Evolve- Nursing Science
Which of the following statements 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."
A nurse is recalling Piaget's theory of cognitive development. Which statement is a characteristic of the concrete operations stage?
"A child is able describe a process without actually doing it."
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."
How many levels of critical thinking exist for nursing judgment? Record your answer using a whole number.
3
The nurse interviews a client about a current health problem. The nurse then obtains and documents the client's temperature, blood pressure, and heart rate. Which step of the nursing process is involved in this situation?
Assessment
A nurse questions the staff about a change in a client's plan of care. What does this demonstrate?
Authority
Which theory is based on the model of primacy of caring?
Benner and Wrubel's Theory
Which of these refers to the accountability element of the decision making process?
Individuals being answerable for their actions
A nurse is advising a parent to teach the child impulse control and cooperative behaviors to avoid the risks of altered growth and development. In which stage does the nurse teach the parent about this, according to Erikson's theory of psychosocial development?
Initiative versus Guilt
According to Erikson's theory of psychosocial development, which opposing conflicts is an older adult likely to face?
Integrity versus Despair
Which internal variable influences health beliefs and practices?
Intellectual background
Which opposing conflict does a young adult face according to Erikson's theory of psychosocial development?
Intimacy versus Isolation
Which statement defines "information" gathered by the nurse?
It is the organization and interpretation of data.
In which role does the nurse oversee the budget of a specific nursing unit or agency?
Nurse Manager
Which group benefits from Medicare?
People who are 65 years or older
Which theory focuses on developing the interpersonal relationships between the nurse, client, and the client's family?
Peplau's theory
Which of these is a part of health belief model?
Perception of susceptibility to an illness
The Magnet Recognition Program for health care organizations is based on fourteen 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
The nurse is caring for a client who is in pain following surgery. The nurse informs the primary health care provider about the client's request for pain medication. What is the role of the nurse in this situation?
Advocate
Which step in the nursing process would involve promoting a safe environment for the client?
Implementation
A registered nurse is teaching a nursing student about Piaget's theory of cognitive development that includes four periods, which are related to age. Which age group corresponds with concrete operations?
7 to 11
According to Erikson's theory, at which age would a child develop self-control and independence?
18 months to 3 years old
Which age is considered the phallic stage according to Sigmund Freud's developmental theory?
3-6 years
A registered nurse is teaching a nursing student about Piaget's theory of cognitive development that includes four periods, which are related to age. Which age group corresponds with concrete operations?
7- 11 years
Which is used for determining the hours of care and staff required for a group of clients?
Acuity records
How does a nurse play the role of a "change agent" in a community-based nursing practice?
By identifying and implementing new and more effective approaches to problems
Which type of theory is the Neuman systems model?
Grand theory
Which of these records can a nurse use to document information specific to the client's health in a story-like format?
Narrative documentation
While teaching a diabetic client 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 is applicable in this situation?
Orem's theory
A block nurse is caring for an elderly couple in the neighborhood. What 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 note includes assessment information.
What is the goal of nursing according to Watson's theory?
To promote health, restore the client to health, and prevent illness
What is the purpose of block and parish nursing?
To provide services to older clients
A registered nurse is teaching a nursing student about systems theories with a specific reference to Neuman's systems theory. Which statements made by the nursing student post teaching are accurate? Select all that apply.
"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."
A registered nurse is teaching a nursing student about Maslow's hierarchy of needs. Which statement made by the nursing student needs correction
"The fourth level contains love and belonging needs, including friendship, social relationships, and sexual love.
A registered nurse is teaching a nursing student about Maslow's hierarchy of needs. Which statement made by the nursing student needs correction?
"The fourth level contains love and belonging needs, including friendship, social relationships, and sexual love."
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 informs a client's family that the client is in pain and does not wish to proceed with chemotherapy. What is the role of the nurse in this situation?
Advocate
Which of these cultural groups adopts a combination of dietary, herbal, and other naturalistic therapies to prevent and treat illness?
Asian Indian
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
Which interview technique is the nurse using when asking a client to score the pain on a scale from 0 to 10?
Closed-ended questioning
With reference to the nursing process as a system, what is content?
Content is the product and information obtained from the system.
What type of research explores the interrelationship among variables of interest without any active intervention by a researcher?
Correlation research
Which statement accurately describes correlational research?
Correlational research explores the relationships among variables of interest without any active intervention by the researcher.
A client with severe breathing problems is brought to the emergency ward. Which level of Maslow's hierarchy of needs does the nurse need to follow?
First
A nurse is assigned to change a central line dressing. The agency policy is to clean the site with povidone-iodine and then cleanse with alcohol. The nurse recently attended a conference that presented information that alcohol should precede povidone-iodine in a dressing change. In addition, an article in a nursing journal stated that a new product was a more effective antibacterial than alcohol and povidone-iodine. The nurse has a sample of the new product. How should the nurse proceed?
Follow the agency's policy unless it is contradicted by a primary healthcare provider's prescription
Which factor is used to assess the quality of health care provided to a client?
