Deck 1: Nursing Science and Theory: Scientific Underpinnings for Practice

Question 1

Which metaparadigm concept is generally accepted as part of the body of knowledge in nursing?

A)Illness
B) Environment
C)Chronicity
D)Patient

Answer 1

B

Question 2

Which type of approach is translational science?

A)Laissez-faire
B) Intellectual
C)Intraprofessional
D)Multidisciplinary

Answer 2

D

Question 3

Which factors are essential to scientific advancement?

A)Abstract thought, intuition, judgement, and experience
B) Scientific process, assessment, life-long learning, empathy
C)Clinical reasoning, intuition, technology, government funding
D)Critical thinking, practice, scientific knowledge, theoretical process

Answer 3

A

Question 4

Which are the foci of the scientific foundation of nursing practice?

A)Natural and social sciences
B) Illness and recovery phenomena
C)Health processes and environment
D)Observation and measurement processes

Question 5

Which category of nursing theories best supports advanced practice?

A)Grand theories
B) Middle-range theories
C)Post-positivistic theories
D)Practice inquiry theories

Question 6

Which option best describes theory-guided practice?

A)Using theoretical boundaries to guide nursing practice within the philosophy of nursing
B) Using ethics-based theories to guide advanced nursing practice in independent practice
C)Using models, concepts, and theories from nursing and other disciplines for practice
D)Using evidence and developing research to support advanced practice nursing roles

Question 7

The American Nurses Association (ANA) Code for Nurses is grounded in which model of ethical decision-making?

A)Empathy-based model
B) Principle-based model
C)Paternalism-based model
D)Values-based model

Question 8

Which differentiates the DNP nurse's practice from a physician's practice?

A)Nursing theory
B) Analytical reasoning
C)Diagnostic approach
D)Organizational structure

Question 9

Which role does the doctorally prepared nurse assume with regard to ethical dilemmas?

A)Seeking clarification of ethical decisions
B) Reporting ethical dilemmas for review
C)Actively addressing ethical decisions
D)Recognizing ethical dilemmas in practice

Question 10

The DNP nurse feels his survey research study is exempt from review. Who will make the final determination about the status of the study?

A)The research team
B) The DNP nurse
C)The hospital ethics committee
D)The IRB chairperson

Question 11

Myra Levine's Conservation theory indicates that nursing's role is to support the human process of adaptation to achieve the goal of conservation.

Question 12

Johnson's behavioral systems approach indicates that people and groups use coping processes to adapt to, interact with, transform, and be transformed by their environment.

Question 13

Nursing theory helps to organize nursing knowledge.

Question 14

One model of transcultural nursing is Leininger's Sunrise Model.

Question 15

Nursing is an applied science concerned with using concepts learned in related disciplines.

Question 16

Organizational structure plays an important role in nursing practice.

Question 17

Nursing theories guide the complex reasoning process used to shape and inform our reflections and provide the foundation for clinical practice.

Question 18

Advanced practice nursing focuses on the diagnosis and treatment of disease.

Question 19

The Theory of Human Caring has been used effectively as a framework for studying nursing ________________ and management.

Question 20

Match the theorist to the theory:
-Peplau

A)Problem-solving approach
B) Self-care deficit
C)Care, core, and cure
D)Interpersonal model
E)Behavioral systems model

Question 21

Match the theorist to the theory:
-Hall

A)Problem-solving approach
B) Self-care deficit
C)Care, core, and cure
D)Interpersonal model
E)Behavioral systems model

Question 22

Match the theorist to the theory:
-Orem

A)Problem-solving approach
B) Self-care deficit
C)Care, core, and cure
D)Interpersonal model
E)Behavioral systems model

Question 23

Match the theorist to the theory:
-Johnson

A)Problem-solving approach
B) Self-care deficit
C)Care, core, and cure
D)Interpersonal model
E)Behavioral systems model

Question 24

Match the theorist to the theory:
-Abdellah

A)Problem-solving approach
B) Self-care deficit
C)Care, core, and cure
D)Interpersonal model
E)Behavioral systems model

Question 25

Why is it that, when the nursing profession attempts to differentiate nursing science within a specific metaparadigm, it can isolate nursing inquiry from other domains and contribute to the theory-practice gap?

Question 26

Why is it important for nursing science to be different than medical science in order to thoroughly address the needs of the patients served by advanced practice nurses?

Question 27

Choose a nursing theorist to review. How have you seen the application of this nursing theorist's work in your practice?

Question 28

Read the AACN's DNP Essential I: Scientific Underpinnings for Practice. It can be found in the document located at: HYPERLINK "https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf" https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf.
Essential I lists the principles on which nursing is focused. What do these mean to you?

