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Nursing Sciences

Terms in this set (89)

How many rights of delegation are there?
5 - right task, right circumstances, right person, right direction/communication, and right supervison/evaluation
According to Freud's developmental theory, which developmental age is called the latent stage?
Middle childhood
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 others
Which feature, according to Benner, is observed in the nurse at the proficient level?
Focuses on managing care rather than managing skills
Which describes the primary purpose of evidence-informed nursing practice (EIP)?
Using results from research to improve the outcome of nursing care
Which record will the nurse use for recording client data from admission through discharge?
Source record
Which nursing theory would the nurse use as a guide when caring for a group of clients with diverse cultural backgrounds?
Leininger's theory
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 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
In which stage does the nurse teach the parent about child impulse control and cooperative behaviours, according to Erikson's theory of psychosocial development
Initiative vs guilt
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
King's theory
Use communication to help patient reestablish positive adaptation to environment
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 vs self-absorption and stagnation stage
Which personality aspects would a child with a difficult temperament display?
High active, irritable, and irregular in habits
Intense and primarily negative mood
Slow adaptation to new routines, people, or situations
Which statements made by the student are accurate regarding Neuman's systems theory?
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 describes the similarity between grand theory and descriptive theory?
Both theories are nonspecific to a particular nursing intervention
In providing pain medication for a client who suffered serious injuries after a motor vehicle accident, which theory is the nurse using?
Kolcaba's theory of comfort
What is the similarity between the stage-crisis theory by Havighurst and the psychosocial development theory given by Erikson?
Based on developmental tasks
Which steps are taken by the nurse during the implementation phase of medication research?
Obtaining necessary approvals
Recruiting subjects and collecting data obtained from the study
The nurse is analyzing and explaining the demographics of a population under research. Which phase of the nursing process is the nurse exercising when analyzing and explaining the demographics of a population under research?
Evaluation
What are the characteristics of the phallic stage?
Child may develop an oedipal complex
A girl may experience "penis envy" feelings
The genital organs are the focus of pleasure
The nurse is recollecting Freud's psychoanalytical model of personality development. Which is a characteristic of the oral stage?
Realizes that he or she or she is a separate individual
Which action of the nurse relates to the Quality and Safety Education for Nurses (QSEN) competency of quality improvement?
The nurse uses data to monitor the outcomes of care
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 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 their environment
The child learns about themselves and the environment through motor and reflex actions
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
Which interventions by the nurse help make a successful referral process?
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 activities would the nurse engage in when providing tertiary care at a rehab center?
Providing work therapy for hospitalized clients
Making provisions to help clients maximize their capabilities
Which is the characteristic of the preoperational stage of Piaget's theory of cognitive development?
An infant may learn to think with the use of symbols abd mental images
Which statement is true according to Piaget's theory of cognitive or moral development in the adolescent?
The child revelops abstract thinking
The child is in the formal operations period
Which points have been correctly noted by the nursing student regarding the domain of nursing?
The domain of nursing provides both a practical and theoretical aspect of the discipline

The domain is the knowledge of nursing practice as well as the knowledge of nursing history, theory, education, and research

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 settings
Which competencies are important in the rural setting?
Emergency care, physical assessment, clinical decision-making
Which professional responsibility does the nurse display when teaching deep breathing exercises to a client recovering from surgery?
Autonomy
Which activities would the nurse be prepared to perform as a member of a disaster preparedness team if a disaster were to occur?
Triage, decontamination procedures, evaluation of the disaster plan
Which developmental stage is considered the pre-conventional level according to Kohlberg's theory?
Toddler and preschool
How does the 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
Erikson's 8 stages
1. Trust vs mistrust
2. Autonomy vs sense of shame and doubt
3. Initiative vs guilt
4. Industry vs inferiority
5. Identity vs role confusion
6. Intimacy vs isolation
7. Generativity vs self-absorption and stagnation
8. Integrity vs despair
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 measures would the nurse perform to provide preventative and primary care to adults during a health camp?
Discussing vaccinations, discussing family planning, instructing the health camp about road safety measures
Which time is appropriate for the nurse manager to schedule a 30-min nursing education class?
At the overlap of each shift
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
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 describes the similarity between evidence-based practice (EBP) and quality improvement (QI)?
Both receive funding from internal sources
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
Which points regarding prescriptive theories have been correctly stated?
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
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 information regarding nursing theories is accurate?
Descriptive theories describe, relate, and in some situations predict, nursing phenomena
Which Quality and Safety Education for Nurses (QSEN) competency would the nurse address when sending email reminders to the community about vaccines and regular diabetic checkups?
Informatics
How many steps are there in evidence based practice?
6
Which purpose is being fulfilled when the nurse reviews the client's record to learn the nature of an illness and the client's response to it?
Education
According to Erikson's theory, which psychosocial developmental changes are observed in middle childhood?
The child is engaged in tasks and activites
The child can differentiate between industry and inferiority
Which nursing interventions are examples of a nurse as a caregiver?
Encouraging the client to exercise daily
Setting goals for the client to reduce weight
Arranging for the client to meet a spiritual advisor
Which specific responsibility does the nurse have in working for an organization that has Magnet® status?
Collecting data for comparison against a national level
Which might an individual experience in Erikson's initiative vs guilt stage?
Pretends and tries out new roles
May develop a superego or a conscience
Fantasizes and imagines discovering the environment
How is public health nursing different from community health nursing?
Public health nursing focuses on a population
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?
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
According to Piaget's theory, which are the cognitive or moral developmental changes in children aged 6-12 years?
The child develops logical thinking
The child is in the concrete operations period
Which questions would the nurse ask to elicit psychosocial issues in a client with cancer?
How is your family dealing with your condition?
How do you rate your distress on a scale from 0-10?
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
Which does the intimacy versus isolation stage of Erikson's theory of development include?
An individual develops a sense of identity and deepens their capacity to love others and care for them

