Solutions - Chapter 25 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

10TYK. A 40-year-old client who comes to the clinic for a routine physical exam asks the nurse how much exercise is recommended for a healthy lifestyle. Which answer is most appropriate?
1.  Moderate activity for 10 minutes daily
2.  Moderate activity for 20 minutes two to three times a week
3.  Vigorous activity for 25 minutes three days a week
4.  Vigorous activity for 30 minutes daily
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1CTC. After morning report, the nurse, Megan, approaches Robbie James, a 10-year-old boy lying quietly in his hospital bed. She introduces herself and writes her name on the white board in the room, so that when Robbie’s mother arrives, she will know the name of Robbie’s nurse. Megan’s client assignment today consists of four acutely ill children of different ages. As Megan makes her initial rounds, she assesses the immediate needs of each child and begins to prioritize her nursing activities.
Megan has her own needs. She is tired from the night before when her own daughter was up late with coughing and fever. She is com-fortable with her arrangements for child care, however, and is able to focus on her care of the clients on the pediatric unit.
When Megan returns with intravenous morphine, Robbie barely speaks, a pinched look of discomfort on his face. Using the FACES pain scale, Robbie has identified his pain as the “worst possible pain.” This is his first day postop after surgery for a ruptured appendix, and he has a nasogastric (NG) tube in place, draining to wall suction. Megan administers the medication according to unit protocol and continues her assessment. She checks patency and placement of the NG tube and measures Robbie’s vital signs.
Megan notes a “walking chart” on the wall beside Robbie’s bed. The walking chart includes spaces to place a sticker each time Rob-bie walks in the hall. Robbie knows that after three stickers, he can choose a prize from the treasure box. Before Megan leaves the room she suggests to Robbie, “When you feel better from this medicine, m help you walk, and we’ll put another sticker on that chart!”
Describe which aspect of the nurse’s approach relates to each of the following six C’s of caring in nursing as outlined by Roach’ compassion, competence, confidence, conscience, commit-ment, and comportment.
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1TYK. Which example best illustrates the principle of knowing the client?
1.  The nurse provides a back rub to help the client relax, and then makes the bed with clean linen.
2.  The nurse listens as the client describes how he has been caring for his diabetes at home.
3.  The nurse administers a piggyback antibiotic for a client with pneumonia.
4.  The nurse collects a urine specimen to send to the lab, and explains to the client the reason for the test.
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2CTC. After morning report, the nurse, Megan, approaches Robbie James, a 10-year-old boy lying quietly in his hospital bed. She introduces herself and writes her name on the white board in the room, so that when Robbie’s mother arrives, she will know the name of Robbie’s nurse. Megan’s client assignment today consists of four acutely ill children of different ages. As Megan makes her initial rounds, she assesses the immediate needs of each child and begins to prioritize her nursing activities.
Megan has her own needs. She is tired from the night before when her own daughter was up late with coughing and fever. She is com¬fortable with her arrangements for child care, however, and is able to focus on her care of the clients on the pediatric unit.
When Megan returns with intravenous morphine, Robbie barely speaks, a pinched look of discomfort on his face. Using the FACES pain scale, Robbie has identified his pain as the “worst possible pain.” This is his first day postop after surgery for a ruptured appendix, and he has a nasogastric (NG) tube in place, draining to wall suction. Megan administers the medication according to unit protocol and continues her assessment. She checks patency and placement of the NG tube and measures Robbie’s vital signs.
Megan notes a “walking chart” on the wall beside Robbie’s bed. The walking chart includes spaces to place a sticker each time Rob-bie walks in the hall. Robbie knows that after three stickers, he can choose a prize from the treasure box. Before Megan leaves the room she suggests to Robbie, “When you feel better from this medicine, m help you walk, and we’ll put another sticker on that chart!”
In analyzing this case study and reflecting on the four ways of knowing (e.g., personal, empirical, aesthetic, and ethical), describe how each type of knowing prepared the nurse, Megan, for her caring approach.
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2TYK. The nurse teaches a client with diabetes how to make decisions about insulin management after discharge. This teaching most clearly reflects which caring activity?
