The nurse is visiting a patient at home after he was discharged ...

[torybrooks]

The nurse is visiting a patient at home after he was discharged from the hospital following a heart attack.
 
  She listens to the patient's concerns about being an invalid for the rest of his life because of his bad heart, but he is afraid of having open heart surgery. The nurse explains the different surgical procedures that are available to the patient, as well as other options such as cardiac rehabilitation. After several such visits, the patient states that he believes that cardiac rehabilitation therapy would be best for him, and asks the nurse how he can get in. The nurse calls the patient's physician and sets up a referral for cardiac rehabilitation. This action most closely fits which of the following theories?
  a. Peplau's theory
  b. Henderson's theory
  c. Nightingale's theory
  d. Orem's self-care deficit theory

Question 2

As the initial model for nursing, Nightingale's descriptive theory encouraged nurses to
 
  a. Know all about the disease processes affecting their patient.
  b. Think about their patients and patients' environment.
  c. Combine nursing knowledge with medicine.
  d. Focus on medication administration and treatments.

[marict]

Answer to Question 1

ANS: A
Peplau's theory focuses on the individual, the nurse, and the interactive process or nurse-patient relationship. Goals are to educate the patient and family and to help the patient define the problem and solutions. Henderson's theory focuses on helping the patient with activities that the patient would perform unaided if he or she were able. Nightingale viewed nursing not as limited to the administration of medications and treatments, but rather as oriented toward providing fresh air, light, warmth, cleanliness, quiet, and adequate nutrition. The goal of Orem's theory is to help the patient perform self-care.

Answer to Question 2

ANS: B
Nightingale's descriptive theory provides nurses with a way to think about patients and their environment. Nightingale's concept of the environment was the focus of nursing care, and her suggestion that nurses need not know all about the disease process represents early attempts to differentiate between nursing and medicine. Nightingale did not view nursing as limited to the administration of medications and treatments.