The nurse is caring for a patient who does not follow the prescribed regimen for diabetes management. As a prescriber to Orem's theory, the nurse interviews the patient in an attempt to identify the cause of the patient's "noncompliance."
What is the rationale for the nurse's behavior?
a. Orem's theory is useful in designing interventions to promote self-care.
b. Orem's theory focuses on cultural issues that may affect compliance.
c. Orem's theory allows for reduction of anxiety with communication.
d. Orem's theory helps nurses manipulate the patient's environment.
ANS: A
When applying Orem's theory, a nurse continually assesses a patient's ability to perform self-care and intervenes as needed to ensure that the patients meet physical, psychological, sociological, and developmental needs. According to Orem, people who participate in self-care activities are more likely to improve their health outcomes. Leiniger's culture care theory focuses on culture diversity and provides culturally specific nursing care. According to Peplau, nurses help patients reduce anxiety by converting it into constructive actions, using therapeutic communication. Nightingale's grand theory is a patient's environment can be manipulated by nurses to restore a patient to health.
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Could you find a way to get me my pill now? I won't tell anyone.". Which response by the nurse would be most therapeutic? a. "I'm not comfortable doing that," then ignore subsequent requests for early meds. b. "I'll have to check with your doctor about that; I will get back to you after I do.". c. "It would be unsafe to give the medicine early; none of us will do that.". d. "I understand that you have pain, but giving medicine too soon would not be safe.".
By the time a child begins first grade, the visual acuity should be:
A) 20/20. B) 20/30. C) 20/40. D) 20/50.
The nurse manager tells the patient that he must eat his breakfast before getting out of bed. What type of power is the nurse manager using?
a. Legitimate power c. Coercive power b. Expert power d. Referent power
A patient who had a kidney transplant 5 days ago says, "I am glad I did not reject my kidney." What should the nurse consider when formulating a response to this statement?
1. Cell-mediated rejection takes place about 2 weeks after transplant. 2. Chronic rejection may occur months after transplant. 3. Chronic rejection may occur years after transplant. 4. Transplant does not occur until several days after transplant. 5. Transplant rejection is rare in kidney transplants.