Module 1: Chapter 4
What are the links of the meta-paradigm of nursing? Select all that apply.
-Person -Nursing -Environment
What are the demands of Roy's adaptation model that can be useful in helping the patient? Select all that apply.
-Physiological -Psychological -dependence independence
A senior nurse is explaining the importance of nursing theory to a group of nursing students. What statements are true about prescriptive theories? Select all that apply.
-Prescriptive theories are action-oriented -Prescriptive theories test the validity and predictability of a nursing intervention -Prescriptive theories guide nursing research to develop specific nursing interventions
Why is nursing research important in the profession of nursing? Select all that apply.
-Research can lead to new theories -Research determines the accuracy of a theory. -Research helps in testing a theory before it is implemented.
The nurse is studying the theories of nursing. Which would the nurse categorize as phenomena of nursing? Select all that apply.
-Self-care -nursing care -client response to stress
What are components of the nursing paradigm?
-The person -health -the environment/situation -nursing
A patient is admitted to an acute care area. The patient is a businessman who is worried about getting back to work. He has had severe diarrhea and vomiting for the last week. He is weak, and his breathing is labored. Using Maslow's hierarchy of needs, what is this patient's immediate priority?
-air -water -nutrition
The nurse is caring for a patient admitted to the hospital after complaints of chest pain and shortness of breath. She remained in ICU for two days due to her elevated blood pressure of 190/100 mm Hg but has since been placed on a medical floor. According to systems theory, what factors constitute the input component? Select all that apply.
-blood pressure of 190/100 mm Hg -history of chest pain -history of shortness of breath
A senior nurse is teaching nursing theories to a group of nursing students. What are the components of nursing theories that explain a nursing phenomenon? Select all that apply.
-concepts -definitions -assumptions
A woman explains to a registered nurse that she is having irregular periods. She is anxious because her grandmother died of cervical cancer. According to Peplau's theory, what should the nurse do? Select all that apply.
-discuss the nature of the problem -explain the services available -help the patient reduce anxiety
As an art, nursing relies on knowledge gained from practice and reflection on past experiences. As a science, what does nursing rely on? Select all that apply.
-experimental research -nonexperimental research -research from other disciplines
The nursing student is working on a project about interdisciplinary theories. She has interviewed a few in-service nurses and has learned that the goal of the nursing process is to organize and deliver patient-centered care. As a system, which components does the nursing process include? Select all that apply.
-input -output -feedback
The nurse is applying Henderson's theory as a basis for theory-based nursing practice. Which other elements are important for theory-based nursing practice? Select all that apply.
-knowledge of nursing science -knowledge of related sciences -knowledge of standards of practice
What are the phases of Peplau's theory? Select all that apply.
-orientation -termination -working phase
The nurse is learning about nursing theories and their focus on the phenomena of nursing and nursing care. What would the nurse describe as a phenomenon of nursing? Select all that apply.
-self care -nursing care -client response to stress
The nurse is caring for a devout Hindu patient who is vegetarian. The patient was given nonvegetarian food and is very upset about it. Which of the statements of Leininger's theory should the nurse apply while planning a diet plan for the patient? Select all that apply.
-the nurse should serve as a resource person, counselor, and surrogate -the nurse needs to know the patient's individual needs and how to respond to them -the nurse should integrate the patient's cultural traditions, values, and beliefs into the care plan
A patient is bedridden after an accident and she needs to adapt to her surroundings for physiological, sociological, and psychological needs. The nurse has decided to apply Roy's theory to the patient's condition. Which statements apply to Roy's theory when establishing patient adaptations? Select all that apply.
-the nurse will determine which demands are causing problems for the patient -the nurse assesses how well the patient is adapting to problems -nursing care should be directed toward helping the patient adapt to changes
The nurse is caring for a woman with diabetes in a tertiary care setting and has educated her about the prevention of bedsores and foot care. After discharge, whom should the nurse contact for feedback about the patient's health? Select all that apply.
-the patient -family members -the consulting health care professional
Which statements apply to theory generation? Select all that apply.
