Question 1

Which contemporary nursing theorist is best known for her definition of nursing that describes the nurse's role as a substitute for the patient and as a helper and partner to the patient?

Accepted Answer

The nursing theorist best known for her definition of nursing as a substitute for the patient and as a helper and partner to the patient is Virginia Henderson. Henderson's definition emphasizes the nurse's role in meeting the patient's basic needs and promoting independence. Orem's theory focuses on self-care and the nurse's role in facilitating it, while Watson's theory emphasizes the importance of caring in nursing. King's theory focuses on the interaction between the nurse, patient, and environment in determining health outcomes.

Question 2

Which component of nursing theory describes a testable outcome?

Accepted Answer

A proposition is a statement that describes a testable outcome in nursing theory. A conceptual model provides a general framework for understanding nursing phenomena, a framework provides a structure for organizing ideas, and a metaparadigm refers to the broadest perspective on the key concepts and values of the discipline.

Question 3

The nurse is caring for a postoperative patient who is unable to feed himself and complete basic activities of daily living.The nurse does catheter care and changes the surgical dressing,as well as assisting with feeding and hygiene.The nurse could be basing care on the conceptual model of

Accepted Answer

The nurse is providing care to a patient who is unable to perform basic activities of daily living, which aligns with the conceptual model of Orem's Self-Care Deficit Theory. This theory emphasizes the importance of assisting individuals in meeting their self-care needs, including activities related to maintaining their health and well-being. The theory also recognizes a patient's need for assistance in times of illness or disease, which is relevant to the postoperative patient in this scenario.

Question 4

A broad,general view of nursing that clarifies values and answers broad disciplinary questions for nursing is known as a

Accepted Answer

A philosophy in nursing provides a broad, general view that clarifies values and addresses broad disciplinary questions, guiding the practice and understanding of nursing.

Question 5

A specific organizational structure that makes clear connections between concepts is a

Accepted Answer

A conceptual model is a specific organizational structure that clearly connects concepts. It provides a visual representation of how these concepts are related to each other and how they can be applied in practical situations. Therefore, a conceptual model is the best choice for this question.

B) A metaparadigm refers to the broadest perspective of a discipline, which includes its philosophical and theoretical underpinnings, research methods, and key concepts.
C) A philosophy is a set of beliefs and values that guide a person or organization's actions and decision-making processes.
D) A theory is an explanation of a phenomenon based on empirical evidence and logical reasoning. It provides a framework or a set of assumptions to guide research and practice in a particular area. While theories may be used to organize concepts, they are not a specific organizational structure that connects concepts.

Question 6

An overriding principle of Nightingale's writings on nursing dealt with which aspect of nursing?

Accepted Answer

Nightingale emphasized the importance of the environment in promoting healing and preventing disease. She believed that nurses should aim to create a clean and healthy environment for patients in order to support their recovery.

Question 7

Peplau's theory focuses on the therapeutic relationship as the key to successful nursing intervention.Which of the following is correct about Peplau's theory?

Accepted Answer

Peplau's theory describes six nursing roles that are flexibly used depending on the practice setting, including stranger, resource person, teacher, counselor, surrogate, and leader. Peplau's theory is an interpersonal theory that emphasizes the importance of the therapeutic relationship between the nurse and patient, and it has been widely applied in nursing practice. While Peplau's theory is a significant contribution to the nursing profession, it is not a grand theory, nor did it develop from her work with oncology patients. Additionally, Peplau's theory does not identify nursing roles as mother, technician, salesman, scholar, and advocate.

Question 8

Which nursing theorist is best known for her emphasis on interacting systems,including nurse and patient in goal setting and goal attainment?

Accepted Answer

Imogene King is best known for her Theory of Goal Attainment, which emphasizes the importance of interactions between the nurse and the patient, including mutual goal setting and working together to achieve these goals.

Question 9

A patient who had a broken neck in an automobile accident and was paralyzed,but eventually went back to college,obtained a law degree,and became a practicing lawyer could be said to be demonstrating

Accepted Answer

The patient's ability to successfully adjust and thrive in spite of their devastating injury demonstrates adaptation. They were able to adapt to their new circumstances and find success in a different field, showing resilience and determination. Caring, self-care, and homeostasis are not applicable in this context.

Question 10

Which nursing theorist based her model on the belief that adaptation to changes in the environment is the basis of health?

Accepted Answer

Sister Callista Roy based her Adaptation Model on the assumption that adaptation is the key to health and well-being. She believes that adaptive behaviors result from a person’s interaction with their environment, and the environment can have positive or negative effects on health. The model emphasizes the importance of assessing a person’s adaptation to the environment and intervening to promote adaptation and health.

