AEQ 1
Tertiary Care
client learning to walk again in a rehab center
Systematic review
draw conclusions without statistics
Hospice programs
focus on providing pain relief to the client. Some also offer reprieve services for the family/caregiver
Descriptive theories
help explain client assessment and are the first level of theory development.
Services in assisted living facility
meals, personal care to client.
quality improvement
measures the effect of changing practices on a specific population
Secondary Care
ongoing process, assisted living or psychiatric daycare
Managed Care Organizations (MCO)
provide comprehensive preventive and treatment services to a specific group of voluntarily enrolled people
Psychiatric facility
provide counseling and treatments to clients for behavioral problems
Meta-analyses
use statistics for conclusions
Evidence-informed nursing care
uses information gleaned from theory, research, expert opinion, client history and physical examination, client preferences and values, and the clinical expertise of the nurse.
How do east asians treat and prevent illness?
yin treatment - needles to restore balance and flow of qi. yang treatment - moxibustion and heat with acupuncture to restore yin/yang balance.
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."
Arrange the services of the Health Services Pyramid in ascending order from the base of the pyramid to the top.
1-Population based health care services 2-Clinical preventative services 3-primary health care services 4-secondary health care services 5-tertiary health care services
The registered nurse is teaching a nursing student about Erikson's theory of psychosocial development. To which age group does industry versus inferiority apply?
6-11 Years
Which of these cultural groups adopts a combination of dietary, herbal, and other naturalistic therapies to prevent and treat illness?
Asian Indians rely on a combination of dietary, herbal, and other naturalistic therapies to prevent and treat illness.
Which step of the research process is similar to the implementation phase of the nursing process
Conducting the study
Which type of research explores the interrelationship among variables of interest without any active intervention by a researcher?
Correlation Research
Descriptive theories
Descriptive theories are the first level of theory development. Descriptive theories explain, relate, and in some situations predict nursing phenomena. Descriptive theories describe phenomena, speculate on why they occur, and describe their consequences.
Which step of the research process is similar to the diagnosis phase of the nursing process
Developing the hypothesis
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
Evidence Based Practice
Focuses on the implementation of evidence already known into practice
Block and Parish Nursing
Nurses living within a neighborhood provide services to older clients or those unable to leave their homes
Which kind of health service would the nurse offer in a health promotion or primary care program?
Nutrition counseling
Which nursing theory is the inspiration for self-care?
Orem's Theory (Orem's self care deficit theory)
Neuman's Theory
Stress and the client's reaction to the stressor
Abstract of an article
Summary of the article's purpose
Henderson's Theory
Working interdependently with other health care workers
How do native americans treat and prevent illness?
a combination of prayers, chanting and herbs to treat illnesses caused by supernatural, psychological and physical factors.
How do hispanics treat and prevent illness?
a combination of prayers, herbs and other rituals.
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.
Leninger's Theory
The importance of culture and its influence on everything that involves the client and the providers of nursing care
Exploratory research
A study designed to develop a hypothesis about the relationships among phenomena
Which domain of the Nursing Interventions Classification (NIC) taxonomy includes care that supports homeostatic regulation?
Domain 2
Middle Range Theory
Focuses on a specific field of nursing
Which information is the nurse likely to find in the clinical implications section of an article?
In the clinical implications section of the article, the researcher explains the method of applying findings in a practice setting for the type of subject studied.
According to the Institute of Medicine (IOM) report in 2011 envisioning a transformed health care delivery system report, which transformations in nursing practice would take place? Select all that apply. One, some, or all responses may be correct.
Practice to the full extent of education and training achieve higher levels of education and training through improved programs be full partners with other health care providers in redesigning the health care system
Methods or design section of article
information about how the research was organized and conducted
Evidenced Based Practice Steps
1. Ask clinical question 2. collect most relevant and best evidence 3. Critically appraise the evidence 4. integrate all evidence with clinical expertise and client preferences 5. evaluate the practice decision 6. share outcomes with others
Which of these programs is least likely to focus on medication delivery process modification? 1-Evaluation Research 2-Quality Improvement 3-Experimental Research 4-Performance improvement
3-Experimental Research Quality improvement, evaluation research, and performance improvement are all likely to focus on medication delivery process modification to make the process better for the client
Which statement is true about Neuman's theory? 1-based on anthropology 2-views the client as an adaptive system 3-based on stress and the clients reaction to the stressor 4-defines the outcomes of the nursing activity based on humanistic aspects of life
3-based on stress and the client's reaction to the stressor
Which step of the research process is similar to the evaluation phase of the nursing process?
Analyzing the results
Designing a research study
Choosing instrumentation for conducting the study, prepare questionnaires, select physiological measures, interviews and treatment necessary for the study.
During the implementation of evidence-based practice, the nurse researcher using MEDLINE databases collects published scientific studies and uses PICOT questions when conducting the search for evidence. Which would be the next step performed by the nurse researcher?
Critically appraise the evidence.
prescriptive theory
Focused on the prescribed medication under particular circumstances.
Which feature, according to Benner, is observed in the nurse at the "proficient" level?
Focuses on managing care rather than managing skills The novice nurse learns by means of a set of rules, which are usually stepwise and linear. The advanced beginner has observational experience and is able to identify the principles of nursing care. The expert nurse is skilled at identifying client-centered problems, health care system-related problems, and the needs of the novice nurse.
Which is the goal of school health nursing programs?
Health Promotion
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 step in the research process is similar to the assessment step of the nursing process?
