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COMPLETE TEST BANK FOR CRITICAL CARE NURSING A HOLISTIC APPROACH 12TH Edition Exam Questions and Correct Answers with Rationales/ All Chapters Covered.$23.49
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COMPLETE TEST BANK FOR CRITICAL CARE NURSING A HOLISTIC APPROACH 12TH Edition Exam Questions and Correct Answers with Rationales/ All Chapters Covered.
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Critical care nursing Morton 12th edition
Institution
Critical Care Nursing Morton 12th Edition
COMPLETE TEST BANK FOR CRITICAL CARE NURSING A HOLISTIC APPROACH 12TH Edition Exam Questions and Correct Answers with Rationales/ All Chapters Covered.
COMPLETE TEST BANK FOR CRITICAL CARE NURSING A
HOLISTIC APPROACH 12TH Edition Exam Questions and
Correct Answers with Rationales/ All Chapters Covered.
The nurse is caring for a patient who does not follow the prescribed regimen for diabetes management.
As a prescriber to Orem's theory, the nurse interviews the patient in an attempt to identify the cause of
the patient's "noncompliance." What is the rationale for the nurse's behavior?
a. Orem's theory is useful in designing interventions to promote self-care.
b. Orem's theory focuses on cultural issues that may affect compliance.
c. Orem's theory allows for reduction of anxiety with communication.
d. Orem's theory helps nurses manipulate the patient's environment. - ANSWER - ANS: A
When applying Orem's theory, a nurse continually assesses a patient's ability to perform self-care and
intervenes as needed to ensure that the patients meet physical, psychological, sociological, and
developmental needs. According to Orem, people who participate in self-care activities are more likely to
improve their health outcomes. Leiniger's culture care theory focuses on culture diversity and provides
culturally specific nursing care. According to Peplau, nurses help patients reduce anxiety by converting it
into constructive actions, using therapeutic communication. Nightingale's grand theory is a patient's
environment can be manipulated by nurses to restore a patient to health.
A nurse is testing meditation for migraine headaches and the expected outcome of care when
performing this intervention. Which type of theory is the nurse using?
a. Grand
b. Prescriptive
c. Descriptive
d. Middle-range - ANSWER - ANS: B
A prescriptive theory details nursing interventions (meditation) for a specific phenomenon (migraine
headaches) and the expected outcome of the care. Grand theories are broad in scope and complex and
require further specification through research; it does not provide guidance for specific nursing
interventions. Descriptive theories do not direct specific nursing activities but help to explain patient
assessment. A middle-range theory tends to focus on a concept found in 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.
pg. 1
,The nurse researcher is evaluating whether holding pressure at an injection site after injecting the
anticoagulant enoxaparin will reduce bruising at the injection site. This study involves a prescriptive
theory. What is the nurse's rationale for involving a prescriptive theory?
a. It explains why bruising occurs.
b. It is broad in scope and complex.
c. It tests a specific nursing intervention.
d. It reflects a wide variety of nursing care situations. - ANSWER - ANS: C
Prescriptive theories detail nursing interventions for a specific phenomenon and the expected outcome
of the care but it does not explain why. Grand theories are broad in scope and complex and focus on a
wide variety of nursing care situations.
A nurse is using nursing theory and the nursing process simultaneously to plan nursing care. How will the
nurse use nursing theory and the nursing process in practice?
a. Nursing theory can direct how a nurse uses the nursing process.
b. Nursing theory requires the nursing process to develop knowledge.
c. Nursing theory with the nursing process has a minor role in professional nursing.
d. Nursing theory combined with the nursing process is specific to certain ill patients. - ANSWER - ANS: A
Nursing theory can direct how a nurse uses the nursing process. Integration of theory into practice
(nursing process) serves as the basis for professional nursing. The nursing process provides a systematic
process for the delivery of care, not the knowledge component of the discipline. Useful theories are
adaptable to different patients and to all care settings.
