During a home visit, a nurse assessed the client and attempts to identify factors that prevent the client's ability to comply with the treatment regimen. The nurse most likely uses
a. king's interacting systems framework
b. orem's self-care model
c. Roy's adaptation model
d. Watson's philosophy
Answer: b. orem's self-care model
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A nurse assesses a client's electrocardiograph tracing and observes that not all QRS complexes are preceded by a P wave. How should the nurse interpret this observation?
a. The client has hyperkalemia causing irregular QRS complexes. b. Ventricular tachycardia is overriding the normal atrial rhythm. c. The client's chest leads are not making sufficient contact with the skin. d. Ventricular and atrial depolarizations are initiated from different sites.
The advanced practice registered nurse is leading a group therapy session. A group member talks incessantly and is disrupting the group's dynamics. Which response by the nurse encourages effective communication with the disruptive member?
1. "Why are you acting in this manner?" 2. "In one sentence, tell us what you want us to hear." 3. "It is important to consider the help that the group members are suggesting." 4. "What question can we ask that will make you want to participate in the group?"
Chaotic systems are in a constant state of change. This degree or scope of change that can occur has been described as the butterfly effect. The butterfly effect refers to:
a. a minor change in input can create a major change in output, or a major change in input can result in minor changes in output. b. a major change in input will create a major change in output, and a minor change in input will create minor changes in output. c. a minor change in input can create a minor change in output; however, a major change in input will result in minor changes in output. d. a minor change in input may create a major change in output; however, a major change in input will create a major change in output.
A patient is newly widowed and lives alone. Which suggestion by the nurse will help the adult children maximize the patient's nutritional status?
a. Help identify possible barriers to their mother achieving good nutritional health. b. Ensure that the patient has an adequate supply of healthy, easily prepared foods available. c. Contact a food delivery service to provide one nutritiously sound meal a day. d. Arrange a schedule that allows someone to have dinner with her each evening.