Question 1

A nurse would like to improve personal practice by utilizing nursing theory.What action can the nurse take to begin incorporating nursing theory into practice?

Accepted Answer

Nursing theory can be applied to any area of nursing practice.The best first step for nurses to take is to learn about nursing theories,which they can then incorporate into their practice.

Question 2

The student nurse has an adequate understanding of nursing theory when correctly identifying which individual as the first nurse theorist?

Accepted Answer

Florence Nightingale is considered the first nursing theorist.Nightingale's theory is that the environment influences the person's health.Peplau,Rogers,and Leininger published theories after Nightingale.

Question 3

A nurse is working in an Asian neighborhood of a large metropolitan city.In attempting to meet the cultural needs of this segment of the population,the nurse could apply whose nursing theory to the organization of nursing care required by these residents?

Accepted Answer

Madeline Leininger's theory focuses on the overall impact of culture on a person's health and caring practices.Dorothy Orem's theory involves the three interwoven theories of self-care,self-care deficit,and the nursing system to help the nurse plan strategies to meet the patient's needs.Virginia Henderson's model focuses on the unique functions of nurses and 14 basic needs.Martha Roger's Science of Unitary Human Beings is an abstract model addressing the complexity of the "unitary human being," which allows for the examination of phenomena (energy fields,paranormal)that other theories do not describe,as nurses promote synchronicity between human beings and their environment/universe.

Question 4

A nurse has been studying theory in class.Which of the following statements indicates that the nurse has an adequate understanding of theory?

Accepted Answer

Theory is simply words or phrases (concepts)joined together in sentences,with an overall theme,to explain,describe,or predict something.Theory does not measure outcomes or help formulate a plan of action or interventions.

Question 5

Roy's adaptation model capitalized on health and wellness based on how well one copes with stressors and the environment.Which statement by the nurse shows understanding of equilibrium? Equilibrium is reached through adaptation of our

Accepted Answer

Sister Callista Roy identified six physiological needs (exercise and rest; nutrition; elimination; fluid and electrolytes; oxygenation and circulation; and regulation of temperature,senses,and the endocrine system).Adapting and manipulating these needs successfully helps us cope with stressors.The other needs described (safety,self-esteem,and love/belonging)are associated with Maslow's hierarchy of needs.

Question 6

The nurse has an adequate understanding of the four major metaparadigms when making which comment to a colleague? "The four major metaparadigms are

Accepted Answer

The overall theme and main ideas of nursing theory are nursing,person,health/illness,and environment.When looking at a nursing theory,the nurse looks at how the theorist defines these four metaparadigms.Society is not one of the metaparadigms.Health and illness are not separated but discussed as one metaparadigm.Wellness is part of health/illness metaparadigm.

Question 7

A nurse is listening to a nurse manager give a presentation on nursing theory.The nurse identifies which statement as being indicative of nursing theory?

Accepted Answer

Nursing theory is created by nurses and for nurses who provide care to their patients,either directly or indirectly.Nursing theory is not managed care,primary nursing,team nursing,or any other more business-related method of delivering care.

Question 8

Using Betty Neuman's conceptual model,what action by the nurse would indicate primary prevention?

Accepted Answer

Betty Neuman's conceptual model focuses on prevention of disease and illness.The nurse uses primary prevention when exercising every other day.Eating unhealthy foods,lack of exercise,and sleeping only 4 hours does not support this model or a healthy lifestyle.

Question 9

The overall theme of Nightingale's theory was that the person's health is influenced by the environment.Which of the following actions by Nightingale support this theme?

Accepted Answer

Florence Nightingale believed that the person is influenced by the environment.She began feeding the soldiers healthy food and cleaned the medical area.Upon doing this,the soldier's mortality rates fell.

Question 10

A student is in the last semester of nursing school.The student interprets nursing as

Accepted Answer

As a science,nursing must be based on the principles of evidence-based scientific research that guides nursing practice.Nursing is not simply knowledge of past experiences,the medical model of health care,or based on principles of biology and medicine.Although some knowledge from past experience is incorporated into the body of nursing knowledge,the important part of nursing as a science is that it is based on sound scientific research (evidence-based practice).

Question 11

What is a common thread in the majority of definitions of a nursing theory?

Accepted Answer

Theories are words or concepts that are joined together to form a theme-to describe,explain,and predict nursing care.Many theorists have various definitions regarding what a theory is,but they generally contain similar words and directions.A theory is not a list of concepts or ideas.A theory is not a composite of opinions or recommendations.Theories encompass more than just an advanced role description.

Question 12

A nurse is giving a speech on the nursing theory of Madeline Leininger.Which statement by the nurse indicates an understanding of the theory? "Madeline Leininger's theory is a theory that

Accepted Answer

The overall theme of Madeleine Leininger's theory is culture,and it considers the impact of culture on the person's health and caring practices.Synchronicity is most often correlated with Martha Rogers; "a calling" is most often associated with Nightingale.A dynamic state of health is often associated with Imogene King's theory.

