses may be correct.

-"How is your family dealing with your condition?" -"How do you rate your distress on a scale of 0 to 10?"

Which statement by the student nurse indicates the need for further teaching regarding Gesell's theory of biophysical development?

-"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."

Which statements listed by the nursing student are appropriate regarding theories related to temperament? Select all that apply. One, some, or all responses may be correct.

-A difficult child requires a more structured environment. -A difficult child shows an intense and primarily negative mood. -An easy child is open and adaptable to changes.

Which statements of the nursing student indicate an understanding of Peplau's theory? Select all that apply. One, some, or all responses may be correct.

-Creates a maturing force -Involves the nurse acting as a resource and surrogate -Includes three phases that characterize the interpersonal relationship

Which interventions by the nurse help make a successful referral process? Select all that apply. One, some, or all responses may be correct.

-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.

Which rules of impression management would the nurse follow when caring for an Asian client?

-Greet the client and family in their language. -Observe the distance maintained by the client. -Clarify whether the client wants someone from the family to be present.

How is a SOAP progress note different from a PIE progress note? Select all that apply. One, some, or all responses may be correct.

-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.

Which temperament would an easy child display? Select all that apply. One, some, or all responses may be correct.

-Is open and adaptable to change -Is regular and predictable in his or her habits -Displays a mild to moderately intense mood that is typically positive

Which are characteristics of the abstract section of an article? Select all that apply. One, some, or all responses may be correct.

-It summarizes the purpose of the article. -It mentions the major themes and implications for nursing practice. -It is a brief summary that informs the reader whether the article is research or clinically based.

Which are the core roles for an advanced practice registered nurse (APRN)? Select all that apply. One, some, or all responses may be correct.

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

Which are the similarities between evidence-based practice and quality improvement? Select all that apply. One, some, or all responses may be correct.

-Nurses conduct the activities in both. -Funding resources are internal in both.

According to Piaget's theory, which are the cognitive or moral developmental changes in children aged 6 to 12 years? Select all that apply. One, some, or all responses may be correct.

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

Which statement is true of the middle childhood stage according to Kohlberg's development of moral reasoning.

-The child is in the conventional level. -The child develops a good boy-nice girl orientation.

Which points have been correctly noted by the nursing student regarding the domain of nursing? Select all that apply. One, some, or all responses may be correct.

-The domain of nursing gives nurses a comprehensive perspective that allows them to identify and treat a client's health care needs at all levels and in all health care settings. -The domain is the knowledge of nursing practice as well as the knowledge of nursing history, nursing theory, education, and research. -The domain of nursing provides both a practical and theoretical aspect of the discipline.

Which points regarding prescriptive theories have been correctly stated? Select all that apply. One, some, or all responses may be correct.

-They address nursing interventions for a phenomenon. -They describe the conditions under which the prescription occurs. -They guide nursing research to develop and test specific nursing interventions.

Which activities would the nurse be prepared to perform as a member of a disaster preparedness team if a disaster were to occur? Select all that apply. One, some, or all responses may be correct.

-Triage -Decontamination Procedures -Evaluation of the disaster plan

A nursing student is recalling the hierarchy of evidence available for conducting research. In which order would the nurse give priority to the findings of a study?

1-Meta-analyses and systemic reviews summarize current evidence thoroughly. 2. well-designed RCT 3. Below that are well-designed controlled trials without randomization. 4.Well-designed case control studies to look for evidence. 5. Systematically review qualitative studies. 6.single descriptive or qualitative studies. 7. opinions of authorities or expert committees

What are the 6 QSEN competencies?

1. Patient-centered care 2. Teamwork and collaboration 3. Evidence-based practice 4. Quality improvement 5. Safety 6. Informatics

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

1.Ask a question 2.Collect evidence 3.appraise the evidence 4.make a decision 5.evaluate changes 6.share outcomes

Which order would be followed in the research process for conducting a study?

1.Obtaining necessary approvals 2.Recruiting the subjects 3.Doing a pilot study 4.Continually assessing study methodologe

Arrange the steps involved in the PDSA cycle for implementing the quality improvement process.

1.Review the available data and plan on the measures to be taken 2. Establishing an electronic health record system in the hospital 3.Measuring the improvement in client care 4.Incorporating the electronic health record system into daily practice

According to Erikson's theory, at which age would a child develop self-control and independence?

