Nursing 110 Chapter 4 Test Bank – Flashcards

The 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."

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.

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

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.

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.

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

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

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

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. d. Humans have psychosocial domains to growth and development.

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

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

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? a. Peplau's theory b. Henderson's theory c. Nightingale's theory d. Orem's self-care deficit theory

The nurse is caring for a patient who is actively bleeding. The health care provider prescribes blood transfusions. The patient is a Jehovah's Witness and does not want blood products. The nurse contacts the health care provider to request alternative treatment. Which theory is the nurse using? a. Roy's theory b. Leininger's theory c. Watson's theory d. Orem's theory

The patient is terminally ill and is receiving hospice care. The nurse cares for the patient by bathing, shaving, and repositioning him. The patient would like a Catholic priest called to provide the Sacrament of the Sick. The nurse places a call and arranges for the priest's visit. Which theory does this nurse's care represent? a. Roy's theory b. Watson's theory c. Henderson's theory d. Orem's self-care deficit theory

The patient is newly diagnosed with diabetes and will be discharged in the next day or so. The nurse is teaching the patient how to draw up and self-administer insulin. Which nursing theory is the nurse utilizing? a. Watson's theory b. Orem's theory c. Roger's theory d. Henderson's theory

A nurse is conducting research about the needs of depressed patients. The nurse writes the following: Depression is a patient reporting a score above 7 on the Hamilton Depression Rating Scale. What did the nurse write? a. Operational definition b. Conceptual definition c. Paradigm d. Concept

Which action indicates the nurse is using the nursing process in patient care? a. Generates nursing knowledge for use in nursing practice. b. Conceptualizes an aspect of nursing to predict nursing care. c. Develops nursing care as a specific, distinct phenomenon. d. Delivers nursing care using a systematic approach.

A nurse is using theoretical knowledge in nursing practice to provide patient care. Which nursing behavior is an example of theoretical knowledge? a. Reads about different concepts b. Reflects on clinical experiences c. Combines the art and science of nursing d. Creates a narrow understanding of nursing practice

A nurse is using Maslow's hierarchy of needs to prioritize care. Place the levels in order of basic priority to highest priority that the nurse will follow. 1. Physiological 2. Self-esteem 3. Self-actualization 4. Safety and security 5. Love and belonging a. 4, 1, 2, 3, 5 b. 1, 4, 5, 3, 2 c. 4, 5, 3, 2, 1 d. 1, 4, 5, 2, 3

A nurse is using a nursing metaparadigm to define nursing. Which concepts will the nurse include? (Select all that apply.) a. Person b. Disease c. Health d. Nursing e. Environment

A nurse wants to incorporate psychosocial theories into nursing practice. Which elements will the nurse include? (Select all that apply.) a. Physiological needs of the patient b. Psychological needs of the patient c. Sociocultural needs of the patient d. Cognitive needs of the patient e. Spiritual needs of the patient

The 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." The instructor's best response would be a. "You are correct, but we have to learn it anyway." b. "Exposure to theories will help you later in graduate school." c. "Theories help keep the focus of nursing narrow." d. "Theories help explain why nurses do what they do."

The nurse is caring for a patient who is known as a "frequent flyer," and who has been labeled as "noncompliant" by most of the staff because she does not follow her 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." This is because Orem's theory a. Is useful in designing interventions to promote self-care. b. Does not allow for environmental influences on care. c. Allows for development of a plan of care that the patient must follow. d. Is not useful in promoting self-care regimens.

The type of theory that is used to develop and test specific nursing interventions is known as _____ theory. a. Grand b. Prescriptive c. Descriptive d. Middle-range

The nurse researcher is evaluating whether holding pressure at an injection site after injecting the anticoagulant enoxaparin (Lovenox) will reduce bruising at the injection site. This study involves a prescriptive theory because it a. Tests a specific nursing intervention. b. Explains why bruising occurs. c. Is broad in scope and complex. d. Reflects a wide variety of nursing care situations.

The student nurse is learning nursing theories but fails to see how they relate to the nursing process. The professional nurse realizes that nursing theory a. Has a minor role in professional nursing. b. Requires the nursing process to develop knowledge. c. Can direct how a nurse uses the nursing process. d. is specific to certain patients only.

A system is made up of separate components. A closed system a. Interacts with the environment. b. Is exemplified by the human organism. c. Does not interact with the environment. d. Is exemplified by the nursing process.

