Nursing Sciences: EAQ Developmental Theories with Answers, Exams of Developmental biology

Download Nursing Sciences: EAQ Developmental Theories with Answers and more Exams Developmental biology in PDF only on Docsity! Nursing Sciences EAQ developmental theories questions with answers. Which nursing interventions are examples of the nurse as a caregiver? Select all that apply. - Correct answer Encouraging the client to exercise daily Setting goals for the client to reduce weight Arranging for the client to meet a spiritual advisor A nurse is evaluating situations based on the responses of several clients. Which client's statement confirms that he or she has reached the Integrity versus Despair stage according to Erikson's theory of psychosocial development? Select all that apply. - Correct answer "Looking back at my entire life, I find that I have actually achieved nothing." "In the twilight of my life, I regret not fulfilling the promises I made to my wife." "Now that I am at the end of the road, I think I am the luckiest person on the earth because God has given me everything that I had asked for." Which intervention by the home health care nurse conforms to the use of safety competency while providing health care? - Correct answer The nurse ensures the furniture does not obstruct the client's movement. 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? - Correct answer The client has reached the Generativity versus Self-Absorption and Stagnation stage. A nurse is recalling Piaget's theory of cognitive development. What is the characteristic of the preoperational stage? - Correct answer "An infant may learn to think with the use of symbols and mental images." A nurse is heading a performance improvement team. The nurse collects records of needlestick injuries due to improper needle recapping techniques used during medicine administration. What is the next step to be followed by the nurse, if he or she is using the "plan, do, study, act model - Correct answer Facilitate a training program for all nurses to teach the proper technique of recapping needles 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? - Correct answer Experimental research What makes a crisis access hospital (CAH) different from an intensive care unit (ICU)? - Correct answer It provides temporary care for 96 hours or less. A nursing student is taking down notes about paradigm. Which point noted down by the nursing student needs correction? - Correct answer A paradigm is the perspective of a profession. According to Watson's theory, in which practice is the nurse least likely to engage? - Correct answer Curing the disease before engaging in care of the client A nursing student is listing the goals of theoretical nursing models. Which goal listed by the nursing student needs correction? - Correct answer Provide knowledge to validate nursing interventions A registered nurse is teaching a student nurse about Gesell's theory of biophysical development. Which statement by the student nurse indicates the need for further teaching? Select all that apply. - Correct answer "Proximodistal growth describes the sequence in which growth is fastest from the head down." "In the cephalocaudal pattern, growth starts at the center of the body and moves toward the extremities." What kind of health service does the nurse offer in a health promotion or primary care program? - Correct answer Nutrition counseling A nurse is examining different situations that represent the superego component of human personality, as per Sigmund Freud. Which situations accurately represent superego? Select all that apply. - Correct answer A client controls the urge to eat candy because he or she knows that it will affect the blood sugar levels. Which program is an example of a continuing education program? - Correct answer A program on caring for the elderly with dementia offered by a university A healthcare facility is using the "plan, do, study, act (PDSA)" cycle model for performing a quality improvement. Arrange the order in which quality improvement takes place based on this model. - Correct answer 1. Review available data. 2. Choose the appropriate intervention. 3. Evaluate the outcomes. 4. Incorporate new practices in daily performance Which age is considered the phallic stage according to Sigmund Freud's developmental theory? - Correct answer 3 to 6 years old A registered nurse is teaching a student nurse about a rapid-improvement event (RIE), a quality improvement model. Which statement by the student nurse indicates effective learning? - Correct answer "It is a very intense, usually week-long, event." A hospital organization plans to conduct a study on the effect of dried plums for lowering the risk of colon cancer. After selecting the subjects, a nurse researcher provides adequate information about the research and then inquires about the preference of the subjects to associate with the research. What does this procedure indicate? - Correct answer Informed consent Evidence-informed nursing uses a variety of sources to support nursing practice. Which are sources of evidence-informed practice? Select all that apply. - Correct answer Theory Research Clinical expertise Which group benefits from Medicare? - Correct answer People who are 65 years or older Which internal variable influences health beliefs and practices? - Correct answer Intellectual background Which steps are taken by a nurse during the implementation phase of drug research? Select all that apply. - Correct answer Obtaining necessary approvals Recruiting subjects and collecting data obtained from the study What is the order of evidence-based practice that a nurse should follow while caring for a client? - Correct answer Ask a question Collect evidence Appraise the evidence Make a decision Evaluate changes Share outcomes What is the duty of a nurse while caring for a client? - Correct answer The nurse should determine the client's care preferences. What are the similarities between Medicare and Medicaid? Select all that apply. - Correct answer Both programs assist older clients. Both programs pay for home care services Which of these is a part of health belief