Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a patient from Mexico and ensures to incorporate the patient’s cultural traditions, values, and beliefs into the care plan.
Which nursing theorist’s principles does this action align with?
A. Florence Nightingale
Florence Nightingale is known as the founder of modern nursing. Her environmental theory emphasized the impact of the environment on a patient’s health.
B. Madeleine Leninger
Madeleine Leninger is known for her Culture Care Diversity and Universality theory, which emphasizes cultural competency in nursing practice. This theory aligns with the action of incorporating a patient’s cultural traditions, values, and beliefs into the care plan.
C. Dorthea Orem
Dorthea Orem’s Self-Care Deficit theory focuses on the patient’s self-care needs and how nurses can assist in meeting those needs.
D. Jean Watson
Jean Watson’s Theory of Human Caring emphasizes the humanistic aspects of nursing in relation to health, illness, and healing.
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Full Explanation
Choice A rationale
Florence Nightingale is known as the founder of modern nursing. Her environmental theory emphasized the impact of the environment on a patient’s health.
Choice B rationale
Madeleine Leninger is known for her Culture Care Diversity and Universality theory, which emphasizes cultural competency in nursing practice. This theory aligns with the action of incorporating a patient’s cultural traditions, values, and beliefs into the care plan.
Choice C rationale
Dorthea Orem’s Self-Care Deficit theory focuses on the patient’s self-care needs and how nurses can assist in meeting those needs.
Choice D rationale
Jean Watson’s Theory of Human Caring emphasizes the humanistic aspects of nursing in relation to health, illness, and healing.
Similar Questions
A nurse is caring for a patient who is a long-term smoker and is in the early stages of COPD.
The patient expresses interest in quitting smoking and has been asking about smoking cessation aids. The nurse interprets this as which stage of Lewin’s Change Theory?
A. Unfreezing
Unfreezing is the first stage of Lewin’s Change Theory. It involves overcoming resistance to change and preparing for the upcoming change. In this case, the patient expressing interest in quitting smoking and asking about smoking cessation aids indicates that they are in the unfreezing stage.
B. Moving
Moving is the second stage of Lewin’s Change Theory. It involves taking the necessary steps towards change.
C. Action
The term “Action” is not recognized as a stage in Lewin’s Change Theory.
D. Refreezing .
Refreezing is the final stage of Lewin’s Change Theory. It involves establishing the change as a new habit, so it becomes the "norm"4.
Full Explanation
Choice A rationale
Unfreezing is the first stage of Lewin’s Change Theory. It involves overcoming resistance to change and preparing for the upcoming change. In this case, the patient expressing interest in quitting smoking and asking about smoking cessation aids indicates that they are in the unfreezing stage.
Choice B rationale
Moving is the second stage of Lewin’s Change Theory. It involves taking the necessary steps towards change.
Choice C rationale
The term “Action” is not recognized as a stage in Lewin’s Change Theory.
Choice D rationale
Refreezing is the final stage of Lewin’s Change Theory. It involves establishing the change as a new habit, so it becomes the "norm"4.
A 57-year-old female patient was admitted to the hospital with a left upper wound infection (methicillin-resistant Staphylococcus aureus [MRSA] and several gram-negative bacteria) and cellulitis 5 days ago.
Her wound is packed and requires a dressing change twice a day.
She is scheduled for discharge to home with her daughter to continue antibiotic therapy for another week.
What health teaching should the nurse include as part of the discharge instructions for the patient and her daughter?
Select all that apply.
A. Use a sterile technique when packing the wound and changing the dressing twice a day.
Using a sterile technique when packing the wound and changing the dressing twice a day is crucial to prevent further infection.
B. Stop taking the antibiotics when your arm feels better and is not reddened.
It is important to complete the full course of antibiotics, even if symptoms improve, to ensure the infection is fully treated and to prevent antibiotic resistance.
C. Notify your primary health care provider if your diarrhea gets worse.
Diarrhea can be a side effect of some antibiotics. If it gets worse, it could be a sign of an infection such as Clostridium difficile, which requires immediate medical attention.
D. Avoid strenuous activity and take frequent rest periods.
Rest is important for recovery. Strenuous activity could delay healing and increase the risk of complications.
Full Explanation
Choice A rationale
Using a sterile technique when packing the wound and changing the dressing twice a day is crucial to prevent further infection.
Choice B rationale
It is important to complete the full course of antibiotics, even if symptoms improve, to ensure the infection is fully treated and to prevent antibiotic resistance.
Choice C rationale
Diarrhea can be a side effect of some antibiotics. If it gets worse, it could be a sign of an infection such as Clostridium difficile, which requires immediate medical attention.
Choice D rationale
Rest is important for recovery. Strenuous activity could delay healing and increase the risk of complications.
Which of the following actions by the new nurse requires immediate intervention by the experienced nurse?
A. Does not let patient know that nurse is assessing respirations.
It is a common practice for nurses to assess a patient’s respirations without explicitly stating so. This is because patients may alter their breathing pattern if they know it’s being observed.
B. Auscultating heart sounds using bell of stethoscope.
Auscultating heart sounds using the bell of the stethoscope is a standard practice in nursing. The bell of the stethoscope is used specifically to listen to low-frequency sounds such as heart murmurs.
C. Assessing both carotid pulse sites at the same time.
Assessing both carotid pulse sites at the same time is dangerous and should be avoided. This action can lead to reduced blood flow to the brain, possibly causing the patient to faint or experience a decrease in cerebral blood flow.
D. Cleaning stethoscope between patient assessments.
Cleaning the stethoscope between patient assessments is a recommended practice to prevent the spread of infections.
Full Explanation
Choice A rationale
It is a common practice for nurses to assess a patient’s respirations without explicitly stating so. This is because patients may alter their breathing pattern if they know it’s being observed.
Choice B rationale
Auscultating heart sounds using the bell of the stethoscope is a standard practice in nursing. The bell of the stethoscope is used specifically to listen to low-frequency sounds such as heart murmurs.
Choice C rationale
Assessing both carotid pulse sites at the same time is dangerous and should be avoided. This action can lead to reduced blood flow to the brain, possibly causing the patient to faint or experience a decrease in cerebral blood flow.
Choice D rationale
Cleaning the stethoscope between patient assessments is a recommended practice to prevent the spread of infections.