Evolve- Nursing Science – Flashcards

Unlock all answers in this set

Unlock answers
question
What is the purpose of block and parish nursing?
answer
To provide services to older clients
question
The nurse is caring for a client who requires an intravenous infusion. The nurse explains the reason for the procedure while assembling the kit for the infusion. What is the role of the nurse in this situation?
answer
Educator
question
Which theory provides a basis for identifying and testing nursing care behaviors to determine if caring improves patient health outcomes?
answer
Swanson's theory of caring
question
Which of these programs is least likely to focus on medication delivery process modification?
answer
Experimental research
question
A nurse questions the staff about a change in a client's plan of care. What does this demonstrate?
answer
Authority
question
Which statement about Orem's theory needs to be corrected?
answer
It describes factors supporting the health of the family
question
A nurse helps a client to clarify health problems and choose appropriate courses of action. What competency in community-based practice is the nurse exercising?
answer
Counselor
question
Which group benefits from Medicare?
answer
People who are 65 years or older
question
Which opposing conflict does a young adult face according to Erikson's theory of psychosocial development?
answer
Intimacy versus Isolation
question
Which statement about Henderson's theory of nursing care is correct?
answer
Henderson organized the theory into 14 basic needs of the whole person and includes phenomena from the following domains of the client: physiological, psychological, sociocultural, spiritual, and developmental.
question
Which healthcare system focuses solely on palliative care?
answer
Hospice
question
According to Sigmund Freud's developmental theory, which developmental age is called the latent stage?
answer
Middle Childhood
question
What is the primary focus of the nurse when providing evidence-based care to the client?
answer
Problem-solving approach
question
Which statement defines "information" gathered by the nurse?
answer
It is the organization and interpretation of data.
question
Which statement made by a nursing student about Swanson's theory of caring needs correction?
answer
Swanson's theory of caring provides a basis to help nurses understand how clients cope with uncertainty and the illness response.
question
While teaching a nursing student, a registered nurse says "This is a study in which the investigator controls the study variable and randomly assigns subjects to different conditions to test the variable." Which type of research is the above statement?
answer
Experimental research
question
A client with bone cancer is receiving hospice care at home. The hospice program also provides respite care. What is the purpose of respite care?
answer
Providing short-term relief to the family caregiver
question
Which step in the nursing process would involve promoting a safe environment for the client?
answer
Implementation
question
A registered nurse is educating a nursing student about descriptive theories. Which point stated by the nursing student needs correction?
answer
Descriptive theories help direct specific nursing activities
question
Which example indicates that the nurse is following evidence-based practice?
answer
The nurse reads current nursing journals and uses the latest scientific methods
question
A nurse is assigned to change a central line dressing. The agency policy is to clean the site with povidone-iodine and then cleanse with alcohol. The nurse recently attended a conference that presented information that alcohol should precede povidone-iodine in a dressing change. In addition, an article in a nursing journal stated that a new product was a more effective antibacterial than alcohol and povidone-iodine. The nurse has a sample of the new product. How should the nurse proceed?
answer
Follow the agency's policy unless it is contradicted by a primary healthcare provider's prescription
question
Which theorist suggested that the goal of nursing is to use communication to help clients reestablish a positive adaptations to their environments?
answer
King
question
In which process of Swanson's theory is the nurse engaging when explaining neonatal care to a parent?
answer
Enabling
question
A nurse has made a nursing diagnosis without validating the data obtained from the client. Into what category does this error fall?
answer
Labeling
question
The nurse is caring for a client who is in pain following surgery. The nurse informs the primary health care provider about the client's request for pain medication. What is the role of the nurse in this situation?
answer
Advocate
question
A nurse changing the dressing on the client's perineum would fall into which zone?
answer
Intimate zone
question
What are the steps of evidence-based practice (EBP) in order?