18 months to 3 years old

According to Freud's developmental theory, which age is considered the phallic stage?

3-6 years old

The registered nurse is teaching a nursing student about Piaget's theory of cognitive development. Which age group corresponds with concrete operations?

7-11 years old .According to Piaget's theory of cognitive development, the concrete operations period applies to the age group of 7 to 11 years of age.

Which statement about a case manager is correct?

A case manager has the ability to establish an appropriate care plan based on the assessment of clients and families.

Which statement is a characteristic of the concrete operations stage of Piaget's theory of cognitive development?

A child is able to describe a process without actually doing it.

Which are the characteristics of the phallic stage, per Freud's psychoanalytical model of personality development? Select all that apply. One, some, or all responses may be correct.

A child may develop an oedipal complex. A girl may experience "penis envy" feelings. The genital organs are the focus of pleasure

Which points about theories made by the nursing student are accurate? Select all that apply.

A nursing theory helps identify the focus, means, and goals of practice. Theories give a perspective to assess the situation of a client and to organize data and methods for analyzing and interpreting information. Application of nursing theory in practice depends on the knowledge of nursing and other theoretical models, how they relate to one another, and their use in designing nursing interventions.

Which theorist(s) suggested that the goal of nursing is to use communication to help clients reestablish a positive adaptation to their environments?

According to King's theory, the goal of nursing is to use communication to help the client reestablish a positive adaptation to his or her environment.

Which activity mentioned by the nurse is an example of a performance improvement measure?

Analyzing the new technique for counting sponges and instruments in the operating room

A child says, "My doll is tired after playing for a long time, and she is resting now." Which characteristic is the child demonstrating?

Animism

What is a stressor?

Any stimuli that can produce tension and cause instability within the system.

Which of these cultural groups adopts a combination of dietary, herbal, and other naturalistic therapies to prevent and treat illness?

Asian Indian

Which should the nurse ask to understand the social organization of an individual?

Ask about the individual's expectations from the family. Ask about the person who is responsible for making family decisions.

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 would be involved in his or her care

Which nursing process would the nurse undertake when collecting the medical history of a client?

Assessment

Which time is appropriate for the nurse manager to schedule a 30-minute nursing education class?

At the overlap of each shift

Which professional responsibility does the nurse display when teaching deep breathing exercises to a client recovering from surgery?

Autonomy- The nurse practices autonomy by initiating independent nursing interventions without medical orders. Autonomy is an essential element of professional responsibility.

Which is the similarity between the stage-crisis theory given by Havighurst and the psychosocial development theory given by Erikson?

Based on developmental tasks

Which statement is true about Neuman's theory?

Based on stress and the client's reaction to the stressor-In this model, the client is the individual, group, family, or community. The system is composed of five concepts that interact with one another: physiological, psychological, sociocultural, developmental, and spiritual.

The researcher who calculates the risk-benefit ratio and concludes there were no harmful effects associated with a survey of diabetic clients was applying which principle?

Beneficence-is defined as the promotion of well-being and abstaining from the injuring of others, as well as doing good and being kind and charitable. In this situation, the possible benefits outweigh the possible harm for the clients participating in a research study.

Which theory is based on the model of primacy of caring?

Benner and Wrubel's theory- The model of primacy of caring is the basis of Benner and Wrubel's theory. This theory focuses on client's need for caring as a means of coping with stressors of illness

Which describes the similarity between evidence-based practice (EBP) and quality improvement (QI)?

Both receive funding from internal sources.

How would the nurse prepare a factual record when performing client documentation?

By recording descriptive and objective information of what he or she sees, hears, feels, and smells

A 40-year-old client with a terminal illness wishes to die at home in the presence of his or her spouse and child. Who will be the primary concern of the nurse viewing this family as context?

Client-When the family is viewed as context, the primary focus is the client and fulfilling the basic needs of the client.

Which interview technique is the nurse using when asking a client to score his or her pain on a scale from 0 to 10?

Closed ended questioning

Which specific responsibility does the nurse have in working for an organization that has Magnet® status?

Collecting data for comparison against a national level

How would the nurse adopt the element of right circumstances during a task delegation?

Considering the appropriate client setting, available resources, and other relevant factors

Which stage of health behavior would the nurse suspect when a client is ambivalent about making a change in health behavior?

Contemplation

Which type of research explores the interrelationship among variables of interest without any active intervention by a researcher?

