A nurse is providing care by using the theory that outlines goal attainment through the
interactions between nurses and patients. Who developed this theory? correct answers King //
King developed the general systems framework model based on the importance of interaction
between the nurses and the patients for goal attainment. Roy developed the adaptation model that
enhances person and environment transformation. Orem created the Self-Care Deficit Theory,
which highlights the importance of nurses to the self-care of patients. Rogers developed the
Science of Unitary Human Beings based on nonrepeating rhymicities giving importance to the
interaction between the person and the environment.
A patient who has undergone an appendectomy complains of pain. On assessment, the nurse
finds that the patient is anxious and this condition is increasing the pain perception. What nursing
intervention is appropriate in this situation? correct answers Administer drugs that relieve
anxiety per standing orders// The patient has pain that worsens due to anxiety. Therefore,
appropriate measures should be taken to relieve the anxiety, such as administering antianxiety
drugs. Narcotic analgesics are not a primary intervention in this patient. Meditation reduces
anxiety, but it is not an appropriate measure for a postoperative patient. Analgesics that are not
narcotic in nature are less effective than narcotic analgesics; in any case, pain medications are
not a primary intervention in the patient.
The nurse uses various assessments to collect data about a patient. Which statements are true
about the types of assessments? Select all that apply. correct answers Emergency assessment is
performed when the patient's situation is life threatening; Ongoing assessment is performed and
continued throughout the patient's healthcare experience; Focused assessment is done after a
patient's general problems have been identified, or when a patient has a complaint or describes a
new problem// An emergency assessment is a short assessment of only vital parameters that are
critical to saving a life. The emergency assessment is performed when a patient is in a life-
threatening situation. Ongoing assessments are continued throughout the patient's health and
wellness periods. Once a patient problem is identified, a focused assessment is performed to
assess the problem in detail. Initial assessment is performed when the patient comes to a
healthcare facility for the first time. It is a general assessment of patient's health status, and is not
done simply before a procedure. Emergency assessment is not a thorough assessment; instead it
is a short and quick assessment.
A nurse is recording the results of all the laboratory reports of a patient. Which standard of
practice is the nurse performing? correct answers Assessment// In the nursing process, recording
data from investigation reports is part of assessment. Nursing diagnosis involves analyzing the
assessed data. Evaluation refers to the testing of the attainment of outcome goals.
Implementation is the process of delivering a care according to the care plan.
To practice in today's health care environment, nurses need a strong scientific knowledge base
from nursing and other disciplines such as the physical, social, and behavioral sciences. This
statement identifies the need for which of the following? correct answers Interdisciplinary
theories// As the health system evolves and the health care needs of the patient focus on health
promotion, illness prevention, and treatment, more disciplines are involved in patient care. To be
, effective in practice, nurses need to be aware of theoretical approaches of care arising from other
disciplines and from nursing.
A 65-year-old male patient is admitted to the hospital with severe abdominal pain. The nurse has
to obtain his health history. What are the different ways in which the nurse can encourage the
patient to provide more information? Select all that apply. correct answers Nod head showing
agreement.; Lean forward when the patient is talking; Maintain good eye contact with the
patient. // It is essential for the nurse to show signs of interest when the patient is talking.
Nodding the head affirmatively improves the rapport between the patient and the nurse and helps
the patient feel that the nurse is genuinely interested in helping him. Leaning forward when the
patient is speaking indicates that the nurse is interested in what he patient is saying. Maintaining
good eye contact or gaze encourages the patient to speak more. The nurse should sit in front of
the patient and far away from him. If the nurse does not react, it gives an impression that the
nurse is not interested in the patient's assessment. This can discourage the patient from giving a
complete history.
The nurse follows ethical guidelines while taking care of a patient. Which concept of nursing
ethics does the nurse follow to be truthful to the patient? correct answers Veracity// Veracity
means to be truthful to the patient. The nurse should understand the basic concepts of ethics and
incorporate them into nursing practice. Ethics are the standards of right and wrong behavior.
Fidelity involves keeping promises made to the patient. Justice means treating all patients
equally. Nonmaleficence means to do no harm.
A patient is newly diagnosed with diabetes. The diagnosis has made the patient feel stressed, and
the patient eats more carbohydrates. Which theory explains this phenomenon? correct answers
Neuman's theory// This patient is newly diagnosed with diabetes and is under stress. The patient
responds to stress by eating inappropriate food. This process is explained by Neuman's theory,
which focuses on stress and the reaction of patients to that stress. Orem's theory focuses on the
self-care needs of the patient. According to the theory, the patient should be able to manage
health problems. Peplau's theory focuses on the nurse-patient interpersonal relationship. Rogers's
theory focuses on patient repatterning to develop well-being. Unlike Neuman's systems model,
Orem's theory, Peplau's theory, and Rogers's theory do not specifically explain the relationship
between the stressor and the stress-related behavior.
A nurse writes a statement about the beliefs and values of nursing in relation to health. Which
level of knowledge did the nurse exhibit? correct answers Philosophy// There are four levels of
nursing knowledge. Philosophy is the second level of nursing knowledge, which outlines the
beliefs and values of nursing in relation to health. Nursing theory is the fourth level of
knowledge. It represents a group of concepts, which can be tested in clinical practice.
Metaparadigm is the most abstract level of knowledge. It is a global set of concepts that identify
and describe the central phenomena of the discipline. Metaparadigm also helps to explain the
relationships within that global set of concepts. Conceptual model is the third level of
knowledge. It is a collection of interrelated concepts that provide direction for nursing practice
and research.