Friday, 9 December 2011

Nursing Theory Quiz - C




1. Cognator subsystem is a concept related to:
A. Jhonson's Behaviour System Model
B. Imogene King's Goal Attainment Theory
C. Roy's Adaptation Model
D. Neuman's System's Model
2. Cognator subsystem involves all the following cognitive-emotive channels, EXCEPT:
A. perceptual and information processing
B. self concept
C. learning
D. judgment
E. emotion
3. Each subsystem in Johnson's Behavioural System model is composed of four structural characteristics, except:
A. Drives
B. Set
C. Choices
D. Observable behavior
E. Demands
4. "The practice of activities that individual initiates and perform on their own behalf in maintaining life, health and well being" is:
A. Self care agency
B. Self care
C. Therapeutic self care demand
D. Nursing systems
5. Category of self care requisites according to Orem's theory of nursing includes all, except:
A. Universal
B. Developmental
C. Health deviation
D. Fundamental
6.
Nursing is “an external regulatory force which acts to preserve the organization and integration of the patients behaviors at an optimum level under those conditions in which the behaviors constitutes a threat to the physical or social health, or in which illness is found”
This definition of nursing was given by
A. Orem
B. Neuman
C. Imogene King
D. Johnson
E. Rogers
7.
"The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge. And to do this in such a way as to help him gain independence as rapidly as possible"
This definition of nursing was given by:
A. Nightingale
B. Neuman
C. Imogene King
D. Henderson
E. Rogers
8. Which level of needs in Maslow’s hierarchy includes love, friendship, intimacy, and family?
A. Self-actualization
B. Esteem
C. Belongingness
D. Safety
E. Physiological
9. In a theory, a statement of relationship between concepts is called
A. Conceptual model
B. Hypothesis
C. Proposition
D. Construct
10. Which nursing model was developed by Joyce Travelbee (1926-1973)?
A. Human-to-Human Relationship Model
B. Human becoming theory
C. The theory of health as expanding consciousness
D. From Novice to Expert
ANSWER KEY
1. C
2. B
3. E
4.B
5. D.
6. D
7. D
8. C
9. C
10. A

Nursing Theory Quiz - B





1. Which of the following nursing theory is based on the general systems framework?
A. Fay Abdellah- Topology of 21 Nursing Problems
B. Virginia Henderson -The Nature of Nursing
C. Hildegard Peplau -Interpersonal Relations Model
D. Imogene King's Theory of Nursing
2. Concept related to Betty Neuman’s System Model of Nursing is:
A. Pattern
B. Rhythmicity
C. Dependency
D. Open system
3. According to Roy's Adaptation Model, the adaptive modes includes all the following, EXCEPT:
A. Physiologic Needs
B. Self Concept
C. Role Function
D. Interdependence
E. Achievement
4. Which theory states " Nursing is a helping profession"?
A. Hildegard Peplau's Interpersonal Theory
B. Abdellah’s 21 Nursing Problems
C. Theory of Goal Attainment
D. Roy's Adaptation Model
5. Which of the following in NOT a concept related to personal system in Imogene King's Theory?
A. Perception
B. Self
C. Body image
D. Organization
6. Which nursing theory states that 'nursing is the interpersonal process of action, reaction, interaction and transaction"?
A. Roy's adaptation model
B. Self-care deficit theory
C. Imogene King's theory
D. Roger's unitary human beings
7. All the following are concepts related to Levin's Conservation Principles, EXCEPT:
A. Historicity
B. Specificity
C. Helicy
D. Redundancy
8. Which of the following is an organismic response as per Levin's Four Conservation Principles?
A. Flight or fight
B. Adaptation
C. Communication
D. Transaction
9. When applying Roy's Adaptation Model in caring a patient, the type of stimuli which needs to be assessed as per are all the following, EXCEPT;
A. Focal Stimulus
B. Contextual Stimulus
C. Perceptual Stimulua
D. Residual Stimulus
10. Who described about 5 levels of nursing experience from novice to expert?
A. Patricia E. Benner
B. Ernestine Wiedenbach
C. Myra Estrine Levine
D. Faye Glenn Abdellah

