Nursing students have been studying the “stability model” of nurse theorists. This view can be described as which of the following? 1. Dominant. 2. Systems framework. 3. Stress/adaptation framework. 4. Martha Rogers’s theory. 5. Caring/complexity framework. 6. Callista Roy’s theory. ANSWER Correct Answer: 1,2,3,6 Rationale 1: The dominant view of nursing theories is considered […]
A nurse is caring for a 35-year-old client who is 12 hours post mastectomy. The care assistant re-ports that the client is crying. Which of the following responses by the nurse best reflects the use of analysis regarding this client’s care needs? 1. “That surgery is painful. I’ll get her pain medication ready.” 2. “She […]
According to Piaget, the infant is in the first period of development, which is characterized by: 1. Concrete operations 2. Preoperational thought 3. Sensorimotor intelligence 4. Identity versus role confusion ANSWER ANS: 3 According to Piaget, the infant is in the first period of development, which is characterized by sensorimotor intelligence. According to Piaget, […]
Unlicensed assistive personnel are assigned the task of feeding breakfast to older clients with alterations in mobility and orientation. What instruction should the nurse include in this delegation? 1. Breakfast should be completed quickly so that baths may begin. 2. Give fluids before and after each bite of solid foods. 3. Stand to the left […]
Contemporary nursing practice is based on knowledge generated through nursing theories. Flor-ence Nightingale’s theory introduced the concept that nursing care focuses on: 1. Psychological needs 2. A maximal level of wellness 3. Health maintenance and restoration 4. Interpersonal interactions with the client ANSWER ANS: 3 Florence Nightingale believed the role of the nurse was […]
While waiting for the physician to respond regarding a client’s elevated temperature, what can the nurse do to assist the client? 1. Bathe the client with ice water. 2. Give the client an antipyretic. 3. Increase fluid intake. 4. Lower the room temperature. ANSWER Correct Answer: 3 Rationale 1: Bathing the client in ice […]
A client is concerned about maintaining a healthy respiratory system. What should the nurse instruct the client to do to promote a healthy respiratory status? 1. Use pursed-lip breathing. 2. Exercise regularly. 3. Do not smoke. 4. Breathe through the nose. 5. Breathe through the mouth. ANSWER Correct Answer: 2, 3, 4 Rationale: Client […]
A client is prescribed a medication to be administered through the parenteral route. The nurse would expect that this medication will be provided through which method? 1. Subcutaneous injection 2. Intramuscular injection 3. The oral route 4. Intradermal injection 5. Intravenous infusion ANSWER Correct Answer: 1, 2, 4, 5 Rationale 1: Subcutaneous injection is […]
An experienced nurse has just walked into the room of a client to whom the nurse has been assigned for the shift. Which of the following might be a significant observation that could influence the inclusion of a new nursing diagnosis? 1. The client’s eyes are closed. 2. The client’s skin is pale and mottled. […]
The nurse is preparing to massage a client’s back. Place in order the steps the nurse will follow, after conducting hand hygiene and preparing the client, to perform the back massage. 1. Move the hands down the sides of the back. 2. Pour lotion into the palms of the hands to warm the lotion. 3. […]