model? - Correct answer Perception of susceptibility to an illness Which intervention by the nurse is an important aspect of client-centered care according to the survey conducted by the Picker Institute? - Correct answer Asking the client if the family should be involved in his or her care Which statement is applicable to Watson's theory of transpersonal caring? - Correct answer Watson's theory defines the outcome of nursing activity in relation to the humanistic aspects of life. A nurse is completing the Resident Assessment Instrument (RAI) for a resident at the nursing center. What should the nurse consider while completing the RAI? Select all that apply. - Correct answer Minimum Data Set (MDS) Resident Assessment Protocols Utilization guidelines of the state Which nursing theory focuses on the client's self-care needs? - Correct answer Orem's theory The Institute of Medicine (IOM) identified five interrelated competencies for all health care workers in the twenty-first century. What should the nurse do to provide patient-centered care? - Correct answer Share decision-making and management. The school nurse conducts a class in nutrition planning for parents. What is the goal of school health nursing programs? - Correct answer Health promotion Which theory describes the phenomenon of grief or caring? - Correct answer Descriptive theories A nursing instructor asks a student to describe Betty Neuman's theory. Which statement by the student indicates the need for further education? - Correct answer "Betty Neuman's theory outlines that the external environmental factors act as stressor." How does a nurse prepare a "factual" record when performing a client documentation? - Correct answer By recording descriptive and objective information of what the nurse sees, hears, feels, and smells Which degree does The American Association of Colleges of Nursing (AACN) recommend as terminal practice degree for all advanced practice registered nurses (APRNs)? - Correct answer Doctor of Nursing Practice (DNP) What information should the nurse provide for a client who is discharged from the health care facility with a surgical wound? Select all that apply. - Correct answer Skill to care for the surgical wound Safe and effective use of medications List of appropriate community resources How does a nurse incorporate the quality of accuracy into client documentation? - Correct answer By using exact measurements for each client's activity orientation is an appropriate intervention to minimize the client's disorientation. Touch - Correct answer Touch is a therapeutic tool that helps induce relaxation, provide physical and emotional comfort, and communicate interest Reminiscence - Correct answer Reminiscence helps bring meaning and understanding to the present and resolve current conflicts by recollecting the past. Validation therapy - Correct answer Validation therapy is a communication technique that can help the client in a confused state. At which site would the nurse obtain a sterile urinalysis from a client with an indwelling catheter? - Correct answer Tubing injection port Which assessment finding is associated with depression? - Correct answer The client has islands of intact memory. Which assessment finding is associated with depression? - Correct answer The client has islands of intact memory. Which assessment finding is associated with dementia? - Correct answer The client has impaired recent and remote memory. Delirium - Correct answer The onset of delirium may be abrupt, causing impaired recent and immediate memory. A client with delirium is forgetful and requires step-by-step instructions to complete simple tasks. Which fine motor skills may be observed in an 8- to 10-month-old infant? Select all that apply. One, some, or all responses may be correct. - Correct answer Using pincer grasp well Picking up small objects Showing hand preference Gross motor skills in an 8-10 month old infant - Correct answer Crawling Pulling up to standing or sitting Arrange the stages of Freud's psychoanalytical model of personality development in the correct order. - Correct answer Oral Anal Phallic Latency Genital Oral Stage - Correct answer birth to 18 months Anal Stage - Correct answer second stage, from 12 to 18 months to 3 years of age. Phallic or Oedipal stage - Correct answer Children between the ages of 3 and 6 years are considered to be in the phallic or oedipal stage. Latency stage - Correct answer 6-12 years Genital stage - Correct answer 12-adulthood. he genital stage is the sixth stage; it starts in puberty and continues to adulthood. The nursing student is learning about the realms of family life. Which component would be included while learning about integrity processes? - Correct answer Family rituals The family health system - Correct answer includes five realms, or processes, of family life. These realms are interactive, developmental, coping, integrity, and health. This approach is a method for family assessment used to determine areas of concern and strengths and to help develop an effective care plan. The component of integrity includes family rituals. Family relationships are a part of interactive processes. Family life stressors and daily hassles are considered components of coping processes. Health processes include family care takings and responsibilities. Integrity process - Correct answer Family rituals Coping process - Correct answer Family life stressors and daily hassles Interactive process - Correct answer Family relationship Do alcohol based hand scrubs kill C.Diff? - Correct answer No. Alcohol does not kill C. difficile spores. Use of soap and water is more efficacious than alcohol-based hand rubs. Which concept refers to respecting the rights of others? - Correct answer Open-mindedness Maturity - Correct answer reflecting on one's own judgments and having cognitive maturity Systematicity - Correct answer Organized and focused Inquisitiveness - Correct answer acquiring knowledge. open mindedness - Correct answer respecting the rights of others and being tolerant of different viewpoints. nursing model of team nursing - Correct answer In team nursing, there is an existence of