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Test Bank For Clinical Nursing Skills and Techniques 11th Edition by Anne Griffin Perry Patricia A Potter Complete Guide A

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Test Bank For Clinical Nursing Skills and Techniques 11th Edition by Anne Griffin Perry, Patricia A. Potter | Complete Guide A+ 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.

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Test Bank For Clinical Nursing Skills and
Techniques 11th Edition by Anne Griffin Perry,
Patricia A. Potter | Complete Guide A+

1). 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."

 Ans: ANS: C
Theories offer well-grounded rationales for how and why nurses perform specific
interventions and for predicting and/or prescribing nursing care measures. Although
nursing theory will help the nurse in graduate school, it is also an important basis for the
nurse's approach to daily patient care, and it expands scientific knowledge of the
profession.


2). 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.

 Ans: ANS: A
When applying Orem's theory, a nurse continually assesses a patient's ability to perform
self-care and intervenes as needed to ensure that the patients meet physical,
psychological, sociological, and developmental needs. According to Orem, people who
participate in self-care activities are more likely to improve their health outcomes.
Leiniger's culture care theory focuses on culture diversity and provides culturally specific
nursing care. According to Peplau, nurses help patients reduce anxiety by converting it



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, into constructive actions, using therapeutic communication. Nightingale's grand theory is
a patient's environment can be manipulated by nurses to restore a patient to health.


3). 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

 Ans: ANS: B
A prescriptive theory details nursing interventions (meditation) for a specific phenomenon
(migraine headaches) and the expected outcome of the care. Grand theories are broad in
scope and complex and require further specification through research; it does not provide
guidance for specific nursing interventions. Descriptive theories do not direct specific
nursing activities but help to explain patient assessment. A middle-range theory tends to
focus on a concept found in 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.


4). 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.

 Ans: ANS: C
Prescriptive theories detail nursing interventions for a specific phenomenon and the
expected outcome of the care but it does not explain why. Grand theories are broad in
scope and complex and focus on a wide variety of nursing care situations.


5). 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?



PaperStoc.com Page 2 of 20

, 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.

 Ans: ANS: A
Nursing theory can direct how a nurse uses the nursing process. Integration of theory into
practice (nursing process) serves as the basis for professional nursing. The nursing
process provides a systematic process for the delivery of care, not the knowledge
component of the discipline. Useful theories are adaptable to different patients and to all
care settings.


6). 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

 Ans: ANS: C
Neuman views a patient as being an open system that is in constant energy exchange
with the environment that the nurse must help cope with stressors. King views a patient
as a unique personal system that is constantly interacting/transacting with other systems
that the nurse helps with goal attainment. Levine believes nurses promote balance
between nursing interventions and patient participation to assist in conserving energy
needed for healing. Johnson perceives patients as a collection of subsystems that forms
an overall behavioral system focusing on balance.


7). 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.


PaperStoc.com Page 3 of 20

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