TFN 3RD EXAM
The following theorist that Ludwig Von Bertalanffy
Development skills in the 6-month-old child should the nurse
assess as normal or ideal
 Sit alone
A nurse is evaluating the developmental level of a 2-year-old.
Which of the following does the nurse expect to observe in
this child?
 Uses a cup to drink
The concept of the theory of human becoming except
 Hope
Lawrence the competent nurse is working 12 hours a day.
He always understands respect and appreciation of the
beliefs, values, rituality, and culture regarding the illness that
is meaning, causes the treatment on the outcome. Nurse
Lawrence applied the theory of what
 Transcultural theory
The ability of a nurse is to bridge a cultural gap in caring
work with cultural differences and enable to client’s family to
achieve meaningful and supportive meaning to
 Culture-competent care
These are set values, beliefs, and traditions that are held by
a specific group of people handed down from one generation
to the next
 Culture
A client is rushed to the emergency room department due to
severe dehydration. He has severe diarrhea and vomiting for
the last week. He is pale-looking, weak, and unlabored
breathing. The patient is an active businessman.
 Air, water, and remediations (im not sure sa
remediation)
Maslow’s hierarchy of basic human needs is useful when
planning and implementing nursing care as it provides a
structure
 Establishing priorities of care
Client’s needs are the highest priority
 A patient needs to ambulate to prevent deep vein
thrombosis
Nurse Mia is providing care to the preschooler submitted due
to multiple bruises, lacerations, burn marks, and upper
extremity
 Safety needs
Nursing care for clients in long-term care facilities. An
example of nursing interventions helping with physiologic
needs
 Changing a patient an oxygen tank
Nurses caring for clients must offer that use careful of hand-
hygiene and sterile techniques when handling patient
 Safety and security
 General system theory
It is the process that involves finding a method that making it
possible for people to let go of an old pattern that just
countered productive in some way also it is necessary to
overcome the strains of individual resistance
 Unfreezing
9-year-old Miguel has a difficult time making friends at
school. He also has trouble completing his homework and as
a result, receives little positive feedback from parents or
teachers. According to Erickson’s theory, failure of this stage
of development results in what?
 Feelings of inferiority
The nurse is suspicious of parents to have children learn
impulse control and cooperative behavior.
 Initiative vs guilt
A nurse focuses attention on the strengths and abilities of
clients rather than their problems. It helps them to achieve.
Maslow basic needs
 Self- actualization
Mary and her daughter Jane went grocery shopping to only
buy essential things needed at home. As they went to all
different sections of the store. Jane saw a limited edition of
Barbie doll. She is doubtful to get it but decides not to grab it
for fear of being slapped.
 Pre-conventional, Stage 1 Punishment
While giving nursing care to a hospitalized adolescent. The
nurse should be aware that the major strep felt by the
hospitalized adolescents is…
 Altered body image
The theory of Ludwig explains which of the following?
 To relationship between the part of the whole are
how they work together
The assumptions of Ludwig's general system theory are the
following except
 Identification of methods were changing occurs.
Facilitates change because they push the patient in the
desired direction
 Driving forces
What people hinder change that pushes the client in the
opposite direction
 Restraining forces
Autonomy vs shame and doubt
 A preschooler eating his own food for breakfast
Baby Christian and her mother just got home from school.
When her mother embraces his father showing affection,
baby Christian got jealous and angry
 Oedipus complex
During adolescence, individuals begin to think infrequently
and can solve complex problems. Refers to what is wrong
and right
 Moral development
The nurse and the patient mutual plan to care activity
 Design
According to Locsin technological competences caring in
nursing. Patient as participant in the caring process rather
than an object
 Knowing
Purpose of this theory is to clarify the influence and impact of
advancing technologies on nursing and the perspective of
healthcare work that may be influential to the practice of the
other health care potentials.
 Psychological competences as caring nursing
theory
Culturally competent care
 The ability of the nurse to bridge the cultural gap in
caring work with cultural differences enable client
and families to achieve meaningful and supportive
care.
Marie cared with patient Carlo with severe rectum bleeding
and excruciating urination. The nurse appears genuinely
realistic directed towards patient care connection and it’s not
dominant with the nurse-client relationship. Carlo on the
other hand, interprets the relationship as partners able to
focus on patterns in their life and use nurse in the caring
human person capable of moving through process of
recognition inside and transformation.
 Margaret Newman
Which part of Margaret Newman’s theory is portrayed when
nurse John caring for a client. One of his responsibility is to
established primary relationship with the client for the
purpose of identifying meaningful pattern and facilitating
client’s action potential and making ability
 Patient assessment
An American Indian tribal leader visits his newborn son at the
hospital and performs a traditional ceremony that involves
feathers and chanting or singing. Which action by the nurse