The nurse views the patient as an open system that needs help in coping with stressors. Which theorist is
the nurse using?
a. King
b. Levine
c. Neuman
d. Johnson - ANSWER - ANS: C
Neuman views a patient as being an open system that is in constant energy exchange with the
environment that the nurse must help cope with stressors. King views a patient as a unique personal
system that is constantly interacting/transacting with other systems that the nurse helps with goal
attainment. Levine believes nurses promote balance between nursing interventions and patient
pg. 2
,participation to assist in conserving energy needed for healing. Johnson perceives patients as a collection
of subsystems that forms an overall behavioral system focusing on balance.
The nurse is caring for a patient diagnosed with essential hypertension. The health care provider
prescribes blood pressure medication that the nurse administers. The nurse then monitors the patient's
blood pressure for several days to help determine effectiveness. Which system component is the nurse
evaluating?
a. Input
b. Output
c. Content
d. Feedback - ANSWER - ANS: B
Output is the end product of a system and, in the case of the nursing process, it is defined as whether
the patient's health status improves or remains stable as a result of nursing care. Input consists of the
data that come from a patient's assessment. Feedback serves to inform a system about how it functions.
Content is the product and information obtained from the system.
A patient is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA) and is placed in
isolation until cultures can be obtained and declared noninfectious. During the isolation process, the
nurse encourages family visits. Which level of Maslow's hierarchy of needs is the nurse promoting when
the family is encouraged to visit?
a. First level
b. Second level
c. Third level
d. Fourth level - ANSWER - ANS: C
The third level contains love and belonging needs, including family and friends. The first level includes
physiological needs. The second level includes safety and security needs. The fourth level encompasses
esteem and self-esteem needs. The fifth and final level is the need for self-actualization.
A nurse is caring for pediatric patients and using the developmental theory to plan nursing care. What is
the focus of this nurse's care?
a. Humans have an orderly, predictive process of growth and development.
b. Humans respond to threats by adapting with growth and development.
c. Humans respond with cognitive principles for growth and development.
pg. 3
, d. Humans have psychosocial domains to growth and development. - ANSWER - ANS: A
With development theory, human growth and development is an orderly predictive process that begins
with conception and continues through death. Stress/adaptation theories describe how humans respond
to threats by adapting in order to maintain function and life. Educational theories explain the teaching-
learning process by examining behavioral, cognitive, and adult-learning principles. Psychosocial theories
explain human responses within the physiological, psychological, sociocultural, developmental, and
spiritual domains.
Upon assessment, the nurse notices that the patient's respirations have increased, and the tip of the
nose and earlobes are becoming cyanotic. The nurse finds that the patient's pulse rate is over 100 beats
per minute. According to Maslow's hierarchy of needs, which patient need should the nurse address
first?
a. Self-esteem
b. Physiological
c. Self-actualization
d. Love and belonging - ANSWER - ANS: B
Maslow's hierarchy is useful in setting patient priorities. Basic physiological and safety needs are usually
the first priority. After the physiological and safety needs are met, the nurse can move to love and
belonging, self-esteem, and self-actualization.
Which behavior from a nurse indicates the nurse is using Nightingale's theory to plan nursing care?
a. Knows all about the disease processes affecting patients
b. Focuses on medication administration and treatments
c. Thinks about the patients and patients' environments
d. Considers nursing knowledge and medicine the same - ANSWER - ANS: C
Nightingale's theory provides nurses with a way to think about patients and their environment.
Nightingale's concept of the environment was the focus of nursing care, and her firm conviction was that
nursing knowledge is distinct from medical knowledge. Nightingale did not view nursing as limited to the
administration of medications and treatments.
The home health nurse listens to the patient's concerns about having "open-heart" surgery. The nurse
explains the different surgical procedures and other options, like cardiac rehabilitation. After several
visits, the patient wants cardiac rehabilitation. The nurse notifies the health care provider and sets up a
referral. Which theory is the nurse using?
pg. 4
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