Question

1.A nurse is caring for a client is experiencing worsening shortness of breath related to a diagnosis of pneumonia which is not responding to antibiotics . Labs show a WBC of >30,000. Which of the following are consistent with how this situation would be viewed and managed from the perspective of Neuman Systems Model (Select all that apply)

A. The nurse will focus on strengthening the client's behavioral subsystems in order to promote reconstitution.

B. A stressor has penetrated the client's flexible line of defense and is trying to penetrate the normal line of defense.

C. The nurse will focus on applying tertiary interventions to strengthen the lines of resistance in order to promote client reconstitution.

D. A stressor has penetrated the client's flexible line of defense and is in contact with the client's lines of resistance

2.A nurse is caring for a client admitted with hypothermia and malnutrition. Someone called the police when he was seen wandering around the town without adequate clothing for the cold weather. His past medical history includes a diagnosis of bipolar disease for which he was prescribed a lithium. The client tells the nurse he stopped taking his medication several weeks ago because he didn't like the side effects. The nurses on this unit follow Barker's Tidal Model in caring for their clients. Which of the following is consistent with the focus of the Barker Tidal Model in caring for this client (Select all that applies)

A. Utilize evidence- based practice to determine interventions to try first to help the client with his psychiatric issues

B. Perform a through nursing history focusing on asking specific close- ended questions about each body system

C. Try to create a bridging relationship with the client in order to learn about the client's story from his perspective

D. View this client as having a psychiatric disease that requires the nurse to act as an external control agent

3.A nurse is working with a client who is 5 foot 5 inches and weighs 80 pounds. She looks cachectic and has a very low serum protein level. Her history and physical reveal no underlying physical problems causing the malnutrition. She describes exercising 2 hours each day to maintain her current weight and actively keeping calorie intake to around 500 calories per day. Which of the following statements illustrates appropriate interpretation of the situation according to Johnson's Behavioral System.

A. Her ingestive subsystem is out of balance

B. Her aggressive- protective subsystem is out of balance

C. Stressor have penetrated her normal line of defense

D. Her biophysical subsystem is out of balance

4.Which of the following statements accurately represent Leininger's Culture Care Theory of Diversity and Universality

A. Cultural meanings and expressions can vary considerably with a cultural community to the extent that there are no universal attributes

B. Social structural factors such as religion, economics and environment, influence culture care patterns

C. Culture is the patterned and valued lifeways of people that influence their decisions and actions

D. The culture Care theory can only be utilized in Western cultures, since it is based on Western concepts and principles

5.The question, " is it right?' would be answered by using which of hte following ways of knowing

A. Aesthetic knowing

B. Personal knowing

C. Ethical knowing

D, Empirical knowing

Answer 1

1) c and d are right optns. . The nuaman theory states the response to stress , and reconstitution of some factors

2) b and c are right optns.. . Because tidal model helps people to promote their own recovery rather the help from others

3) optn d is right optn... . Because the Dorothy model focuses on the effective behavioral functioning to prevent illness

4) c is right one. . Because the culture determined the care that should b given to pt

5)optn c is right....because only ethical knowing focuses on what is right or wrong