Theory Exam 3 Chapter quizzes
The process of the client and nurse working together to identify, plan, implement, and evaluate each caring mode for culturally congruent nursing care.
Coparticipation
What one does about the disruption caused by the stress.
Coping
Nursing care that is supported by the most current research.
Evidence-based practice
Has an intuitive grasp of situations and is able to focus quickly on the correct problem.
Expert
These are uncontrollable factors that influence a patient's perception of total comfort and might include past experiences, age, attitude, emotional state, support system, prognosis, and finances.
Intervening variables
A patient's interpersonal, family, and societal relationships, as well as family traditions, rituals, and religious practices.
Sociocultural
A client's race, ethnicity, cultural identity within the larger culture, educational opportunities, and socioeconomic status would be included in this category.
Sociocultural factors
The period in which the nurse and patient move toward closure in their relationship.
Termination phase
The relationship one person has with another person.
interpersonal
Kolcaba worked as a practicing nurse for many years before pursuing her ____________.
master's degree
Ida Jean Orlando-Pelletier had a background in _______________ nursing.
mental health
Kolcaba's theory focuses on _____________ comfort.
nurse-provided
This requires deliberation and self-reflection.
nursing
This initiates the nursing process.
patient behavior
The nurse's ability to use all of his or her senses to assess a patient's need for help.
perception
This refers to the underlying reason a nurse performs a deliberative action.
rationale
According to Orlando-Pelletier's theory, the nurse-patient interaction is defined as this.
reciprocal
According to Orlando-Pelletier's theory, the nurse-patient relationship is ________.
reciprocal
The state of a patient who has had a specific need met.
relief
A nurse who works with a client to help her modify her diet to eliminate many of the high-fat foods she has traditionally eaten is participating in the process of culture care __________.
repatterning
Coming to a clearer understanding of ineffective patient behavior.
resolution
According to King, nurses assist individuals to attain, maintain, or _______________ their health.
restore
Peplau requires a nurse to conduct a ______________ of his or her own behaviors.
self-appraisal
A nurse will identify a patient's need for care by using all of his or her ________.
senses
The folds in an origami creation are like the _______ in a nursing theory.
steps
In Kolcaba's theory, nursing assessment may be intuitive and/or __________.
subjective
Benner believes that a nurse can be knowledgeable and skillful without knowing ____________.
theory
true or false: The connection that origami has with middle range theory is that they both follow a set of steps that lead to a desired outcome.
true
This process involves the efforts of the nurse to affirm that his or her reaction to a patient's behavior correctly identified the patient's need for help.
validation
When Janice begins her rounds each morning at 5:00, she asks all her patients how they are doing, sometimes waking them up, if necessary. Which of the following describes Janet's actions based on Orlando-Pelletier's theory? [1] Deliberative [2] Automatic [3] Effective [4] Efficient
2
Being connected and having things matter.
Caring
The experience of receiving effective care that meets comfort needs.
Comfort
________ a patient with another patient is considered an interpersonal pitfall according to Peplau's theory.
Comparing
Peplau's theory considers this one of the potential pitfalls within the nurse-patient exchange that a nurse who is not in tune with his or her own motives or behavior may experience.
Competition
A self-interpreting being who gets defined in the course of living a life.
Person
These include the different biological, psychological, and sociocultural factors that directly and indirectly influence health-promoting behaviors.
Personal factors
The immediate environment in which nurse and client interact and move toward goal attainment.
Personal space
A patient's bodily sensations and homeostatic mechanisms.
Physical
Groups of people within a community or society who share common goals, interests, and values.
Social systems
An individual's perceptions of his/her body, others' reactions to his/her appearance, which results from others' reaction to self.
Body image
According to King, factors that affect the attainment of nursing goals are roles, stress, space, and: [1] time. [2] culture. [3] motivation. [4] medical complications.
