Deck 20: Afaf Meleis Transitions Theory

Question 1

While talking with a patient who was just recently diagnosed with breast cancer,the nurse asks the patient how she is coping with her responsibilities of being a wife,a mother,and now a cancer patient.The nurse is attempting to determine the patient's pattern of response to the change trigger by assessing the patient's:

A)Engagement.
B)Level of confidence.
C)Location.
D)Mastery.

Answer 1

Level of confidence.

Question 2

Select the paradigm that gave rise to Meleis's framework for intervention called "role supplementation":

A)The lived experience
B)Feminist postcolonialism
C)Interactionist
D)Particulate-deterministic

Answer 2

Interactionist

Question 3

The nurse is talking with a daughter who arrived at the clinic complaining of a severe headache.After talking with the patient,the nurse learns the woman is caring for her parents,both of whom have advanced Alzheimer's.The woman currently has no assistance and is going through a divorce with two small children at home.The nurse provides the woman with a list of agencies and organizations that can assist her with the care of her parents.This is an example of what type of intervention?

A)Identifying milestones
B)Debriefing
C)Mobilizing support
D)Clarifying roles

Answer 3

Mobilizing support

Question 4

Which of the following is considered an intervention leading to healthy outcome behaviors?

A)Identifying opportunities
B)Resourcefulness
C)Identifying milestones
D)Awareness

Question 5

An outcome pattern of response includes:

A)Mastery.
B)Engaging.
C)Locating.
D)Acquiring confidence.

Question 6

Which of the following is NOT considered a concept of transition?

A)Time
B)Inertia
C)Process
D)Perception

Question 7

What is considered a condition of change within the Transition Theory?

A)Availability of resources
B)Being situated
C)Level of confidence
D)Healthy interactions

Question 8

According to Meleis,the ability of nurses to identify milestones and turning points is essential to:

A)Identifying biomedical driven goals.
B)Mobilizing partnerships and supportive groups.
C)Facilitating and managing transitions.
D)Clarifying roles and meanings.

Question 9

A patient who has been in recovery for substance abuse has a relapse and begins using again.The nurse recognizes this as a:

A)Turning point.
B)Milestone.
C)Critical point.
D)All of the above.

Question 10

An example of a situational change trigger is:

A)A man learning he is a father.
B)A woman diagnosed with cancer.
C)A nurse learning to use a new computerized charting system.
D)A nursing manager promoted to assistant chief nursing officer.

Question 11

Properties of transition include which of the following? Select all that apply:

A)Awareness
B)Engaging
C)Mastery
D)Disconnectedness
E)Acquiring

Question 12

What type of situations trigger a transition experience?

A)Health situation
B)Caring situation
C)Developmental transition
D)A & C
E)All of the above