Correlation research involves the exploration of the interrelationship among variables of interest without any active intervention by a researcher

Which competency in community-based practice is the nurse exercising when helping a client clarify health problems and choose appropriate courses of action?

Counselor

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 describe a phenomenon such as grief or caring

Which information regarding nursing theories is accurate?

Descriptive theories describe, relate, and in some situations predict, nursing phenomena.

In one of the sections of an evidence-based article a researcher is writing, the researcher explains how the research study was organized and conducted to answer the research question. Which would the next section of the article include?

Details on the results of the study

According to the nursing process, which would the nurse do after administering pain medication to a postoperative client?

Determine whether the pain medicine relieved the client's pain.

Which domain of the Nursing Interventions Classification (NIC) taxonomy includes care that supports homeostatic regulation?

Domain 2 of the NIC taxonomy includes care that supports homeostatic regulation. Domain 1 includes care that supports physical functioning. Domain 3 includes care that supports psychosocial functioning and facilitates life style changes. Domain 4 includes care that supports protection against harm.

Which of these databases would the nurse use to obtain a broad view of biomedical and pharmaceutical studies?

EMBASE

Which is the role of the nurse explaining the reason for the intravenous infusion and kit to the client?

Educator

Which nursing interventions are examples of the nurse as a caregiver? .

Encouraging the client to exercise daily Setting goals for the client to reduce weight Setting goals for the client to reduce weight

Which is the nurse demonstrating when labeling the African-American client a drug abuser for requesting pain medication?

Ethnocentrism- Ethnocentrism is the tendency of a person to hold his or her own beliefs superior to those of other people. It causes biases and prejudices in regard to people from other groups. This practice is transmitted by cultural groups from one generation to another.

Which distinguishes evidence-based practice from quality improvement?

Evidence-based practice focuses on the implementation of evidence already known into practice-quality improvement measures the effect of changing practices on a specific population.

Which is the primary focus of the nurse when providing evidence-based care to the client?

Evidence-based practice is first and foremost a problem-solving approach to care.

How will the nurse researcher categorize research in which subjects are given chlorhexidine and povidone-iodine as antiseptics?

Experimental research

Which of these programs is least likely to focus on medication delivery process modification?

Experimental research

Which of these programs is least likely to focus on medication delivery process modification?

Experimentation Research Experimental research is least likely to focus on medication delivery process modification. Quality improvement, evaluation research, and performance improvement are all likely to focus on medication delivery process modification in order to make the process better for the client.

The nurse is going through a pilot research study that aims to identify the effectiveness of using an experimental therapeutic communication technique when dealing with aggressive clients. This describes which type of study?

Exploratory research

Lydia E. Hall (1966)

Focus is on rehabilitation, encompassing nursing autonomy, the therapeutic use of self, treatment within the health care team Cure), and nurturing (Care). The major outcome of nursing care is rehabilitation and feelings of self-actualization by the patient.

A client says, "I do not want to go back to school because I fear that everyone will laugh at me." Which level of need does the given scenario refer to according to Maslow's hierarchy of need?

Fourth level, which includes self-esteem needs

After selecting a PICOT question to ask a clinical question, which is the next step in the decision-making process?

Gathering the most relevant and best evidence

Which opposing conflict would a middle-aged adult face according to Erikson's theory of psychosocial development

Generativity versus self-absorption and stagnation

Which stage would the nurse expect the middle-aged client who feels unsuccessful in raising their children to have reached, according to Erikson's theory of psychosocial development?

Generativity versus self-absorption and stagnation stage

In which stage of moral development does the child who assists his or her peers complete assignments to win a teacher's approval belong?

Good boy-nice girl orientation is stage 3 of moral development, during which the child wants to win approval and maintain the expectations of one's immediate group

Which type of theory is the Neuman systems model?

Grand theory -The Neuman systems model is an example of a grand theory that provides a comprehensive foundation for scientific nursing practice, education, and research

Which personality aspects would a child with a difficult temperament display? Select all that apply.

Highly active, irritable, and irregular in habits An intense and primarily negative mood Slow adaptation to new routines, people, or situations

What is Roy's theory? (Sister Calista Roy (1974)

Humans are biopsychosocial beings existing within an environment. Needs are created within interrelated adaptive modes: physiological self-concept, role function and interdependence

Betty Newman (1972)

Humans are in constant relationship with stressors in the environment. The major concern for nursing is keeping the patient 's system stable through accurately assessing the effects of environmental stressors and assisting the patient with adjustments required for optimal wellness.