answer
1. Asking the relevant clinical question 2. Collecting the most relevant and best evidence 3. Critically appraising the evidence collected 4. Integrating all evidence with one's clinical expertise and client preferences 5. Evaluating the practice decision 6. Sharing the outcomes of EBP changes with ot
question
A registered nurse is teaching a nursing student about Nightingale's theory of nursing. Which statements have been correctly stated by the nursing student as a result of the teaching? Select all that apply
answer
Nightingale's theory states that the focus of nursing is caring through the environment. Nightingale's theory is oriented towards providing fresh air, light, warmth, cleanliness, quiet, and adequate nutrition Nightingale's theory focuses on helping the client deal with the symptoms and changes in function related to an illness.
question
Which of the following statements about a case manager is correct?
answer
"A case manager has the ability to establish an appropriate care plan based on the assessment of clients and families."
question
A client is ambivalent about making a change in health behavior. Which stage of health behavior does the nurse suspect?
answer
Contemplation
question
Which of these is a part of health belief model?
answer
Perception of susceptibility to an illness
question
A nurse finds that there is an inaccurate match between clinical cues and the nursing diagnosis. What is the category of the diagnostic error?
answer
Interpreting
question
Which feature according to Benner is observed in a nurse at the "proficient" level?
answer
The nurse focuses on managing care rather than managing skills.
question
What is the definition of descriptive research?
answer
Descriptive research measures the characteristics of persons, situations, or groups.
question
Which characteristic indicates that nursing is a profession?
answer
The nurse is required to follow a code of ethics.
question
Which opposing conflict would a middle-aged adult face according to Erikson's theory of psychosocial development?
answer
Generativity versus Self-Absorption and Stagnation
question
Which nursing theory focuses on the client's self-care needs?
answer
Orem's theory
question
With reference to the nursing process as a system, what is content?
answer
Content is the product and information obtained from the system.
question
A doctor asks a nurse to collect the medical history of a client. What nursing process should the nurse undertake?
answer
Assessment
question
Which theory is based on the model of primacy of caring?
answer
Benner and Wrubel's Theory
question
Which system is used by a health care facility to determine certain aspects of client satisfaction?
answer
The Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)
question
A client is in a state of ambivalence. Which of these stages of health behavior will the nurse suspect?
answer
Contemplation
question
Which theory emphasizes the facilitation of the body's reparative processes by manipulating the client's environment?
answer
Nightingale's theory
question
A nursing student notes the characteristics of middle-range theories. Which points noted by the nursing student are accurate? Select all that apply.
answer
Middle-range theories provide a basis to help nurses understand how clients cope with uncertainty and the illness response Middle-range theories include Mishel's theory of uncertainty in illness, which focuses on a client's experiences with cancer while living with continual uncertainty Middle-range theories tend to focus on 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.
question
Which internal variable influences health beliefs and practices?
answer
Intellectual background
question
A nurse is teaching a parent about the different temperaments that a child may display. What characteristics does a slow-to-warm up child display? Select all that apply.
answer
The child adapts slowly with frequent communication. The child reacts with mild but passive resistance to novelty. The child reacts negatively and with mild intensity to new stimuli.
question
What is exploratory research?
answer
It is a study designed to develop a hypothesis about the relationships among phenomena
question
A 70-year-old client needs to undergo heart surgery but cannot afford it. The client seeks the assistance of a nurse. Which is the preferred program that the nurse may suggest?
answer
Medicare
question
A registered nurse is teaching a nursing student about Maslow's hierarchy of needs. Which statement made by the nursing student needs correction?
answer
"The fourth level contains love and belonging needs, including friendship, social relationships, and sexual love."
question
What is the correct order of phases of the nursing process?
answer
Assessment Diagnosis Planning Implementation Evaluation
question
A registered nurse is teaching a nursing student about Erikson's theory of psychosocial development. To which age group does Industry versus Inferiority apply?
answer
6- 11 years
question
Which degree does The American Association of Colleges of Nursing (AACN) recommend as terminal practice degree for all advanced practice registered nurses (APRNs)?
answer
Doctor of Nursing Practice (DNP)
question
How does a nurse prepare a "factual" record when performing a client documentation?
answer
By recording descriptive and objective information of what the nurse sees, hears, feels, and smells
question
Which of these cultural groups adopts a combination of dietary, herbal, and other naturalistic therapies to prevent and treat illness?