Identifying the problem
Peplau's Theory
Interpersonal relationships between the nurse, the client, and the client's family by developing the nurse-client relationship
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.
Its the main goal of transcultural nursing its provided through cultural competence It depends on the patterns and needs of an individual
Which points noted by the nursing student are accurate regarding the characteristics of middle-range theories? Select all that apply. One, some, or all responses may be correct.
Middle-range theories provide a basis to help nurses understand how clients cope with uncertainty and the illness response. Middle-range theories include Mishel's theory of uncertainty in illness, which focuses on a client's experiences with cancer while living with continual uncertainty. These theories tend to focus on a specific field of nursing (such as uncertainty, incontinence, social support, quality of life, and caring) rather than reflect on a wide variety of nursing care situations.
Primary Care
Prevention
Which is the goal of nursing according to Watson's theory?
Promotes health, restores the client to health, and prevents illness
The nurse is using the Cochrane library to study systematic review articles and meta-analyses of clinical trials. Which difference will the nurse find in both?
Systematic review articles draw conclusion without statistics; meta-analyses use statistics for conclusions.
Evaluation Research
Tests how well a program, practice or policy is working
Peplau's Theory
The goal of nursing is to develop an interaction between nurse and client
The fourth level of Maslow's hierarchy of needs
encompasses self-esteem needs, which involve self-confidence, usefulness, self-worth, and achievement.
Correlational research
explores the interrelationships among variables without any active intervention by the researcher
MEDLINE
includes studies in medicine, nursing, dentistry, psychiatry, veterinary medicine, and allied health.
PubMed
is the health science library at the National Library of Medicine; this database offers free access to many journal articles.
Swanson's theory of caring
provides a basis for identifying and testing nursing care behaviors to determine if caring improves client health outcomes.
Secondary Acute Care
provides emergency care or acute care after an illness or accident
Skilled nursing facility/intermediate care facility
provides skilled interventions such as intravenous administration of fluids, wound care or long term ventilator management
According to Erikson's theory, at which age would a child develop self-control and independence?
18mo - 3 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 to 11 years
Which program is an example of a continuing education program? 1-A program on caring for the elderly with dementia offered by a university 2-A program on culturally sensitive approaches in health care for the hospital nursing staff 3-A training on the use of computers to maintain health records by the health care institution 4-A program on safe principles for administering chemotherapy for nurses in the oncology department
A program on safe principles for administering chemotherapy for nurses in the oncology department Such programs are formal, organized educational programs offered by universities, hospitals, or professional nursing organizations
Which nursing process would the nurse undertake when collecting the medical history of a client?
Assessment
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 theory is based on the model of primacy of caring?
Benner and Wrubel's theory
Which component of cultural competence is being demonstrated when the nurse motivates the immigrant to accept differences in the way a pregnant women is cared for in her current residence?
Cultural desire This component is related to motivation and commitment toward the care of an individual.
Historical Research
Designed to establish facts and relationships concerning past events
Nursing Interventions Classification
Domain 1: Physiological: Basic. care that supports physical functioning Domain 2: Physiological: Complex. care that supports homeostatic regulation Domain 3: Behavioral. care that supports psychosocial functioning and facilitates life-style changes Domain 4: Safety. care that supports protection against harm Domain 5: Family. care that supports the family unit Domain 6: Health System. care that supports effective use of the health care delivery system Domain 7: Community. Care that supports the health of the community
Which factor is used to assess the quality of health care provided to a client?
Functional health status of the client after discharge
Which opposing conflict would a middle-aged adult face according to Erikson's theory of psychosocial development?
Generativity versus self-absorption and stagnation
Which is the definition of descriptive research?
It measures the characteristics of persons, situations, or groups. Descriptive research is defined as a study that measures the characteristics of persons, situations, or groups and the frequency with which certain events or characteristics occur.
Conclusion of an article
Limitations
Which group benefits from Medicare?
People who are 65 years or older
SOAP
SOAP progress notes include assessment information or diagnoses based on data. Subjective Objective Assessment Plan
A young adult tells the nurse, "Society needs to be educated regarding involving people affected with acquired immune deficiency syndrome [AIDS] into the social sphere." According to Kohlberg's Theory of Moral Development, which stage has this individual reached?
Social contract orientation stage
Nightingale's Theory
The goal of nursing is to facilitate the reparative processes of the body by manipulating a client's environment
Benner and Wrubel
The goal of nursing is to focus on a client's need for caring as means of coping with stressors of illness
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 is the primary focus of nursing care in the "family as context" approach?
The health and development of an individual
The nurse's authority over other staff members
The nurse who asks questions about a change in a client's plan of care shows that he or she has the power to make decisions.
Which are sources of evidence-informed practice?
Theory Research Clinical expertise
Which is the purpose of block and parish nursing?
To provide services to older clients
Purpose of the Professional Standards Review Organizations PSROs set up by the federal government
To review the quality, quantity, and cost of hospital care
PsycINFO
a good resource for psychology and psychology-related health care disciplines.
The EMBASE database
a good source of biomedical and pharmaceutical studies.
health belief model
divided into three components. The first component is an individual's perception of susceptibility to an illness. The second component is an individual's perception of the seriousness of an illness. The third component is the preventive actions taken by a person. The health promotion model focuses on behavioral outcomes, behavior-specific knowledge and effect, and individual characteristics and experience.
Preferred care organizations (PCOs)
narrow down the list of hospitals, primary health care providers, and health care providers available to the member.
Medicare Part A
takes care of medical, surgical, and psychiatric costs.
