Nursing Theories and Roles Quiz
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Questions and Answers

According to Orem’s theory, what is the focus of examining patients' abilities?

  • Caring for both physical and spiritual dimensions
  • Performing self-care (correct)
  • Becoming an expert nurse
  • Adapting to change

    • In Roy's Theory, what important role does the nurse play in helping patients?

  • Become expert nurses
  • Perform self-care
  • Adapt to change (correct)
  • Focus on holistic care

    • According to Benner’s Theory, what does the theory describe?

  • Moving from novice to expert nurses (correct)
  • Examining patients' abilities
  • Focusing on holistic care
  • Helping patients adapt to change

    • What does Watson's Theory of Human Caring focus on?

    <p>Caring for physical and spiritual dimensions</p> Signup and view all the answers

    What aspect does Florence Nightingale's model of nursing focus on?

    <p>Addressing holistic patient needs</p> Signup and view all the answers

    What is the key difference between health promotion and health maintenance?

    <p>Health promotion involves education without any risk present</p> Signup and view all the answers

    What is the primary focus of Health Promotion in the Framework for Maternal and Child Health?

    <p>Teaching women the importance of rubella immunization before pregnancy</p> Signup and view all the answers

    Which phase of Health care focuses on maintaining health when the risk of illness is present?

    <p>Health Maintenance</p> Signup and view all the answers

    In which phase of Health care is conscientious assessment used to identify symptoms of illness and implement interventions?

    <p>Health Restoration</p> Signup and view all the answers

    What is the main goal of Health Rehabilitation in the Framework for Maternal and Child Health?

    <p>Achieving optimal wellness and independence in patients with residual effects</p> Signup and view all the answers

    Which of the following is NOT an example given for Health Maintenance in the Framework for Maternal and Child Health?

    <p>Teaching parents about childproofing against poisoning</p> Signup and view all the answers

    Which phase of Health care involves educating parents and children through teaching and role modeling?

    <p>Health Promotion</p> Signup and view all the answers

    What is the main focus of Madeleine Leininger's theory?

    <p>Balancing caring and curing in patient care</p> Signup and view all the answers

    How does Erikson's stages of development differ from traditional age assessment?

    <p>It emphasizes developmental stage over chronological age</p> Signup and view all the answers

    What is the primary role of a Nurse as a Care Provider?

    <p>Providing direct patient-centered care to individuals and families</p> Signup and view all the answers

    In what capacity does a Nurse act as a Collaborator?

    <p>By consulting with other healthcare professionals for patient care</p> Signup and view all the answers

    What is the main responsibility of a Nurse as a Teacher?

    <p>Educating patients on prenatal care and wellness practices</p> Signup and view all the answers

    How does a Nurse act as a Researcher in the healthcare setting?

    <p>Applying research findings to improve patient care practices</p> Signup and view all the answers

    What does the Fertility Rate measure?

    <p>Number of pregnancies per 1000 women</p> Signup and view all the answers

    What does the Neonatal Death Rate measure?

    <p>Number of deaths per 1000 live births occurring within the first 28 days of life</p> Signup and view all the answers

    What is a primary focus of Informatics Nurses?

    <p>Supporting decision making</p> Signup and view all the answers

    What characterizes Maternal and child patients according to the text?

    <p>Lead to unique and diverse patients due to varying factors</p> Signup and view all the answers

    What change in healthcare concern is mentioned in the text?

    <p>Increasing concern for quality of life</p> Signup and view all the answers

    Why do Women having children present unique challenges in healthcare according to the text?

    <p>They range in age from early teens to older women</p> Signup and view all the answers

    What is a key reason why individuals and families have recently taken increased responsibility for their own health?

    <p>Influence of market-driven care</p> Signup and view all the answers

    Why is documentation considered essential in nursing practice?

    <p>To justify actions taken</p> Signup and view all the answers

    In the context of the text, what is the role of standards of care for nurses?

    <p>To provide guidelines for safe and competent care</p> Signup and view all the answers

    Why is practicing safe and competent care essential for the safety of the mother and fetus?

    <p>To maintain the safety of both the mother and fetus</p> Signup and view all the answers

    What is a concern raised in the critical thinking care study about Tommy's situation?

