Foundations Week 14: Sherpath

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Match the description of the nurse with the appropriate career stage. 1. A nurse with 3 years of experience, who just started working in the ICU 2. A nurse with 18 months of experience in the cardiac step-down unit 3. The charge nurse in the neonatal ICU 4. The neurosurgery unit staff educator nurse -Novice -Expert -Advanced beginner -Proficient

1. A nurse with 3 years of experience, who just started working in the ICU; Novice 2. A nurse with 18 months of experience in the cardiac step-down unit; Advanced beginner 3. The charge nurse in the neonatal ICU; Proficient 4. The neurosurgery unit staff educator nurse; Expert

Match the theory or conceptual framework with the theorist who developed it. 1. Madeline Leininger 2. Martha Rogers 3. Rosemarie Rizzo Parse 4. Hildegard Peplau -Cultural Care Theory -Human Becoming Theory -Theory of Interpersonal Relations -Science of Unitary Human Beings Model

1. Madeline Leininger: Cultural Care Theory 2. Martha Rogers: Science of Unitary Human Beings Model 3. Rosemarie Rizzo Parse: Human Becoming Theory 4. Hildegard Peplau: Theory of Interpersonal Relations

Match the clinical reasoning process with its descriptor. 1. Recognizing the detail that is most important in the scenario 2. Identifying which tasks are most important and should be performed first 3. Identifying which tasks can be delegated 4. Recognizing that the action is necessary and professional -Right reason -Right cue -Right action -Right time

1. Recognizing the detail that is most important in the scenario; Right cue 2. Identifying which tasks are most important and should be performed first; Right time 3. Identifying which tasks can be delegated; Right Action 4. Recognizing that the action is necessary and professional; Right reason

Match the intellectual standard with the scenario that represents it. 1. The nurse completely understands the complexities of the issue. 2. The nurse's perspective has been confirmed as factual. 3. Others understand the nurse's point of view. 4. The nurse focuses on the most important aspects of the situation. -Accuracy -Depth -Clarity -Significance

1. The nurse completely understands the complexities of the issue; Depth 2. The nurse's perspective has been confirmed as factual; Accuracy 3. Others understand the nurse's point of view; Clarity 4. The nurse focuses on the most important aspects of the situation; Significance

Match the theory or model with its description. 1. Three-step process in which individuals encounter the unknown 2. Skills like conceptualizing and reasoning help guide nursing actions 3. Resolution of a developmental stage results in age-appropriate behavior 4. Predicts an individual's response to treatment and health behaviors -Rosenstock's Health Belief Model -Erikson's Psychosocial Theory -Paul's Critical Thinking Theory -Lewin's Change Theory

1. Three-step process in which individuals encounter the unknown; Lewin's Change Theory 2. Skills like conceptualizing and reasoning help guide nursing actions: Paul's Critical Thinking Theory 3. Resolution of a developmental stage results in age-appropriate behavior; Erikson's Psychosocial Theory 4. Predicts an individual's response to treatment and health behaviors; Rosenstock's Health Belief Model

Which characteristics are associated with grand theories? Select all that apply. a. Define a broad perspective for nursing practice b. Focus on a specific condition or population c. Are the most abstract d. Narrow focus and may be generalized e. Difficult to test in practice

a. Define a broad perspective for nursing practice c. Are the most abstract e. Difficult to test in practice

Which terms are components of critical thinking as listed in Paul's Critical Thinking Theory? Select all that apply. a. Experience b. Reasoning c. Proficiency d. Observation e. Caring

a. Experience b. Reasoning d. Observation

Critical thinking is a conscious decision not to accept something at face value and instead attempt to analyze it from all perspectives. Which actions are considered part of the critical-thinking process? Select all that apply. a. Identifying the concern b. Determining which information is most relevant c. Gathering the input of others d. Vetting the information presented e. Quickly determining a resolution

a. Identifying the concern b. Determining which information is most relevant c. Gathering the input of others d. Vetting the information presented

