The nurse is preparing an in-service for staff on holistic nursing care. In which order should the nurse explain the four perspectives of reality?
1. Cultural
2. Systems
3. Behavioral
4. Intentional
Correct Answer: 4, 3, 1, 2
Holistic nursing incorporates a theory of integral nursing that embraces both the art and science of nursing. In this theory, reality comes from four perspectives: individual interior (personal/intentional), individual exterior (physiology/behavioral), collective interior (share, cultural), and collective exterior (systems/structure).
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The nurse admits an elderly woman with a diagnosis of osteoporosis. The nurse plans which intervention to prevent complications related to this diagnosis?
1. Pad the side rails of the bed to prevent fractures. 2. Encourage a moderate exercise program to reduce bone loss. 3. Administer analgesics for pain. 4. Obtain an order from the physician for vitamin K supplements.
A client experiences chest pain with electrocardiographic changes during an appointment with the primary care physician, and the physician orders hospital admission for cardiac monitoring. This type of admission is a(n)
a. elective admission. b. emergency admission. c. direct admission. d. scheduled admission.
A psychosocial factor that can affect the nutritional status of an older client is:
a. age c. medications affecting appetite b. decreased strength d. loneliness
When using the Clinical Institute Withdrawal Assessment for Alcohol scale, the nurse realizes that the use of medication for clinically significant symptoms is based on:
1. The temperature, pulse oximetry, and urine output 2. The response to treatment 3. A designated threshold of severity 4. The amount of one-to-one attention needed