hierarchical communication from charge nurse to charge nurse, charge nurse to team leader, and team leader to team members. nursing model of total client care - Correct answer the RN is responsible for all aspects of client care; care can be delegated from the RN to other members of the health care team; and the RN works directly with the client, family members, and members of the health care team. Which critical thinking skill in nursing practice requires the nurse to possess knowledge and experience for choosing care strategies for clients? - Correct answer Explanation explanation requires knowledge and experience for choosing strategies for care for clients. Analysis - Correct answer a critical thinking skill that requires open- mindedness while looking at the client's information Which theories are relevant only to development in adults? Select all that apply. One, some, or all responses may be correct. Piaget's theory Erikson's theory Arrange in order the items of personal protection equipment (PPE) removed after seeing a client in droplet precautions. - Correct answer 1. Gloves 2. Face Shield 3. gown 4. Mask RACE - Correct answer RESCUE, ALARM, CONFINE, EXTINGUISH/EVACUATE. The acronym RACE stands for Remove all clients from immediate danger, Activate the alarm, Confine the fire by closing doors and windows, and Extinguish the fire with an appropriate fire extinguisher. The acronym does not include alerting the local fire department or releasing the pin from the fire extinguisher. Which professional standard is important for critical thinking? - Correct answer An evaluation criterion is an important professional standard required for critical thinking. Logical thinking, accurate knowledge, and relevant information are important intellectual standards required for critical thinking. Arrange the stages of life in Erikson's theory of psychosocial development in the correct order - Correct answer Trust versus mistrust Autonomy versus a sense of shame and doubt Initiative versus guilt Industry versus inferiority Identity versus role confusion Intimacy versus isolation Which goals of care are associated with the family health system model? Select all that apply. One, some, or all responses may be correct. - Correct answer improve family health or well-being assist the family in managing the illness conditions achieve health outcomes related to the family's areas of concern. Why would the nurse establish "moderately hard" client-centered goals? - Correct answer To prevent the client from quitting before the goal is achieved To prevent the client from losing motivation toward achieving the goal Which is the most important skill of the nurse leader? - Correct answer The most important leadership skill for the nurse leader is clinical care coordination. Priority setting, time management, and clinical decision- making are secondary components included in clinical care coordination. How would the nurse prevent footdrop in a client with a leg cast? - Correct answer To prevent footdrop (plantar flexion of the foot because of weakness or paralysis of the anterior muscles of the lower leg) in a client with a cast, the foot should be supported with 90 degrees of flexion. Which risk factor increases a client's risk for infection in the community? Select all that apply. One, some, or all responses may be correct. - Correct answer Lifestyle Occupation Frequent traveling When meeting the preoperative teaching needs of an older adult, the nurse plans a teaching program based on which principle about learning? - Correct answer It requires continued reinforcement. Neurological aging causes forgetfulness and slower response time; repetition increases learning. Which is an example of independent thinking in nursing practice? - Correct answer Talking with other nurses to share ideas about nursing interventions Which is the first sign that would assist the nurse in suspecting malignant hyperthermia in a client? - Correct answer Increased expired carbon dioxide increased expired carbon dioxide, caused by an abnormal and continuous contraction of the skeletal muscles. Which behavior by the client exhibits denial after a recent diagnosis? - Correct answer attempts to minimize the illness A client is transferred to an acute care nursing unit after surgery. Which action of the nurse is most important and would be performed first? - Correct answer Assess the patency of airway. Which nursing intervention fosters the infant's development of trust? - Correct answer Follow the parents' directions while providing care. Parents would provide the majority of the care when an infant is hospitalized. If the parents are away, the nurse would follow the parents' directions. This helps foster the infant's continuing development of trust. When a client's total parenteral nutrition (TPN) bag is empty, which action is appropriate for the nurse to take? - Correct answer Hang a bag of 10% dextrose at the ordered TPN rate and place an urgent request for the next TPN bag. Which complication would the nurse monitor for in a client on strict bed rest for 3 days? - Correct answer Atelectasis Hypotension Constipation Pressure injuries Urinary tract infection The client has a closed chest tube drainage system connected to suction. Which assessment finding requires additional evaluation by the nurse? - Correct answer Constant bubbling in the water-seal chamber is indicative of an air leak. The nurse would assess the entire length of the system from the container to the client's chest wall tube insertion site to find the source of the air leak. If the source of the air leak is not found in the system and bubbling continues, the leak is most likely within the client's chest or at the insertion site. This could cause the lung to collapse because of a buildup of air pressure within the plural cavity, and the health care provider should be notified. I Elbow restraints have been prescribed for a confused client to keep the client from pulling out a nasogastric tube and indwelling urinary retention catheter. Which nursing intervention is correct regarding restraints? - Correct answer Assess the clients condition per hospital protocol