Which situation indicates that the individual has reached the instrumental relativist orientation stage of Kohlberg's Theory of Moral Development?

Identifies that there is more than one right view

Which situation would the nurse consider to be an example of quality improvement by a team of nurses?

Identifies the possible reasons for the delays of client admission into special units

Which step of the nursing process does the nurse follow after being asked by the health care provider to administer a tetanus toxoid injection to a client with an open wound?

Implementation

Which point mentioned by the nursing student needs correction regarding grand theories of nursing?

Include Mishel's theory of uncertainty in illness Mishel's theory of uncertainty in illness is not an example of a grand theory; it is a middle-range theory

The health care facility uses cardiac telemetry for a client. Which Quality and Safety Education for Nurses (QSEN) competency would this intervention adhere to?

Informatics-Informatics is the use of advanced technology.

In which stage does the nurse teach the parent about child impulse control and cooperative behaviors, according to Erikson's theory of psychosocial development?

Initiative VS Guilt

Which component of nursing process would the nurse note evidence of swelling and skin discoloration of the client's lower extremities?

Input

According to Erikson's theory of psychosocial development, which opposing conflict is an older adult likely to face?

Integrity versus despair

A client discharged from the health care facility and requiring long-term ventilator management would be referred to which health care setting?

Intermediate Care

Which opposing conflict does a young adult face according to Erikson's theory of psychosocial development?

Intimacy versus isolation

Which distinguishes research-based practice as different from evidence-based practice?

It Uses knowledge based only on research studies

Which statements about culturally congruent care by the student nurse are correct? Select all that apply. One, some, or all responses may be correct.

It is the main goal of transcultural nursing. It is provided through cultural competence. It depends on the patterns and needs of an individual.

Which is the definition of descriptive research?

It measures the characteristics of persons, situations, or groups.

The goal of a particular nursing theory is to use communication to help a client reestablish positive adaptation to the environment, and the framework for the nursing practice is based on treating nursing as a dynamic interpersonal process among the nurse, the client, and the health care system. Which nursing theory are these points related to?

King's theory

In providing pain medication for a client who suffered serious injuries after a motor vehicle accident, which theory is the nurse using?

Kocaba's theory of comfort

Which category would the error fall when the nurse makes a nursing diagnosis without validating data obtained from the client?

Labeling

The health care team of a hospital postpones a discussion regarding the discharge of a young Hispanic client because the client's culture strongly believes that older family members and other relatives would be consulted on important health-related matters. Which nursing theory does the health care team abide by?

Leininger's Theory

Which nursing theory is the nurse following when the Korean client who just gave birth is given seaweed soup as a first meal?

Leininger's theory

Which information would the nurse provide for a client who is discharged from the health care facility with a surgical wound? Select all that apply. One, some, or all responses may be correct.

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

How would the nurse handle a client who blames and directs anger toward the nurse or others

Listening to the client's concerns Reassuring family and significant others of the client's normalcy

The nurse collects the data, including the clients' age, sex, ethnicity, and health problems, and anticipates the interrelations from the data. Which element of the evidence-based study includes this information?

Manuscript narrative

Florence Nightingale (1860)

Meeting the personal needs of the patient within the environment. Concern for the environment of the patient, including cleanliness, ventilation, temperature, light, diet, and noise

which would the nurse consider while completing the resident assessment instrument (RAI) for a resident at a nursing center?

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

Which of these records can the nurse use to document information specific to the client's health in a story-like format?

Narrative Documentation

Which statement is true about Neuman's theory?

Neuman's theory is based on stress and the client's reaction to the stressor. In this model, the client is the individual, group, family, or community. The system is composed of five concepts that interact with one another: physiological, psychological, sociocultural, developmental, and spiritual.

Which statements have been correctly stated about Nightingale's theory of nursing?

Nightingale's theory of nursing focuses on nursing by caring through the environment. Nightingale's theory is oriented toward 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. Nightingale's theory does not limit nursing to the administration of medications and treatment. Nightingale's theory suggests that nurses do not need to know all about the disease process, which differentiates nursing from medicine

Which theory emphasizes the facilitation of the body's reparative processes by manipulating the client's environment?

