Answers Latest Updated
A nurse works on a pediatric unit and is using a psychosocial developmental approach to child care.
In which order from the first to the last will the nurse place the developmental stages?
1. Initiative versus guilt
2. Trust versus mistrust
3. Industry versus inferiority
4. Identity versus role confusion
5. Autonomy versus shame and doubt - ✔✔✔ - 2, 5, 1, 3, 4
When admitting a client in an emergent setting, which of Maslow's level of Basic Human Needs takes
priority?
A. Self Esteem
B. Love and Belonging
C. Body Temperature
D. Psychological safety - ✔✔✔ - Body Temperature -
Explanation: When client's are in crisis, the RN will flip Maslow and prioritize physiological needs
such as oxygen, thermoregulation, etc, above all else. The only exception is a safety concern presented
which poses a threat to the client, nurse, or public.
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. Orem's Theory
B. Roy's Theory
C. Nightingale's Theory
D. Leininger's theory - ✔✔✔ - Correct Answer:
Leininger's theory
, Explanation:
Social structure factors such as a patient's politics, culture, and traditions are significant forces
affecting care and influencing the patient's health and illness patterns. The major concept of
Leininger's theory is cultural diversity, and the goal of nursing care is to provide a patient with
culturally specific nursing care.
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. This is an example of the nurse
utilizing Orem's theory.
(T/F) - ✔✔✔ - Correct Answer:
True
Explanation:
When applying this grand theory, a nurse continually assesses a patient's ability to perform self-care
and intervenes as needed to ensure that the patients meets physical, psychological, sociological, and
developmental needs. According to Orem, people who participate in self-care activities are more
likely to improve their health outcomes.
A client is on droplet precautions. What PPE is appropriate for the RN assisting the client in close
range. Select all that apply.
A. Gloves
B. Gown
C. N-95 mask
D. Goggles/ Face shield
E. Hand hygiene - ✔✔✔ - Correct Answers:
Gloves Gown Goggles/ Face shield Hand hygiene
Explanation:
Droplet precautions pose an infectious threat usually within three feet. The RN will take measures to
protect themselves and other clients by performing hand hygiene, downing a gown, basic mask,
goggles/face shield, and gloves. An N-95 mask ($$$) is indicated for airborne precautions only.
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