The home health nurse is visiting a client who is 2 weeks ...

[cdr_15]

The home health nurse is visiting a client who is 2 weeks postoperative from a coronary artery bypass surgery. The client has lost 10 pounds, is continuing to experience pain, and is not eating. What should be the nurse's next action?
 
  A) Examine the current interventions for pain relief.
  B) Refer the client to social services.
  C) Contact Meals on Wheels so that the client will eat.
  D) Revise the goals in the current plan of care.

Question 2

A hospital is preparing for the American Nurses' Credentialing Center's magnet hospital designation process. Nurse representatives on the Magnet Council consider several Professional Practice Models (PPMs) as their approach to nursing care.
 
  After selecting a PPM model, members of the Council plan a series of nursing grand rounds. These focus on nursing's code of ethics, ethical frameworks for handling moral judgments, the organization's value statement, and ethics case studies led by the hospital chaplain. What particular nursing theory, philosophical approach, or framework of caring have the nurses decided to adopt?
  A) Watson's Theory of Human Care
  B) Leininger's Theory of Culture Care Diversity and Universality
  C) Carper's Ways of Knowing in Nursing
  D) Boykin and Schoenhofer's Nursing as Caring Theory

[krakiolit]

Answer to Question 1

Answer: A

The nurse evaluates that pain goals for this client have not been met and examines pain relief interventions to determine the problem. The goal of pain management is pain relief and that goal would not change; what might change is the interventions to meet the goal. Contacting Meals on Wheels may not be appropriate if the problem is pain relief. Pain relief is a medical issue that is addressed by the nurse and physician, not social services.

Answer to Question 2

Answer: C

Barbara Carper's Ways of Knowing in Nursing as the hospital's framework for caring has been adopted as the framework for the hospital's Professional Practice Model (PPM). Carper identified four ways of knowing used by nurses in the provision of nursing care-empirical knowing (the science of nursing), aesthetic knowing (the art of nursing), personal knowing (the nurse's process of self-exploration and self-actualization), and ethical knowing (the moral component of knowing). The latter requires nurses to be knowledgeable about codes of ethics and moral behavior. The other three approaches to caring in nursing focus on other major tenets related to caring. Watson's Theory of Human Care emphasizes the role of authentic caring relationships in healing. Leininger's Theory of Culture Care Diversity emphasizes actions that preserve, maintain, and accommodate the cultures of diverse clients, and Boykin and Schoenhofer's Nursing as Caring Theory describes caring as an essential aspect of nursing and a process rather than a mere goal.

[cdr_15]

Thank you

[krakiolit]

No problemo