Nightingales theory

Faye Abdullah (1960)

Nursing is a problem-solving art and science used to identify the nursing problems of patients as they move toward health and cope with illness-related health needs. The 21 nursing-care problems identified were based on research and can be used to determine patient needs and formulate nursing-focused care.

Hildegard Peplau (1952)

Nursing is a therapeutic, interpersonal, and goal-oriented process. Nursing interventions are directed toward developing the patient's personality for productive personal and community living.

Ernestine Wiedenbach (1964)

Nursing is an art; nursing is providing nurturing care to patients. Clinical nursing includes a philosophy, a purpose, the practice, and the art. Care is directed toward a purpose to meet the patient's perceived health care needs.

Jean Watson (1979)

Nursing is concerned with promoting and restoring health, preventing illness, and caring for the sick. Clinical nursing care is holistic to promote humanism, health, and quality of living. caring is universal and is practiced through interpersonal relationships.

Patricia Benner & Judith Wrubel (1989)

Nursing practice occurs within a context of caring and skill development. Caring is a common bond of people situated in a state of being that is essential to nursing. They presented a systematic description of stage of nursing practice; Novice advanced beginner, competent, proficient, and expert.

Dorothy E. Johnson (1980)

Nursing problems arise when there are disturbances in the system or subsystem, or the level of behavioral functioning is below an optimal level. Nursing interventions are designed to support/maintain health , educate, counsel, and modify behavior.

Which would the nurse do to understand the nature of a client's pain? Select all that apply. One, some, or all responses may be correct.

Observe where the client locates the pain. Note whether the pain radiates to any other part of the body.

Which nursing theory is the inspiration for self-care?

Orem theory

While teaching a client with diabetes about self-care management, the nurse asks the client to inspect his or her feet daily and to wear well-fitted shoes to prevent foot ulcers. Which nursing theory involves the nurse instructing a client with diabetes to inspect his or her feet daily and to wear well-fitted shoes to prevent foot ulcers?

Orem theory

Which theory is appropriate for the nurse providing discharge teaching for a client with a hand fracture on ways to bathe, dress, groom, and eat independently?

Orem's theory

Katherine Kolcaba (2003)

Patient comfort exists in 3 forms : relief, Ease and transcendence. if a patent is comfortable, he or she will feel emotionally and mentally better which will aid in recovery. The role of the nurse is to assess a patients comfort needs and create a nursing care plan to meet those needs.

Which Quality and Safety Education for Nurses (QSEN) competency does the nurse address when teaching a client about the importance of keeping dialysis appointments three times weekly?

Patient-centered care

Which theory focuses on developing the interpersonal relationships between the nurse, client, and the client's family?

Peplau's theory focuses on interpersonal relationships between the nurse, the client, and the client's family by developing the nurse-client relationship.

Which of these is a part of the health belief model?

Perception of susceptibility to an illness

The Magnet Recognition Program® for health care organizations is based on 14 forces of magnetism related to five magnet model components. Which force of magnetism is assessed to review the structural empowerment of the organization?

Personnel policies and programs

Which phase of helping relationships is the nurse exercising when collecting a client's medication information by interviewing the family and caregivers of the client?

Preinteraction phase -The nurse is exercising the preinteraction phase when he or she collects medical data from the client's caregivers

In which stage of Piaget's theory of cognitive development would the nurse expect a child brushing a doll's hair and teeth to be considered?

Preoperational

Which statement is true about prescriptive theories?

Prescriptive theories are action-oriented. They test the validity and predictability of a nursing intervention. These theories address nursing interventions for a phenomenon, describe the conditions under which the prescription occurs, and predict the consequences.

Which statement best describes the nurse's role as an advocate?

Protects the client's human and legal rights and helps assert these rights.

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

Provides temporary care for 96 hours or less

Which is the purpose of respite care?

Providing short-term relief to the family caregiver

In which of these activities would the nurse engage when providing tertiary care at a rehabilitation center?

Providing work therapy for hospitalized clients Making provisions to help clients maximize their capabilities

How is public health nursing different from community health nursing?

Public health nursing focuses on a population

Which characteristic indicates that nursing is a profession?

Required to follow a code of ethics

Which kind of health care service does the client transferred to an extended care facility for rehabilitation after a motor vehicle accident receive?

Restorative Care-The client receives restorative care during rehabilitation. This care helps restore the client to the fullest physical, mental, social, vocational, and economic potential. Immunization is an example of preventive care.

