Deck 9: Nursing Theory: The Basis for Professional Nursing

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?

A) Orem
B) Henderson
C) Watson
D) King

Answer 1

Henderson

Question 2

Which component of nursing theory describes a testable outcome?

A) Conceptual model
B) Proposition
C) Framework
D) Metaparadigm

Answer 2

Proposition

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

A) Johnson.
B) King.
C) Orem.
D) Roy.

Answer 3

Orem.

Question 4

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

A) conceptual model.
B) metaparadigm.
C) philosophy.
D) theory.

Question 5

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

A) conceptual model.
B) metaparadigm.
C) philosophy.
D) theory.

Question 6

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

A) The relationship between nurses, physicians, and society
B) The relationship between patients, health, and environment
C) The relationship between illness and health practices
D) The relationship between hospitals, nurses, and patients

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?

A) It is a grand theory that demonstrates that defining nursing was more important than application to practice.
B) Her theory developed from her work with oncology patients.
C) The theory describes six key nursing roles that are flexibly used, depending on the practice setting.
D) Her theory describes 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?

A) Watson
B) Roy
C) King
D) Orem

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

A) adaptation.
B) caring.
C) self-care.
D) homeostasis.

Question 10

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

A) Watson
B) King
C) Roy
D) Peplau

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

A) Henderson.
B) Nightingale.
C) Roy.
D) Watson.

Question 12

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

A) A set of beliefs about the nature of how things work and how the world should be viewed
B) A group of related concepts, definitions, and statements that describe a certain view of nursing phenomena from which to describe or predict outcomes
C) An organizational structure that outlines concrete connections between concepts
D) Statements that describe linkages between concepts and propose a testable outcome

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

A) Johnson.
B) King.
C) Orem.
D) Roy.

Question 14

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

A) Orem
B) Watson
C) Henderson
D) King

Question 15

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

A) Need for work
B) Sleep and rest
C) Spirituality
D) Sexuality

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

A) Johnson.
B) King.
C) Orem.
D) Roy.

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

A) Henderson.
B) Nightingale.
C) Roy.
D) Watson.

Question 18

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

A) conceptual model.
B) metaparadigm.
C) philosophy.
D) theory.

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

A) Henderson.
B) Nightingale.
C) Roy.
D) Watson.

Question 20

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

A) Orem
B) King
C) Roy
D) Watson

Question 21

A nurse conducts theory testing and theory development research to develop nursing science.This nurse is prepared at which level of nursing education?

A) Associate degree
B) Bachelor's degree
C) Master's degree
D) Doctoral degree

Question 22

The nurse observes a patient pacing around the room.The patient expresses concern that being hospitalized will cause lost wages and create economic problems.The nurse infers that the patient is anxious,which the patient confirms.The nurse could be basing care on the theory of

A) Leininger.
B) Neuman.
C) Orlando.
D) Peplau.

Question 23

What are the reasons nursing theory is important to the profession?

A) Nursing theory is used to guide research but not practice.
B) The goal of nursing theory is to support excellence in practice.
C) Nursing as a profession becomes stronger when nursing knowledge is built on sound theory.
D) Theory is a useful tool for reasoning, critical thinking, and decision making.
E) Nursing theory is used by other disciplines.

Question 24

The nurse has established a relationship with a patient in whom asthma was recently diagnosed.Through their interactions,the nurse helps the patient understand the mechanism of asthma and develop the skills to use a spacer with the inhaler.The nurse could be basing care on the theory of

A) Leininger.
B) Peplau.
C) Orlando.
D) Neuman.

Question 25

Nursing theory provides a foundation for theory-based practice and curriculum development.Which is a primary reason for incorporating theory into education?

A) Nursing theory helps nurses explain their practice to members of other disciplines.
B) Nursing theory helps transmit knowledge to new professional nurses.
C) Nursing theory contributes to professional autonomy, an important characteristic of all professions.
D) Nursing theory is taught as a guide to nursing practice and to teach students care within the unique perspective of nursing.

Question 26

The nurse is caring for a young Hispanic patient after surgery.The patient hesitates when the nurse asks about meal selections from the menu.When the parents return,the nurse asks the patient what foods are eaten when one is ill.The nurse could be basing care on the theory of

A) Leininger.
B) Neuman.
C) Orlando.
D) Peplau.

Question 27

The metaparadigm of nursing consists of which concepts?

A) Environment
B) Health
C) Caring
D) Nursing
E) Person

Question 28

Which nursing theorist is best known for her emphasis on inferences based on observation of patient behavior,confirmation by the patient,and results in effective care based on identified patient needs?

A) Leininger
B) Neuman
C) Orlando
D) Peplau

Question 29

Leininger's theory uses the sunrise model.What is the major premise of Leininger's theory?

A) Nursing care should be culturally congruent.
B) Nursing care is based on personal, interpersonal, and social systems.
C) Nursing care is a deliberate action based on observation.
D) Nursing care is only possible after scientific evaluation.

Question 30

Watson's 10 caritas processes include which of the following?

A) The promotion of interpersonal teaching-learning
B) The participation in recreation
C) The instillation of faith-hope
D) Avoidance of injuring others
E) Assistance with the gratification of human needs

Question 31

Which of the following best describes a middle-range theory?

A) They are very limited in scope and are confined to one to three concepts.
B) They do not incorporate the elements of nursing's metaparadigm in use.
C) They usually blend nursing practice with nursing research.
D) They do not borrow concepts from other disciplines.

Question 32

A nurse has been introduced to theory as a guide to research and practice.This nurse is prepared at which level of nursing education?

A) Associate degree
B) Bachelor's degree
C) Master's degree
D) Doctoral degree

Question 33

Which of the following are included in Henderson's 14 basic needs of patients?

A) The need to eliminate body wastes
B) The need for interdependence
C) The need to communicate
D) The need for self-concept
E) The need for work and sense of accomplishment