Nokea
Which of the following is the central theme of Sr. Calista Roys theory
- A. Self care deficit
- B. Nursing as caring
- C. Adaptation
- D. Transcultural
Correct Answer: C
Rationale: The central theme of Sr. Callista Roy's theory is adaptation. Roy's Adaptation Model focuses on the individual's ability to adapt to internal and external stimuli in order to maintain health and well-being. The theory emphasizes the interconnectedness of the individual and their environment, highlighting the dynamic process of adaptation in response to stimuli. By focusing on adaptation, Roy's theory guides nursing practice in promoting holistic care that supports individuals in adapting to changes and achieving optimal health outcomes.
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Nurse Mauve should plan to initiate which action to provide a safe environment?
- A. Take the patient's vital signs every 4 hours.
- B. Encourage visits from family and friends for psychosocial support.
- C. Maintain fluid and sodium restrictions.
- D. Take off the room lights and draw the window shades.
Correct Answer: D
Rationale: Taking off the room lights and drawing the window shades would provide a calm and soothing environment for the five-year-old patient admitted due to pneumonia with symptoms of cough, respiratory distress, anxiety, and dehydration. By creating a dim and quiet atmosphere, it can help reduce the child's anxiety levels, promote rest and relaxation, and potentially aid in the management of distress caused by pneumonia. Providing a quiet and dark environment can also support the child's comfort and recovery process during the hospital stay.
A postpartum client exhibits signs of depression, including tearfulness, feelings of guilt, and decreased interest in self-care. Which nursing intervention should be prioritized?
- A. Encouraging participation in support groups for new mothers
- B. Referring the client to a mental health professional for counseling
- C. Administering antidepressant medication as prescribed
- D. Assessing for risk of harm to self or infant
Correct Answer: D
Rationale: The prioritized nursing intervention in this situation should be assessing for the risk of harm to self or infant. It is crucial to ensure the safety of the postpartum client and her infant as depression can increase the risk of self-harm or harm to the newborn. By assessing for any potential risks, the nurse can take appropriate actions to prevent any harm and ensure the well-being of both the client and the infant. Once the assessment is completed, further interventions like encouraging participation in support groups, referring to a mental health professional, or administering medications can be considered based on the assessment findings.
During a support group meeting, Nurse Donato, in a teasing manner, has made several provocative remarks about your appearance and behavior as a group leader. Select your MOST appropriate response.
- A. "Donato, see me after this meeting"
- B. "Donato, you are excused from the group"
- C. "What do you think Donato is trying to tell us?"
- D. "Donato, what are you saying is inappropriate"
Correct Answer: D
Rationale: Choosing option D, "Donato, what you are saying is inappropriate," is the most appropriate response in this situation. It directly addresses Nurse Donato's behavior without escalating the situation or being overly confrontational. By calmly pointing out that the remarks are inappropriate, you are setting a boundary and letting Nurse Donato know that such behavior is not acceptable in a professional setting. This response also signals to the rest of the group that you are aware of the inappropriate comments and are taking action to address them. It is important to address such behavior professionally and assertively to maintain a respectful and supportive environment during the support group meeting.
The physician prescribes a treatment plan for patient Mila. Nurse Victor understands that the initial treatment goal is which of the following?
- A. Prevent infection
- B. Correct hypoxia
- C. Correct metabolic acidosis
- D. Increase myocardial oxygen supply
Correct Answer: A
Rationale: The initial treatment goal for a patient like Mila is often focused on preventing infection. Infection prevention is a basic and essential step in patient care, especially for someone who may be at risk due to their medical condition or treatment plan. By preventing infection, healthcare providers can help ensure the patient's safety and promote successful outcomes for the overall treatment plan. Correcting hypoxia, metabolic acidosis, and increasing myocardial oxygen supply may be important goals as well, but preventing infection is usually prioritized as it can have serious consequences if not addressed promptly.
A patient is complaining of urinary pain after being diagnosed with a urinary tract infection the previous day. What is the nurse's best action?
- A. Administer ordered phenazopyridine hydrochloride (Pyridium).
- B. Administer ordered trimethoprim (Trimpex).
- C. Administer ordered bethanechol (Urecholine).
- D. Administer ordered acetaminophen (Tylenol) and a warm bath.
Correct Answer: B
Rationale: The nurse's best action in this situation would be to administer the ordered antibiotic trimethoprim (Trimpex). A urinary tract infection (UTI) requires antibiotic treatment to eliminate the bacterial infection causing the symptoms. Phenazopyridine hydrochloride is a urinary tract analgesic that can help relieve urinary pain but does not treat the infection itself. Bethanechol is a cholinergic medication used to treat urinary retention, not a UTI. Acetaminophen and a warm bath may help with some discomfort but do not address the underlying infection causing the urinary pain. Therefore, administering the prescribed antibiotic would be the most appropriate action to target the source of the patient's symptoms.