1.  Empowering the client
2.  Compassion
3.  Knowing the client
4.  Nursing presence
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3CTC. After morning report, the nurse, Megan, approaches Robbie James, a 10-year-old boy lying quietly in his hospital bed. She introduces herself and writes her name on the white board in the room, so that when Robbie’s mother arrives, she will know the name of Robbie’s nurse. Megan’s client assignment today consists of four acutely ill children of different ages. As Megan makes her initial rounds, she assesses the immediate needs of each child and begins to prioritize her nursing activities.
Megan has her own needs. She is tired from the night before when her own daughter was up late with coughing and fever. She is com-fortable with her arrangements for child care, however, and is able to focus on her care of the clients on the pediatric unit.
When Megan returns with intravenous morphine, Robbie barely speaks, a pinched look of discomfort on his face. Using the FACES pain scale, Robbie has identified his pain as the “worst possible pain.” This is his first day postop after surgery for a ruptured appendix, and he has a nasogastric (NG) tube in place, draining to wall suction. Megan administers the medication according to unit protocol and continues her assessment. She checks patency and placement of the NG tube and measures Robbie’s vital signs.
Megan notes a “walking chart” on the wall beside Robbie’s bed. The walking chart includes spaces to place a sticker each time Rob-bie walks in the hall. Robbie knows that after three stickers, he can choose a prize from the treasure box. Before Megan leaves the room she suggests to Robbie, “When you feel better from this medicine, m help you walk, and we’ll put another sticker on that chart!”
In the theory of bureaucratic caring, Ray suggests that different aspects of the hospital system influence the choice making of the nurse. Describe how each of the following aspects influences the nurse’s care:
Spiritual-ethical caring
Physical
Technologic
Social-cultural
Educational
Legal
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3TYK. Mayeroff described allowing the other to grow in his own way and time. This behavior most clearly reflects which major ingredi-ent of caring?
1,  Humility
2.  Knowing
3.  Patience
4,  Courage
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4TYK. Leininger’s theory, culture care diversity and universality, would provide the best framework for assessing which nursing situation?
1. The Indonesian parents of an infant prefer to use hot/cold therapies to prevent seizures so they withhold the prescribed seizure medication (phenobarbital).
2.  Staff nurses on a hospital unit discuss how to reorganize cli­ent care to provide more continuity of staff with clients.
3.  Nurses in a community agency search for learning resources about intravenous therapy in the home setting.
4.  A nurse manager explores ways to assist new nursing grad­uates to develop clinical skills on the hospital unit.
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5TYK. In a reflective journal, a nursing student writes this statement about a comatose client on the hospice unit: “The Do-Not- Resuscitate order was not on the chart, and none of the nurses knew what measures should be taken if the client stopped breathing.” This statement most clearly reflects which of the four ways of knowing?
1.  Empirical
2.  Personal
3.  Ethical
4.  Aesthetic
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6TYK. The nurse sits with the client and holds the client’s hand as his pain decreases. This situation is an example of which caring practice?
1.  Nursing presence
2.  Assessment
3.  Knowing the client
4.  Empowering
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7TYK. Which nursing theory is depicted by a model with spiritual- ethical caring in the center, surrounded by technologic, physical, legal, political, economic, social-cultural, and educational systems?
1.  Nursing as caring
2.  Theory of bureaucratic caring
3.  Caring, the human mode of being
4.  Theory of human care
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8TYK. The nursing student reviews the pathophysiology of myocardial infarction in preparation for the next day’s clinical experience. This activity is an example of which type of knowledge development?
1.  Empirical knowing
2.  Aesthetic knowing
3.  Personal knowing
4.  Ethical knowing
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9TYK. A nurse, sitting quietly in a chair, breathing deeply, and focusing on the mental image of a crystal is using which mind-body therapy?
1.  Storytelling
2.  Yoga
3.  Music therapy
4.  Meditation
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Solutions - Chapter U10 - Kozier Erb's Fundamentals Nursing - 10 Ed

  1Q . Develop an expected outcome for this client related to chapters in this unit including activity and exercise, pain management, feca...