When planning nursing care, the nurse understands that the main value of having knowledge of a variety of nursing theories is to be able to do which of the following?
1. Promote consideration and use of nursing research.
2. Build the skill and effectiveness of the nurse's practice.
3. Enhance collaboration and understanding between the nurse and the mental health care team.
4. Implement individualized nursing interventions depending on what is best for the client's situation.
4
Rationale: Approaches associated with two or more nursing theories provide the nurse with enhanced capability to implement nursing interventions and care that is individualized for clients and their situation—the whole purpose of nursing care. Building the skill and effectiveness of the nurse, enhancing collaboration, and promoting consideration and use of nursing research are nurse-centered responses and fall much lower on the priority scale than individualized, client-centered care.
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The central nervous system (CNS) cells, where the impulses for the sympathetic nervous system (SNS) originate, are located where?
A) Cranium and sacral area of the spinal cord B) Hypothalamus and the medulla C) Nerve membranes D) Thoracic and lumbar sections of the spinal cord
When examining for changes in skin color in an African American patient, the nurse should examine which of the following first?
a. palms of the hands c. soles of the feet b. nail beds or oral mucosa d. conjunctiva or sclera
A 5-year-old determines that his parents enforce discipline based upon his behavior. According to Piaget, what does this period represent?
A) Homozygous moral reasoning B) Heteronymous moral reasoning C) Autonomous moral reasoning D) Independent moral reasoning
The nurse is performing an oral examination on a preschool child. Which strategies should the nurse use to encourage the child to open the mouth for the examination? (Select all that apply.)
a. Lightly brush the palate with a cotton swab. b. Perform the examination in front of a mirror. c. Let the child examine someone else's mouth first. d. Have the child breathe deeply and hold his or her breath. e. Use a tongue blade to help the child open his or her mouth.