As a nurse following the conceptual framework of Dorothea Orem, which of the following would be a particular focus of your care?
a. Across cultures, some health care practices are similar and some vary.
b. Human beings are irreducible, pandimensional energy fields.
c. Persons, influenced by conditioning, can act for themselves.
d. The nurse should understand the subjective experience of the client's world.
C
According to Orem, individuals can provide self-care activities to maintain life, health, and well-being. According to this theory, self-care deficit occurs or exists when the therapeutic self-care demand is greater than the person's capacity to meet the demand. Self-care deficits occur during times of illness.
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A school-age child with pauciarticular juvenile arthritis has extreme pain upon waking in the morning. Which intervention should the nurse suggest the parents try to help the child with the pain?
A) Encourage bed rest until the pain is gone. B) Perform isotonic exercises until the pain is gone. C) Provide 325 mg of aspirin immediately on arising. D) Encourage a warm bath each morning before school.
The nurse is caring for a newborn with hyaline membrane disease. Which statement is the best explanation of this disorder?
A) The infant's liver is unable to manage the bilirubin produced by hemolysis B) The infant has bleeding into the ventricles of the brain C) The infant's lungs are immature and deficient in surfactant D) The infant has a degenerative disease of the retina
The daughter of a woman who has been diagnosed with ovarian cancer asks the nurse about screening for this cancer. Which response by the nurse would be most appropriate?
A) "Currently there is no reliable screening test for ovarian cancer." B) "A Pap smear is almost always helpful in identifying this type of cancer." C) "There's a blood test for a marker, CA-125, that if elevated indicates cancer." D) "A genetic test for two genes, if positive, will identify the ovarian cancer."
The nurse recognizes which of the following clients is at the greatest risk for dehydration?
1. A 35-year-old client diagnosed with Crohn's disease 2. A 15-year-old client who is following a low-carbohydrate diet 3. A 2-year-old client diagnosed with an allergy to milk proteins 4. A 79-year-old client who has been diagnosed with advanced Alzheimer's disease