    <p>Tommy's allergy to cleaning products at school</p> Signup and view all the answers

    How can nurses assist in helping Tommy get back to school and his mother start prenatal care based on the text?

    <p>Provide guidance on managing Tommy's asthma triggers</p> Signup and view all the answers

    During which stage of the general adaptation syndrome does a person attempt to adapt to stress using the physiological responses initiated in the alarm reaction stage?

    <p>Stage of resistance</p> Signup and view all the answers

    Which of the following biological responses is associated with the sustained phase of the fight-or-flight response?

    <p>Increased gluconeogenesis</p> Signup and view all the answers

    What term is used to describe the state manifested by a specific syndrome consisting of all nonspecifically induced changes within a biologic system according to Hans Selye?

    <p>General adaptation syndrome</p> Signup and view all the answers

    Which of the following is NOT a physiological symptom associated with the fight-or-flight response?

    <p>Decrease in secretion of sex hormones</p> Signup and view all the answers

    Which stage of the general adaptation syndrome is characterized by the depletion of adaptive energy and the possibility of diseases of adaptation?

    <p>Stage of exhaustion</p> Signup and view all the answers

    Which of the following is an immediate response associated with the fight-or-flight biological responses?

    <p>Release of norepinephrine and epinephrine</p> Signup and view all the answers

    What physiological responses are generally associated with the 'fight-or-flight syndrome'?

    <p>Increase in heart rate and respirations</p> Signup and view all the answers

    Which hormone is responsible for the immediate response of increased force of cardiac contraction?

    <p>Vasopressin</p> Signup and view all the answers

    What effect does sustained stress have on glucose levels and blood pressure according to the text?

    <p>Increase in serum glucose</p> Signup and view all the answers

    Which of the following is NOT a sustained physical response to stress mentioned in the text?

    <p>Increased immune responses</p> Signup and view all the answers

    What role does vasopressin play in the physiological response to stress?

    <p>Fluid retention</p> Signup and view all the answers

    Which hormone contributes to the increased basal metabolic rate during stress according to the text?

    <p>Growth hormone</p> Signup and view all the answers

    How do pupils react during the 'fight-or-flight syndrome'?

    <p>Dilation</p> Signup and view all the answers

    What is the role of gonadotropins in the sustained physical responses to stress?

    <p>Increased libido</p> Signup and view all the answers

    What is the key concept identified by Maslow in his 'hierarchy of needs'?

    <p>Self-actualization</p> Signup and view all the answers

    How is mental health defined in the text?

    <p>Adapting successfully to stressors</p> Signup and view all the answers

    Which part of Maslow's hierarchy of needs emphasizes safety and security?

    <p>Love/belonging</p> Signup and view all the answers

    According to Maslow, which need comes after fulfilling physiological and safety needs?

    <p>Love/belonging</p> Signup and view all the answers

    How does successful adaptation to stressors manifest in mental health according to the text?

    <p>Demonstrating thoughts, feelings, and behaviors congruent with cultural norms</p> Signup and view all the answers

    Which component of Maslow's hierarchy focuses on respect, self-esteem, and recognition?

    <p>Love/belonging</p> Signup and view all the answers

    In Maslow's hierarchy, which level represents meeting basic physical needs like air, food, water, and sleep?

    <p>Physiological</p> Signup and view all the answers

    What is the ultimate goal of self-actualization according to Maslow's hierarchy?

    <p>Fulfilling one's highest potential</p> Signup and view all the answers

    Which of the following is a common characteristic of individuals with psychoses?

    <p>Full awareness of their maladaptive behavior</p> Signup and view all the answers

    What is the subjective state associated with responses to the loss of a valued entity called?

    <p>Grief</p> Signup and view all the answers

    Which stage of grief involves attempting to make deals to avoid the reality of the loss?

    <p>Bargaining</p> Signup and view all the answers

    What term describes the period of grief-related emotions and behaviors?

    <p>Mourning</p> Signup and view all the answers

    Which disorder is NOT mentioned as an example of psychotic disorders in the text?

    <p>Bipolar disorder</p> Signup and view all the answers

    What may maladaptive responses to grief lead to, according to the text?

    <p>Risk for suicide</p> Signup and view all the answers

    What characterizes individuals experiencing grief?

    <p>Feelings of sadness and despair</p> Signup and view all the answers

    Which defense mechanism involves attributing one’s own unacceptable feelings onto another person?

