💉- Nursing Theorists Test

Question 0

Nightingale

Answer 0

A clean environment would improve the health of patients

Question 1

Purpose of nurse practice acts

Answer 1

Law that regulates nursing practice

Question 2

Kolcaba

Answer 2

Comfort/caring

Question 3

Benner

Answer 3

“The nurses caring helps the client cope”

Created the nurse novice to expert scale

Question 4

IOM

Answer 4

Safety

Question 5

QSEN

Answer 5

Safety, education and nursing

Question 6

ACEN

Answer 6

School accreditation

Question 7

JCT

Answer 7

Hospital accreditation

Question 8

Watson

Answer 8

Watson’s model of caring - authentic care and attention to patient

Describes what caring means from a nursing prospective

Caritas

Question 9

Henderson

Answer 9

defined what nursing was in the 20th century - moved nursing from mechanistic to holistic

Question 10

Rogers

Answer 10

Energy fields - maintains an environment free of negative energy is important

Question 11

Pender

Answer 11

Health promotion model - helps patients prevent illness through their behavior and choices

Question 12

What are the 4 components of nursing theory

Answer 12

Person
Health
Environment
Nursing

Question 13

What are the 4 exam techniques

Answer 13

Inspection
Palpation
Percussion
Auscultation

Question 14

Resonant percussion sound

Answer 14

Normal lung

Question 15

Dull percussion sound

Answer 15

Organs

Ex: liver and spleen

Question 16

Flat percussion sounds

Answer 16

Muscles

Ex: thigh or tumor

Question 17

Tympanic percussion sounds

Answer 17

Stomach

Ex: gastric air bubble

Question 18

Name the 7 places a peripheral pulse can be felt

Answer 18

Radial 
Brachial 
Carotid 
Temporal 
Dorsalis pedis 
Femoral 
Popliteal

Question 19

Bell of stethoscope is used to hear what types of sounds

Answer 19

Low pitch

Question 20

Diaphragm of stethoscope is used to hear what type of sounds

Answer 20

High pitch

Question 21

What is the correct order of obtaining health history

Answer 21

Biographical data 
Chief complaint 
History of illness 
Past medical history 
Family history 
Environmental/sociocultural history 
Psychosocial history 
Review of systems

Question 22

Subjective data

Answer 22

(Covert data, symptoms)

Information communicated to the nurse by the client

Question 23

Objective data

Answer 23

(Overt data, signs)

Information gathered through a physical assessment or from lab tests

Question 24

Outcomes

Answer 24

Describe the action that the patient will perform in order to meet the goal - must be specific and measurable

Question 25

Interventions

Answer 25

Are actions that the nurse will perform to help the client achieve stated goals and outcomes

Question 26

What are the 3 parts of the nursing diagnosis

Answer 26

Diagnostic label (title or name) - problem Related or risk factors - etiology Defining characteristics - symptoms

Question 27

Etiology

Answer 27

"What's the cause of this"

Question 28

ADPIE

Answer 28

``` Assessment Diagnosis Planning Intervention Evaluation ```

Question 29

List 8 therapeutic techniques

Answer 29

``` Silence Active listening Clarification Restating Reflecting Assertiveness Sharing observations Exploring ```

Question 30

List 10 non therapeutic techniques

Answer 30

``` Too many questions Approval/disapproval Advice Why questions Closed questions (yes/no answer) Failing to probe False reassurance Stereotyping Patronizing language Facial expressions ```

Question 31

What techniques should you use for a patient who is argumentative

Answer 31

Therapeutic techniques Comforting, "stay calm", don't argue back

Question 32

Name the vital signs

Answer 32

BP , pulse , temp and respirations + pain

Question 33

What is the proper ppe for contact isolation

Answer 33

Gown and gloves

Question 34

What is the proper ppe for droplet isolation

Answer 34

Gown, gloves, goggles and mask

Question 35

What is the proper ppe for airborne isolation

Answer 35

Gown, gloves and N95 respirator

Question 36

What techniques should you use for proper skin assessment

Answer 36

Inspection and palpation

Question 37

What is the proper oral care for critically ill patients (ventilator)

Answer 37

Brush teeth twice a day with soft brush Apply lip gloss every 2-4hrs Mouthwash twice a day

Question 38

Proper oral care for an unconscious patient

Answer 38

Don't use lemon-glycerine swabs or hydrogen peroxide

Question 39

Proper oral care for a dementia patient

Answer 39

"Dementia focused behavior management strategies" ``` Brush at the same time everyday Use as much staff as needed Quiet area (calming music) Give one step directions Use a gentle touch Diversions ```

Question 40

Family nursing

Answer 40

Refers to nursing care that is holistically directed toward the whole family as well as individual members

Question 41

What are the 3 components of family nursing

Answer 41

Context Unit of care System

Question 42

Context

Answer 42

Focuses on the patient - is the family a resource or a stressor

Question 43

Unit of care

Answer 43

Wellness of each member is critical to promoting family health

Question 44

What is the purpose of health assessments

Answer 44

- to obtain baseline data - to identify nursing diagnoses, collaborative problems, wellness diagnoses - to monitor the status of a previously identified problem - to screen for health problems

Question 45

What are the 3 phases of a nursing interview

Answer 45

introduction phase Working phase Termination phase

Question 46

What is the normal range for body temperature

Answer 46

Core 97-100 Surface 97-98

Question 47

Pallor

Answer 47

In a light skinned person may appear as pale skin without underlying pink tones. In a dark skinned person, observe for ashen gray or yellow color

Question 48

Erythema

Answer 48

Is redness of the skin, related to vasodilation and inflammation Dark skinned people- may discover it by palpating the skin for areas of increased warmth

Question 49

Jaundice

Answer 49

A yellow discoloration of the skin, occurs in patients with impaired liver function Best seen in the sclerae of the eyes

Question 50

Cyanosis

Answer 50

A bluish coloring of the skin, caused by decreased peripheral circulation or decreased oxygenation of the blood Maybe related to ❤️, pulmonary or peripheral vascular problems (arteriosclerosis) Dark skinned people- examine the conjunctivae, tongue, buccal mucosa, palms and soles of feet for a dull dark color

Question 51

Assessing the family

Answer 51

``` Health history Health benefits Communication patterns Coping process Caregiver role strain ```