Question 1

A nurse volunteers time in a homeless shelter and wants to set up a free vaccination clinic in the shelter.Although the shelter's managers think that vaccinations are a good idea, they are skeptical that clients will take the time to visit the nurse.What modification to the proposal would generate better success according to Maslow?

Accepted Answer

A)   Educate the shelter clients on the benefits of vaccines.
B)   Give vaccinations after meals in a corner of the cafeteria.
C)   Make vaccinations mandatory for staying at the shelter.
D)   Offer vaccinations as clients check in to spend the night. B

Question 2

A nurse in the oncology clinic uses Aguilera's theory of coping to work with patients.After assessing the patient's usual coping strategies and the patient's perception of the event, what action should the nurse take next?

Accepted Answer

A)   Assess for available situational coping supports.
B)   Determine if there are concurrent developmental crises.
C)   Question the patient's readiness to make needed changes.
D)   Work to reduce the perceived threat to the patient. A

Question 3

A nurse explains to a patient's family that the role of nursing is to help the patient with self-care when the patient is unable to do so.The nurse is using the theory of:

Accepted Answer

A)   Dorothea Orem.
B)   Imogene King.
C)   Jean Watson.
D)   Virginia Henderson. D

Question 4

The nurse using Nightingale's theory to guide nursing practice will manipulate which features in the environment to enhance patient healing? (Select all that apply.)

Accepted Answer

A)   Airflow
B)   Light
C)   Noise
D)   Roommates
E)   Temperature

Question 5

A nursing manager is explaining to the staff how nursing theory is related to all components of nursing practice.What statement by the manager best outlines this concept?

Accepted Answer

A)   Conceptual frameworks are the basic building blocks of theory and practice.
B)   Education is the foundation for all nursing understanding, including theory.
C)   Nursing knowledge can only be derived from well-tested theoretical models.
D)   Theory informs practice, research, and education, which in turn inform theory.

Question 6

A patient is angry and frustrated and is complaining bitterly to the nurse about these feelings.The nurse sits quietly and listens attentively, nodding occasionally.What Watson caritas process is the nurse using?

Accepted Answer

A)   Creating a healing environment
B)   Developing helping, trusting, and caring relationships
C)   Practicing loving kindness
D)   Promoting and accepting positive and negative feelings

Question 7

The nursing instructor summarizes Imogene King's view of health as:

Accepted Answer

A)   a state of harmony with the environment.
B)   being able to function in social roles.
C)   stability within the human system.
D)   the absence of illness or disability.

Question 8

Theories attempt to explain the relationships among the central phenomena of nursing, which include: (Select all that apply.)

Accepted Answer

A)   caring.
B)   environment.
C)   health/illness.
D)   nursing.
E)   person.

Question 9

A nursing unit subscribes to Orem's theory as an overarching conceptual framework for nursing care.A nurse on that unit would most likely include which intervention in a patient's plan of care?

Accepted Answer

A)   Address all questions and concerns to the eldest male relative present.
B)   Assist the patient to order nutritious, heart-healthy foods from the menu.
C)   Dress the patient's lower body and then have the patient dress his or her own upper body.
D)   Help the family understand the patient's lived experience of the illness.

Question 10

A nurse manager is planning a major change on an inpatient unit.Using Lewin's theory, what areas does the manager assess? (Select all that apply.)

Accepted Answer

A)   Coping factors
B)   Driving forces
C)   Motivators
D)   Restraining forces
E)   States of change

Question 11

A nurse whose practice is guided by Peplau's theory would judge that care objectives had been met when the patient:

Accepted Answer

A)   assists in setting goals that they work together to meet.
B)   has mastered all tasks and knowledge needed for self-care.
C)   is able to adapt to limitations and alter ways of doing activities of daily living (ADLs) .
D)   understands the effects of stress in exacerbating illness.

Question 12

A nurse working in a rehabilitation unit wishes to use nursing theory to guide a personal concept of practice but has become frustrated when the chosen theory does not seem to be helpful.The nurse consults an expert on theory.What statement by the theory expert would best help the nurse choose a theory from which to work?

Accepted Answer

A)   "Any theory should work fine for you as long as you understand the concepts."
B)   "Choose a theory that has clear explanations of all four key concepts."
C)   "Rehabilitation nursing is probably too broad to find an appropriate theory."
D)   "Since you work in a specialized area, use a theory that is very specific."

Question 13

Using Maslow's hierarchy of needs, which patient should the nurse assess first?

Accepted Answer

A)   Complains of pain of 6 on a scale of 1 to 10
B)   Crying after receiving a terminal diagnosis
C)   Disoriented and agitated
D)   Waiting for discharge teaching

Question 14

A nursing student is explaining to his or her family that nursing differs from medicine primarily in that nursing:

Accepted Answer

A)   does not consider the patient's environment.
B)   is concerned with the wholeness of human beings.
C)   primarily involves following doctors' orders.
D)   revolves completely around systems theory.

Question 15

A nurse whose practice is most strongly guided by Nightingale's theory would likely incorporate which intervention into the patient's plan of care?

Accepted Answer

A)   Allow the patient to have uninterrupted periods of rest.
B)   Assist the patient with activities of daily living (ADLs) and other self-care deficits.
C)   Encourage the patient to be as independent as possible.
D)   Use installation of faith and hope to encourage the patient.

Question 16

The nursing student learning about theory understands that which terms are sometimes used instead of "grand theory"? (Select all that apply.)

Accepted Answer

A)   Conceptual model
B)   Framework
C)   Interrelated model
D)   Paradigm
E)   System

Question 17

A nurse works in the intensive care unit (ICU)and is looking for an explanation of how patients and families experience weaning from ventilators.This nurse would find the most useful information by searching for an appropriate:

Accepted Answer

A)   corollary theory.
B)   grand theory or framework.
C)   midrange theory.
D)   practice-level theory.

Question 18

A nurse subscribing to Neuman's system model would explain to a patient that illness is caused by:

Accepted Answer

A)   disharmony between the patient and the patient's environment.
B)   disorganization and dysfunction, leading to imbalances in the system.
C)   losing the ability to successfully negotiate differing social roles.
D)   structural disturbances that limit the patient's self-care abilities.

Question 19

A nurse works in an emergency department and frequently uses Lazarus's theory of coping.When a family is distraught by a family member's apparent heart attack, what action by the nurse is best from this theory's standpoint? (Select all that apply.)

Accepted Answer

A)   Assess the family for coping strategies used during previous crises.
B)   Begin assessing the family for discharge teaching and support needs.
C)   Help the family understand treatments available to manage the condition.
D)   Inform the family of the location of the cafeteria and waiting rooms.
E)   Provide the family with food and beverages as a universal sign of caring.

Question 20

A word or phrase used to convey the main thoughts in ideas, observations, and experiences is called a:

Accepted Answer

A)   concept.
B)   construct.
C)   proposition.
D)   theory.

Exam 5: Theories and Frameworks for Professional Nursing Practice