Deck 3: Nursing Theories and Conceptual Frameworks

Question 1

The nurse is teaching health and wellness principles to junior high students.According to Orem's theory,which category of self-care requisite is the nurse using to guide this teaching?

A)Universal
B)Developmental
C)Health deviation
D)Deficit

Answer 1

Developmental

Question 2

The nurse struggling with a demanding client focuses on experiencing a sense of true empathy for the client's situation.Which assumption of Parse's human becoming theory is the nurse using?

A)Meaning
B)Rhythmicity
C)Intersubjectivity
D)Cotranscendence

Answer 2

Cotranscendence

Question 3

Nursing students are researching how cultural practices affect the dying process of terminal cancer clients.For their research,which theory will the students most likely explore?

A)Critical theory
B)Midlevel theories
C)Grand theories
D)Stability models

Answer 3

Critical theory

Question 4

The nurse is caring for clients in Stage II/III Alzheimer's disease.If Orem's theory is applied,which type of nursing system should the nurse use when providing client care?

A)Supportive
B)Educative
C)Partly compensatory
D)Wholly compensatory

Question 5

Nursing staff members from an acute psychiatric unit have been asked to establish a nurse theorist they can easily identify with in their practice.Understanding the importance of developing a therapeutic relationship between themselves and their clients,especially in this unit,to which theorist would they most likely be drawn?

A)Florence Nightingale
B)Hildegard Peplau
C)Jean Watson
D)Dorothea Orem

Question 6

A nurse educator incorporates stress,power,authority,and personal space along with other concepts and considers these concepts essential knowledge for use by nurses.From which theorist is the educator applying principles into the curriculum?

A)Dorothea Orem
B)Imogene King
C)Jean Watson
D)Hildegard Peplau

Question 7

A client is experiencing metabolic acidosis,a condition that involves the body's pH level,carbon dioxide level,and bicarbonate balance.According to Roy's model,to which mode should the nurse realize that this client is responding?

A)Physiologic
B)Self-concept
C)Role function
D)Interdependence

Question 8

During a hospital stay,the client has taken control of her recovery and rehabilitation and is utilizing available resources for her needs.In which level of Peplau's model should the nurse determine that this patient is functioning?

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

Question 9

The nurse is applying Neuman's systems model during client care.Which response should the nurse identify as an intrapersonal stressor to a client?

A)Inadequate health insurance coverage
B)Family members who quarrel frequently about the client's care
C)Adverse reaction to medication
D)Expectations regarding rehab

Question 10

A group of nursing students is helping to set up an immunization clinic.In which level of prevention are these students functioning?

A)Educational
B)Primary
C)Secondary
D)Tertiary

Question 11

A nurse has implemented the use of noncontact therapeutic touch.Which theorist is the nurse using as a basis for this intervention?

A)Florence Nightingale
B)Martha Rogers
C)Virginia Henderson
D)Rosemarie Parse

Question 12

A nurse has agreed to delay a client's treatment until the matriarch of the family can be present.Understanding that this is an important consideration for this client's cultural practices,which of Leininger's intervention modes is the nurse implementing?

A)Preservation and maintenance
B)Accommodation,negotiation
C)Restructuring
D)Repatterning

Question 13

A Department of Nursing within a medical center is adopting the theory that is founded on 14 fundamental needs of individuals.Which nurse theorist is this department using to guide client care?

A)Dorothea Orem
B)Florence Nightingale
C)Martha Rogers
D)Virginia Henderson

Question 14

Nursing students have been assigned to develop their own theory of nursing.What should they include in their theory,often referred to as the metaparadigm for nursing?

A)Society,medicine,nursing,and biology
B)Patient,facility,health,and nursing
C)Organization,discipline,nursing,and client
D)Client,environment,health,and nursing

Question 15

The nurse observes a client working to include the spouse in the treatment and recovery process of an illness.Which of Roy's modes should the nurse recognize that this client is demonstrating?

A)Physiologic
B)Self-concept
C)Role function
D)Interdependence

Question 16

A nurse is caring for a client with a severe head trauma.Each shift,the nurse pays attention to the lighting,atmosphere,and surroundings the client is exposed to.The nurse is functioning according to the assumptions of which nursing theorist?

