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Prescriptive theories:
- A. Have the ability to explain, relate and in some situations predict nursing phenomena
- B. Describe phenomena
- C. Provide a structural framework for broad abstract ideas
- D. Reflect practice and address specific phenomena
Correct Answer: D
Rationale: Prescriptive theories in nursing specify actions for specific situations, reflecting practice and addressing phenomena like pain management with concrete interventions (e.g., administer analgesics). Unlike descriptive theories, which only describe (e.g., pain's nature), or explanatory ones, which explain and predict (e.g., why pain occurs), prescriptive theories guide what nurses should do, offering practical direction. Explaining, relating, and predicting fit mid-range or grand theories, not prescriptive ones' narrow focus. Providing a broad framework suits grand theories (e.g., Orem's), not prescriptive specificity. Reflecting practice and addressing phenomena captures prescriptive theories' role bridging theory to actionable care, like protocols for patient symptoms, making this the most precise definition in nursing theory application.
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Kenneth, 25 year old diagnosed with HIV felt that he had not lived up with God's expectation. He fears that in the course of his illness, God will be punitive and not be supportive. What kind of spiritual crisis is Kenneth experiencing? 1. Spiritual Pain 2. Spiritual Anxiety 3. Spiritual Guilt 4. Spiritual Despair
- A. 1,2
- B. 2,3
- C. 3,4
- D. 1,4
Correct Answer: B
Rationale: Kenneth faces spiritual anxiety (2) and guilt (3). Anxiety stems from fear of divine punishment, and guilt from feeling he failed God's expectations, per spiritual distress frameworks. Spiritual pain (1) involves loss or meaning, not fear-based here. Despair (4) is hopelessness, not evident as he fears, not resigns. HIV's stigma amplifies 2 and 3, making B (2,3) correct.
It is best described as a systematic, rational method of planning and providing nursing care for individuals, families, group and community
- A. Assessment
- B. Nursing Process
- C. Diagnosis
- D. Implementation
Correct Answer: B
Rationale: The nursing process (B) is a comprehensive, systematic framework used by nurses to deliver patient-centered care. It encompasses five steps: assessment (data collection), diagnosis (identifying health problems), planning (setting goals and interventions), implementation (carrying out the plan), and evaluation (assessing outcomes). This definition matches the description in the question as a rational, organized method applicable to individuals, families, groups, and communities. Assessment (A) is only the first step, not the entire method. Diagnosis (C) is a single phase focused on problem identification, while implementation (D) is the action phase, neither encompassing the full scope described. The nursing process integrates critical thinking and evidence-based practice to ensure holistic care, making B the accurate answer reflecting its broad, systematic nature.
Which of the following statement is TRUE about objective data?
- A. Reported by the client
- B. Observed by the nurse
- C. Always subjective
- D. All of the above
Correct Answer: B
Rationale: Objective data is observed by the nurse (B), per assessment e.g., rash. Not reported (A), not subjective (C), not all (D) measurable. B truly defines objective's basis, making it correct.
A recently licensed registered nurse is preparing to enter practice in an acute care facility and wants to practice within the guidelines of that state. When preparing to research the state nurse practice act, what information is important to obtain?
- A. Content for the NCLEX
- B. The members of the state board of nursing
- C. Definition of legal scope of nursing practice
- D. Definition of important terms related to nursing
Correct Answer: C
Rationale: State nurse practice acts are critical legal frameworks that govern nursing practice within each jurisdiction, ensuring safe and competent care. For a newly licensed registered nurse, understanding the definition of the legal scope of nursing practice is essential, as it outlines what nurses are authorized to do, including specific tasks, responsibilities, and limitations in an acute care setting. Equally important is the definition of key terms related to nursing, which clarifies concepts like licensure, delegation, and accountability, helping the nurse navigate their role legally and ethically. While the NCLEX content is vital for licensure, it's a national exam and not state-specific. Knowing the members of the state board of nursing might be useful for context but isn't directly relevant to daily practice guidelines. The nurse practice act provides the foundational rules for compliance, protecting both the nurse and the public by setting clear professional boundaries and expectations.
Which of the following statement best describe nursing code of ethics?
- A. Hospital-specific rules
- B. Moral guidelines for nurses
- C. A legal contract
- D. A patient request
Correct Answer: B
Rationale: Nursing code of ethics is moral guidelines for nurses (B), per ANA e.g., duty, respect. Not hospital (A), not contract (C), not request (D) profession-wide. B best defines its ethical framework, guiding Mr. Gary's nurse, making it correct.