On what are most nursing paradigms based?
- A. The nurse's ability to perform procedures with skill
- B. Dr. Jean Watson's transpersonal caring theory
- C. Maslow's theory of hierarchy of needs
- D. Learning by studying nursing theories and clinical experiences
Correct Answer: D
Rationale: Most nursing paradigms are founded on the understanding and application of nursing theories through studying them and gaining practical experiences in clinical settings. While the nurse's ability to perform procedures with skill is important, it is not the foundation of nursing paradigms. Dr. Jean Watson's transpersonal caring theory and Maslow's theory of hierarchy of needs are significant in nursing practice but do not serve as the basis for most nursing paradigms, which are shaped by a combination of studying nursing theories and hands-on clinical experiences.
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The healthcare provider is caring for an adolescent who will be hospitalized for several weeks while in traction. The patient frequently has a room full of friends, and they can be heard laughing. The healthcare provider recognizes this patient is meeting which of Maslow's hierarchy of needs?
- A. Self-esteem
- B. Love and belonging
- C. Safety
- D. Self-actualization
Correct Answer: B
Rationale: Love and belonging needs, as per Maslow's hierarchy, refer to the sense of belonging, being accepted, and forming meaningful relationships. In this scenario, the patient having friends around and engaging in social interactions indicates fulfillment of the love and belonging need. Choice A, self-esteem, focuses on self-respect and confidence, which are not directly related to the patient's interaction with friends. Choice C, safety, involves physical and psychological safety, which may be important but not the primary need being met in this situation. Choice D, self-actualization, relates to realizing personal potential, creativity, and achieving goals, which are at a higher level in the hierarchy compared to the need for love and belonging.
What theme of critical thinking is demonstrated by the belief that continuous learning contributes to the ongoing process?
- A. Critical thinking is a productive and positive activity.
- B. Critical thinking is a process, not an outcome.
- C. Manifestations of critical thinking vary, depending on the context in which they occur.
- D. Critical thinking is triggered by both positive and negative events.
Correct Answer: B
Rationale: The belief that continuous learning contributes to the ongoing process aligns with the theme that critical thinking is a process, not an outcome. This suggests that critical thinking involves a continuous, dynamic process of evaluating information, making connections, and adapting one's thinking over time, rather than being a fixed end result. Therefore, choice B is the correct answer. Choices A, C, and D do not directly address the continuous nature of critical thinking or its ongoing development, making them incorrect.
What approach does the caring LPN manager avoid when dealing with staff?
- A. Delegating
- B. Understanding
- C. Judging
- D. Evaluating
Correct Answer: C
Rationale: The caring LPN manager avoids judging when dealing with staff to create a supportive and positive work environment. Judging can lead to demotivation and hinder effective communication. Understanding is important to empathize with staff, while evaluating is necessary for providing constructive feedback. Delegating is a crucial aspect of management to distribute tasks effectively.
What theme of critical thinking is demonstrated when an individual decides to return to school to obtain a bachelor of science degree in nursing?
- A. Critical thinking involves productive and positive activities.
- B. Critical thinking is a process, not an outcome.
- C. Manifestations of critical thinking vary based on the context in which they occur.
- D. Critical thinking is triggered by both positive and negative events.
Correct Answer: D
Rationale: The decision to return to school to obtain a bachelor of science degree in nursing can be triggered by various factors, both positive (like a desire for career advancement) and negative (like feeling limited without the degree). This decision reflects critical thinking as it involves a thoughtful evaluation of personal and professional goals, weighing potential benefits and consequences. Therefore, the theme of critical thinking demonstrated in this scenario is that critical thinking is triggered by both positive and negative events. Choices A, B, and C are incorrect because they do not specifically address the concept of critical thinking being influenced by positive and negative events as demonstrated in the scenario.
When transitioning from a long-term care facility to an acute care facility, what does the nurse need to do?
- A. Adapt motivational approaches
- B. Increase working hours per week
- C. Pursue additional formal education
- D. Maintain the same time spent caring for patients
Correct Answer: A
Rationale: When transitioning from a long-term care facility to an acute care facility, the nurse needs to adapt motivational approaches. The environment and patient needs change significantly between these settings. Adapting motivational approaches is crucial to effectively meet the demands of the new job and provide optimal care in the acute care setting. This adjustment allows the nurse to cater to the different needs and pace of care required in an acute care facility compared to a long-term care facility. Choices B, C, and D are incorrect as they do not address the specific need for adapting motivational approaches when transitioning between these types of healthcare facilities.
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