is an example of cultural competence?
 The nurse silently reflects about their own biases
regarding American Indians and how they can
influence how to approach the client's parent.
What concept refers to main disruptive force interpersonal
relationship according to Sullivan
 Anxiety
What are the five core theoretical concepts of Rosemarie
Rizzo Parse
 Intentionality, human subjectivity, co-constitution,
Coexistence, Situated freedom
Sullivan have identified this dynamism as isolating, self-
centered need and it can be satisfied in the absence of the
implement interpersonal relationship. It is based on sexual
gratification and may required no other person for its
satisfaction
 Lust
Which of the following are the Sullivan identifies two types of
tension in building personality.
 Needs and anxiety
Which among the following statements by a baby holder of a
toddler signifies relevance of a child for toilet training
 My baby wakes up dry from a nap for about a
month
Therapeutic power intimate relationship in building
personality according to Sullivan was
 Rooted from his childhood experiences
A female client has flashbacks of sexual abuse from her
father. She doesn’t aware of memories recently which she
became sexually active with her boyfriend. A nurse should
this experience of what part of Sullivan concept of self-
system
 Not me
A cognition that concern behavior, beliefs and attitude of
other person about behavioral change refers to what concept
of health promotion model
 Interpersonal influences
The nurse is developing a plan of care for a client with a
substance use disorder. Which nursing problem should be
the priority?
 A trace for injury
The nurse is admitting a 15-year-old client with a fracture of
the arm that requires surgery. The adolescent is crying and
unwilling to talk. Which action by the nurse would be most
appropriate at this time?
 Make arrangements for friends to visit.
When preparing a 4-year-old child for a procedure, which
method is developmentally most appropriate for the nurse to
use?
 Preparing the child through play with a doll and toy
medical equipment
Select the three stages of morality development theory
according to Kolberg
 Pre-conventional-conventional- post conventional
Which stage of development is most unstable and
challenging regarding to the development of personal
identity?
 Adolescence
The parents of a 2-year-old arrive at a hospital to visit their
child. The child is in the playroom when the parents arrive.
When the parents enter the playroom, the child does not
readily approach the parents. The nurse interprets this
behavior as indicating that:
 The child has a normal pattern
Maria recently went shopping for first day of high school. She
bought herself many designer items, done her hair and
make-up done, and bought new clothes. What might Maria
trying to achieve and why?
 Maria wants to fulfill her self-esteem needs. She is
doing this through buying nice clothes, to boost her
self-esteem and get others to respect her for
expensive material as she starts school
John has all the basic resources and has a great family with
a good feeling of security. The other day, he had a falling out
with his best friend of 5 years. How will John feel according
to Maslow?
 He will feel as if his friend is the only thing he
needed and wanted in life
Which of the following levels of basic human needs is most
basic?
 Physiologic
TFN 2ND EXAM
What is the settle concept in Sister Calista Roy’s adaptation
model?
 Adaptation
According to Dorothy Johnson Behavioral System Model.
What is the primary purpose of behavior?
 Adaptation
Hildegard Peplau Interpersonal Relations Theory, what is the
focus of the nurse-patient relationship?
 Facilitating communication and understand
According to Sister Calista Roy’s model, what are the four
modes of adaptation?
 Physiological, self-concept, role function and
interdependence
According to Johnson’s behavioral system model, what are
the subsystems that constitute the individual as a behavioral
system?
 Achievement, affectional and aggression
Peplau’s interpersonal theory, what is the orientation phase
of the nurse-patient relationship?
 Establishing trust and rapport
According to Roy’s adaptation model, what is the primary
regulator of behavior?
 Stimuli
In Johnson’s model, what are the four concepts that
constitute the system?
 Environment, behavioral system, subsystem and
boundary
According to Peplau, what is the primary goal of the nursing
orientation phase of the nurse-patient relationship?
 Establishing a therapeutic relationship
According to Roy’s model, what is the purpose of coping
mechanism in adaptation?
 To maintain adaptation level
In Johnson’s behavioral system model, what is their role of
subsystems in the maintenance of balance?
 They enhance the stability of the system
According to Peplau, what is the emphasis of the resolution
phase in the nurse-patient relationship?
 Termination of the relationship
According to Roy, what is the role of regular subsystem in
the adaptation process?
 Influencing environmental factors
In Johnson’s Model, what is the significance of protective
mechanism in behavior?
 They ensure adaptation to stressors
According to Peplau’s interpersonal relationship theory, what
is the primary focus of the nurse in the working phase of the
nursing relationship?
 Problem solving and goal setting
Nurse Charissa is caring for a client to the step follow
prescribed regiments for hypertension management. As in
prescriber to Orem’s theory, she interviews the client in an
attempt to identify the cause of the patient non-compliance,
which of the following is the rationale for the nurses
behavior?
 Orem’s theory is useful in designing interventions to
