Holistic Nursing Quiz #1 – Flashcards
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a theory
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"A supposition or system of ideas that is proposed to explain a given phenomenon" best defines what term?
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a conceputal framework
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What term best describes "a group of related ideas or statements"?
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a paradigm
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What term best describes "a set of shared understandings and assumptions about reality and the world?
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Nursing focuses on performing the professional role.
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Which provides the best explanation for describing nursing as a practice discipline?
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Can be utilized in any setting when caring for a client
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Person, environment, health and nursing consitute the metaparadigm for nursing because they do which of the following?
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Practice theories assist nurses to reflect on the effectiveness of what they do
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Which is an accurate statement about the role of nursing theory?
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help scientists interpret phenomena
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What is the purpose of theory in science?
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"What were you told about the procedure you are going to have?"
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A primary care provider's orders indicate that a surgical consent form needs to be signed. Since the nurse was not present when the primary care provider discussed the surgical procedure, which statement best illustrates the nurse fufilling the client adovcate role?
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Battery
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Although the client refused the procedure, the nurse insisted and inserted a nasogastric tube in the right nostril. The adminstor of the hospital decides to settle the lawsuit because the nurse is most likely to be found guilty of which of the following?
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Notify the prescriber
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A nurse discovers that a primary care provider has prescribed an unusually large dosage of a medication. What is the most approprite action?
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No, the client was not harmed.
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A primary care provider prescribes one tablet, but the nurse accidently adminsters two. After notifying the primary care provider, the nurse monitors the client carefully for untoward effects of which there are none. Is the client likely to be successful in suing the nurse for malpractice?
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"I can't do it. Is there something else I can help you with?"
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A nurse asks a UAP if he has performed a uniary catheterization on clients while in the nursing program. The UAP answers yes. The nurse asks him to help her out by doing a urinary catheterization on a postsurgical client? What is the best response for the UAP to use?
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The nurses will continue to implement all treatments focused on comfort and symptom mangagement.
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The primary care provider wrote a do-not-resuciate order. The nurse recognizes that which applies in the planning of nursing care for this client?
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Access to the chart requires a signed release form
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The nurse's partner/spouse undergoes exploratory surgery at the hospital where the nurse is employed. Which practice is most appropriate?
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- The nurse needs to know the Good Samaritan Act for the state. - The nurse is not held liable unless there is a gross negligence. - The nurse offers to help but cannot insist on helping.
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Following a motor accident, a nurse stops and offers assistance. What are the most approriate actions?
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- Is increasingly absent from the nursing unit during the shift. - "Forgets" to sign out for adminstration of controlled substances - Offers to adminster prn opioids for other nurse's clients
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The nurse notices that a collague's behaviors have changed during the past month. What behaviors could indicate signs of impairement?
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- forgets to complete the assessment of a client - does not follow up on client's complaints
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What nursing actions could result in malpractice?
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Be able to defend the morality of one's own actions
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When a nursing ethical issue arises, one of the most important nursing responsibilites in managing client care situations is what?
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Respect of autonomy
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Following a motor vehicle crash, the parents refuse to permit withdrawl of life support for the child with no apparent brain function. The nurse believes the child should be allowed to die and organ donation considered. What moral principle provides the basis for the nurse's action?
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"Some people might have made a different decision. What led you to make your decision?"
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Which statement would be most helpful when a nurse is assisting clients in clarifying their values?
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Help the client and family communicate their views to each other.
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If nurses were acting as a client advocate, the nurse would perform which action?
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The nurse is bound to act according to the nurse's code of ethics even if the nurse's values are different
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Values, moral frameworks and code of ethics influence the professional nurse's moral decisions in which way?
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The nurse listens as the client describes how he has been caring for his diabetes at home
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What is an example that best illustates the principle of knowing the client?
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empowering the client
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The nurse teaches a client with diabetes how to make decisions about insulin mangement after discharge. This teaching most clearly reflects which caring activity?
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patience
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Mayeroff describes allowing the other to grow on his own way and time. This behavior most clearly reflects which major ingredient of caring?
