Contemporary Nursing Issues, Trends, and Management, by Barbara Cherry/ Susan R. Jacob.
Topic for the seminar is nursing education
I can send the textbook if you need it.
Criteria for Seminar
Reviewing literature to develop a comprehensive reading list to
Dorothy E. Johnson
Origin of the Model
Model formulated by Dorothy Johnson in 1968
Developmental, Systems theory, Florence Nightingale
influenced the formulation
Based on effective behavioral functioning
Mr. B is 40 years old and in the primary care office for follow up of his hypertension. He states, My friend
died this past week from a heart attack. I have high blood pressure and really don't take my medications
like I should. On the days when I have a
1. A nurse has been assigned to care for a 52-year-old attorney who has hypertension and
peptic ulcer disease. Before administering his medications, the nurse must complete an
initial assessment. Core patient variables will be obtained from which of the f
1. A 25-year-old woman comes to the clinic because of a chronic, nonproductive cough.
The nurse's assessment reveals that she has a history of asthma. Dextromethorphan,
(Robitussin) is prescribed for her. The nurse will question this order because:
1. When administering chloroquine (Aralen), the nurse would be most concerned about
which of the following patients experiencing an exacerbation of their underlying
A) A 39-year-old man who smokes and drinks alcohol and has mild hepatic disease
1. A 22-year-old patient is HIV-positive. She is 8 months' pregnant and did not receive
antiretroviral therapy during her pregnancy. The nurse explains to the women that the
best way to reduce the risk of transmitting the HIV virus to her baby is by recei
1. A 70-year-old man is being treated for herpes zoster virus. He has been prescribed
acyclovir (Zovirax). The clinic nurse will monitor which of the following?
A) Neurologic function
B) Renal function
C) Cardiac function
D) Respiratory function
2. A nurs
1. A nurse is caring for a patient who is on amphotericin B. On morning rounds the patient
reports weakness, numbness, and a tingling sensation in his feet. What would be a
priority action by the nurse?
A) Encourage the patient to increase fluid intake.
1. A 43-year-old man has been diagnosed with active TB. He is prescribed a multiple drug
therapy, including INH and rifampin. A priority assessment by the nurse will be to
monitor which combination of laboratory test results?
A) Serum alanine transaminase
1. A 34-year-old woman has a urinary tract infection and has been prescribed SMZ-TMP.
She has had chronic urethritis for the past 4 years. The nurse has instructed the patient to
drink 1.5 L of water daily, and they have discussed the drug and its adverse
1. A 24-year-old woman has a severe sinus infection and is being treated with
ciprofloxacin. The nurse will instruct the patient to:
A) Take the drug every 10 hours on an empty stomach.
B) Stop the drug 24 hours after she feels better.
C) Use a backup for
1. It would be critical for a nurse to monitor which of the following patients for ototoxicity
while on gentamicin therapy?
A) A 43-year-old male with Parkinson disease
B) A 32-year-old mother who is breast-feeding
C) A 25-year-old male who has a hearing
1. A nurse is caring for a patient who has a serious respiratory infection. The patient is
being treated with combination therapy of a cephalosporin and an aminoglycoside. The
nurse will be sure to monitor which of the following?
A) Serum BUN and creatini
1. A nurse is instructing a patient on how an antimicrobial produces a therapeutic effect.
Which of the following should be included in the nurse's teaching plan?
A) Drugs used to treat infections date back to the 17th century.
B) Fluoroquinolones interfe
1. A 39-year-old woman has chronic leukemia. She is receiving cyclophosphamide
(Cytoxan). After each treatment the patient has acute nausea and vomiting, accompanied
by a slightly increased heart rate. The nurse will advise her to:
A) Perform relaxation t
1. A 57-year-old man is to begin 5-FU therapy for colon cancer. It will be most important
for the nurse to monitor which of the following during the first 72 hours of the initial
B) Cardiac events
C) White blood cell n
1. A 72-year-old woman is on long-term glucocorticoid therapy. It will be most important
for the nurse to instruct the patient to:
A) Avoid direct sunlight.
B) Take measures to minimize the risk of falls.
C) Avoid eating excess red meat.
D) Avoid dairy pr
1. A 26-year-old man is receiving interferon alfa-2a for AIDS-related Kaposi sarcoma. His
physician has also prescribed theophylline for his asthma. The nurse is aware that
combining interferon alfa-2a and theophylline can result in which of the following
1. When planning care for a patient who is receiving filgrastim (Neupogen) for a
nonmyeloid malignancy, the nurse will formulate which of the following patient
outcomes? (Select all that apply.)
A) The patient will not develop an infection.
B) The patient
1. A male patient is receiving heparin by continuous intravenous infusion. The nurse will
instruct the patient and family members to report which of the following should it
A) A skin rash
B) Sudden occurrence of sleepiness and drowsiness
1. A nurse has been caring for a 49-year-old man who was hospitalized with recurrent
ventricular fibrillation and received IV amiodarone. The man is now scheduled to be
discharged on oral amiodarone, and the nurse has just completed discharge instructions
1. A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an
order for 0.3 mg of sublingual nitroglycerin prn for chest pain. Which of the following
actions should the nurse do first when he complains of chest pain?
A) Call t
1. A female patient is taking 0.125 mg of digoxin daily for heart failure. At a recent clinic
visit she reports that since she has been on the drug, she can breathe better and her heart
rate has been around 74 beats per minute. The nurse weighs the patien
1. A nurse is caring for a patient who is diabetic and has been diagnosed with
hypertension. An angiotensin-converting enzyme inhibitor, captopril, has been
prescribed for her. Which of the following should the nurse should assess before
beginning drug th
1. A clinic nurse has been assigned to follow up with a group of patients on
hydrochlorothiazide therapy. Which patient will the nurse closely monitor for
A) A 23-year-old male who has diabetes
B) A 36-year-old female who has diabetes
C) A 4
1. A nurse works in a cardiology clinic and is following an 82-year-old woman who is
prescribed lovastatin to reduce her high cholesterol level. The patient lives with her
daughter and is very thin and frail. Which of the following serious adverse effects
1. A nurse is working with a 57-year-old man who is a former drug abuser. He works at a
local restaurant during the day shift. He has been prescribed a weekly dosage of
methotrexate for his rheumatoid arthritis. Which of the following will the nurse inclu
1. A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was
told by the surgeon to take aspirin for the pain. The nurse will monitor for which of the
C) Aplastic anemia
1. A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic.
Which of the following would be the nurse's priority assessments?
A) Respiratory rate, seizure activity, and electrolytes
B) Pain intensity, respiratory rate, a