Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is planning care for a client using the holistic health model. Which action best demonstrates this model?
A. Provide the client with printed dietary guidelines to manage their diabetes.
Providing printed dietary guidelines is a useful educational strategy, but it primarily addresses physical health and does not encompass the emotional, social, or spiritual dimensions emphasized in the holistic health model. It reflects a biomedical approach rather than a holistic one.
B. Administer medication to help manage a client’s pain.
Administering medication is a conventional medical intervention focused on symptom management. While effective for physical relief, it does not address the broader aspects of well-being such as emotional or social support, which are central to holistic care.
C. Schedule a follow-up with the client’s healthcare provider.
Scheduling a follow-up with a healthcare provider ensures continuity of care, but it remains within the traditional medical framework. It does not actively engage the client’s emotional, social, or spiritual needs, which are vital in holistic health planning.
D. Encourage attendance to a support group for emotional and social needs.
Encouraging attendance at a support group directly supports emotional and social well-being, key components of the holistic health model. This approach recognizes the interconnectedness of mind, body, and spirit, and empowers the client to engage in their own healing process through community and shared experience.
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Full Explanation
Choice A reason: Providing printed dietary guidelines is a useful educational strategy, but it primarily addresses physical health and does not encompass the emotional, social, or spiritual dimensions emphasized in the holistic health model. It reflects a biomedical approach rather than a holistic one.
Choice B reason: Administering medication is a conventional medical intervention focused on symptom management. While effective for physical relief, it does not address the broader aspects of well-being such as emotional or social support, which are central to holistic care.
Choice C reason: Scheduling a follow-up with a healthcare provider ensures continuity of care, but it remains within the traditional medical framework. It does not actively engage the client’s emotional, social, or spiritual needs, which are vital in holistic health planning.
Choice D reason: Encouraging attendance at a support group directly supports emotional and social well-being, key components of the holistic health model. This approach recognizes the interconnectedness of mind, body, and spirit, and empowers the client to engage in their own healing process through community and shared experience.
Similar Questions
A nurse is planning a community health initiative. Which activity facilitates active health promotion among local residents?
A. Implement policy on clean water
Implementing clean water policies is a public health measure that supports environmental health and disease prevention. However, it is more passive and regulatory than actively engaging residents in health-promoting behaviors.
B. Organize a weekly walking group for seniors
Organizing a walking group directly involves residents in physical activity, fostering social connection and cardiovascular health. It exemplifies active health promotion by encouraging lifestyle changes through community engagement.
C. Enforce a city-wide smoking ban
Enforcing a smoking ban is a legislative action that reduces exposure to secondhand smoke but does not actively involve individuals in health-promoting behaviors. It is a form of passive prevention.
D. Encourage clients to drink vitamin D-fortified milk
Encouraging consumption of fortified milk supports nutritional health but lacks the interactive and behavioral engagement seen in organized group activities. It is educational but not as participatory.
Full Explanation
Choice A reason: Implementing clean water policies is a public health measure that supports environmental health and disease prevention. However, it is more passive and regulatory than actively engaging residents in health-promoting behaviors.
Choice B reason: Organizing a walking group directly involves residents in physical activity, fostering social connection and cardiovascular health. It exemplifies active health promotion by encouraging lifestyle changes through community engagement.
Choice C reason: Enforcing a smoking ban is a legislative action that reduces exposure to secondhand smoke but does not actively involve individuals in health-promoting behaviors. It is a form of passive prevention.
Choice D reason: Encouraging consumption of fortified milk supports nutritional health but lacks the interactive and behavioral engagement seen in organized group activities. It is educational but not as participatory.
A nurse is caring for four clients. Which client should the nurse prioritize based on Maslow's hierarchy of needs?
A. A client who is experiencing difficulty breathing
Difficulty breathing is a threat to physiological stability, the most basic level in Maslow’s hierarchy. Airway and breathing are critical priorities in nursing care, and this client requires immediate intervention to preserve life.
B. A client who is anxious about an upcoming surgery
Anxiety about surgery reflects emotional and psychological needs, which are important but secondary to physiological survival. Once the client’s physical safety is ensured, emotional support can be provided.
C. A client who reports feeling lonely and isolated
Loneliness and isolation pertain to love and belonging needs. While these are essential for mental health, they do not take precedence over life-threatening conditions like respiratory distress.
D. A client who requests information about a new diet plan
Interest in a diet plan reflects self-improvement and health promotion, which align with Maslow’s higher-level needs such as self-actualization. This client is stable and can wait while more urgent needs are addressed.
Full Explanation
Choice A reason: Difficulty breathing is a threat to physiological stability, the most basic level in Maslow’s hierarchy. Airway and breathing are critical priorities in nursing care, and this client requires immediate intervention to preserve life.
Choice B reason: Anxiety about surgery reflects emotional and psychological needs, which are important but secondary to physiological survival. Once the client’s physical safety is ensured, emotional support can be provided.
Choice C reason: Loneliness and isolation pertain to love and belonging needs. While these are essential for mental health, they do not take precedence over life-threatening conditions like respiratory distress.
Choice D reason: Interest in a diet plan reflects self-improvement and health promotion, which align with Maslow’s higher-level needs such as self-actualization. This client is stable and can wait while more urgent needs are addressed.
Which therapy is an example of complementary alternative medicine (CAM)?
A. Transcutaneous electrical nerve stimulator (TENS) unit
TENS is a conventional medical therapy used to manage pain through electrical stimulation. It is typically prescribed and administered within clinical settings, making it part of standard medical practice rather than CAM.
B. Acupuncture
Acupuncture is a form of CAM rooted in traditional Chinese medicine. It involves inserting fine needles into specific points on the body to relieve pain and promote healing. It is widely used alongside conventional treatments and recognized for its therapeutic benefits.
C. Hyperbaric oxygen therapy
Hyperbaric oxygen therapy is a conventional medical treatment used for conditions like decompression sickness, chronic wounds, and carbon monoxide poisoning. It is not considered CAM due to its reliance on medical equipment and clinical protocols.
D. Patient-controlled analgesia (PCA)
PCA is a standard pain management technique that allows patients to self-administer analgesics. It is part of conventional medical care and not classified as CAM.
Full Explanation
Choice A reason: TENS is a conventional medical therapy used to manage pain through electrical stimulation. It is typically prescribed and administered within clinical settings, making it part of standard medical practice rather than CAM.
Choice B reason: Acupuncture is a form of CAM rooted in traditional Chinese medicine. It involves inserting fine needles into specific points on the body to relieve pain and promote healing. It is widely used alongside conventional treatments and recognized for its therapeutic benefits.
Choice C reason: Hyperbaric oxygen therapy is a conventional medical treatment used for conditions like decompression sickness, chronic wounds, and carbon monoxide poisoning. It is not considered CAM due to its reliance on medical equipment and clinical protocols.
Choice D reason: PCA is a standard pain management technique that allows patients to self-administer analgesics. It is part of conventional medical care and not classified as CAM.