Nursing Sciences (CQ)

. A client is ambivalent about making a change in health behavior. Which stage of health behavior does the nurse suspect?

Contemplation

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 questions should the nurse ask to elicit psychosocial issues in a client with cancer? Select all that apply.

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

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

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

A nursing student is learning about the nursing process, which consists of four components. Which scenarios should the nursing student consider as examples of the feedback component? Select all that apply.

"The nurse notices that the client's pain has decreased after giving a back massage." "The caregiver says that the client's body temperature has decreased after administering the prescribed medication." "The nurse finds that the client has developed breathing issues after the medication is administered through the central venous access device."

How many steps are there in evidence-based practice? Record your answer using a whole number.

6

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 to 11 years

Which is used for determining the hours of care and staff required for a group of clients?

Acuity records

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

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

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 Evaluatio

A primary nurse managing client case records finds that the discharge teaching plan for a client is inadequate. The nurse consults other team nurses and formulates a better teaching plan. Which element of the decision making process is the nurse exercising?

Authority

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 domain of the Nursing Interventions Classification taxonomy includes care that supports homeostatic regulation?

Domain 2

A nurse is analyzing and explaining the demographics of a population under research. What phase of the nursing process is the nurse exercising?

Evaluation phase

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

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

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

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

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

Which level of Maslow's hierarchy of needs is fulfilled by the nurse fitting a client who nearly died of asphyxiation with an oxygen mask?

First Level

An injured client with an open wound is brought to the hospital. The doctor asks the nurse to administer a tetanus toxoid injection. Which standard of the nursing practice as defined by the American Nurses Association does the nurse follow?

Implementation

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

Informed consent

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

A client requiring long-term ventilator management is discharged from the health care facility. Which health care setting should this client be referred to?

Intermediate care

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

It provides temporary care for 96 hours or less.

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

It uses knowledge based only on research studies.

A registered nurse is teaching a nursing student about various developmental theories. What points mentioned by the registered nurse are accurate? Select all that apply.

Moral development theory attempts to define how moral reasoning matures in an individual. Developmental theory provides a basis for nurses to assess and understand a client's responses.

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

Narrative documentation

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

Nightingale's theory

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

Obtaining necessary approvals Recruiting the subjects Doing a pilot study Continually assessing study methodology

A nurse is caring for a client recovering from a minor hand fracture who is preparing to be discharged. The nurse gives details on the ways to bathe, dress, groom, and eat without needing the help of family members. Which theory is appropriate for this situation?

Orem's Theory

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

Orem's theory

What is true about prescriptive theory?

Prescriptive theory focuses on medication

Which basic human needs belongs to the fourth level as per Maslow's hierarchy of needs? Select all that apply.

Self-worth Achievement

Which healthcare system is required after a physical or mental illness, injury, or chemical addiction?

Rehabilitation

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

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

The registered nurse coordinates with a dietician and a certified diabetes educator (CDE) while caring for a client recently diagnosed with diabetes. Which Quality and Safety Education for Nurses (QSEN) competency is involved in this intervention?

Teamwork and collaboration

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.

A registered nurse is instructing a nursing student to search for evidence in 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?

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

A client is in a state of ambivalence. Which of these stages of health behavior will the nurse suspect?

Contemplation

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.