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The nurse responds to an alarm on a pulse oximeter and sees that the patient's oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?

A. Linda Richards

Linda Richards: Linda Richards is recognized as the first trained American nurse and emphasized nursing education and record-keeping. Her contributions focus on professionalization rather than direct application of observation to assess patient data accuracy.

B. Annie Goodrich

Annie Goodrich: Annie Goodrich is known for advancing nursing education and administration. Her work emphasized institutional organization and training rather than clinical observation and environmental assessment for patient care decisions.

C. Florence Nightingale

Florence Nightingale: Florence Nightingale’s theory emphasizes careful observation of patients and the environment to guide nursing care. The nurse assessing the patient’s clinical signs against the pulse oximeter reading reflects Nightingale’s focus on evidence-based observation and critical thinking.

D. Lillian D. Wald

Lillian D. Wald: Lillian Wald is credited with developing public health nursing and community-based care. While her work emphasized holistic care and social determinants of health, it does not directly relate to clinical assessment of device accuracy at the bedside.

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Full Explanation

A. Linda Richards: Linda Richards is recognized as the first trained American nurse and emphasized nursing education and record-keeping. Her contributions focus on professionalization rather than direct application of observation to assess patient data accuracy.

B. Annie Goodrich: Annie Goodrich is known for advancing nursing education and administration. Her work emphasized institutional organization and training rather than clinical observation and environmental assessment for patient care decisions.

C. Florence Nightingale: Florence Nightingale’s theory emphasizes careful observation of patients and the environment to guide nursing care. The nurse assessing the patient’s clinical signs against the pulse oximeter reading reflects Nightingale’s focus on evidence-based observation and critical thinking.

D. Lillian D. Wald: Lillian Wald is credited with developing public health nursing and community-based care. While her work emphasized holistic care and social determinants of health, it does not directly relate to clinical assessment of device accuracy at the bedside.


Similar Questions

QUESTION

Unity of command means:

A. Each employee reports to only one supervisor

Each employee reports to only one supervisor: Unity of command means that every employee has a single direct supervisor. This principle prevents confusion, conflicting instructions, and divided accountability, ensuring clear lines of authority and communication.

B. Commands must be written

Commands must be written: Unity of command focuses on organizational structure, not the format of communication. While written instructions can enhance clarity, they are not a defining element of this principle.

C. Managers work together

Managers work together: Collaboration among managers supports organizational efficiency, but it differs from unity of command, which emphasizes one direct reporting relationship for each employee.

D. All managers give the same orders

All managers give the same orders: Even if managers agree on decisions, unity of command dictates that only one supervisor provides direction to an employee, maintaining clarity and preventing mixed messages.

Full Explanation

A. Each employee reports to only one supervisor: Unity of command means that every employee has a single direct supervisor. This principle prevents confusion, conflicting instructions, and divided accountability, ensuring clear lines of authority and communication.

B. Commands must be written: Unity of command focuses on organizational structure, not the format of communication. While written instructions can enhance clarity, they are not a defining element of this principle.

C. Managers work together: Collaboration among managers supports organizational efficiency, but it differs from unity of command, which emphasizes one direct reporting relationship for each employee.

D. All managers give the same orders: Even if managers agree on decisions, unity of command dictates that only one supervisor provides direction to an employee, maintaining clarity and preventing mixed messages.

QUESTION

A nurse leader who provides minimal direction and lets the team make decisions independently is using which leadership style?

A. Laissez-faire

Laissez-faire: Laissez-faire leadership is characterized by minimal guidance, allowing team members to make decisions and manage their own work. It can foster autonomy and creativity but may lead to confusion if the team lacks experience or direction.

B. Autocratic

Autocratic: Autocratic leaders make decisions independently and expect compliance from the team. This style contrasts with laissez-faire, which gives staff the freedom to decide and act without close supervision.

C. Transactional

Transactional: Transactional leadership focuses on structured tasks, clear expectations, and rewards or penalties based on performance. It involves active supervision rather than allowing independent decision-making.

D. Democratic

Democratic: Democratic leadership encourages team participation and input in decision-making but still involves guidance and shared responsibility, unlike laissez-faire, which delegates authority more fully.

Full Explanation

A. Laissez-faire: Laissez-faire leadership is characterized by minimal guidance, allowing team members to make decisions and manage their own work. It can foster autonomy and creativity but may lead to confusion if the team lacks experience or direction.

B. Autocratic: Autocratic leaders make decisions independently and expect compliance from the team. This style contrasts with laissez-faire, which gives staff the freedom to decide and act without close supervision.

C. Transactional: Transactional leadership focuses on structured tasks, clear expectations, and rewards or penalties based on performance. It involves active supervision rather than allowing independent decision-making.

D. Democratic: Democratic leadership encourages team participation and input in decision-making but still involves guidance and shared responsibility, unlike laissez-faire, which delegates authority more fully.

QUESTION

Who served as the first public health nurses, caring for the sick and the poor?

A. The Presbyterian Church

The Presbyterian Church: While religious organizations have historically supported healthcare initiatives, the Presbyterian Church did not originate the first organized form of public health nursing focused on caring for the sick and poor.

B. Jewish scholars

Jewish scholars: Jewish scholars contributed significantly to early medical knowledge and ethics, but they were not directly involved in the establishment of organized nursing services for the poor and sick in the community.

C. Convent deaconesses

Convent deaconesses: Convent deaconesses were among the first public health nurses, providing care to the sick and impoverished within their communities. They combined spiritual service with practical nursing care, laying the foundation for modern community health nursing.

D. Salerno

Salerno: Salerno was home to one of the earliest medical schools in Europe and focused primarily on physician education rather than community-based nursing or public health care.

Full Explanation

A. The Presbyterian Church: While religious organizations have historically supported healthcare initiatives, the Presbyterian Church did not originate the first organized form of public health nursing focused on caring for the sick and poor.

B. Jewish scholars: Jewish scholars contributed significantly to early medical knowledge and ethics, but they were not directly involved in the establishment of organized nursing services for the poor and sick in the community.

C. Convent deaconesses: Convent deaconesses were among the first public health nurses, providing care to the sick and impoverished within their communities. They combined spiritual service with practical nursing care, laying the foundation for modern community health nursing.

D. Salerno: Salerno was home to one of the earliest medical schools in Europe and focused primarily on physician education rather than community-based nursing or public health care.