Which actions demonstrate a nurse using the Clinical Judgment Measurement Model (CJMM) and critical thinking when a patient reports increased pain at the surgical site? Select all that apply. a. Verifying tno pain meds were prescribed after surgery + calling the provider to inform the patient's change in status to see if pain meds can be given b. Determining if pain meds were prescribed postoperatively, then relaying to the patient that no pain medications were prescribed for them c. Using nonpharmaceutical treatment (deep breathing + imagery) to help relieve pain after verifying that no pain medications were prescribed d. Assessing vital signs and verifying which pain medications were prescribed and when pain medication was last given to the patient e. Assessing the surgical site to determine whether infection could be the cause of increased pain

a. Verifying tno pain meds were prescribed after surgery + calling the provider to inform the patient's change in status to see if pain meds can be given c. Using nonpharmaceutical treatment (deep breathing + imagery) to help relieve pain after verifying that no pain medications were prescribed d. Assessing vital signs and verifying which pain medications were prescribed and when pain medication was last given to the patient e. Assessing the surgical site to determine whether infection could be the cause of increased pain

According to Alfaro-LeFevre, which individual should be most adept at thinking critically? a. A 40-year-old man who has only lived in a small town and never traveled outside of his state b. A 22-year-old woman whose father was in the military, requiring her to live in Germany, England, California, Florida, and Missouri c. A 36-year-old person with high self-esteem and self-confidence d. A 19-year-old freshman in college who is majoring in communication

b. A 22-year-old woman whose father was in the military, requiring her to live in Germany, England, California, Florida, and Missouri

The emergency department (ED) nurse is handing off care of a patient to the intensive care unit (ICU) nurse. The ED nurse is giving report using the Situation, Background, Assessment, Recommendation (SBAR) method. The ED nurse tells the ICU nurse that the patient is admitted for respiratory distress and is currently homeless. Which SBAR communication element does this scenario represent? a. Situation b. Background c. Assessment d. Recommendation

b. Background

Which concept is included in Martha Rogers' Science of Unitary Human Beings? a. Views the patient's holistic response to stress b. Each being is unique and needs to be looked at as a whole c. Based on setting goals to meet patients' needs d. A method for nurses to assist patients to adapt to changes

b. Each being is unique and needs to be looked at as a whole

The nurse is caring for a patient who is pregnant with her fifth child and considering terminating the pregnancy. The patient has asked the nurse for more information. For the past 2 years, the nurse has been unsuccessful in her own attempts to become pregnant. Which intellectual standard is the nurse most likely to have difficulty applying in this situation? a. Humility b. Empathy c. Integrity d. Perseverance

b. Empathy

The nurse implemented strict infection control procedures for an immunocompromised patient. Whose theory did the nurse apply when caring for this patient? a. Jean Watson b. Florence Nightingale c. Hildegard Peplau d. Virginia Henderson

b. Florence Nightingale

The nursing student understands that which concepts are tiers in Maslow's Hierarchy of Needs? Select all that apply. a. Motivation b. Safety c. Individuality d. Physiologic e. Esteem

b. Safety d. Physiologic e. Esteem

The nurse is teaching a patient recently diagnosed with diabetes how to administer insulin injections. Whose theory is the nurse demonstrating? a. Betty Newman b. Sister Callista Roy c. Dorothea Orem d. Florence Nightingale

c. Dorothea Orem

Which non-nursing theory do nurses use to plan care for their patients at different stages in life? a. Maslow's Hierarchy of Needs b. Lewin's Change Theory c. Erikson's Psychosocial Theory of Development and Socialization d. Rosenstock's Health Belief Model

c. Erikson's Psychosocial Theory of Development and Socialization

An experienced nurse, who is precepting a new nurse, is caring for a critically ill patient and just placed a feeding tube as prescribed. After auscultation of air into the stomach to confirm tube placement, the preceptor initiates the tube feeding. The new nurse questions the starting of feeds without verifying nasogastric (NG) tube placement by x-ray, which is the new standard of care. The preceptor responds, "I have been a nurse for 20 years, and I have always verified placement by auscultation of air into the stomach." This response is an example of which activity that can hinder critical thinking? a. Bias b. Erroneous assumption c. Illogical thinking d. Close-mindedness

d. Close-mindedness


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