Question 29

How does the understanding of organizational structure assist the doctorally prepared nurse to improve bedside care to patients?

Question 30

The four metaparadigm concepts of nursing include which of these?

A) Wellness, individual, wholeness, and optimal function
B) Person, environment, nursing, and health
C) Health, practice, nursing, and biology
D) Science, environment, person, and wellness

Question 31

How does nursing science differ from medical science?

A) Nursing science focuses on how to apply a treatment and cure a disease.
B) Nursing science takes a more holistic approach to wellness.
C) Nursing science involves performing delegated medical tasks.
D) Nursing science prioritizes the relief of symptoms.

Question 32

Which of the following philosophical orientations takes into account the complexity of individuals?

A) Positivism
B) Empiricism
C) Contemporary empiricism
D) Postpositivism

Question 33

Which of the following studies would most likely be exempt from IRB review?

A) A study that involves taking blood samples to examine cholesterol levels of elderly patients
B) A study that involves participation in a focus group to examine attitudes toward breastfeeding
C) A study that examines cardiovascular risk among cancer patients
D) A study that assesses physical fitness and cancer risk

Question 34

Which of the following is an example of using a nursing model to interact with a patient?

A) Instruct a patient with obesity to start exercising.
B) Advise a patient who smokes to join a smoking cessation group.
C) Tell a patient who has elevated cholesterol levels to remember to take their medications.
D) Work with a patient to develop an action plan that fits their goals and lifestyle.

Question 35

A nurse meets with a patient to start setting health goals related to diabetes management. The nurse builds rapport and trust with the patient as they discuss different options. Which step of Peplau's interpersonal model would be accomplished during this meeting?

A) Orientation
B) Identification
C) Exploitation
D) Resolution

Question 36

Who suggested that nursing is most important after the stabilization of a patient's acute crisis?

A) Lydia Hall
B) Florence Nightingale
C) Hildegard Peplau
D) Virginia Henderson

Question 37

Which of the following is an example of tertiary prevention in Neuman's Systems Model?

A) Screening for cervical cancer
B) Providing immunizations
C) Participation in a diabetes management support group
D) Prescribing statin treatment for a patient with hypertension

Question 38

In King's transaction model, the nurse and patient set what type of goals?

A) Goals based on the recommendations of the physician
B) Goals that they can mutually achieve
C) Goals based on what the patient believes they can achieve
D) Goals based on what the nurse thinks the patient can achieve

Question 39

A nurse encourages and shows empathy to a patient who has just received a terminal diagnosis. Which concept in Watson's Theory of Human Caring does this action reflect?

A) 10 carative factors
B) Transpersonal caring relationship
C) Caring moment
D) Caring-healing modalities

Question 40

Before entering the room of a patient who was recently diagnosed with coronary artery disease, a nurse clears their mind and prepares to listen to the patient's thoughts and concerns. Which step of phenomenologic nursology does this reflect?

A) The nurse prepares to know something or someone by opening the mind and spirit to the unknown.
B) The nurse gains knowledge of the patient through intuitive impressions and learning about the patient's experiences.
C) The nurse gains scientific knowledge of the patient by analyzing the data.
D) The nurse synthesizes the subjective and objective information to gain perspective on the situation.

Question 41

Which of the following would a nurse do if they are using Newman's theory in practice?

A) Set goals for the patient.
B) Predict the outcome of a treatment.
C) Follow a nursing pathway.
D) Enter a partnership with the patient.

Question 42

Parse's framework is based on which paradigm?

A) Simultaneity
B) Totality
C) Concurrent
D) Continual

Question 43

Which of the following theories emphasizes the importance of providing culturally congruent care?

A) Leininger's
B) Boykin's
C) Parse's
D) Newman's

Question 44

Which type of theory is most amenable to clinical nursing research?

A) Short-range
B) Grand
C) Middle-range
D) Long-range

Question 45

According to Kenney, how should a nurse choose an appropriate model or theory of care?

A) Based on the patient's situation in the initial assessment
B) Based on prior clinical experience
C) Based on the diagnosis
D) Based on personal convictions and beliefs

Question 46

The first step in using theory-based nursing practice is to consider your own personal values and beliefs.

Question 47

According to Johnson's Behavioral Systems Model, it is the nurse's responsibility to identify the ideal level of functioning for the patient.

Question 48

Risjord described nursing science as a way of obtaining, understanding, and using scientific knowledge.

Question 49

The nursing value of caring is central according to Boykin and Schoenhofer.