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Pt centered care, Safety, and EBP 1125 Questions With Complete Solutions
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Pt centered care, Safety, and EBP 1125 Questions With Complete Solutions
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Pt centered care, Safety, and EBP 1125 Questions WithComplete Solutions
A charge nurse meets with staff to outline a plan to provide
transcultural nursing care for patients in their health care facility.
Which theorist promoted this type of caring as the central theme
of nursing care, knowledge, and practice?
A. Madeline Leininger
B. Jean Watson
C. Dorothy E. Johnson
D. Betty Newman Correct Answer a. Madeline Leininger's
theory provides the foundations of transcultural nursing care by
making caring the central theme of nursing. Jean Watson stated
that nursing is concerned with promoting and restoring health,
preventing illness, and caring for the sick. The central theme of
Dorothy E. Johnson's theory is that problems arise because of
disturbances in the system or subsystem or functioning below
optimal level. Betty Newman proposed that humans are in
constant relationship with stressors in the environment and the
major concern for nursing is keeping the patient system stable
through accurate assessment of these stressors.
A client, who has limited finances and limited capacity for
education, requires home health care for a chronic illness. For
the nurse to provide a high level of care to this client, the nurse
must first: Correct Answer implement critical thinking skills
A female patient who is receiving chemotherapy for breast
cancer tells the nurse, "The treatment for this cancer is worse
than the disease itself. I'm not going to come for my therapy
anymore." The nurse responds by using critical thinking skills to
,address this patient problem. Which action is the first step the
nurse would take in this process?
The nurse judges whether the patient database is adequate to
address the problem.
The nurse considers whether or not to suggest a counseling
session for the patient.
The nurse reassesses the patient and decides how best to
intervene in her care.
The nurse identifies several options for intervening in the
patient's care and critiques the merit of each option Correct
Answer .c. The first step when thinking critically about a
situation is to identify the purpose or goal of your thinking.
Reassessing the patient helps to discipline thinking by directing
all thoughts toward the goal. Once the problem is addressed, it is
important for the nurse to judge the adequacy of the knowledge,
identify potential problems, use helpful resources, and critique
the decision
A nurse is assessing a patient who is diagnosed with anorexia.
Following the assessment, the nurse recommends that the patient
meet with a nutritionist. This action best exemplifies the use of:
Clinical judgment
Clinical reasoning
Critical thinking
Blended competencies Correct Answer a. Although all the
options refer to the skills used by nurses in practice, the best
choice is clinical judgment as it refers to the result or outcome of
critical thinking or clinical reasoning—in this case, the
recommendation to meet with a nutritionist. Clinical reasoning
usually refers to ways of thinking about patient care issues
(determining, preventing, and managing patient problems).
,Critical thinking is a broad term that includes reasoning both
outside and inside of the clinical setting. Blended competencies
are the cognitive, technical, interpersonal, and ethical and legal
skills combined with the willingness to use them creatively and
critically when working with patients.
A nurse is assessing the following children. Which child would
the nurse identify as having the greatest risk for choking and
suffocating?
A toddler playing with his 9-year-old brother's construction set
A 4-year-old eating yogurt for lunch
An infant covered with a small blanket and asleep in the crib
A 3-year-old drinking a glass of juice Correct Answer a. A
young child may place small or loose parts in the mouth; a toy
that is safe for a 9-year-old could kill a toddler. An infant
sleeping in a crib without a pillow or large blanket and a 3-year-
old and a 4-year-old drinking juice and eating yogurt are not
particular safety risks.
A nurse is caring for a patient who has complications related to
type 2 diabetes mellitus. The nurse researches new procedures to
care for foot ulcers when developing a care plan for this patient.
Which QSEN competency does this action represent?
Patient-centered care
Evidence-based practice
Quality improvement
Informatics Correct Answer c. Quality improvement involves
routinely updating nursing policies and procedures. Providing
patient-centered care involves listening to the patient and
demonstrating respect and compassion. Evidence-based practice
is used when adhering to internal policies and standardized
, skills. The nurse is employing informatics by using information
and technology to communicate, manage knowledge, and
support decision making.
A nurse is conducting quantitative research to examine the
effects of following nursing protocols in the emergency
department (ED) on patient outcomes. This is also known as
what type of research?
A. Descriptive
B. Correlational
C. Quasi-experimental
D. Experimental Correct Answer c. Quasi-experimental
research is often conducted in clinical settings to examine the
effects of nursing interventions on patient outcomes. Descriptive
research is often used to generate new knowledge about topics
with little or no prior research. Correlational research examines
the type and degree of relationships between two or more
variables. Experimental research examines cause-and-effect
relationships between variables under highly controlled
conditions.
A nurse is filing a safety event report for a confused patient who
fell when getting out of bed. What action is performed
appropriately?
The nurse includes suggestions on how to prevent the incident
from recurring.
The nurse provides minimal information about the incident.
The nurse discusses the details with the patient before
documenting them.
The nurse records the circumstances and effect on the patient in
the medical record. Correct Answer d. A safety event report
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