1
According to Pender's theory, a nurse has the least amount of control in positively changing which of the factors related to client behavior? [1] Sociocultural [2] Perceived benefits [3] Perceived barriers [4] Interpersonal influences
1
Origami requires a person to: [1] envision a desired outcome. [2] suspend disbelief. [3] seek shortcuts. [4] search for the end result.
1
When did the transcultural nursing movement first begin as a result of Leininger's insights? [1] 1950s [2] 1960s [3] 1970s [4] 1980s
1
A nurse who performs at a minimal level in real situations is at which of the following levels of skill acquisition? [1] Expert [2] Advanced beginner [3] Novice [4] Proficient
2
According to Kolcaba's theory, an internal awareness of one's sexuality would be considered a component of which of the following contexts? [1] Physical [2] Psychospiritual [3] Environmental [4] Sociocultural
2
According to Orlando-Pelletier's theory, which of the following is considered a "major helping tool"? [1] The nurse's senses [2] The nurse's mind [3] The ability of the patient to perform self-care [4] Nursing diagnoses
2
According to Peplau's theory, when is the best time for the nurse to begin discharge planning with a patient? [1] During the termination phase [2] During the working phase [3] During the orientation phase [4] During the planning phase
2
According to an assumption of Pender's Health Promotion Model, people's interactions with the environment are considered: [1] static. [2] transformative. [3] damaging. [4] exhilarating.
2
Culture is spread among communities through transmission, sharing, and which of the following? [1] Feedback [2] It is learned [3] It is created [4] It is visualized
2
How does Kolcaba describe the nursing process format when used in practice? [1] Holistic [2] Sterile [3] Flexible [4] Intuitive
2
King believes that the focus of nursing is on people interacting with their: [1] family. [2] environment. [3] nurse. [4] community.
2
Pender considered the healthcare community's attitude toward health and illness as: [1] proactive. [2] reactive. [3] retroactive. [4] inactive.
2
Peplau considered the nurse-patient relationship as a: [1] mentor-protégé situation. [2] partnership. [3] hierarchy. [4] customer fulfillment scenario.
2
The proficient nurse: [1] has an intuitive grasp of situations. [2] is guided by principles and maxims. [3] operates from a deep understanding of the total situation. [4] has a feeling of mastery and can plan effectively.
2
What is the first step in evaluating a middle-range theory? [1] Identifying the steps to be followed [2] Determining its purpose [3] Deciding the best way the theory could be applied to practice [4] Figuring out an appropriate nursing environment
2
Which of the following is necessary for culturally congruent care to occur within the nurse-client relationship? [1] The nurse instructs the client about the reasons the client must modify his or her lifestyle, and the client complies. [2] The nurse and the client work together to design lifestyle goals that will improve the client's health. [3] The client indicates those lifestyle choices he or she refuses to modify, and the nurse agrees without seeking additional input from the client. [4] The nurse develops a thorough plan that is then presented to the client regarding ways to improve the patient's health.
2
Which of the following would be considered one of the steps in an appropriate nurse reaction? [1] Providing patient care based on an automatic thought [2] Perceiving a patient's behavior [3] Driving the patient toward self-care [4] Generating a relationship with the family
2
A client's illness is described as: [1] a high level of stress. [2] the nurse's interpretation of patient's behavior. [3] the client's experience of loss or dysfunction. [4] the acquisition synonym for disease.
3
A nurse who thinks of an irritable patient as "the crank in room 202" is: [1] avoiding the patient. [2] taking advantage of the patient. [3] intentionally labeling the patient. [4] expecting the patient to change.
3
Actions of a nurse that help a client incorporate some of his core cultural care values into his plan of care would be referred to as: [1] cultural care repatterning. [2] cultural care universality. [3] cultural care preservation. [4] cultural structure awareness.
3
An important focus of Peplau's work was the relation between an individual and which of the following? [1] Superiors [2] Nurse [3] Community [4] Spouse or partner
3
Caring for a client creates stress because it: [1] is physically demanding. [2] is time-consuming. [3] involves an emotional investment. [4] requires organization and planning.
