Nokea
A nursing department in an acute care setting decides to redesign its nursing practice based on a theoretical framework. The feedback from patients, families, and staff reflects that caring is a key element. Which theorist best supports this concept?
- A. Erikson.
- B. Maslow.
- C. Rogers.
- D. Watson.
Correct Answer: D
Rationale: Jean Watson's theory emphasizes the importance of caring in nursing.
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Which concept characterizes culture as continuously evolving?
- A. Learned from birth through language and socialization.
- B. Learned by members of the same cultural group.
- C. Influenced by specific conditions related to environment,technology and availability of resources.
- D. Dynamic and ever-changing.
Correct Answer: D
Rationale: Culture evolves dynamically, adapting to environmental, technological, and resource-related changes over time.
What is the priority intervention for a patient admitted to your unit diagnosed with advanced amyotrophic lateral sclerosis (ALS)?
- A. Develop a method of communication.
- B. Provide six small meals high in protein and assist with feeding.
- C. Do not involve the patient in decisions about his healthcare because he is not in the mental state to respond.
- D. Provide six normal meals high in protein and assist with feeding.
Correct Answer: A
Rationale: Communication becomes critical as ALS progresses and affects motor functions.
A post-anesthesia care unit nurse is caring for a client who is postoperative following a thoracotomy and lobectomy. Which of the following postoperative assessments should the nurse give the highest priority to?
- A. Arterial blood gases
- B. Urinary output
- C. Chest tube drainage
- D. Pain level
Correct Answer: A
Rationale: The correct answer is A: Arterial blood gases. This is the highest priority assessment for a client post-thoracotomy and lobectomy as it helps monitor the client's oxygenation status and acid-base balance, crucial after thoracic surgery. ABGs provide immediate information on the client's respiratory function, detecting any respiratory complications early on. The other options, B: Urinary output, C: Chest tube drainage, and D: Pain level, are important assessments but not as critical as monitoring the client's oxygenation status post-thoracic surgery. Urinary output is important for renal function, chest tube drainage for monitoring for any bleeding or air leakage, and pain level for comfort, but none of these directly assess the client's respiratory status and potential complications.
What type of procedural information should be given to a patient in preparation for ambulatory surgery (select all that apply)?
- A. How pain will be controlled
- B. Any fluid and food restrictions
- C. Characteristics of monitoring equipment
- D. What odors and sensations may be experienced, Technique and practice of coughing and deep breathing, if appropriate
Correct Answer: D
Rationale: Providing comprehensive procedural information prepares the patient physically and mentally for surgery.
What is the correct term for a fear of having panic attacks in public places?
- A. Social phobia
- B. Acrophobia
- C. Nyctophobia
- D. Agoraphobia
Correct Answer: D
Rationale: Agoraphobia specifically refers to the fear of being in public spaces or situations where escape might be difficult.