    <p>Projection</p> Signup and view all the answers

    At what level of anxiety, according to the text, are ego defense mechanisms employed for protection?

    <p>Moderate anxiety</p> Signup and view all the answers

    Which coping mechanism involves substituting a less threatening object for the real object of one’s feelings?

    <p>Displacement</p> Signup and view all the answers

    In the context of ego defense mechanisms, which one involves justifying one’s behaviors by using socially acceptable reasons?

    <p>Rationalization</p> Signup and view all the answers

    Which of the following activities is NOT listed as a coping mechanism for dealing with stress?

    <p>Meditating</p> Signup and view all the answers

    A client always tries to fix every problem they encounter by taking on more tasks at work. Which ego defense mechanism is this client most likely using?

    <p>Compensation</p> Signup and view all the answers

    Which defense mechanism involves reverting to an earlier, more childlike level of functioning that was effective at an earlier age?

    <p>Regression</p> Signup and view all the answers

    Which ego defense mechanism involves attributing unacceptable qualities of oneself to others?

    <p>Projection</p> Signup and view all the answers

    Which statement accurately reflects the relationship between psychosocial stress and adaptation to stressors?

    <p>Psychosocial stress can lead to increased susceptibility to diseases of adaptation.</p> Signup and view all the answers

    What is a primary characteristic of mild anxiety according to the text?

    <p>It provides motivation for survival.</p> Signup and view all the answers

    In Peplau’s Four Levels of Anxiety, what is a common outcome of experiencing mild anxiety?

    <p>Heightened awareness of the environment</p> Signup and view all the answers

    How does the text describe the feeling of anxiety experienced by individuals?

    <p>Often without a clear source but with feelings of uncertainty</p> Signup and view all the answers

    What is the primary function of the fight-or-flight response according to the text?

    <p>To maintain homeostasis</p> Signup and view all the answers

    What distinguishes modern stress from that experienced by our ancestors?

    <p>Modern stress is described as pervasive, chronic, and relentless.</p> Signup and view all the answers

    Which phase of Selye's general adaptation syndrome involves the depletion of adaptive energy and may lead to diseases of adaptation?

    <p>Stage of exhaustion</p> Signup and view all the answers

    What are the immediate biological responses associated with the fight-or-flight response?

    <p>Release of norepinephrine and epinephrine, increased respiration rate</p> Signup and view all the answers

    During which stage of Selye's general adaptation syndrome does a person attempt to adapt to stress using the physiological responses initiated in the alarm reaction stage?

    <p>Stage of resistance</p> Signup and view all the answers

    Which hormone contributes to the increased basal metabolic rate during stress according to the text?

    <p>Epinephrine</p> Signup and view all the answers

    What characterizes the sustained responses during the fight-or-flight response?

    <p>Increased basal metabolic rate, decreased sex hormone secretion</p> Signup and view all the answers

    What is the term used for the immediate responses during the fight-or-flight response that include an increase in heart rate and respiration?

    <p>Alarm reaction stage</p> Signup and view all the answers

    Which defense mechanism involves attributing one’s own intentions onto another person?

    <p>Projection</p> Signup and view all the answers

    A client refuses to acknowledge that their recent weight gain is due to poor eating habits. Which ego defense mechanism is the client exhibiting?

    <p>Denial</p> Signup and view all the answers

    In the context of ego defense mechanisms, which one involves shifting feelings about an unacceptable object to a more acceptable substitute?

    <p>Displacement</p> Signup and view all the answers

    Which defense mechanism involves justifying a behavior by using socially acceptable reasons rather than addressing the real motivation?

    <p>Rationalization</p> Signup and view all the answers

    A client expresses excessive concern for another patient in the hospital while ignoring their own significant health issues. Which ego defense mechanism could this represent?

    <p>Introjection</p> Signup and view all the answers

    Which coping mechanism involves returning to an earlier stage of development when faced with stress?

    <p>Regression</p> Signup and view all the answers

    Which of the following is a common characteristic of individuals experiencing grief according to the text?

    <p>Show a flight from reality into a less stressful world</p> Signup and view all the answers

    What is the key difference between the mourning process and clinical depression according to the text?

    <p>Mourning can lead to clinical depression</p> Signup and view all the answers

    In the context of individuals with psychoses, why might they exhibit a flight from reality into a less stressful world?

