Nokea
It is difficult to document accountability for one's practice without having within which to evaluate practice?
- A. An evaluation framework
- B. A guide to framework
- C. An explanatory framework
- D. Standards of nursing practice
Correct Answer: C
Rationale: It is difficult to document accountability for one's practice without an explanatory framework within which to evaluate practice.
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Nurses must be able to explain the theoretical basis for their practice, which means being able to think philosophically. What does thinking philosophically mean?
- A. Asking questions about the nature of nursing
- B. Asking questions about the quality of care
- C. Asking questions about medical treatment
- D. Asking questions about medical treatment
Correct Answer: A
Rationale: Thinking philosophically, or philosophizing, entails asking questions about the nature of that which exists and happens in the world and about what humans ought to seek and do.
The competing perspectives of using 'concepts' or 'science' to describe what nurses do is known as which of the following?
- A. Knowledge gap
- B. Practice gap
- C. Science gap
- D. Translation gap
Correct Answer: D
Rationale: The competing perspectives of a nursing conception or using science to identify what nurses do has created a translation gap that pertains to the use and understanding of theories in the practice of nursing.
Which of the following statements reflects 'conceptually-based' nursing practice?
- A. Concepts-based practice reflects concepts versus pure scientific evidence
- B. The patient is experiencing inflammation
- C. The procedure for wound care includes normal saline.
- D. Sterile technique is required for wound care.
Correct Answer: A
Rationale: Concepts-based practice reflects concepts versus pure scientific evidence. Evidence-informed practice and knowledge transfer are reflective of basing nursing practice on predominantly scientific evidence, such as procedures and policies.
Nursing education has moved away from a focus on theory and philosophy and more toward traditional empirics, therefore, it is more urgent than ever for nursing students to engage in the liberal thought that is a cornerstone of an academic education and to be exposed to which of the following?
- A. Certification courses
- B. Humanities courses
- C. Advanced EKG interpretation
- D. Specialized education streams
Correct Answer: B
Rationale: Given the unprecedented rate at which scientific and technical knowledge is expanding nursing curricula, students need to be exposed to courses in the humanities and engage in the liberal thought that is a cornerstone of an academic education.
During a coffee break, several nurses are engaging in a conversation about nursing. Which following statement by one nurse indicates philosophical thinking about nursing?
- A. What is the nature of nursing care?
- B. I think we should go back to working eight-hour shifts.
- C. We need one mental health day every month.
- D. I wish we were able to attend more in-services.
Correct Answer: A
Rationale: Asking 'What is the nature of nursing care?' leads to having to answer more basic questions, such as: What is care? What is included in care? What is good care? These questions are indicative of philosophical thinking about nursing practice.