answer
Asian Indian
question
Which type of theory is the Neuman systems model?
answer
Grand theory
question
A hospital needs to hire a nursing staff for the intensive care of cancer clients. Which of these positions is most likely to be filled by the nurse?
answer
Clinical nurse specialist
question
Which interview technique is the nurse using when asking a client to score the pain on a scale from 0 to 10?
answer
Closed-ended questioning
question
Which statement is applicable to Watson's theory of transpersonal caring?
answer
Watson's theory defines the outcome of nursing activity in relation to the humanistic aspects of life
question
Which of these databases should the nurse use to obtain a broad view on biomedical and pharmaceutical studies?
answer
EMBASE
question
A client with colon cancer is receiving hospice care at home. What is the focus of hospice care?
answer
To ease the pain from illness
question
What type of research explores the interrelationship among variables of interest without any active intervention by a researcher?
answer
Correlation research
question
A registered nurse is teaching a nursing student about systems theories with a specific reference to Neuman's systems theory. Which statements made by the nursing student post teaching are accurate? Select all that apply.
answer
"Factors that change the environment also affect an open system." "The components are interrelated and share a common purpose to form a whole." "An open system interacts with the environment, with an exchange of information between the system and the environment."
question
Which statement accurately describes correlational research?
answer
Correlational research explores the relationships among variables of interest without any active intervention by the researcher.
question
The school nurse conducts a class in nutrition planning for parents. What is the goal of school health nursing programs?
answer
Health promotion
question
How many levels of critical thinking exist for nursing judgment? Record your answer using a whole number.
answer
3
question
A registered nurse is teaching a nursing student about the concepts that make up a theory. Which point noted by the nursing student needs correction?
answer
Concepts consist of interrelated theories.
question
A registered nurse is teaching a nursing student about Piaget's theory of cognitive development that includes four periods, which are related to age. Which age group corresponds with concrete operations?
answer
7- 11 years
question
In which role does the nurse oversee the budget of a specific nursing unit or agency?
answer
Nurse Manager
question
Which theory focuses on developing the interpersonal relationships between the nurse, client, and the client's family?
answer
Peplau's theory
question
Which is an example of an actual nursing diagnosis?
answer
Impaired social interaction
question
What is the primary focus of nursing care in the "family as context" approach?
answer
The health and development of an individual
question
What is the main focus of community health nursing?
answer
To improve the quality of health in a population
question
The Magnet Recognition Program for health care organizations is based on fourteen forces of magnetism related to five magnet model components. Which force of magnetism is assessed to review the structural empowerment of the organization?
answer
Personnel policies and programs
question
Which domain of the Nursing Interventions Classification taxonomy includes care that supports homeostatic regulation?
answer
Domain 2
question
Which statement is true about prescriptive theories?
answer
Prescriptive theories are action-oriented.
question
Which factor is used to assess the quality of health care provided to a client?
answer
Functional health status of the client after discharge
question
Which healthcare system is required after a physical or mental illness, injury, or chemical addiction?
answer
Rehabilitation
question
In a clinical study, subjects were given chlorhexidine and betadine as antiseptics. How will a nurse researcher categorize this research?
answer
Experimental Research
question
Which theory details nursing interventions for a specific phenomenon and the expected outcome of care?
answer
Prescriptive theories
question
Which statement is true about Betty Neuman's theory?
answer
Betty Neuman's theory is based on stress and the client's reaction to the stressor.
question
A nurse is recalling Piaget's theory of cognitive development. Which statement is a characteristic of the concrete operations stage?
answer
"A child is able describe a process without actually doing it."
question
Which age is considered the phallic stage according to Sigmund Freud's developmental theory?
answer
3-6 years
question
The nurse interviews a client about a current health problem. The nurse then obtains and documents the client's temperature, blood pressure, and heart rate. Which step of the nursing process is involved in this situation?
answer
Assessment
question
A registered nurse is teaching a nursing student about Maslow's hierarchy of needs. Which statement made by the nursing student needs correction
answer
"The fourth level contains love and belonging needs, including friendship, social relationships, and sexual love.