Question 11

The nurse assists the patient with a bath in the morning because the patient has a cast on one hand and an intravenous line in the other.The nurse could be basing care on the philosophy of

Accepted Answer

Henderson's philosophy emphasizes assisting individuals in performing activities contributing to health or recovery that they would do unaided if they had the necessary strength, will, or knowledge. The nurse assisting the patient with a bath aligns with this philosophy.

Question 12

Which of the following best describes the meaning of the term "theory"?

Accepted Answer

A theory is a group of related concepts, definitions, and statements that describe a certain view of phenomena, often used to describe or predict outcomes.

Question 13

A patient had a significant blood loss in surgery and now has a low hemoglobin level.The patient complains of fatigue.The nurse intervenes to facilitate adaptation by establishing periods of rest and scheduling activities throughout the day.The nurse could be basing care on the conceptual model of

Accepted Answer

The nurse's intervention aligns with the Roy Adaptation Model, which focuses on helping individuals adapt to changes in their physiological needs, in this case, adapting to fatigue due to low hemoglobin by managing energy through rest and scheduled activities.

Question 14

Which contemporary theorist is best known for her emphasis on the caring aspect of nursing?

Accepted Answer

Watson is best known for her Theory of Human Caring, which emphasizes the importance of the caring aspect of nursing. Orem is known for her Self-Care Deficit Theory, Henderson for her Nursing Need Theory, and King for her Theory of Goal Attainment.

Question 15

Which of the following human needs was not included in Henderson's 14 basic needs of patients?

Accepted Answer

The answer of Which of the following human needs was...

Question 16

A nurse practitioner caring for a diabetic patient thinks the patient could gain better control of the diabetes if the patient lost weight.After assessing the patient's perception of weight loss,role,stresses,and support systems,the nurse and patient establish the goal of losing 5 pounds in a month.The nurse could be basing care on the conceptual model of

Accepted Answer

The nurse and patient establishing a goal of losing 5 pounds in a month is an example of the King's Conceptual Framework for Nursing, which emphasizes goal setting and mutual decision making between the nurse and patient. Johnson's conceptual model focuses on behavioral subsystems, while Orem's conceptual model focuses on self-care and Roy's conceptual model emphasizes adaptation.

Question 17

The nurse teaches the patient how to administer insulin.Before this the nurse and patient had developed a trusting relationship over several days,which included sharing feelings about having to take daily medication.The patient expressed confidence in the care provided by the nurse.The nurse could be basing care on the philosophy of

Accepted Answer

The nurse-patient relationship based on trust and sharing of feelings indicates a focus on the humanistic philosophy of care, which is based on the work of Watson. Watson's theory emphasizes the importance of caring, empathy, and respect for the patient's dignity and autonomy. The nurse in this scenario is applying this philosophy by building a trusting relationship with the patient, which is essential for effective teaching and learning. Henderson's philosophy focuses on meeting the patient's basic needs, Nightingale's on environmental factors that promote healing, and Roy's on adaptation to physiological and psychosocial stressors. While these philosophies are also important in nursing practice, they do not address the specific relationship-building approach described in the scenario.

Question 18

A group of concepts and propositions that describe linkages between the concepts is a

Accepted Answer

A theory is a set of concepts and propositions that describe linkages between the concepts. A conceptual model, on the other hand, is a visual representation of a theory or a set of related theories. A metaparadigm is a broad, overarching framework that outlines the major concepts and themes that are central to a particular discipline or field of study. A philosophy, meanwhile, is a broader perspective or worldview that guides an individual's beliefs, values, and assumptions about the nature of reality and the human experience.

Question 19

The nurse adjusts the patient's room to allow the patient to see the sunlight out the window and checks the patient's diet tray to ensure a balanced diet.The nurse could be basing care on the philosophy of

Accepted Answer

Florence Nightingale emphasized the importance of the environment in the healing process and advocated for providing patients with access to fresh air, sunlight, and clean surroundings. Adjusting the patient's room to allow for sunlight aligns with this philosophy. However, checking the patient's diet tray for a balanced diet could also align with other nursing philosophies, such as Henderson's focus on meeting patients' basic needs or Watson's emphasis on holistic care.

Question 20

Which nursing model is based on the assumption that people want to be in control of their lives?

Accepted Answer

Orem's Self-Care Model is based on the assumption that people want to be in control of their lives and that they have the ability to care for themselves.

Quiz 9: Nursing Theory: The Basis for Professional Nursing