Author Question: The nurse is caring for seven patients this shift. After completing their assessments, the nurse ... (Read 109 times)

Mimi · **on:** Jul 22, 2018

The nurse is caring for seven patients this shift. After completing their assessments, the nurse states that he doesn't know where to begin in developing care plans for these patients.

Which of the following is an appropriate suggestion by another nurse? a. Choose all the interventions and perform them in order of time needed for each one.
b. Make sure you identify the scientific rationale for each intervention first.
c. Decide on goals and outcomes you have chosen for the patients.
d. Begin with the highest priority diagnoses, then select appropriate interventions.

Question 2

The nurse is caring for a patient who is actively bleeding. The physician orders blood transfusions. The nurse notes in the chart that the patient is a Jehovah's Witness and informs the patient of the physician's order.

The patient states that she is a Jehovah's Witness and does not want blood products. The nurse contacts the physician to tell him that blood cannot be given to this patient and requests alternative treatment. In doing so, the nurse is operating within which of the following theories? a. Leininger's cultural care diversity and universality theory
b. Roy's adaptation theory
c. Watson's philosophy of transpersonal caring
d. Orem's self-care deficit theory

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

Answer to Question 1

D
When developing a plan of care, the nurse needs to rank the nursing diagnoses in order of priority, then select appropriate interventions. Choosing all the interventions should take place after ranking of the diagnoses, and interventions should be prioritized by patient needs, not just by time. The chosen interventions should be evidence-based with scientific rationales, but the diagnoses need to be prioritized first to prioritize interventions. Goals for a patient should be mutually set, not just chosen by the nurse.

Answer to Question 2

A
The goal of Leininger's theory is to provide the patient with culturally specific nursing care that integrates the patient's cultural traditions, values, and beliefs into the plan of care. The goal of Roy's model is to help the person adapt to changes in physiological needs, self-concept, role function, and relations. Watson's theory believes that the purpose of nursing action is to understand the interrelationship between health, illness, and human behavior. The goal of Orem's theory is to help the patient perform self-care.