Functional health status of the client after discharge
Which is an example of an actual nursing diagnosis?
Impaired social interaction
According to Erikson's theory of psychosocial development, individuals need to accomplish a particular task before effectively grasping this stage and progressing to the next one. What does the Initiative versus Guilt stage include? Select all that apply.
In this stage, an individual pretends and tries out new roles. In this stage, an individual may develop a superego or a conscience. In this stage, an individual fantasizes and imagines discovering the environment
A 70-year-old client needs to undergo heart surgery but cannot afford it. The client seeks the assistance of a nurse. Which is the preferred program that the nurse may suggest?
Medicare
According to Sigmund Freud's developmental theory, which developmental age is called the latent stage?
Middle Childhood
Which theory emphasizes the facilitation of the body's reparative processes by manipulating the client's environment?
Nightingale's theory
A nurse is educating a client about the importance of self-care. Which nursing theory lays the inspiration for this?
Orem's Theory
A nurse notices that a child is playing with a doll and is practicing hygiene by brushing its hair and teeth. In which stage of Piaget's theory of cognitive development should the nurse expect this child to be considered?
Preoperational stage
Which theory details nursing interventions for a specific phenomenon and the expected outcome of care?
Prescriptive theories
Which statement is true about prescriptive theories?
Prescriptive theories are action-oriented.
What is the primary focus of the nurse when providing evidence-based care to the client?
Problem-solving approach
A client with bone cancer is receiving hospice care at home. The hospice program also provides respite care. What is the purpose of respite care?
Providing short-term relief to the family caregiver
How is public health nursing different from community health nursing?
Public health nursing focuses on population
Which theory provides a basis for identifying and testing nursing care behaviors to determine if caring improves patient health outcomes?
Swanson's theory of caring
Which statement made by a nursing student about Swanson's theory of caring needs correction?
Swanson's theory of caring provides a basis to help nurses understand how clients cope with uncertainty and the illness response
Which system is used by a health care facility to determine certain aspects of client satisfaction?
The Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)
A nurse is teaching a parent about the different temperaments that a child may display. What characteristics does a slow-to-warm up child display? Select all that apply.
The child adapts slowly with frequent communication. The child reacts with mild but passive resistance to novelty. The child reacts negatively and with mild intensity to new stimuli.
Which characteristic indicates that nursing is a profession?
The nurse is required to follow a code of ethics.
A client with colon cancer is receiving hospice care at home. What is the focus of hospice care?
To ease the pain from illness
A 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
A registered nurse is teaching a nursing student about the concepts that make up a theory. Which point noted by the nursing student needs correction?
Concepts consist of interrelated theories.
Which of these databases should the nurse use to obtain a broad view on biomedical and pharmaceutical studies?
EMBASE
The nurse is caring for a client who requires an intravenous infusion. The nurse explains the reason for the procedure while assembling the kit for the infusion. What is the role of the nurse in this situation?
Educator
In which process of Swanson's theory is the nurse engaging when explaining neonatal care to a parent?
Enabling
What is the difference between evidence-based practice and quality improvement?
Evidence-based practice focuses on the implementation of evidence already known into practice
Which opposing conflict would a middle-aged adult face according to Erikson's theory of psychosocial development?
Generativity versus Self-Absorption and Stagnation
The school nurse conducts a class in nutrition planning for parents. What is the goal of school health nursing programs?
Health promotion
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
Which nursing theory focuses on the client's self-care needs?
Orem's theory
Which healthcare system is required after a physical or mental illness, injury, or chemical addiction?
Rehabilitation
Which statement made by a nursing student about Swanson's theory of caring needs correction?
Swanson's theory of caring provides a basis to help nurses understand how clients cope with uncertainty and the illness response.
Which statement is true of the middle childhood stage according to Kohlberg's development of moral reasoning? Select all that apply.
The child is in the conventional level The child develops a good boy-nice girl orientation
What are the steps of evidence-based practice (EBP) in order?
1. Asking the relevant clinical question 2. Collecting the most relevant and best evidence 3. Critically appraising the evidence collected 4. Integrating all evidence with one's clinical expertise and client preferences 5. Evaluating the practice decision 6. Sharing the outcomes of EBP changes with ot
A nurse is teaching a parent about the different temperaments that a child may display. What temperament would an easy child display? Select all that apply.
An easy child is open and adaptable to change An easy child is regular and predictable in his or her habits. An easy child displays a mild-to-moderately intense mood that is typically positive.
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
The registered nurse (RN) provides nursing care based on the critical thinking model known as the nursing process. What is the correct order of steps in the nursing process?
Assessment Diagnosis Planning Implementation Evaluation
What is the correct order of phases of the nursing process?
Assessment Diagnosis Planning Implementation Evaluation
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
What is the definition of descriptive research?
Descriptive research measures the characteristics of persons, situations, or groups.
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 domain of the Nursing Interventions Classification taxonomy includes care that supports homeostatic regulation?