-theory generation builds a scientific knowledge base of nursing -theory generation discovers relationships of phenomena to practice -theory generation identifies observations about a phenomenon
A 24-year-old woman had an accident while going to work one day and has been completely bedridden since then. The situation has depressed her and taken a toll on her health and her family. In what sequence should the nurse prioritize the patient's needs? Arrange the needs starting from the most basic to higher in hierarchy according to Maslow's hierarchy of needs.
1. physiological needs 2. safety and security needs 3. love and belonging needs 4. esteem and self-esteem needs 5. self-actualization
Henderson's theory focuses on the basic needs of the patient, which are divided into five domains: physiological, psychological, sociocultural, spiritual, and developmental. According to this theory, how many basic needs does a person have? Record your answer using a whole number. ___
14
The nursing student is studying Neuman's system model of nursing. Including the physiological, how many concepts interact with each other to form this system? Record your answer using a whole number. ___
5
A patient who is in the terminal stages of cancer has moderate pain and severe dyspnea. Her husband informs the nurse that she believes in prayer and her last wish is to die while listening to prayer. What should the nurse do first?
Administer oxygen
What is descriptive theory?
It is the first level in theory development and describes a phenomenon.
What is true about grand theory?
It provides a structural framework for broad concepts about nursing.
What is content?
Content is product and information obtained from the system.
What is feedback?
Data related to system functioning
In order to care for a wide variety of patients from various cultural backgrounds, the nurse should have a thorough knowledge of culturally competent care. On which theory is this statement based?
Psychological theory
To practice in today's health care environment, nurses need a strong scientific knowledge base from nursing and other disciplines such as the physical, social, and behavioral sciences. Which need does this statement identify?
Interdisciplinary theories
What is middle-range theory?
It addresses specific phenomena and reflects practice
What is true about a prescriptive theory?
It is linked to outcomes (consequences of specific nursing interventions)
The nurse is consulting with a patient who lives alone after the death of a spouse 3 years ago. The patient, who has no children and few close friends, reports good physical health but has been feeling listless. What should be the priority in nursing care for this patient, according to Maslow's hierarchy of needs?
Psychological needs
A patient with diabetes is controlling the disease with insulin and diet. The nursing health care provider is focusing efforts on teaching the patient self-management. Which nursing theory is useful in promoting self-management?
Orem's theory
A patient who is bedridden after an accident has become very quiet and is not interacting with her family or hospital staff. The nurse is focusing on efforts to develop effective nurse-patient communication. Which theory is useful for developing interpersonal relationships?
Peplau's theory
The nurse is caring for a patient who has electively terminated a pregnancy. During the caring process, the patient shares her feelings and emotions with the nurse, which results in the nurse developing a bond with the patient. Which nursing theory would be most appropriate to help develop an interpersonal relationship?
Peplau's theory
A patient is diagnosed with myocardial ischemia. His blood pressure reading is 180/100 mm Hg, and his total blood cholesterol is 300 mg/dL. The nurse teaches him simple exercises that help reduce his cholesterol level and increase his tolerance to stress through adaptation. Of which nursing theory is this an example?
Roy's theory
Which theory states that the patient adapts to changes in physiological needs, self-concept, and interdependent relations during health and illness?
Roy's theory
A group of researchers is conducting research on diabetic patients based on Orem's theory. What is the most probable topic of research?
Self-administration of insulin
The nurse is caring for a patient with a urinary tract infection. According to systems theory, which statement should be considered as an input from the patient?
The patient reports difficulty with urination.
The nursing student is working on her project on interdisciplinary theories. While interviewing one of the in-service nurses, the nursing student asks for an example of feedback. Which statement is an example of feedback?
The wife of a husband suffering asthma thanked the nurse for her husband's recovery.
Theory-based nursing practice uses a theoretical approach for nursing care. This approach moves nursing forward as a science. What does this suggest?
Theories will be tested to describe or predict patient outcomes.
What is the goal of Watson's theory?
To promote health, restore the patient's health, and prevent illness
Which option is closely aligned with Leininger's theory?
caring for patients from unique cultures
Which theories describe the life processes of an older adult facing chronic illness?
developmental theories
What is output?
it is the end product
