The nurse used available tools for Mr. Gary's care wisely. This is an example of?

Correct Answer: A

Rationale: Using tools wisely is resource utilization (A) optimizing resources, per definition. Time (B) efficiency, promotion (C) well-being, informatics (D) tech not resource-specific. A fits the nurse's effective use for Mr. Gary, making it correct.

Correct Answer: B

Rationale: Adaptive coping is effective stress management (B), per Lazarus reducing tension (e.g., exercise). Increases stress (A) and harmful (D) are maladaptive, avoiding (C) may not resolve. B best defines adaptive's positive outcome, making it correct.

Correct Answer: D

Rationale: A slight elevation post-NPO likely reflects dehydration, not infection or anxiety.

Correct Answer: C

Rationale: Seems agitated' (C) is incorrect; it's subjective, lacking specificity, per charting rules. Vital signs (A), chest pain (B), and ambulation (D) are precise. C violates accuracy and objectivity, making it the exception.

Correct Answer: D

Rationale: Evidence-based nursing practice (EBNP) integrates the best research with clinical expertise and patient values, prioritizing systematic evidence over anecdote. Recommending ginger for obstetric nausea, based on a literature review, exemplifies this identifying a problem, reviewing studies, and applying findings to practice, ensuring efficacy and safety. Relying on 35 years of experience or personal observations lacks research validation, risking outdated or biased care. Consulting about aspirin reflects a single article's influence, not a comprehensive evidence synthesis, limiting its scope. EBNP's strength lies in its rigorous process ginger's use stems from multiple studies, offering a replicable, patient-centered solution. This approach enhances care quality, reduces variability, and aligns with nursing's scientific evolution, particularly for common issues like nausea in pregnancy.

Correct Answer: A

Rationale: Using tools wisely is resource utilization (A) optimizing resources, per definition. Time (B) efficiency, promotion (C) well-being, informatics (D) tech not resource-specific. A fits the nurse's effective use for Mr. Gary, making it correct.

Correct Answer: A

Rationale: Relocating to practice nursing in a new state requires diligence to ensure compliance with local regulations, as each state's nurse practice act varies, even within compact states. Researching the laws and regulations governing nursing practice in the new state is a critical first step, providing insight into licensure requirements, scope of practice, and any unique provisions. Locating the state nursing practice act, often available online, offers the primary source of these rules, allowing the nurse to study and reference them regularly for updates. Accessing educational resources, like those from the National Council of State Boards of Nursing (NCSBN), further clarifies expectations. Visiting the state board isn't necessary unless required for licensure, and notifying the current state isn't typically mandatory unless exiting a compact agreement. These actions ensure the nurse practices legally and safely, adapting to the new state's standards while protecting their professional integrity and patient safety.

Correct Answer: A

Rationale: Neuman's Systems Model emphasizes strengthening lines of defense. For a client with breathing difficulty, secondary prevention intervening after symptoms (e.g., oxygen, medication) bolsters the flexible line of defense, reducing stressor impact (e.g., hypoxia) and restoring stability. Self-care goals align with Orem, not Neuman biological focus is narrower. Physiological adaptation fits Roy's model, not Neuman's defense focus. Henderson's 14 needs are unrelated; Neuman prioritizes system integrity. Secondary prevention targets active issues, aligning with Neuman's framework, making this the nurse's approach in this theory-driven care.

Correct Answer: D

Rationale: Florence Nightingale was born May 12, 1820, in Florence, Italy, to British parents hence her name. She studied in Germany and worked in Britain, not France. Her Italian birth ties to her environmental theory's origins, influencing nursing's global history and her Crimean War legacy.