Domain 2
Which of these programs is least likely to focus on medication delivery process modification?
Experimental research
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
Which statement about Henderson's theory of nursing care is correct?
Henderson organized the theory into 14 basic needs of the whole person and includes phenomena from the following domains of the client: physiological, psychological, sociocultural, spiritual, and developmental.
Which healthcare system focuses solely on palliative care?
Hospice
Which step in the research process is similar to the assessment step of the nursing process?
Identifying the problem
Which of these is a one-on-one communication between a nurse and another person?
Interpersonal communication
A nurse changing the dressing on the client's perineum would fall into which zone?
Intimate zone
Which statement about Orem's theory needs to be corrected?
It describes factors supporting the health of the family
Which statement about Orem's theory needs to be corrected?
It describes factors supporting the health of the family.
What is exploratory research?
It is a study designed to develop a hypothesis about the relationships among phenomena
Which theorist suggested that the goal of nursing is to use communication to help clients reestablish a positive adaptations to their environments?
King
The goal of a particular nursing theory is to use communication to help a client re-establish positive adaptation to 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 healthcare system. Which nursing theory are these points related to?
King's theory
A nurse has made a nursing diagnosis without validating the data obtained from the client. Into what category does this error fall?
Labeling
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 caring for a group of clients with diverse cultural backgrounds. Which nursing theory does the nurse use as a guide?
Leininger's theory
A nursing student notes the characteristics of middle-range theories. Which points noted by the nursing student are accurate? Select all that apply.
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 Middle-range 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.
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.
According to Benner et al., an expert nurse passes through five levels of proficiency when acquiring specialized nursing skills. What is the correct order of levels from lowest to highest?
Novice Advanced beginner Competent Proficient Expert
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)
In which of these activities does a nurse engage when providing tertiary care at a rehabilitation center? Select all that apply.
Providing work therapy for hospitalized patients Making provisions to help clients maximize their capabilities
A nursing student is recalling the hierarchy of evidence available for conducting research. In which order should the nurse give priority to the findings of a study?
Systematic reviews and meta-analysis of randomized controlled trials (RCTs) One well designed randomized controlled trial (RCT) Well-designed controlled trials without randomization Well-designed case control studies Systematic reviews of descriptive and qualitative studies Single descriptive or qualitative studies Opinions of authorities or expert committees https://eaq.elsevier.com/Libraries/EAQ_NCLEX-RN_2-0/QB-k3dz/Q-zr95-g81l9yki/g11e/Potter_Figure_5-2.png
What is the primary focus of nursing care in the "family as context" approach?
The health and development of an individual
What is the purpose of evaluation research?
To test how well a program, practice, or policy is working
A client in the final stage of cancer is very anxious about his or her disease. The client is showing aggressive behavior towards family members. The nurse comforts and offers compassion and empathy to the client and the family members. Which theory principle is the nurse following in this situation?
Watson's Theory
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
Which statement is true about Betty Neuman's theory?
Betty Neuman's theory is based on stress and the client's reaction to the stressor.
The nurse explains a certain procedure to a client. The client seems shy, so the nurse encourages the client to ask questions. What is the correct term for this example of critical thinking by the nurse?
Confidence
A nurse helps a client to clarify health problems and choose appropriate courses of action. What competency in community-based practice is the nurse exercising?
Counselor
In a clinical study, subjects were given chlorhexidine and betadine as antiseptics. How will a nurse researcher categorize this research?
Experimental Research
What information is a nurse likely to find in the clinical implications section of an article?
Explanation regarding the method of applying findings in a practice setting
Which points about nursing care and nursing practice have been accurately stated? Select all that apply.
Nursing theories help to describe, explain, predict, and/or prescribe nursing care measures. The scientific work used in developing theories expands the scientific knowledge of the profession The expertise required to interpret clinical situations and make clinical judgments is the essence of nursing care and the basis for advancing nursing practice and nursing science.
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 client tells a nurse "I work in a factory that manufactures explosives." According to Maslow's hierarchy of needs, to which level of need does the given scenario refer?
The given scenario relates to the second level that includes safety and security needs
A client says "I feel frustrated because I do not spend enough time with my partner because of my job." According to Maslow's hierarchy of needs, which level of need does the given scenario refer?
The given scenario relates to the third level that includes love and belonging needs.
What is the main focus of community health nursing?
To improve the quality of health in a population
What 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
A doctor asks a nurse to collect the medical history of a client. What nursing process should the nurse undertake?
Assessment
A client is ambivalent about making a change in health behavior. Which stage of health behavior does the nurse suspect?
Contemplation
A client is in a state of ambivalence. Which of these stages of health behavior will the nurse suspect?
Contemplation
Which feature according to Benner is observed in a nurse at the "proficient" level?
The nurse focuses on managing care rather than managing skills.
Which example indicates that the nurse is following evidence-based practice?
The nurse reads current nursing journals and uses the latest scientific methods