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The Indonesian parents of an infant preferred to use hot/cold therapies to prevent seizures and withheld the prescribed seizure medication
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Leininger's theory, culture care diversity and universality, would provide the best framework for assessing which nursing situation?
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nursing prescence
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The nurse sits with the client and holds the client's hand as his pain decreases. This is an example of which caring practice?
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Theory of beareaucratic nursing
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Which nursing theory is depicted by a model with spiritual-ethical caring in the center, surrounded by technological, physical, legal, politcial, economic, socio-cultural, and educational systems?
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music therapy
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A nurse, sitting quietly in a chair, breathing deeply, and focusing on the mental image of a crystal is using which mind-body therapy?
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vigorous activity for 20 minutes on 3 days a week
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A 40 year old comes into the clinic for a routine physical exam asks the nurse how much exercise is recommended for a healthy lifestyle? What is the most appropriate response?
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Gentle touch while providing ADLs
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A student nurse is caring for a 72 year old patient with Alziemer's diesase who is very confused. What is the most approriate communication strategy to be used by the student nurse?
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- Absorb both the content and the feeling the client is conveying - presume an understanding of the client needs - adopt an open professional posture - react quickly to the message
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The nurse who uses appropriate therapeutic listening skills will display which behaviors?
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respect
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A nurse tells a client who is struggling with cancer pain, "It is normal to feel frusturated about the discomfort." Which is the most representative of the skills associated with the working phase of the helping relationship?
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keep the client busy with social activities
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When planning care for an older client residing in your skilled nursing facility who is searching to make life meaningful, which nurses action would be most beneficial?
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"What should I pray for?"
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A client's wife ask the nurse to pray with her. What would be the best initial response for a nurse who believes in prayer?
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Physical, mental and emotional prescence
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A client is experiencing severe pain that cannot be controlled by analegesics. What is an appropriate intervention?
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First assess what prompts the client's question.
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A dying client states, "Part of what makes dying hard is that I don't know for sure where I'm going. Nurse, what do you believe happens in the hereafter?" Which ethical guideline should guide your response?
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spiritual health and mental health are correlated
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Research evidence that supports providing spiritual care to older adults suggests what?
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"May I please call a representative of your religion so that I can understand your position better?"
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A client in the emergency department needs a transfusion of red blood cells. The client tells the nurse that, as a Jehovah's witness, blood transfusions are not permitted. What statement would most likely lead to a resolution for this conflict?
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"How can we support your spiritual beliefs and practices?"
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Which of the following is an appropriate spiritual screening or assessment question?
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Spiritual Distress relates to anger at God
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The mother of a pediatric client states, "I can't understand why God would allow this to happen to my innocent child!" Which NANDA diagnosis is most accurate?
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The metaparadigm consists of four concepts that many consider to be central to nursing. - The person or client - the environment - health - nursing
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The Metaparadigm of Nursing
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the theorist that described nursing 150 years ago as establishing an environment that allows people to recover from illness.
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Nightingale's Environmental Theory
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a psychiatric nurse that introduced her interpersonal concepts in 1952. Her theory is the existnence of a therapeutic relationship between the nurse and the client.
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Peplau's Interpersonal Relations Model
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a theorist that described nursing in relation to the client and the client's environment
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Henderson's Definition of Nursing
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a theorist with a theory of unitary human beings in 1970. This theorist viewed a person a whole, the whole being greater than the sum of its parts.
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Roger's Science of Unitary Human Beings
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a theory first published in 1971. This theory includes three related concepts: self-care, self-care deficit, and nursing systems
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Orem's General Theory of Nursing
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a theory of goal attainment that was derived from her conceptual framework. This framework shows the relationhip of personal systems, interpersonal systems, and social systems
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King's Goal Attainment Theory
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a theory made from a health nurse and clinical psychologist, who developed a model based on the individual's relationship to stress, the reaction to it, and reconstitution factors that are dynamic in nature
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Neuman's Systems Model
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a sister that defined adaption as the process and outcome whereby thinking and feeling person uses conscious awareness and choice to create human environmental integration
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Roy's Adaption Model
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a nurse antropologist that states that care is the esscence of nursing and the dominant, distinctive, and unifying feature of nursing
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Leininger's Culture Care Diversity and Universality Theory
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a theorist that believes the practice of caring is central to nursing: it is unifying focus for practice
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Watson's Human Caring Theory
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a theorist that proposed 3 assumptions about human becoming: - human becoming is freely choosing personal meaning in situations in the intersubjective process of relating value priorites - human becoming is cocreating rhythmic patterns or relating in the mutual process with the universe - human becoming is contrascending multidimensionally with the emerging possibilites.
