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Nursing 110 Chapter 4 Test Bank Exam 2024/2025 Questions With Completed & Verified Solutions.
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Nursing 110 Chapter 4 Test Bank Exam 2024/2025 Questions With Completed & Verified Solutions.
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Nursing 110 Chapter 4 Test BankThe nursing instructor is teaching a class on nursing theory. One of the students asks, "Why do
we need to know this stuff? It doesn't really affect patients." What is the instructor's best
response?
a.
"You are correct, but we have to learn it anyway."
b.
"This keeps the focus of nursing narrow."
c.
"Theories help explain why nurses do what they do."
d.
"Exposure to theories will help you later in graduate school." - ANS ANS: C
Theories offer well-grounded rationales for how and why nurses perform specific interventions
and for predicting and/or prescribing nursing care measures. Although nursing theory will help
the nurse in graduate school, it is also an important basis for the nurse's approach to daily
patient care, and it expands scientific knowledge of the profession.
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. - ANS 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 - ANS 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.
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. - ANS 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. - ANS 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 - ANS 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 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 - ANS 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
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