question
Which of these is true about SOAP progress note method?
answer
SOAP progress note includes assessment information.
question
A registered nurse is teaching a nursing student about Piaget's theory of cognitive development that includes four periods, which are related to age. Which age group corresponds with concrete operations?
answer
7 to 11
question
Which is used for determining the hours of care and staff required for a group of clients?
answer
Acuity records
question
What is the function of the Professional Standards Review Organizations (PSROs) set up by the federal government?
answer
To review the quality, quantity, and cost of hospital care
question
According to Erikson's theory of psychosocial development, which opposing conflicts is an older adult likely to face?
answer
Integrity versus Despair
question
Which statement made by a nursing student about Swanson's theory of caring needs correction?
answer
Swanson's theory of caring provides a basis to help nurses understand how clients cope with uncertainty and the illness response
question
Which statement about Orem's theory needs to be corrected?
answer
It describes factors supporting the health of the family.
question
Which step in the research process is similar to the assessment step of the nursing process?
answer
Identifying the problem
question
Which of these refers to the accountability element of the decision making process?
answer
Individuals being answerable for their actions
question
According to Erikson's theory of psychosocial development, individuals need to accomplish a particular task before effectively grasping this stage and progressing to the next one. What does the Initiative versus Guilt stage include? Select all that apply.
answer
In this stage, an individual pretends and tries out new roles. In this stage, an individual may develop a superego or a conscience. In this stage, an individual fantasizes and imagines discovering the environment
question
A nursing student is recalling the hierarchy of evidence available for conducting research. In which order should the nurse give priority to the findings of a study?
answer
Systematic reviews and meta-analysis of randomized controlled trials (RCTs) One well designed randomized controlled trial (RCT) Well-designed controlled trials without randomization Well-designed case control studies Systematic reviews of descriptive and qualitative studies Single descriptive or qualitative studies Opinions of authorities or expert committees https://eaq.elsevier.com/Libraries/EAQ_NCLEX-RN_2-0/QB-k3dz/Q-zr95-g81l9yki/g11e/Potter_Figure_5-2.png
question
Which points about nursing care and nursing practice have been accurately stated? Select all that apply.
answer
Nursing theories help to describe, explain, predict, and/or prescribe nursing care measures. The scientific work used in developing theories expands the scientific knowledge of the profession The expertise required to interpret clinical situations and make clinical judgments is the essence of nursing care and the basis for advancing nursing practice and nursing science.
question
A nurse is caring for a group of clients with diverse cultural backgrounds. Which nursing theory does the nurse use as a guide?
answer
Leininger's theory
question
The nurse informs a client's family that the client is in pain and does not wish to proceed with chemotherapy. What is the role of the nurse in this situation?
answer
Advocate
question
What is the goal of nursing according to Watson's theory?
answer
To promote health, restore the client to health, and prevent illness
question
A nurse notices that a child is playing with a doll and is practicing hygiene by brushing its hair and teeth. In which stage of Piaget's theory of cognitive development should the nurse expect this child to be considered?
answer
Preoperational stage
question
A client tells a nurse "I work in a factory that manufactures explosives." According to Maslow's hierarchy of needs, to which level of need does the given scenario refer?
answer
The given scenario relates to the second level that includes safety and security needs
question
In which of these activities does a nurse engage when providing tertiary care at a rehabilitation center? Select all that apply.
answer
Providing work therapy for hospitalized patients Making provisions to help clients maximize their capabilities
question
While teaching a diabetic client about self-care management, the nurse asks the client to inspect his or her feet daily and to wear well-fitted shoes to prevent foot ulcers. Which nursing theory is applicable in this situation?
answer
Orem's theory
question
What is the purpose of evaluation research?
answer
To test how well a program, practice, or policy is working
question
A middle-aged client says, "I have been unsuccessful in raising my kids." Which stage should the nurse expect the client to have reached, according to Erikson's theory of psychosocial development?
answer
The client has reached the Generativity versus Self-Absorption and Stagnation stage.