    <p>To escape into a more manageable reality</p> Signup and view all the answers

    What physiological disorders can prolonged unresolved moderate to severe anxiety contribute to?

    <p>Cardiovascular, gastrointestinal, neoplastic, neurological, and pulmonary conditions</p> Signup and view all the answers

    What distinguishes grief from clinical depression according to the text?

    <p>Grief can lead to clinical depression</p> Signup and view all the answers

    What is a common characteristic of individuals with neuroses?

    <p>They are aware that their behaviors are maladaptive</p> Signup and view all the answers

    Why is prolonged grief considered maladaptive according to the text?

    <p>It may result in clinical depression or other mental illness symptoms</p> Signup and view all the answers

    What term is used to describe a psychiatric disturbance characterized by excessive anxiety expressed directly or altered through defense mechanisms?

    <p>Neurosis</p> Signup and view all the answers

    Extended periods of functioning at the panic level of anxiety may lead to what condition according to the text?

    <p>Psychosis</p> Signup and view all the answers

    How can grieving individuals differ from those experiencing psychoses in terms of awareness, as explained in the text?

    <p>Grieving individuals are aware of their psychological problems</p> Signup and view all the answers

    Individuals with neuroses are aware of their distress but are often unaware of what according to the text?

    <p>Psychological causes of their distress</p> Signup and view all the answers

    What is a key characteristic of a neurosis according to the text?

    <p>Impairs a person's functioning but does not lead to gross distortion of reality</p> Signup and view all the answers

    What is the main concern during the emergent (resuscitative) phase of burn management?

    <p>Hypovolemic shock</p> Signup and view all the answers

    When does the emergent (resuscitative) phase of burn management end?

    <p>When fluid mobilization and diuresis begin</p> Signup and view all the answers

    What is the greatest threat during the emergent phase of burn management according to the text?

    <p>Hypovolemic shock</p> Signup and view all the answers

    At what point can hypovolemic shock begin postburn?

    <p>20 minutes postburn</p> Signup and view all the answers

    How is the total body surface area affected calculated for burn patients?

    <p>By using the Lund-Browder chart</p> Signup and view all the answers

    What is the primary goal of the emergent (resuscitative) phase in burn management?

    <p>Resolving immediate problems resulting from injury</p> Signup and view all the answers

    What are the main concerns during the emergent (resuscitative) phase of burn management?

    <p>Hypovolemic shock and edema</p> Signup and view all the answers

    What factor determines the severity of an electrical burn injury?

    <p>Length of time the current was sustained</p> Signup and view all the answers

    What causes hypovolemic shock during the emergent phase of burn management?

    <p>Fluid shifts out of blood vessels</p> Signup and view all the answers

    Which type of current passing through vital organs can lead to more life-threatening sequelae?

    <p>Direct current</p> Signup and view all the answers

    What can electrical current cause that is strong enough to fracture long bones and vertebrae?

    <p>Muscle spasms</p> Signup and view all the answers

    What is a potential complication faced by patients with electrical burns that involves myoglobinuria?

    <p>Renal damage</p> Signup and view all the answers

    Why can determining the severity of an electrical burn injury be challenging?

    <p>Because most damage occurs below the skin</p> Signup and view all the answers

    In what way can electric sparks from an electrical burn injury contribute to additional harm?

    <p>By igniting the patient's clothing</p> Signup and view all the answers

    Which factor related to electric shocks can contribute to fractures in long bones and vertebrae?

    <p>Muscle spasms</p> Signup and view all the answers

    What is the consequence of myoglobin from injured muscle traveling to the kidneys?

    <p>Acute kidney injury</p> Signup and view all the answers

    What is the primary cause of intravascular volume depletion in the severely burned patient during the emergent phase pathophysiology?

    <p>Increased insensible losses</p> Signup and view all the answers

    Why does the net result of fluid shift lead to intravascular volume depletion in the emergent phase of burn pathophysiology?

    <p>Decreased blood pressure</p> Signup and view all the answers

    In the context of burn injuries, why does potassium (K+) shift develop first during the emergent phase?

    <p>RBC hemolysis</p> Signup and view all the answers

    What contributes to the high hematocrit caused by hemoconcentration in the emergent phase of burn pathophysiology?