promote healthcare
Which of the following statements is related to Florence
Nightingale theory?
 The role of nursing is to facilitate the body’s
reparative processes by manipulating client
environment.
Watson’s Caritive factors include all of the following except:
 Strengthening flexible line of defense
This is characterized by intensity and vitality by warm,
closeness, rest, respect, honesty, and tolerance
  Caring Community
Benner’s theory proposes that expert nurses develop skills
and understanding of client care over time through a proper
educational background as well as a multitude of
experiences. Based on her stages of clinical competence, a
newly graduate nurse was just accepted for a job in the
hospitals can be categorize of which of the following?
 Advance beginner
Which of the following statements is not part of Erickson’s
major concept?
 None of the above
Nurse Irish was assigned to a client who is admitted in the
intensive care unit. Part of her nursing care was to provide
cleansing, bed bath,… 6 am nurse Irish help the client with
oral care to be preparing the materials to bed time. The
nurse demonstrates what kind of nursing system to be a self-
care meet the client?
 Partial compensatory
The following are major concepts of Nightingale’s
environmental theory except;
 Safety
Which of the following theorists altered the philosophy and
value system that provides a solid foundation for the science
of caring? Caring consists of caritive factors that result in
parasitic factors in certain human needs.
 Jean Watson
Who among these personalities state that “suffering without
caritative caring is a violations of human dignity”?
 Katie Erickson
Nurse Axis handling a pediatric patient with end-stage
cancer. The nurse is providing palliative care to the patient.
According to Orlando’s deliberative nursing process, which of
the following nursing action is in the client stage palliative
care for pediatric?
 Goal was set for the nurses 8hours shift
A 20-year-old patient was admitted due to ammonia, the
emergency nurse is taking a vital sign in base line.
Developing nursing diagnosis for difficulty breathing in
setting goals for the patient's emergency room admission. Is
the nursing care process reach nursing intervention phase?
 Yes, because the goal was set and met for the 8
hours shift of the nurse on duty.
The following statements are the nursing care for the patient
who just underwent Sora's symphysis. Monitor patient for
difficulty of breathing provide pain medications, place
stations in Semi Fowlers position and regulate IBF. Which of
the following statements below compliments for the care for
patient in the intervention phase?
 The nurse is taking the demographic data of the
patient
One of the basic concept of human team relationships is
communication rather be expresses importance of striving to
communicate in order to know ill persons to a certain in
nursing needs and to achieve the purpose of nursing. How
will a nurse show a good nursing care in communication?
 The nurse listen to the sentiments, taps the
shoulder, and ask the feeling towards the patient’s
illness
Travelbee’s theory of human to human relationship is under
to what level of nursing theory?
 Grand theory
Nurse Al is an ICU nurse handling critically ill patients and
gives hands-on bodily care to the patient about daily living
activities, such as bed bathing, and changing the patient’s
gown. Oral sanctioning and wound dressing. This action of
the nurse conveys the role in which phase of Lydia Halls
care, core, cure theory?
 Care only
Nurse Y is caring for a patient in the ward. Provision of
health education and proper nutrition and life style
modifications are some of activities conducted during the
shift. Knowing the concept of all care, core, cure theory, this
action of the nurse pertains to which phase?
 Cure only
A nurses caring for a 52 year old male diabetic patient and
has been providing rehabilitative care. The nurse help the
patient established goals for its recovery in use of reflective
techniques to help the patient express his own feelings
regarding the current health status in related potential
changes in lifestyle. The action of the nurse towards the
patient conveys which concept of Hall’s theory?
 Core only
A Student Nurse is assigned to care for a 16-year-old patient
who complains of severe abdominal pain at the right lower
quadrant. He was suspected of a ruptured appendix. When
the assessment was conducted by the student nurse, the
nursing diagnosis indicated in the nursing care plan was a
risk for infection related to a ruptured appendix. Based on
Abdellah: 21 Nursing Problems, does the student nurse
provide a priority diagnosis?
 No, the student nurse should focus on the primary
complaint
This involves professional nursing need to recognized the
overt and covert problems, also recognizing the problem,
selecting relevant data, generating hypothesis, testing the
data, changing the hypothesis as needed depending the data
findings.
 Nursing problems
The 21 nursing problems can be put into three categories,
the physical, sociological, and emotional needs of the
patient. Which among the following nursing problems belong
to the sociological needs?
 To promote a development of productive
interpersonal relationships
The theory of Henderson’s 14 basic needs emphasizes the
role of nurses in helping patients regain their health and
independence by addressing 14 fundamental needs. Which
action of the nurse helps the patients from avoiding dangers
and avoiding injury and others?
 It is a dynamic interpersonal process within the
nurse and the patient
In case goal attainment theory, what is the role of nursing in
helping the patient achieve their goals?