question
According to Benner et al., an expert nurse passes through five levels of proficiency when acquiring specialized nursing skills. What is the correct order of levels from lowest to highest?
answer
Novice Advanced beginner Competent Proficient Expert
question
The nurse explains a certain procedure to a client. The client seems shy, so the nurse encourages the client to ask questions. What is the correct term for this example of critical thinking by the nurse?
answer
Confidence
question
Which are the core roles for an advanced practice registered nurse (APRN)? Select all that apply.
answer
Nurse practitioner Clinical nurse specialist (CNS) Certified nurse midwife (CNM) Certified registered nurse anesthetist (CRNA)
question
How is public health nursing different from community health nursing?
answer
Public health nursing focuses on population
question
Which intervention by the nurse is an important aspect of client-centered care according to the survey conducted by the Picker Institute?
answer
Asking the client if the family should be involved in his or her care
question
A block nurse is caring for an elderly couple in the neighborhood. What kind of service does block nursing offer to the elderly clients?
answer
Running errands
question
A client in the final stage of cancer is very anxious about his or her disease. The client is showing aggressive behavior towards family members. The nurse comforts and offers compassion and empathy to the client and the family members. Which theory principle is the nurse following in this situation?
answer
Watson's Theory
question
The registered nurse (RN) provides nursing care based on the critical thinking model known as the nursing process. What is the correct order of steps in the nursing process?
answer
Assessment Diagnosis Planning Implementation Evaluation
question
According to Erikson's theory, at which age would a child develop self-control and independence?
answer
18 months to 3 years old
question
How does a nurse play the role of a "change agent" in a community-based nursing practice?
answer
By identifying and implementing new and more effective approaches to problems
question
Which of these is a one-on-one communication between a nurse and another person?
answer
Interpersonal communication
question
What is the difference between evidence-based practice and quality improvement?
answer
Evidence-based practice focuses on the implementation of evidence already known into practice
question
A nurse is advising a parent to teach the child impulse control and cooperative behaviors to avoid the risks of altered growth and development. In which stage does the nurse teach the parent about this, according to Erikson's theory of psychosocial development?
answer
Initiative versus Guilt
question
A client says "I feel frustrated because I do not spend enough time with my partner because of my job." According to Maslow's hierarchy of needs, which level of need does the given scenario refer?
answer
The given scenario relates to the third level that includes love and belonging needs.
question
While caring for a group of clients from different ethnicities, the nurse observes that a client from Ireland is stoic and not complaining about pain. Which theory should the nurse follow in this situation?
answer
Leininger's Theory
question
What information is a nurse likely to find in the clinical implications section of an article?
answer
Explanation regarding the method of applying findings in a practice setting
question
Which of these records can a nurse use to document information specific to the client's health in a story-like format?
answer
Narrative documentation
question
A client with severe breathing problems is brought to the emergency ward. Which level of Maslow's hierarchy of needs does the nurse need to follow?
answer
First
question
A nurse is teaching a parent about the different temperaments that a child may display. What temperament would an easy child display? Select all that apply.
answer
An easy child is open and adaptable to change An easy child is regular and predictable in his or her habits. An easy child displays a mild-to-moderately intense mood that is typically positive.
question
A nurse is recalling Piaget's theory of cognitive development. What is the characteristic of the preoperational stage?
answer
"An infant may learn to think with the use of symbols and mental images."
question
Which statement is true of the middle childhood stage according to Kohlberg's development of moral reasoning? Select all that apply.
answer
The child is in the conventional level The child develops a good boy-nice girl orientation
question
A nursing student is taking down notes about paradigm. Which point noted down by the nursing student needs correction?
answer
A paradigm is the perspective of a profession
question
The goal of a particular nursing theory is to use communication to help a client re-establish positive adaptation to environment, and the framework for the nursing practice is based on treating nursing as a dynamic interpersonal process among the nurse, the client, and the healthcare system. Which nursing theory are these points related to?
answer
King's theory
question
A nurse is educating a client about the importance of self-care. Which nursing theory lays the inspiration for this?
answer
Orem's Theory
Get an explanation on any task
Get unstuck with the help of our AI assistant in seconds
New