Author Question: The nurse is completing an assessment on an individual who has a stage IV pressure ulcer. The wound ... (Read 54 times)

jCorn1234 · **on:** Jul 22, 2018

The nurse is completing an assessment on an individual who has a stage IV pressure ulcer. The wound is odorous, and a drain is currently in place.

The nurse determines that the patient is experiencing issues with self-concept when the patient states which of the following? a. I think I will be ready to go home early next week.
b. I am so weak and tired, I want to feel better.
c. I am ready for my bath and linen change as soon as possible.
d. I am hoping there will be something good for dinner tonight.

Question 2

The type of theory that is used to develop and test specific nursing interventions is known as _____ theory.

a. Grand
b. Prescriptive
c. Descriptive
d. Middle-range

elyse44 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
The patient's psychological response to any wound is part of the nurse's assessment. Body image changes can influence self-concept. Factors that affect the patient's perception of the wound include the presence of scars, drains, odor from drainage, and temporary or permanent prosthetic devices. The wound is odorous, and a drain is in place. The patient who is asking for a bath and change in linens gives you a clue that he or she may be concerned about the smell in the room. The patient stating that he or she wants to feel better, talking about going home, and caring about what is for dinner could be interpreted as positive statements that indicate progress along the health journey.

Answer to Question 2

B
Prescriptive theories are action oriented and test the validity and predictability of a nursing intervention. These theories guide nursing research to develop and test specific nursing interventions. Grand theories are broad in scope and complex, and require further specification through research. Descriptive theories do not direct specific nursing activities but help to explain patient assessment. The phenomena within middle-range theories tend to cross different nursing fields and reflect a wide variety of nursing care situations.