Which kind of service does block nursing offer to the elderly clients?

Running errands

Which of these is true about SOAP progress note method?

SOAP progress notes include assessment information

A group of practicing nurses and health care team members wants to conduct research to determine the effectiveness of chewing peppermint gum in reducing nausea after colon surgery. After identifying the problem and reviewing the literature, the research team wants to design the study. Which activities performed by the research team are related to designing the study?

Selecting data collection methods. Identifying the sample population and assigning people to experimental and control groups Selecting statistical methods to evaluate if chewing peppermint gum is beneficial to reduce postoperative nausea

Dorothea Orem (1971)

Self-care is a human need; Self-Care Deficits require nursing actions. Nursing is a human service and nurses design interventions to provide or to manage self-care actions for sustaining health or recovering from illness or injury.

Which are the characteristics of the genital stage according to Freud's psychoanalytical model of personality development?

Sexual urges are directed outside the family circle. Unresolved sexual conflicts resurface during this stage. An individual may resolve the sexual conflicts at this stage.

Which would the nurse do to provide patient-centered care based on the five Institute of Medicine (IOM) competencies?

Share decision-making and management

Which record will the nurse use for recording client data from admission through discharge?

Source Record-This record has a separate section for each discipline (such as the admission sheet, nursing records, and medication).

Which describes is the purpose of evaluation research?

Tests how well a program, practice, or policy is working

Which statement is true according to Piaget's theory of cognitive or moral development in the adolescent?

The child develops abstract thinking. The child is in the formal operations period.

Which situation indicates that the child has reached the concrete operations stage of Piaget's theory of cognitive development?

The child is able to understand that the volume, length, or shape of an object remains the same despite a change in their physical appearance.

Which points have been correctly noted by the nursing student regarding how the environment and situation affect clients? Select all that apply. One, some, or all responses may be correct

The environment and situation include all possible conditions affecting clients. The environment and situation include the settings in which the health care needs arise. Factors in the home, school, workplace, or community influence a client's level of health and health care needs.

Arrange the services of the Health Services Pyramid in ascending order from the base of the pyramid to the top.

The first level is population-based health care services with the goals of disease prevention, health protection, and health promotion. It provides the basis for the second level which is clinical preventive services. Achievements in these two levels of the pyramid contribute to the improvement in health care delivered by the higher levels. The third level is the primary health care services, which focuses on improved health outcomes for the entire population. It requires collaboration among health professionals, health care leaders, and community members. The fourth level is secondary health care. It includes acute medical-surgical care and diagnostic procedures. The highest level of the pyramid is tertiary health care, which includes intensive care.

Which are the steps of evidence-based practice (EBP) in order?

The first step in EBP is to ask the relevant clinical question. The second is to collect the most relevant and best evidence. After the collection, critically appraise the evidence gathered. Integrate all the evidence into one's clinical expertise and client preferences and values to make a practice decision or change. Then evaluate the practice decision or change. The last step is to share the outcomes of EBP changes with others.

Which basic human needs belongs to the fourth level as per Maslow's hierarchy of needs?

The fourth level of Maslow's hierarchy of needs encompasses self-esteem needs, which involve self-confidence, usefulness, self-worth, and achievement.

Nola Pender (1982)

The goal of nursing is the optimal health of the person, with a focus on how people make health care decisions. Factors significant to health-promoting behaviors include a person's beliefs about the importance of health and the perceived barriers to, those behaviors. Participation in health-promoting behavior's is modified by one's demographic and biologic characteristics, interpersonal influences, and situational and behavioral factors.

Which feature according to banner is observed in the nurse at the proficient level?

The nurse at the proficient level has more than 2 or 3 years of experience in the same clinical position. The nurse focuses on managing care rather than managing and performing skills.

Which action of the nurse relates to the Quality and Safety Education for Nurses (QSEN) competency of quality improvement?

The nurse combines clinical expertise with client preferences.

The nurse is helping a depressed client cope after a bilateral mastectomy. Which theoretical care focus is the nurse using?

The nurse is using the theoretical focus of adaptation. Helping the depressed client "cope" or adapt to the current stressor of bilateral mastectomy is an example of Roy's Adaptation Model (RAM) in clinical practice

Which action indicates that the nurse is designing the research study?

The nurse prepares questionnaires and selects the treatment plans necessary for the study

Which step in the nursing process would involve promoting a safe environment for the client?

