NURSING SCIENCES NCLEX EAQ'S
What are the steps of evidence-based practice (EBP) in order? - Answers -1. Ask a
clinical question
2. Collect the most relevant evidence
3. Critically appraise the evidenced.
4. Integrate all the evidence with one's clinical expertise, patient preferences, and
values in making a practice decision
5. Evaluate the practice decision or change
6. Share the outcome of EBP changes with others
Which of these is a part of health belief model?
1
Behavioral outcomes
2
Behavior-specific knowledge
3
Perception of susceptibility to an illness
4
Individual characteristics and experience - Answers -3 Perception of susceptibility to an
illness
The health belief model is divided into three components:
1. The first component is an individual's perception of susceptibility to an illness.
2. The second component is an individual's perception of seriousness of an illness.
3. The third component is the preventive actions taken by a person.
The health promotion model focuses on behavioral outcomes, behavior-specific
knowledge and affect, and individual characteristics and experience.
In this model, the client is the individual, group, family, or community. The system is
composed of five concepts that interact with one another: physiologic, psychologic,
sociocultural, developmental, and spiritual.
According to Erikson's theory of psychosocial development, which opposing conflicts is
an older adult likely to face?
1
Trust versus Mistrust
2
Integrity versus Despair
3
Intimacy versus Isolation
4
Industry versus Inferiority - Answers -2 Integrity versus Despair
,An African man presents to the emergency department to obtain pain medication. The
nurse behaves judgmentally and labels the client a drug abuser. What is the nurse
demonstrating?
1
Ethnocentrism
2
Multiculturalism
3
Cultural encounter
4
Cultural imposition - Answers -1 Ethnocentrism
Ethnocentrism is the tendency of a person to hold his or her own beliefs superior to
those of other people. It causes biases and prejudices in regard to people from other
groups. This practice is transmitted by cultural groups from one generation to another.
- In multiculturalism, two cultures coexist and are accepted by the individual.
- In a cultural encounter, part of cultural competence, a nurse engages in cross-cultural
interactions for effective communication.
- Cultural imposition occurs when a nurse or health care provider ignores the
differences between his or her own culture and others and imposes his or her beliefs on
people of other cultures.
A nurse is recalling Piaget's theory of cognitive development. Which statement is a
characteristic of the concrete operations stage?
1
"A child is able describe a process without actually doing it."
2
"A child faces difficulty in conceptualizing time."
3
"A child believes that everyone experiences the world exactly as they do."
4
"A child believes that his or her actions and appearance are constantly being
scrutinized." - Answers -1 "A child is able describe a process without actually doing it."
A nurse changing the dressing on the client's perineum would fall into which zone?
1
Public zone
2
Intimate zone
3
Personal zone
4
Vulnerable zone - Answers -2 Intimate zone
, Changing a client's dressing on the perineum falls under the intimate zone. For this
action, the appropriate interpersonal distance between the nurse and the client should
be between 0 and 18 inches.
- A nurse lecturing a class of students or speaking at a community forum lies within a
public zone.
- A personal zone refers to a nurse sitting on the client's bedside, taking a client's
history, or teaching a client individually.
- The vulnerable zone is where special care is needed.
How many levels of critical thinking exist for nursing judgment? - Answers -3
There are three levels of critical thinking in nursing judgment.
1. The first level is basic critical thinking, in which the nurse has faith that the expert has
the right answer to each problem.
2. The second level is complex critical thinking. The nurse examines and analyzes
information provided by the expert. A nurse engaging in this critical thinking may
discover that another option is available with which to solve an issue.
3. The third level of critical thinking is commitment. A nurse at this level can make
choices without help from others. The nurse at this level of critical thinking takes full
responsibility for every action in which he or she engages.
Which of these programs is least likely to focus on medication delivery process
modification?
1
Evaluation research
2
Quality improvement
3
Experimental research
4
Performance improvement - Answers -3 Experimental research
Experimental research is least likely to focus on medication delivery process
modification.
- Quality improvement, evaluation research, and performance improvement are all likely
to focus on medication delivery process modification in order to make the process better
for the client.
Which statement accurately describes correlational research?
1
Correlational research tests how well a program, practice, or policy is working.
2
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