Nokea
Which of the following theorists stressed energy fields in their nursing theory?
- A. Dorothea Orem
- B. Helen Neuman
- C. Rosemarie Parse
- D. Martha E. Rogers
Correct Answer: D
Rationale: Martha E. Rogers' nursing theory, the Science of Unitary Human Beings, uniquely stresses energy fields, viewing humans and their environments as dynamic, interconnected patterns. Unlike Orem's self-care focus, Neuman's systems approach, or Parse's human becoming perspective, Rogers emphasizes energy exchange like therapeutic touch affecting health. For instance, a nurse might consider environmental energy disruptions when a client's recovery stalls, applying this abstract concept practically. This distinguishes her theory, integrating physics-like principles into nursing to enhance holistic understanding and care.
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Culture media is sterilized by which of the following method?
- A. Autoclaving
- B. Boiling
- C. Hot air oven
- D. Ionizing radiation
Correct Answer: A
Rationale: Sterilization of culture media is critical in microbiology to eliminate contaminants. Autoclaving (choice A) uses moist heat under pressure (typically 121°C at 15 psi for 15-20 minutes) to kill bacteria, spores, and viruses, making it the gold standard for sterilizing liquid media like agar or broth. Boiling (choice B) at 100°C can kill vegetative bacteria but not heat-resistant spores, rendering it inadequate for complete sterilization. Hot air oven (choice C) employs dry heat (160-170°C for 2 hours) and is suitable for glassware, not liquid media, as it may evaporate or degrade nutrients. Ionizing radiation (choice D) is effective for heat-sensitive materials (e.g., plastics), but it's less common for routine media preparation due to cost and equipment needs. Autoclaving is the correct answer (A) because it ensures thorough sterilization of culture media, a process nurses and lab personnel rely on to maintain aseptic conditions for accurate diagnostic cultures.
The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include:
- A. Increased appetite
- B. Elevated liver enzymes
- C. Hypotension
- D. Improved short-term memory
Correct Answer: B
Rationale: Elevated liver enzymes are a key adverse reaction to Cognex, requiring monitoring in dementia appetite, BP, and memory aren't primary concerns. Nurses check LFTs, ensuring safety, critical for managing Alzheimer's medication risks.
Which of the following statement best describe a health belief model?
- A. Explains why people get sick
- B. Explains health behavior based on belief
- C. Focuses on disease treatment
- D. Based on medical diagnosis
Correct Answer: B
Rationale: Health belief model explains health behavior via beliefs (B), per theory e.g., perceived risk drives action. Sickness (A) and treatment (C) aren't focus, diagnosis (D) medical. B best defines HBM's psychological basis, making it correct.
During an abdominal assessment, what is the correct sequence of steps for a healthcare provider to follow?
- A. Inspection, percussion, palpation, auscultation
- B. Percussion, auscultation, inspection, palpation
- C. Auscultation, palpation, inspection, percussion
- D. Inspection, auscultation, percussion, palpation
Correct Answer: D
Rationale: During an abdominal assessment, the correct sequence of steps is inspection, auscultation, percussion, and palpation. This sequence is followed to prevent altering bowel sounds. Inspection allows for visual observation, followed by auscultation to listen for bowel sounds without causing disturbance, percussion to assess for tympany or dullness, and finally palpation to feel for any abnormalities or tenderness. Choice A is incorrect because palpation should come after percussion. Choice B is incorrect as auscultation should be performed after inspection. Choice C is incorrect because palpation should be the final step after percussion.
The nurse ensured Mr. Gary's treatment wishes were followed. This is an example of?
- A. Advocacy
- B. Management
- C. Health literacy
- D. Quality improvement
Correct Answer: A
Rationale: Ensuring treatment wishes is advocacy (A) protecting rights, per definition. Management (B) organizes, literacy (C) understands, QI (D) enhances not rights-specific. A fits patient voice, making it correct.