ANSWER KEY
1.D
2. D
3. E
4. B
5. D
6. C
7. C
8.A
9. C
10. A

Nursing Theory Quiz Tit bits














1. Self-care deficit theory was proposed by:
A. Virginia Henderson
B. Betty Neuman
C. Imogene King
D. Dorothea Orem
2. Which theory defines nursing as the science and practice that expands adaptive abilities and enhances person and environment transformation?
A. Goal attainment theory
B. Henderson's definition of nursing
C. Roy's adaptation model
D. Faye Glen Abdelah's theory
3. Typology of twenty one Nursing problems were explained by:
A. Imogene King
B. Virginia Henderson’s  
C. Faye G.Abedellah
D. Lydia E. Hall
4. "Nursing is therapeutic interpersonal process". This definition was stated by:
A. Hildegard Peplau
B. Jean watson
C. Faye Glen Abdelah
D. M. Rogers
5. Which of the following statements is related to Florence Nightingale?
A. Nursing is therapeutic interpersonal process.
B. The role of nursing is to facilitate "the body’s reparative processes" by manipulating client’s environment.
C. Nursing is the science and practice that expands adaptive abilities and enhances person and environment transformation
D. Nursing care becomes necessary when client is unable to fulfill biological, psychological, developmental, or social needs.
6. Which of the following is NOT a concept related to Roy's Adaptation Model?
A. Focal Stimuli
B. Cognator Subsystem
C. Role function
D. Flexible line of defense
7. According to Roy's adapatation theory, which subsystem responds through four cognitive responds through four cognitive-emotive channels (perceptual and information processing, learning, judgment, and emotion)?
A. Regulator Subsystem
B. Cognator Subsystem
C. Physiologic Mode
D. Self Concept-Group Identity Mode
8. The "humanistic science of nursing" was explained by:
A. Rogers (1970)
B. Ida Orlando (1960)
C. Nightingale (1860)
D. Neuman (1972)
9. Imogene King's "goal attainment theory" is a type of:
A. Need theories
B. Interaction theories
C. Outcome theories
D. Humanistic theories
10. Which of the following theory has used "General Systems Theory" as a framework for its development?
A. Florence Nightingale's Environment Theory
B. Hildegard E. Peplau's Psychodynamic Nursing Theory
C. Martha E.Roger’s: Science of Unitary  Human Beings
D. Neuman's model
11. Transcultural Model of Nursing was proposed by:
A. Joyce Travelbee
B. Rosemarie Rizzo Parse
C. Madeleine Leininger
D. Ida Jean Orlando
12. According to Neuman Systems Model, the increase in energy that occurs in relation to the degree of reaction to the stressor is termed as:
A. Reconstitution
B. Lines of resistance
C. Primary prevention
D. Secondary Prevention
13. Which is NOT a concept explained in Dorothy Johnson's Behavioral Systems Model?
A. Affiliation
B. Dependency
C. Achievement
D. Energy fields
14. According to Rogers' theory "continuous and mutual interaction between man and environment' is termed as:
A. Pattern
B. Integrality
C. Resonancy
D. Helicy
15. Watson's carative factors include all the following, EXCEPT:
A. Forming humanistic-altruistic value system
B. Instilling faith-hope
C. Cultivating sensitivity to self and others
D. Strengthening flexible lines of defense
ANSWER KEY
1. D
2. C
3. C
4. A
5.B
6.D
7.B
8. A
9. B
10. D
11. C
12.A
13. D
14. B
15. D

Monday, 28 November 2011

Purpose of Nursing Assessment
To gather data that:
• Allows nurse to make judgment about patient’s
health state
• Will be used for rest of nursing process
• Determines patient’s:
• Baseline
• Normal function
• Presence of (or risk for) dysfunction
• Strengths


Sunday, 27 November 2011

YAKUBU H.YAKUBU---------------MY VIEW TO A FIRST TRIMMESTER SUCCESS.


Quiz - Freud's Theory of Psychosexual Development

1. According to Freud, personality is mostly established by what age?
5
10
15
20
2. What energy did Freud believe was the driving force behind behavior?
Motivation
Stress
Libido
Drive
3. What is the period following the phallic stage called?
The anal stage
The latent stage
The genital stage
The oral stage
4. As an adult, Cassandra is uptight and extremely rigid, often unwilling to make even small adjustments in her schedule. At which stage is she fixated?
Oral
Anal
Phallic
Genital
5. Steve struggled for years to quit smoking, but he finally succeeded. Now, he chews several packs of gum a day. At which stage is he fixated?
Oral
Anal
Phallic
Genital
6. Which psychologist famously criticized Freud's concept of penis envy, instead suggesting that men experience womb envy?
Mary Whiton Calkins
Anna Freud
Melanie Klein
Karen Horney
7. A common criticism of Freud's theory of psychosexual development is that:
It is focused almost exclusively on male development
His theory is difficult to test scientifically
Freud's research methods were unscientific an non-empirical
All of the above
8. Freud believed that the pleasure-seeking energies of the _______ becoming focused on different areas during development.
Preconscious
Id
Ego
Superego
9. This term refers to Freud's idea that children have an unconscious desire to possess their opposite-sex parent.
Sublimation
Libido
Oedipus complex
Manifest content
10. What did Freud call the process through which children come to identify with their same-sex parent?
Regression
Suppression
Sublimation
Identification