 Raising side rails of the bed  Nursing works with patients to mutual set goals and
help them achieve these goals.
Mercy is replacing the patient’s IBF, while doing the
procedure, the patient shares that she feels sad and What does Imogene King’s interacting system framework
emotional. Mercy responds and encourages the patients to represent in her theory?
express their feelings on the matter. Which among the
 A framework that used patient and nurses as open
fourteen basic needs emphasizes the role of nurse in this
system constantly interacting and adapting
scenario?
According to King’s goal attainment theory, why is the
 Communicating with others
evaluation and feedback process essential in nursing care?
Which of the following statements best describe the core
 In helps to determine patient of the goals that have
concepts of Martha Rogers' theory Science of Unitary
been achieved in whether adjustments are needed
Human Beings?
What are the core concepts in Betty Neuman Systems
 Human beings are seen complex system with
Model?
multiple interacting sub-systems.
 Open and close systems of energy exchange
According to Martha Rogers, what is the significance of
energy fields in the science of unitary human beings? In Neuman’s model, how does stress affect an individual’s
stability and wellness?
 Energy fields are dynamic in integral to the
functioning of the human being  Stress can disrupt the individual’s stability and
wellness by creating its disturbance in the system
In the context of Martha Rogers science of unitary human
beings, how does nursing practice differ from traditional In Betty Neuman system models, what is the primary focus
medical approaches? on primary prevention?

 Nursing practice is primarily concerned with the  Primary preventions centers on reducing stressors
diagnosing diseases and prescribing medications and strengthening the patient’s line of defense.

What are the fundamental assumptions underlying Dorathea

Orem’s Self-Care Deficit?

 Individuals of the ability and responsibility to engage

in self-care

According to Orem’s theory, what are the three requisites

component of self-care?

 Universal development and health deviations self-

care requisites

How does Dorathea Orem’s define the role of nursing and

her self-care deficit theory?

 Nursing assist patients in making their self-care

needs when they’re unable to do so independently

In Orem’s self-care deficit theory, what are health deviations

self-care requisites when they do come in to play?

 Health deviations are requisites are specific needs

that arise when the individual’s self-care abilities are
insufficient to maintain health.

What are the central concepts in Imogene King's of Goal

Attainment theory?

 Imogene King's of Goal Attainment theory is

transactions, adaptation and stress

According to King’s theory, what is the transaction process in

nursing care?