An individual searches for meaningful friendships and an intimate relationship with another person

An individual may develop fears, rejection, and disappointment if unable to establish companionship and intimacy
Which would the nurse do to provide patient-centered care based on the 5 Institute of Medicine (IOM) competencies
Share decision-making and management
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 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
Which statements from the nursing student indicate an understanding of Nightingdale's theory?
It deals with visionary principles that include areas of practice, research, and education

Deals with descriptive theories that provides nurses with a way to think about clients and their environment

It focuses on the fact that nursing is caring through the environment and helping the client deal with symptoms related to illness
Which temperament would an easy child display?
Open and adaptable to change, regular and predictable in their habits, mild to moderately intense mood that is typically positive
Which element of the decision-making process is the nurse exercising when he or she consults other team nurses to formulate a better teaching plan after learning the original discharge plan was inadequate?
Authority
Which information would the nurse provide for a client who is discharged from the health care facility with a surgical wound?
Skill to care for the surgical wound
Safe and effective use of medications
List of appropriate community resources
Which are the characteristics of the abstract section of an article?
Summariezes the purpose of the article
Mentions the major themes and implications for nursing practice
Brief summary that informs the reader whether the article is research or clinically based
What is the goal of nursing according to King's theory?
Using communication to help the client reestablish positive adaptation to environment
According to Erikson's theory, at which age would a child develop self-control and independence?
18 months to 3 years old
How are SOAP progress notes different from PIE progress notes?
In SOAP the P is for plan and in PIE it is problem

SOAP progress notes originate from medical records, PIE nursing notes have a nursing origin

SOAP includes assessment information, PIE does not
Which of these measures should the nurse take during the working phase of a helping relationship?
Using appropriate self-disclosure and confrontation
Which statements about culturally congruent care by the student nurse are correct?
Main goal of transcultural nursing
Provided through cultural competence
Depends on the patterns and needs of an individual
A client in the final stage of cancer is very anxious about his or her disease. The client is showing aggressive behavior toward 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
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's theory
In which stage of moral development does the child who assists their peers complete assignments to win a teacher's approval belong?
Stage 3
Which program is an example of a continuing education program?
A program on caring for the elderly with dementia offered by a university
Which statements would the nurse include wen 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
What statements indicate an understanding of Peplau's theory
Creates a maturing force
Involves the nurse acting as a resource and surrogate
Includes 3 phases that characterize the interpersonal relationship
What 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 statement is true of the middle childhood stage according to Kohlberg's development of moral reasoning?
Child is in the conventional level and develops and good boy-nice girl orientation
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 their care
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 stage
What distinguishes evidence based practice from quality improvement
Evidence-based practice focuses on the implementation of evidence already known into practice
Which points about theories made by the nursing student are accurate?
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 info

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 points have been correctly noted by the nursing student regarding how the environment and situation affect clients?
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 home, school, workplace, or community influence a client's level of health and health care needs
What point noted down by the nursing student regarding paradigm needs correction?
The perspective of a profession is known as a paradigm
What points mentioned by the nursing student are accurate regarding nursing research?
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
How would the nurse incorporate the quality of accuracy into client documentation
By using exact measurements for each client's activity
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