Major Thinkers in Behaviorism



YAKUBU H.YAKUBU


My view on Nursing Assessment


Assessment – First Step in the Nursing Process

  • it is systematic and continuous collection, validation and communication of client data as compared to what is standard/norm.
  • it includes the client’s perceived needs, health problems, related experiences, health practices, values and lifestyles.
Purpose: To establish a data base (all the information about the client):
  • nursing health history
  • physical assessment
  • the physician’s history & physical examination
  • results of laboratory & diagnostic tests
  • material from other health personnel
4 Types of Assessment:
a. Initial assessment – assessment performed within a specified time on admission
Ex: nursing admission assessment
b. Problem-focused assessment – use to determine status of a specific problem identified in an earlier assessment
Ex: problem on urination-assess on fluid intake & urine output hourly
c. Emergency assessment – rapid assessment done during any physiologic/physiologic crisis of the client to identify life threatening problems.
Ex: assessment of a client’s airway, breathing status & circulation after a cardiac arrest.
d. time-lapsed assessment – reassessment of client’s functional health pattern done several months after initial assessment to compare the clients current status to baseline data previously obtained.
Activities:
  1. Collection of data
  2. Validation of data
  3. Organization of data
  4. Analyzing of data
  5. Recording/documentation of data
Assessment = Observation of the patient + Interview of patient, family & SO + examination of the patient + Review of medical record
I. Collection of data
  • gathering of information about the client
  • includes physical, psychological, emotion, socio-cultural, spiritual factors that may affect client’s health status
  • includes past health history of client (allergies, past surgeries, chronic diseases, use of folk healing methods)
  • includes current/present problems of client (pain, nausea, sleep pattern, religious practices, meds or treatment the client is taking now)
Types of Data:
  1. Subjective data
  • also referred to as Symptom/Covert data
  • information from the client’s point of view or are described by the person experiencing it.
  • information supplied by family members, significant others, other health professionals are considered subjective data.
Example: pain, dizziness, ringing of ears/Tinnitus
  1. Objective data
  • also referred to as Sign/Overt data
  • those that can be detected, observed or measured/tested using accepted standard or norm.
Example: pallor, diaphoresis, BP=150/100, yellow discoloration of skin
Methods of Data Collection:
  1. Interview
  • a planned, purposeful conversation/communication with the client to get information, identify problems, evaluate change, to teach, or to provide support or counseling.
  • it is used while taking the nursing history of a client
  1. Observation – use to gather data by using the 5 senses and instruments.
  1. Examination
  • systematic data collection to detect health problems using unit of measurements, physical examination techniques (IPPA), interpretation of laboratory results.
  • should be conducted systematically:
a.       Cephalocaudal approach – head-to-toe assessment
b.      Body System approach – examine all the body system
c.       Review of System approach – examine only particular area affected
Source of data:
a.       Primary source – data directly gathered from the client using interview and physical examination.
b.      Secondary source – data gathered from client’s family members, significant others, client’s medical records/chart, other members of health team, and related care literature/journals.
In the Assessment Phase, obtain a Nursing Health History – a structured interview designed to collect specific data and to obtain a detailed health record of a client.
Components of a Nursing Health History:
·         Biographic data – name, address, age, sex, martial status, occupation, religion.
·         Reason for visit/Chief complaint – primary reason why client seek consultation or hospitalization.
·         History of present Illness – includes: usual health status, chronological story, family history, disability assessment.
·         Past Health History – includes all previous immunizations, experiences with illness.
·         Family History – reveals risk factors for certain disease diseases (Diabetes, hypertension, cancer, mental illness).
·         Review of systems – review of all health problems by body systems
·         Lifestyle – include personal habits, diets, sleep or rest patterns, activities of daily living, recreation or hobbies.
·         Social data – include family relationships, ethnic and educational background, economic status, home and neighborhood conditions.
·         Psychological data – information about the client’s emotional state.
·         Pattern of health care – includes all health care resources: hospitals, clinics, health centers, family doctors.
II. Validation of Data – the act of “double-checking” or verifying data to confirm that it is accurate and complete.
Purposes of data validation:
a.       ensure that data collection is complete
b.      ensure that objective and subjective data agree
c.       obtain additional data that may have been overlooked
d.      avoid jumping to conclusion
e.       differentiate cues and inferences
Cues – subjective or objective data observed by the nurse; it is what the client says, or what the nurse can see, hear, feel, smell or measure.
Inferences – the nurse interpretation or conclusion based on the cues.
Example: red, swollen wound = infected wound
Dry skin = dehydrated
III. Organization of Data – uses a written or computerized format that organizes assessment data systematically.
- Maslow’s basic needs
- Body System Model
- Gordon’s Functional Health Patterns:
  1. Health perception-health management pattern.
  2. Nutritional-metabolic pattern
  3. Elimination pattern
  4. Activity-exercise pattern
  5. Sleep-rest pattern
  6. Cognitive-perceptual pattern
  7. Self-perception-concept pattern
  8. Role-relationship pattern
  9. Sexuality-reproductive pattern
  10. Coping-stress tolerance pattern
  11. Value-belief pattern
IV. Analyze data – compare data against standard and identify significant cues. Standard/norm are generally accepted measurements, model, pattern:
Ex: Normal vital signs, standard Weight and Height, normal laboratory/diagnostic values, normal growth and development pattern
V. Communicate/Record/Document Data
  • nurse records all data collected about the client’s health status
  • data are recorded in a factual manner not as interpreted by the nurse
  • record subjective data in client’s word; restating in other words what client says might change its original meaning.