Chapter 16 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 16 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

The nurse is providing care within the total care context. What should the nurse consider when using this care approach?

1. The individualism of the client
2. Principles applicable to the client at this moment
3. Principles general to all clients of the same age and condition
4. The person’s self-identity

Correct Answer: 3

Rationale 1: In the individualized care context, the nurse becomes acquainted with the client as an individual, referring to the total care principles and using those principles that apply to this person at this time.

Rationale 2: In the individualized care context, the nurse becomes acquainted with the client as an individual, referring to the total care principles and using those principles that apply to this person at this time.

Rationale 3: In the total care context, the nurse considers all the principles and areas that apply when taking care of any client of that age and condition.

Rationale 4: The person’s self-identity is part of the individual health dimension of any one client.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 1. Explain the relationship of individuality and holism to nursing practice.

MNL Learning Outcome: 1.3.1. Use appropriate strategies to promote health.

Page Number: 244

Question 2

Type: MCSA

The nurse is practicing the concept of holism with a client. Which action is the nurse most likely making?

1. Considering how the loss of a client’s job will affect the regulation of the client’s diabetes
2. Making sure to do complete teaching regarding pharmacological interventions
3. Following physician treatments on schedule
4. Prioritizing the needs of the client assigned according to Maslow’s hierarchy

Correct Answer: 1

Rationale 1: The concept of holism emphasizes that nurses must keep the whole person in mind and strives to understand how one area of concern relates to the whole person. In this situation, the stress from a job loss will affect the person’s chronic condition. The nurse must also consider the relationship of the individual to the external environment and to others.

Rationale 2: This option is only focused on the physiology of the person’s condition.

Rationale 3: This option is only focused on the physiology of the person’s condition.

Rationale 4: This option is only focused on the physiology of the person’s condition.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1. Explain the relationship of individuality and holism to nursing practice.

MNL Learning Outcome: 1.3.1. Use appropriate strategies to promote health.

Page Number: 244

Question 3

Type: MCSA

Psychologic homeostasis is maintained by a variety of mechanisms. Which client should the nurse identify as being the most likely candidate to obtain psychologic homeostasis?

1. A child who is used to getting ready for school alone
2. A teenager whose circle of friends includes single parents of the same age
3. An elderly person who has just moved to a long-term care facility
4. A young adult who is in a long-term relationship

Correct Answer: 4

Rationale 1: Psychologic homeostasis is acquired or learned through the experience of living and interacting with others. Individuals can develop psychologic homeostasis if they are in a stable physical environment where they feel safe and secure. A child who is alone while getting ready for school may not feel safe and secure.

Rationale 2: Individuals also need a stable psychologic environment from infancy onward so that feelings of love and trust develop, a social environment that includes adults who are healthy role models, and a life experience that provides satisfaction. Having friends of the same age who are parents may eliminate healthy adult role models for the teenager.

Rationale 3: Individuals also need a stable psychologic environment from infancy onward so that feelings of love and trust develop, a social environment that includes adults who are healthy role models, and a life experience that provides satisfaction. Moving into a long-term care facility can be a huge adjustment for some people, which may affect feelings of safety and security.

Rationale 4: Individuals also need a stable psychologic environment from infancy onward so that feelings of love and trust develop, a social environment that includes adults who are healthy role models, and a life experience that provides satisfaction. A young adult who has a relationship that lasts is the one option that would fit most of these mechanisms.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 2. List four main characteristics of homeostatic mechanisms.

MNL Learning Outcome: 1.3.1. Use appropriate strategies to promote health.

Page Number: 246