The nurse is caring for a patient diagnosed with essential hypertension. The physician orders blood pressure medication that the nurse administers. The nurse then monitors the patient's blood pressure for several days to help determine the effectiveness of the administration. In doing so, the nurse evaluates which of the following system components? a. Input b. Output c. Feedback d. Content

The patient is admitted to the ICU to rule out a myocardial infarction (MI). During the admission process, the patient is noted to have a history of methicillin-resistant Staphylococcus aureus (MRSA) and is placed in isolation until cultures can be obtained and the patient declared noninfectious. During the isolation process, the nurse encourages family visits, realizing that which level of Maslow's hierarchy of needs is at risk? a. First level b. Second level c. Third level d. Fourth level e. Fifth level

Many aspects of nursing theory are based on developmental theories because human growth and development is believed to be a. Erratic and difficult to predict. b. An orderly predictive process. c. An orderly process until adulthood. d. Unpredictable during childhood.

The nurse is making rounds and finds her older adult patient sobbing and obviously upset. She states that her doctor told her that she has cancer, and she does not want to die. "What's the sense?" she says. "I might as well die. I'm going to anyway. I guess that shows how useless I really am. Nobody wants an old lady around." The nurse notices that the patient's respirations have increased, and the tip of her nose and ear lobes are becoming cyanotic. The nurse assesses the patient and finds that the patient's pulse rate is over 150 beats per minute. According to Maslow's hierarchy of needs, the nurse should first a. Call the physician to request a psychiatric consult. b. Reassure the patient that she has value as a human being. c. Place the patient on oxygen and try to calm her. d. Call the patient's family to help her realize that she is wanted.

As the initial model for nursing, Nightingale's "descriptive theory" encouraged nurses to a. Know all about the disease processes affecting their patient. b. Think about their patients and patients' environment. c. Combine nursing knowledge with medicine. d. Focus on medication administration and treatments.

The nurse is visiting a patient at home after he was discharged from the hospital following a heart attack. She listens to the patient's concerns about being an invalid for the rest of his life because of his bad heart, but he is afraid of having "open heart" surgery. The nurse explains the different surgical procedures that are available to the patient, as well as other options such as cardiac rehabilitation. After several such visits, the patient states that he believes that cardiac rehabilitation therapy would be best for him, and asks the nurse how he can get in. The nurse calls the patient's physician and sets up a referral for cardiac rehabilitation. This action most closely fits which of the following theories? a. Peplau's theory b. Henderson's theory c. Nightingale's theory d. Orem's self-care deficit theory

The nurse is caring for a patient who is actively bleeding. The physician orders blood transfusions. The nurse notes in the chart that the patient is a Jehovah's Witness and informs the patient of the physician's order. The patient states that she is a Jehovah's Witness and does not want blood products. The nurse contacts the physician to tell him that blood cannot be given to this patient and requests alternative treatment. In doing so, the nurse is operating within which of the following theories? a. Leininger's cultural care diversity and universality theory b. Roy's adaptation theory c. Watson's philosophy of transpersonal caring d. Orem's self-care deficit theory

The patient is terminally ill and is under hospice care. The nurse cares for the patient by bathing, shaving, and repositioning him. The family believes that the end is very near and would like a Catholic priest called to provide the patient with the Sacrament of the Sick. The nurse places a call to the Catholic Church the patient attended and arranges for the priest's visit. Under which of the following theories does the nurse's care fall? a. Roy's adaptation theory b. Watson's philosophy of transpersonal caring c. Henderson's theory d. Orem's self-care deficit theory

The patient is newly diagnosed with diabetes and will be discharged in the next day or so. The nurse is teaching the patient how to draw up and self-administer his insulin. Which nursing theory is the nurse utilizing? a. Watson's philosophy of transpersonal caring b. Orem's self-care deficit theory c. Rogers' theory d. Henderson's theory

The prospective nursing student is trying to decide on which nursing program to attend. She is examining the nursing philosophies of each program. She believes that the essence of nursing is "Caring." Which of the following theories would most likely meet her needs? a. Benner and Wrubel's theory of nursing b. Roy's adaptation theory c. Orem's self-care deficit theory d. Rogers' theory

The nursing process is a. The generation of nursing knowledge for use in practice. b. A systematic view of a phenomenon specific to inquiry. c. A method used to inform a system about how it functions. d. A systematic process for the delivery of nursing care.

Nursing has its own body of knowledge that is both theoretical and practical. Which of the following is an example of theoretical knowledge? a. Reflection on care experiences b. Synthesis and integration of the art and science of nursing c. Reflection on basic values and principles d. Creating a narrow understanding of nursing practice

A paradigm is useful in describing the domain of a discipline. Nursing's paradigm includes which of the following? (Select all that apply.) a. Person b. Disease c. Health d. Environment e. Nursing

Psychosocial theories are needed in nursing because nursing is a diverse discipline that strives to meet which criteria? (Select all that apply.) a. Physiological needs of the patient b. Psychological needs of the patient c. Sociocultural needs of the patient d. Spiritual needs of the patient e. The nurse-patient relationship