University Of Central Florida > Test Bank Nursing Today Transition Trends 8th Edition, JoAnn. Chapter 08: Nursing Theory

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Chapter 08: Nursing Theory MULTIPLE CHOICE 1. The student nurse has an adequate understanding of nursing theory when correctly identifying which individual as the first nurse theorist? a. Pepl... au c. Leininger b. Rogers d. Nightingale 2. A nurse wishes to incorporate Dorothea Orem’s theory into practice. Which action by the nurse encompasses this theory? a. The nurse completes the AM care for a patient. b. The patient gets dressed with help from the nurse aide. c. The patient knows his or her own medication dosages and what time they are due. d. The patient’s spouse assumes all responsibility for the patient’s medications. 3. The nurse has an adequate understanding of the four major metaparadigms when making which comment to a colleague? “The four major metaparadigms are a. “nursing, environment, health, and illness.” b. “nursing, environment, person, and society.” c. “person, environment, health/illness, and nursing.” d. “person, society, wellness, and health/illness.” 4. What is a common thread in the majority of definitions of a nursing theory? a. Words or phrases that present a direction to how interrelated concepts can provide a reference for the study and the delivery of nursing care b. A list of the concepts and problems within the nursing profession and the suggested or anticipated solution of those problems c. A composite of the opinions and recommendations of famous, well-known nursing leaders d. An advanced role description for the study of the delivery of nursing care and the integration of nursing services with the most favorable economic consequences 5. Roy’s adaptation model capitalized on health and wellness based on how well one copes with stressors and the environment. Which statement by the nurse shows understanding of equilibrium? Equilibrium is reached through adaptation of our a. “safety needs.” c. “physiological needs.” b. “self-esteem needs.” d. “love and belonging needs.” 6. In the system’s model of Neuman, nursing helps reduce the stressors to health through a. prevention on three levels—primary, secondary, and tertiary. b. maintenance of balance of the physiological systems. c. promoting a sense of inner harmony through achieving holistic health. d. repatterning the person and environment for synchrony within the body. 7. A nurse has been studying theory in class. Which of the following statements indicates that the nurse has an adequate understanding of theory? a. “A theory can be used to predict something.” b. “A theory can measure outcomes.” c. “Theory can be helpful to formulate a plan of action.” d. “Theory is used to help evaluate interventions.” 8. A student is in the last semester of nursing school. The student interprets nursing as a. knowledge of past experiences. b. the medical model of health care. c. a science based on the principles of biology and medicine. d. a science based on scientific research providing practice answers. 9. A nurse is listening to a nurse manager give a presentation on nursing theory. The nurse identifies which statement as being indicative of nursing theory? a. “Team nursing to best use resources within the delivery of care” b. “Managed care focusing on conservation of the economic resources” c. “A direction as to how an individual nurse can best meet patient needs” d. “Created by nurses, for nurses, in understanding the nursing process” 10. A nurse is giving a speech on the nursing theory of Madeline Leininger. Which statement by the nurse indicates an understanding of the theory? “Madeline Leininger’s theory is a theory that a. “considers the impact of culture on the person’s health.” b. “promotes the synchronicity between people and the universe.” c. “describes a dynamic state of being achieved through unity and harmony.” d. “considers nursing ‘a calling’ to work with patients in the reparative process.” 11. Systems-oriented theorists include a. Neuman, Roy, and Johnson. c. Nightingale, Abdellah, and Orem. b. Peplau, Watson, and Orlando. d. Rogers, Newman, Rizzo, and Parse. PTS: 1 DIF: Cognitive Level: Analysis REF: pp. 179-180 OBJ: Identify some of the more well-known and well-developed nursing theories. TOP: Systems-oriented nursing theories MSC: NCLEX®: Not applicable 12. A nurse is working in an Asian neighborhood of a large metropolitan city. In attempting to meet the cultural needs of this segment of the population, the nurse could apply whose nursing theory to the organization of nursing care required by these residents? a. Virginia Henderson c. Dorothea Orem b. Martha Rogers d. Madeline Leininger 13. A middle-aged patient has experienced a myocardial infarction that has significantly limited activities and lifestyle. The patient is exercising and working with a nurse in the cardiac rehabilitation program. This is an example of the implementation of what nursing theory? a. Martha Rogers’ examination of the phenomena of energy fields b. Dorothy Orem’s interwoven theories of self-care, self-care deficit, and nursing care c. Dorothy Johnson’s theme that the person is a behavior system and is orderly and balanced d. Sister Callista Roy’s theme of coping and adaptation to stimuli and stressors 14. A nurse would like to improve personal practice by utilizing nursing theory. What action can the nurse take to begin incorporating nursing theory into practice? a. Learn about nursing theories. b. Apply for a management position. c. Transfer to the education department. d. Enroll in a PhD program at the local university. 15. The overall theme of Nightingale’s theory was that the person’s health is influenced by the environment. Which of the following actions by Nightingale support this theme? a. Fed the soldiers healthy food b. Used poor sanitation in caring for the soldiers c. Forced to use unclean water in caring for soldiers d. Shared supplies among soldiers to save money 16. Florence Nightingale believed that the environment impacts the patient’s health. Which of the following actions by the nurse incorporates Nightingale’s theory into practice today? a. Cleaning the patient’s room only at discharge b. Keeping the patient’s door closed all day c. Giving the patient a dinner tray of fried chicken and French fries d. Providing the patient with clean linen daily 17. Which of the following would correctly evaluate the effectiveness of Nightingale’s actions to increase the health of the Crimean War soldiers? a. Deaths continued to increase because of poor conditions. b. Deaths declined because of increased cleanliness. c. Death rates stayed consistent throughout the war. d. Death rates reduced to zero. 18. Using Betty Neuman’s conceptual model, what action by the nurse would indicate primary prevention? a. Eating French fries and drinking a chocolate shake for lunch b. Taking the elevator instead of the stairs c. Sleeping 4 hours the night before work d. Exercising every other day 19. A patient comes to the emergency department with an active myocardial infarction. Which action by the nurse indicates secondary prevention? a. Perform an ECG to assess for damage. b. Check on another patient first. c. Enroll the patient in a cardiac rehabilitation program. d. Educate the patient about eating a healthy diet. 20. A 28-year-old patient is recovering from a femur repair after a traumatic car accident. The following day, lab results indicate that the hemoglobin is dangerously low and the patient needs to receive blood. The patient has identified themself as a Jehovah’s Witness and has refused to receive the blood. Which action should the nurse take? a. Notify the physician of the patient’s decision. b. Administer the blood anyway. c. Try to convince the patient to receive the blood. d. Call the patient’s family members and alert them to the situation. MULTIPLE RESPONSE 1. What nursing interventions can be performed by the nurse based on Jean Watson’s Caring Theory? (Select all that apply.) a. Assist with basic human needs. b. Encourage the patient to express personal feelings. c. Ask the patient for input regarding received care. d. Sit down and have a conversation with the patient. e. Perform care according to hospital and unit policy. 2. Which of the following action(s) by the nursing incorporates the Culture Care Theory? (Select all that apply.) a. Becoming educated about different cultures b. Being mindful of folk practices c. Requesting that patients withhold holistic care while in the hospital d. Being respectful of different religions e. Allowing the patient to experience healing according to their culture [Show More]

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