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Issues and Trends HESI practice questions

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1. Nursing theories are not a basis for A. nursing curriculum. B. nursing research. C. clinical practice of nurses. D. medical practice. Correct Nursing theories have been developed f ... or nursing, not medicine. They are a basis for a nursing curriculum, nursing research, and for providing a framework for nursing clinical practice. 2. According to Maslow, which patient need would a LPN/LVN address first? A. Need for a support system B. Need to do something worthwhile, such as volunteering C. Need to move safely from bed to chair D. Need to increase intake of water and other fluids Correct The first data collection for a patient is at the lowest level; love and belonging needs are higher than physiological needs. Oxygen, food, water, and elimination are physiological needs. Once these have been satisfied, data can be collected on safety and security needs. 3. John is very confused and forgets how to feed himself. Using Orem’s theory, this is an example of what? A. Self­care B. Self­care deficit Correct C. Self­care deficit theory D. Nursing system Self­care refers to responding to health cues, such as hunger, to maintain health. Self­care deficit occurs when personal care does not meet therapeutic self­care demands, such as the need to feed oneself. The self­care deficit theory includes self­care, self­care deficit, and nursing system. Nursing responds to the patient’s care needs, such as needing assistance with feeding. 4. Which is an example of Madeline Leininger’s cultural care preservation? A. Supporting a patient’s practice of cupping to relieve symptoms of hemochromatosis Correct B. Telling a patient to stop cupping, because it is not done in the United States C. Suggesting that the patient use the blood bank to reduce hematocrit levels instead of cupping D. Suggesting that Vapor Rub be placed on the body, not in the nose Assisting persons of particular cultures to follow care values that help maintain or restore health is known as cultural care preservation. Telling a patient to stop a cultural practice that helps maintain or restore health is not cultural care preservation. Respecting cultural values while respecting cultural differences is known as cultural care repatterning. Suggesting that Vapor Rub be placed on the body and not in the nose represents cultural care accommodation. 5. John understands that he needs to accept help from the nurse in order to stop drinking. According to Hildegard Peplau, John is in which phase of the therapeutic relationship? A. Orientation B. Identification Correct C. Exploitation D. Resolution In the orientation phase, a patient seeks help for an identified problem. In the identification phase, the patient understands the situation and responds to the nurse who is trying to help. During the exploitation phase, the patient begins to depend on the nurse and makes use of available help to explore all possibilities. During the resolution phase, the patient gives up dependence on the nurse and the therapeutic relationship is ended. 6. Patty refuses to have surgery, although she is in considerable discomfort, because she has experienced pain during healing after previous surgeries. According to Rosenstock’s health belief theory, this is an example of what? A. Varying perception B. False belief C. An existing barrier Correct D. A cue to action [Show More]

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