    <p>RBC hemolysis</p> Signup and view all the answers

    Why does sodium (Na+) rapidly move to interstitial spaces and stay there during the emergent phase pathophysiology?

    <p>Edema</p> Signup and view all the answers

    What characteristic of burn injuries leads to thrombosis in capillaries of burned tissue during the emergent phase?

    <p>RBC hemolysis</p> Signup and view all the answers

    How do circulating factors released at the time of burn contribute to RBC hemolysis in the emergent phase pathophysiology?

    <p>Direct insult of burn injury</p> Signup and view all the answers

    Which factor leads to the development of facial edema before and after fluid resuscitation?

    <p>Fluid and electrolyte shifts</p> Signup and view all the answers

    What is a possible emotional need of burn survivors, as mentioned in the text?

    <p>Guilt and fear of dying</p> Signup and view all the answers

    In gerontologic considerations, which aspect of aging puts patients at risk for injury?

    <p>Decreased hearing</p> Signup and view all the answers

    Which action may indicate adverse effects on self-esteem in a patient, as per the text?

    <p>Avoiding eye contact</p> Signup and view all the answers

    What is a common emotional response of patients recovering from a burn injury, based on the text?

    <p>Guilt and fear of dying</p> Signup and view all the answers

    Why are spirituality and cultural needs highlighted in the emotional care of patients, according to the text?

    <p>To address the patient's overall well-being</p> Signup and view all the answers

    Why might a burn survivor express concerns about returning to work, based on the text?

    <p>Feeling of guilt and frustration</p> Signup and view all the answers

    How can unmet emotional needs influence a patient's recovery journey?

    <p>Increases the likelihood of relapse</p> Signup and view all the answers

    What is the primary purpose of using cultured epithelial autografts in skin grafting for full-thickness burns?

    <p>To grow small specimens of the patient’s skin into sheets for permanent skin coverage</p> Signup and view all the answers

    What distinguishes cultured epithelial autographs (CEAs) from other types of skin grafts mentioned in the text?

    <p>They involve growing the patient's skin into sheets for coverage</p> Signup and view all the answers

    How are cultured epithelial autografts (CEAs) different from split-thickness skin grafts?

    <p>CEAs are grown from the patient's own small skin specimens into sheets</p> Signup and view all the answers

    What is the benefit of using cultured epithelial autografts (CEAs) in patients with large body surface burns?

    <p>It allows for permanent skin coverage with limited available skin</p> Signup and view all the answers

    Which prevention strategy is most effective in teaching home fire safety?

    <p>Encourage regular home fire exit drills</p> Signup and view all the answers

    Which type of burn is least likely to result in a full-thickness burn?

    <p>Sunburn</p> Signup and view all the answers

    What is a characteristic of a partial-thickness burn?

    <p>Intact nerve endings</p> Signup and view all the answers

    What is the most appropriate action for the nurse to take next when assessing a patient with decreased breath sounds?

    <p>Obtain vital signs, oxygen saturation, and a STAT arterial blood gas</p> Signup and view all the answers

    What occurs during the early emergent phase of a burn injury?

    <p>Movement of sodium and water into the interstitial space</p> Signup and view all the answers

    What is a priority concern when caring for an older adult who has been burned?

    <p>Allowing them to cook unattended</p> Signup and view all the answers

    What is the primary goal of maintaining a positive nitrogen balance in a major burn patient?

    <p>To promote wound healing</p> Signup and view all the answers

    What is the priority intervention for wound care in a patient with a 25% TBSA burn?

    <p>Observing the wound for signs of infection during dressing changes</p> Signup and view all the answers

    What is an effective way to prevent hypertrophic scarring during the rehabilitation phase of burn recovery?

    <p>Applying pressure garments</p> Signup and view all the answers

    What is the first action the nurse should take when meeting with a patient who is recovering from second- and third-degree burns over 30% of their body?

    <p>Review the patient's current health care status and readiness for discharge to home</p> Signup and view all the answers

    What is a key component of effective pain management in burn patients?

    <p>Using a pain rating tool to monitor the patient's level of pain</p> Signup and view all the answers

    What is the primary goal of a high-protein, high-carbohydrate diet in a major burn patient?

    <p>To promote wound healing</p> Signup and view all the answers

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