Question 13

In the system's model of Neuman,nursing helps reduce the stressors to health through

Accepted Answer

Betty Neuman's conceptual model focuses on prevention,or prevention as intervention,as a response to stressors.Primary prevention is what a person does to prevent illness.Secondary prevention is what is done when an illness strikes.Tertiary prevention is the rehabilitation after an illness.Physiological system balance is often associated with Roy's theory.Inner harmony is associated with Watson's theory on caring.Leininger's theory discusses culture care repatterning or restructuring.

Question 14

Systems-oriented theorists include

Accepted Answer

Nursing theories by Betty Neuman (systems model),Sister Callista Roy (adaptation model),and Dorothy Johnson (behavioral systems model)are all considered systems oriented.All the separate components of the theory rely on one another and are interrelated.Together they make up the whole.Martha Rogers' theory is called the Science of Unitary Human Beings.Dorothea Orem's theory is called Self-care Nursing Theory.Jean Watson's theory is called the Theory of Human Caring.Rosemarie Parse's theory is called the Theory of Human Becoming.Nightingale's theory is that the environment influences the person's health.Faye Abdellah's theory is a Patient-Centered Approach.Margaret Newman's theory is called the Theory of Health as Expanding Consciousness.Rizzo is part of Rosemarie Rizzo's Parse's full name.

Question 15

Florence Nightingale believed that the environment impacts the patient's health.Which of the following actions by the nurse incorporates Nightingale's theory into practice today?

Accepted Answer

Florence Nightingale believed the patient's health was directly affected by the environment.Providing the patient with clean linen daily would affect the patient's health in a positive way.Cleaning the patient's room only at discharge; keeping the door closed all day,preventing airflow; and feeding the patient unhealthy food do not support Nightingale's theory.

Question 16

Which of the following would correctly evaluate the effectiveness of Nightingale's actions to increase the health of the Crimean War soldiers?

Accepted Answer

With Nightingale's theory in action,death rates of the Crimean War soldiers steadily declined because of increased cleanliness.

Question 17

A nurse wishes to incorporate Dorothea Orem's theory into practice.Which action by the nurse encompasses this theory?

Accepted Answer

Dorothea Orem's theory includes the overall theme of self-care.Nursing consists of actions to overcome or prevent self-care limitations or to provide this care for those who are unable to care for themselves.Performing care for the patient or assuming responsibility for the patient's health care management does not put Orem's theory into practice.Knowing medication dosages and the times they are due is a good start for the patient; the next step would be to administer the medications to themself.

Question 18

A patient comes to the emergency department with an active myocardial infarction.Which action by the nurse indicates secondary prevention?

Accepted Answer

According to Betty Neuman's conceptual model,secondary prevention occurs once an illness strikes.The most appropriate action for the nurse to take would be to perform an electrocardiogram (ECG)to assess for cardiac damage.Educating the patient on eating a healthy diet is an example of primary prevention,enrolling the patient in a cardiac rehabilitation program is tertiary prevention.The nurse should not check on another patient first because this patient is a priority.

Question 19

A middle-aged patient has experienced a myocardial infarction that has significantly limited activities and lifestyle.The patient is exercising and working with a nurse in the cardiac rehabilitation program.This is an example of the implementation of what nursing theory?

Accepted Answer

Dorothy Orem's theory involves the three interwoven theories of self-care,self-care deficit,and the nursing system to help the nurse plan strategies to meet the patient's needs.Martha Roger's Science of Unitary Human Beings is an abstract model addressing the complexity of the "unitary human being," which allows for the examination of phenomena (energy fields,paranormal); the energy being discussed regarding exercise is not what this is describing.Roy's theory is about adapting to stressors,and in this instance,the exercising and working with the cardiac rehab nurse would not constitute adapting to stimuli and stressors.Johnson's theory focuses on human behavior rather than the person's state of health; hence,the activity of exercise is health related.

Question 20

A 28-year-old patient is recovering from a femur repair after a traumatic car accident.The following day,lab results indicate that the hemoglobin is dangerously low and the patient needs to receive blood.The patient has identified themself as a Jehovah's Witness and has refused to receive the blood.Which action should the nurse take?

Accepted Answer

Madeleine Leininger's Culture Care Theory states that nurses need to be mindful and respectful of each patient's religion and cultural practices.The patient has the right to refuse the blood.The action that the nurse should take is to notify the physician of the patient's decision.It would not be appropriate for the nurse to administer the blood anyway,try to convince the patient to receive the blood,or alert the family members to the situation.

Quiz 8: Nursing Theory