The nurse promotes a safe environment during the implementation stage of the nursing process

Ida Jean Orlando (1961)

The nurse reacts to the patient's verbal and nonverbal expression of needs both to understand the meaning of the distress and to know what is needed to alleviate it. Uses the nursing process to provide solutions to problems as well as to prevent problems.

Virginia Henderson (1955)

The patient is a person who requires help to reach independence. Nursing practice is independent; autonomous nursing functions are identified and self-help concepts are described.

Rosemarie Parse (1981)

The person continually interacts with the environment and participates in maintaining health. health is a continual, open process (rather than an absence of illness), with nursing care planned based on the patient's perspective of health and care.

How many rights of delegation are there in the nursing practice?

There are five rights of delegation in nursing practice. They are right task, right circumstances, right person, right direction/communication, and right supervision/evaluation.

How many levels of critical thinking exist for nursing judgment?

There are three levels of critical thinking in nursing judgment. The first level is basic critical thinking, in which the nurse has faith that the expert has the right answer to each problem. The second level is complex critical thinking. The nurse examines and analyzes information provided by the expert. The nurse engaging in this critical thinking may discover that another option is available with which to solve an issue. The third level of critical thinking is commitment. The nurse at this level can make choices without help from others. The nurse at this level of critical thinking takes full responsibility for every action in which he or she engages.

Which step listed by the nursing student needs correction according to Havighurst's theory?

This theory includes four periods that are related to age and demonstrates specific categories of knowing and understanding.

Which is the main focus of community health nursing

To improve the quality of health in a population

Which is the purpose of block and parish nursing?

To provide services to older clients

Which is the purpose of block and parish nursing?

To provide services to older clients -nurses living within a neighborhood provide services to older clients or those unable to leave their homes.

Which is the function of the Professional Standards Review Organizations (PSROs) set up by the federal government?

To review the quality, quantity, and cost of hospital care

Which developmental stage is considered the pre-conventional level according to Kohlberg's theory?

Toddler and preschool

what are Erikson's eight stages of psychosocial development?

Trust vs. Mistrust. Autonomy vs. Shame and Doubt. Initiative vs. Guilt. Industry vs. Inferiority. Identity vs. Role Confusion. Intimacy vs. Isolation. Generativity vs. Stagnation. Ego Integrity vs. Despair.

Which of these measures should the nurse take during the working phase of a helping relationship?

Using appropriate self-disclosure and confrontation

Which is the goal of nursing according to King's theory?

Using communication to help client reestablish positive adaptation to environment.

Which describes the primary purpose of evidence-informed nursing practice (EIP)?

Using results from research to improve the outcome of nursing care

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

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

The registered nurse is instructing a nursing student to search for evidence in the scientific literature regarding the use of peppermint gum after abdominal surgery to reduce nausea and vomiting. The nursing student used the PICOT format to create questions to be used when conducting the research. Which question helps in the comparison of interest?

What is the current standard intervention for reducing nausea in clients after abdominal surgery?

Madeline Leininger (1978)

caring is the central theme of nursing care, knowledge and practice. this provides the foundation of transcultural nursing care. Caring improves human conditions and life processes.

Myra E. Levine (1967)

emphasis is on the ill person in the health care setting; describes detailed nursing skills and actions. The patient is the center of nursing activities, with nursing care provided based on four conservation principles to help patients adapt to their environment.

Martha Rogers (1970)

emphasis is on the science and art of nursing, with the unitary human being central to the discipline of nursing. Nursing interventions are directed toward repatterning human environment fields or assisting in mobilizing inner resources.

Which step in the research process is similar to the assessment step of the nursing process?

identifying the problem

Margaret A. Newman (1979)

nursing interventions are purposeful, using a total-person approach to patient care to help people, families and groups attain and maintain wellness. Nursing care is directed toward reducing stress factors and adverse condition that increase the risk for or actually affect optimal patient functions

What are the stages of Kohlbergs theory?

preconventional, conventional, postconventional

Imogene King (1971)

the patient is a personal system within a social system; the nurse and the patient experience each other and the situation, act and react, and transact. Nursing is a process of human interactions as nurses and patients communicate to mutually set goals and explore and agree on the means to reach those goals.

When the nurse is caring for several clients on a medical/surgical floor, which task is appropriate to delegate to the unlicensed assistive personnel (UAP)?

turn a bed-bound client to prevent pressure injuries