A)Dorothea Orem
B)Martha Rogers
C)Florence Nightingale
D)Jean Watson

Question 17

The nurse implements being authentically present to clients by supporting them in their beliefs and helping to instill hopefulness in their recovery.Which theorist is the nurse using when performing these actions?

A)Florence Nightingale
B)Hildegard Peplau
C)Jean Watson
D)Rosemarie Parse

Question 18

A client with a postoperative infection is afebrile but still receiving IV antibiotics.The nurse should realize that this client is receiving which level of prevention?

A)Primary
B)Secondary
C)Tertiary
D)Critical

Question 19

A client is being seen in the clinic for the final follow-up appointment after an extensive course of rehabilitation.According to Neuman's model,which level of intervention should the nurse realize this patient is experiencing?

A)Primary prevention
B)Secondary prevention
C)Resistant prevention
D)Tertiary prevention

Question 20

The nurse is preparing to complete a spiritual assessment with a client.Which theorist should the nurse review before completing this assessment?

A)Roy
B)Neuman
C)Nightingale
D)Peplau

Question 21

The nurse is implementing Watson's Assumptions of Caring philosophy.Which actions demonstrate that the nurse is using this philosophy?
Standard Text: Select all that apply.

A)Asking the client to explain the impact that his culture and religion will have on required nursing care
B)Asking clients when they prefer to be given the opportunity to bathe
C)Feeling empathy toward the client's loss of mobility as a result of a fractured hip
D)Always assuring that the client has an unobstructed view out his room's window
E)Arranging to fulfill a client's request to stay with him during a painful diagnostic test

Question 22

When a client who had a stroke gives up all hope of any amount of recovery,the nurse solicits a visit from a former stroke client who has physical limitations but has since gone back to work and,through adaptation,can function independently at home.This nurse has fulfilled which role,according to Parse?

A)Mobilizing transcendence
B)Synchronizing rhythm
C)Illuminating meaning
D)True presence

Question 23

The pediatric nurse implements Watson's assumption regarding a caring environment.Which action did the nurse take to implement this assumption?

A)Providing for all needs and cares of the nurse's clients
B)Ensuring that a zone of professionalism is present between the nurse and client
C)Allowing the clients to have choices,as appropriate,in their care
D)Selecting games and activities that are age appropriate for the clients

Question 24

Grounding nursing research in theories from other disciplines is argued to be undesirable by some scholars.What should the nurse identify as reasons why grounding theory is not desired?
Standard Text: Select all that apply.

A)It detracts from developing nursing as a separate discipline.
B)It makes nursing less relevant.
C)It helps bring a broader perspective and insight to nursing.
D)Other disciplines are not unique to the human condition.
E)Other disciplines get the benefit of nursing's research.

Question 25

The nurse is planning client care while keeping in mind Orem's self-care deficit theory.Which methods of helping should the nurse include when determining the best care for the client?
Standard Text: Select all that apply.

A)Balancing rest
B)Teaching
C)Supporting
D)Guiding
E)Preventing hazards to life

Question 26

The nurse is using the central concepts of nursing when providing client care.What actions is this nurse performing?
Standard Text: Select all that apply.

A)Including a client's family in discussions regarding the client's discharge health needs
B)Assessing a physically dependent client's spouse for indications of caregiver stress
C)Asking clients to define what "healthy and well" means to them
D)Suggesting wound care supplies with the priority of cost
E)Advocating for a client who is not responding to current pain control treatment

Question 27

After completing a health history the nurse reviews the content to determine metaparadigms that contribute to the client's health.Which metaparadigm should the nurse categorize as being a part of the client's environment?
Standard Text: Select all that apply.

A)Diet
B)Family
C)Friends
D)Blood pressure
E)Significant others

Question 28

The nurse is planning interventions for a client based upon Henderson's fundamental needs.Which interventions should the nurse include in the plan of care?
Standard Text: Select all that apply.

A)Sleep 4 to 5 hours each night.
B)Attend to spiritual needs as desired.
C)Wear clothing suitable for the weather.
D)Bathe and keep the body well-groomed.
E)Restrict fluids with an elevated body temperature.