3
How is the patient defined in Orlando-Pelletier's theory? [1] As a recipient of care [2] As anyone who enters the healthcare system [3] As a participant in care [4] As a person with a specific ailment
3
In Kolcaba's theory, what is considered to be the most important nursing activity? [1] Care [2] Assessment [3] Comfort [4] Communication
3
Orlando-Pelletier's theory was based upon data she collected from her observations of which of the following groups of individuals? [1] Mentally ill patients [2] Psych nurses [3] Nursing students [4] Pediatric patients
3
The most important element in the personal system is: [1] relationships. [2] stress. [3] perception. [4] health.
3
The nurse's clients: [1] rely on the nurse to set goals for them. [2] are similar in their needs, desires, and goals. [3] are able to set and achieve individual goals. [4] expect the nurse to make decisions for them.
3
Which of the following is an example of a perceived barrier to action? [1] A client who is surrounded by peers who smoke socially [2] A client who does not care what others think [3] A client who thinks she is too old to exercise [4] A client who tried swimming once and did not like it
3
Why does a nurse theorist initially develop a middle-range theory? [1] To answer larger questions about nursing [2] To make nursing more accessible to other health professionals [3] To guide other nurses in performing specific nursing activities [4] To provide structure to the field of nursing
3
A client who feels her first "runner's high" after successfully continuing with a jogging routine is experiencing which of the following factors? [1] Perceived self-efficacy [2] Commitment to a plan of action [3] Competing preferences [4] Activity-related effect
4
According to Benner and Wrubel's view, the relationship that is central to nursing practice is that of: [1] the nurse and client. [2] caring and responsibility. [3] skill acquisition and caring. [4] health, illness, and disease.
4
According to Kolcaba's theory, a patient's support system and financial state would be considered which of the following? [1] Pathophysiologic parameters [2] Comfort determinants [3] External stimuli [4] Intervening variables
4
According to the chapter, a middle-range nursing theory is generally which of the following in terms of applying it to everyday nursing practice. [1] Impractical [2] Complicated [3] Beneficial [4] Simple
4
How frequently does Peplau's theory assume a nurse must appraise the quality of his or her relations with patients? [1] Whenever there is a conflict [2] During each patient interaction [3] If the nurse feels it is necessary [4] All the time
4
What is the original meaning of the word comfort? [1] To ease suffering [2] To support [3] To transcend [4] To strengthen greatly
4
Which of the following statements is true regarding a nursing theory that turns out not to be useful when utilized by a specific group of nurses? [1] The theory will not be useful to other nurses. [2] The nurses likely implemented the theory incorrectly. [3] The nurses should continue to apply the theory in practice. [4] The nurses benefited from the experience because they learned something new.
4
Which three changing and interactive systems make up most societies? [1] Personal, communications, interpersonal [2] Humans, health, environment [3] Individuals, families, communities [4] Personal, interpersonal, and social
4
Can perform at a minimal level in real situations.
Advanced beginner
Nursing actions that are performed according to protocol.
Automatic reactions
Only spending the minimum amount of time in the presence of a challenging patient would be an example of this.
Avoidance
Peplau's theory focuses on this in relation to the patient, the nurse, and the nurse-patient interaction.
Behavior
Nursing care activities that help people of particular cultures to retain and use core cultural care values related to healthcare concerns or conditions.
Cultural care preservation
Common care or similar meanings that are apparent among many different cultures.
Cultural care universality
This is the ultimate goal of transcultural nursing practice.
Culturally congruent care
These result from the nurse's accurate identification of patient needs by confirmation of the nurse's reaction to patient behavior.
Deliberative actions
The manifestation of an aberration at the cellular, tissue, or organ level.
Disease
Benner adapted the ___________ to clinical nursing.
Dreyfuses' model
The nurse's role as a teacher and positive, constructive force.