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Parse's Human Becoming Theory
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an agreement by a client to accept a course of treatment or a procedure after being provided complete information, including the benefits and risks of treatment, alternatives to the treatment, and prognosis if not treated by a health care provider.
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informed consent
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an individual's ability to read, write and speak in English, and compute and solve problems at levels of proficiency necessary to function on the job and in society, to achieve one's goals and develop one's knowledge and potential.
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literacy
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a limited ability to do what is defined above
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low literacy
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being unable to read or write
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illiteracy
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the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions
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health literacy
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the defendant executed the act on purpose or with intent
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intentional torts
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the transfer of responsibility for the performance of an activity from one person to another while retaining accountability for the outcome.
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delegation
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- personal knowledge of the client is key in the caring relationship between nurse and client - the nurse aims to know who the client is, in his or her uniqueness - this knowledge is gained by observing and talking with the client and family while using effective listening and communication skills
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Knowing the client
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a theory that focuses on caring in organization as cultures. The theory suggests that caring in nursing is contextual and is influenced by the organizational structure
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Theory of Bureaucratic Caring
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a theory that focuses on caring as a philosophical concept and proposes that caring is the human mode of being.
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Caring, the Human Mode of Being
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two theorists that suggest that the purpose of the discipline and profession of nursing is to know persons and nuture them as persons living and growing in caring
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Nursing as Caring
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a theory of human care views caring as the esscence and the moral idea of nursing. Human care is the basis for nursing's role in society
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Theory of Human Care
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a theorist that defined caring as, "a nuturing way of relating to a valued 'other', toward whom one feels a personal sense of committment and responsiblity."
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Theory of Caring
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communcation that uses spoken or written word
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verbal communcation
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communcation that uses other forms, such as gestures or facial expressions, and touch
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nonverbal communication
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a form of communcation that involves technology; i.e email, where an individual can send a message, to another person or group of people
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electronic communication
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nurses cannot care, never mind respond, to a client's spiritual needs unless they hear and respond to their own need. A nurse's spiritual needs, pains, woundedness, can affect how he or she cares for clients. Some ways a nurse can do spiritual self-care is: - write a self-epitaph - explore personal end-of-life issues - create a personal loss history - list significant values - conduct a spiritual self-assessment
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nurse self-care
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- stereotyping - agreeing and disagreeing - being defensive - challenging - probing - testing - rejecting - changing topics and subjects - unwarranted reassurance - passing judgment - giving common advice
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Barriers to Communication
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such needs are not problems to be processed, but perhaps better understood as inner movements, yearnings, or experiences - need for meaning and purpose - need to express creativity - need for hope - need to transcend life challenges - need for personal dignity - need to forgive others - need to cope with loss of loved ones - need to worship - need to contribute or improve one's community - need to be respected and valued
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spiritual needs
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- seek a basic understanding of client's spiritual needs, resources and practices - follow the client's expressed wishes regarding spiritual care - do not prescribe or urge clients to adopt certain spiritual beliefs or practices - strive to understand personal spirituality and how it influences caregiving - provide spiritual care in a way that is consistent with personal beliefs. - assisting clients with prayer - reffering clients to spiritual care experts
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supporting religious practices
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which is defined as being present, being there, or just being with a client, is a term that identifies one of the compontencies incorporated by expert nurses - giving of self in the present moment - being available with all of self - listening, with full awareness of the privilege of doing so - being there in a way that is meaningful to another person
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prescence as a spiritual care strategy