Educative instrument
A patient's external surroundings, conditions, and influences.
Environmental
An intentional focus on educating others on the positive benefits of behaviors and activities that maintain health and wellness.
Health promotion
The desired outcome when providing client care and education.
Health-promoting behaviors
The experience of loss or dysfunction.
Illness
The acts of two or more people who are in contact with each other.
Interactions
A unified being, or self, who perceives, thinks, desires, imagines, decides, and identifies goals to be achieved.
Individual
These would be defined as the expected positive outcomes of the proposed health-promoting behavior.
Perceived benefits of action
A relationship based on caring in an enabling condition of connection and concern.
Nursing
The nurse and the patient get to know one another during this phase of their relationship.
Orientation phase
A person who says, "I can't run because I don't have the right sneakers" is demonstrating an example of this.
Perceived barriers to action
How often in the past a person engaged in a behavior.
Prior related behavior
Pender's philosophy toward health promotion and disease prevention.
Proactive stance
Able to detect the most important events and subtle nuances and intervene when necessary.
Proficient
This includes self-esteem, self-motivation, personal competence, perceived health status, and individual definition of health.
Psychological factors
A patient's internal awareness of self, including esteem, sexuality, life's meaning, and relationship to a higher being.
Psychospiritual
The individuals, family groups, institutions, or communities that are in need of comfort care.
Recipients
Peplau identifies this as one of the main roles played by a nurse during a nurse-patient relationship.
Resource person
A set of behaviors expected from someone who is occupying a certain position in a social framework.
Role
______________ help novice nurses perform in the clinical setting.
Rules
This is who a person perceives him- or herself to be.
Self
One assumption of Peplau's theory is that the nurse must engage in this process continuously to improve patient care and achieve professional maturation.
Self-appraisal
An energy response of a person to specific people, objects, and/or events that can be perceived as positive or negative.
Stress
The disruption of meanings, understanding, and smooth functioning so that harm, loss, or challenge is experienced, and sorrow, interpretation, or new skill acquisition is required.
Stress
A set of components linked by communication that exhibit directed behaviors for the purpose of attaining goals.
System
The process of interacting wherein humans communicate with others and the environment for the purpose of achieving goals that they value.
Transaction
A state in which a person rises above problems and pain.
Transcendence
The cultural dynamics that influence the nurse-client relationship.
Transcultural nursing
A nurse must usually take on many different roles during this period of the nurse-patient relationship.
Working phase
Pender considers many types of disease to be __________.
avoidable
Early in her career, Leininger noticed that when working in a child guidance home, these seemed to have a cultural basis.
behavioral patterns
According to Leininger's theory, _______ is a state of being that is both culturally defined and valued.
health
Assisting others with real or anticipated needs in an effort to improve a human condition of concern or to face death.
care
Madeleine Leininger considers __________ to be the central component and essence of nursing.
care
This process involves helping a client modify his or her personal behavior while simultaneously respecting the client's cultural values.
cultural care repatterning
A broad, holistic perspective to guide nursing care practices.
culture care
According to Pender's theory, the desired outcomes of client care are _____________________.
health-promoting behaviors
The state of a patient whose need for help cannot be resolved without the help of another.
helplessness
Middle-range theories are designed to provide ________ for nursing activities.
direction
A state of overall calm and contentment.
ease
Nola Pender's parents supported ___________ for women.
education
The four major metaparadigms of nursing discussed by King are humans, health, nursing, and ________________.
environment
true or false: The initial step in exploring a middle range theory is to determine the steps to take in the process.
false
The art of paper _______ exists in all cultures.
folding
A state of well-being that is culturally defined and valued.
health
Peplau is considered one of the early nurse theorist ___________.
visionaries
King's conceptual view of nursing is based on ____________'s general systems theory.
von Bertalanffy
The manner in which people look at the world around them and then develop a personal idea of what life is about is known as a ___________.
worldview