Professional Documents
Culture Documents
Download LPN to RN Transitions 3rd Edition Lora Claywell Test Bank all chapters
Download LPN to RN Transitions 3rd Edition Lora Claywell Test Bank all chapters
https://testbankfan.com/product/lpn-to-rn-transitions-4th-
edition-claywell-test-bank/
https://testbankfan.com/product/making-the-transition-from-lpn-
to-rn-1st-edition-kearney-solutions-manual/
https://testbankfan.com/product/families-and-change-coping-with-
stressful-events-and-transitions-5th-edition-price-test-bank/
https://testbankfan.com/product/introduction-to-criminology-3rd-
edition-walsh-test-bank/
Invitation To Health 3rd Edition Hales Test Bank
https://testbankfan.com/product/invitation-to-health-3rd-edition-
hales-test-bank/
https://testbankfan.com/product/introduction-to-policing-3rd-
edition-cox-test-bank/
https://testbankfan.com/product/introduction-to-chemistry-3rd-
edition-bauer-test-bank/
https://testbankfan.com/product/introduction-to-sociology-3rd-
edition-ritzer-test-bank/
https://testbankfan.com/product/introduction-to-
biotechnology-3rd-edition-thieman-test-bank/
Chapter 10: Using Nursing Theory to Guide Professional Practice
Test Bank
MULTIPLE CHOICE
1. Which of the following are the concepts common among most nursing philosophies, models,
and theories?
a. Person, nurse, health, and environment
b. Person, physician, health, and environment
c. Person, nurse, health, and culture
d. Person, nurse, environment, and culture
ANS: A
Person, nurse, health, and environment are the four universal concepts central to nursing
practice. The physician and culture are not considered to be among the four universal
concepts. These themes are described, defined, ordered, and interrelated in distinctive,
meaningful, and powerful ways as nursing theorists endeavor to continue the development of
nursing’s unique body of knowledge.
2. What skills would a nurse demonstrate if the nurse reached the “competent stage” of Patricia
Benner’s theory of skill acquisition?
a. Relies on more experienced nurses for guidance
b. Can multitask, set goals, and think analytically
c. Can see the whole picture and recognizes subtle changes in condition
d. Recognizes patterns and responds automatically
ANS: B
The competent nurse is able to multitask, set goals, and think analytically. The advanced
beginner is the new graduate nurse with marginally acceptable performance who relies on
other experienced nurses. The proficient nurse sees the whole and focuses on long-term goals,
and the level of expert nurse is reached after considerable experience (recognizes patterns and
has responses that are automatic and integrated).
3. A group of nursing students was discussing the functions of nursing theories. Which statement
below would give the impression a student requires more review of the material?
a. “Nursing theories help guide professional practice by interpreting evidence.”
b. “Nursing theories have little effect on decision-making in practice.”
c. “Nursing theories are influenced by personal values and beliefs.”
d. “Nursing theories influence professional behaviors.”
ANS: B
The statements that nursing theories serve as guidelines for professional practice, nursing
theories are influenced by values and beliefs, and nursing theories influence professional
behaviors are true about nursing theories. The statement that nursing theories have little effect
on decision-making is incorrect because nursing theories do have a significant effect on
decision-making.
4. What criterion would the nurse use to support Hildegard Peplau’s Theory of Interpersonal
Relations?
a. The relationship between nurse and doctor
b. The mutual caring relationship
c. Meeting the needs of nurse and patient
d. The relationship between nurse and patient
ANS: D
The nurse-patient relationship is the focus of Hildegard Peplau’s theory. The doctor-nurse
relationship, the mutual caring relationship, and meeting the needs of the nurse and patient are
not the focus of Hildegard Peplau’s theory.
5. The nurse providing teaching on a weight loss program to the obese patient is applying which
nursing model developed by Nola Pender?
a. Interpersonal relations
b. Health promotion
c. Conservation
d. Adaptation
ANS: B
Pender’s Health Promotion Model emphasizes the importance of the patient to manage his or
her own health actively and focuses on wellness. Interpersonal relations is the theory
developed by Hildegard Peplau. The Conservation Model was developed by Myra Levine,
and the Adaptation Model was developed by Sister Callista Roy.
6. What changes in nursing practice did Florence Nightingale make to improve the personal care
of patients?
a. Behaviors
b. Environment
c. Culture
d. Communication
ANS: B
Florence Nightingale’s theory of nursing primarily focused on the environment. It described
in detail the concepts of light, cleanliness, ventilation, warmth, diet, and noise. Behaviors,
culture, and communication were not her primary focus.
7. Betty Neuman’s Systems Model for nursing emphasizes the holistic aspects of nursing from a
systems-based perspective. Which of the following is not an example of the clinical
application of this theory?
a. Caring for the patient at the primary, secondary, and tertiary levels of care
b. Evaluating patient stability
c. Focusing on the nurse-patient relationship
d. Evaluating the effect of stressors on the patient
ANS: C
Focusing on the nurse-patient relationship is the focus of Hildegard Peplau’s Theory of
Interpersonal Relations. Caring for the patient at the primary, secondary, and tertiary levels of
care; evaluating patient stability; and evaluating the effect of stressors on the patient are
examples of the clinical application of Neuman’s theory. The Neuman Systems Model focuses
on responses of patient systems to actual or potential stressors and uses primary, secondary,
and tertiary nursing interventions for optimal wellness.
10. Which of the following is an example of the application of Levine’s Conservation Model to
the clinical setting?
a. Teaching the patient to self-administer insulin
b. Encouraging the patient to ambulate
c. Obtaining a wheelchair for the patient
d. Arranging for the patient’s family to visit
ANS: C
Obtaining a wheelchair for the patient is a correct example of the application of Levine’s
Conservation Model. Teaching the patient to self-administer insulin and encouraging the
patient to ambulate will not facilitate rest, and arranging for the patient’s family to visit may
or may not further stress the patient.
11. Select the scientific theory used in several nursing theories to explain the following scenario:
One nurse, whose adult son died in the ER 11 years ago, contends that she can never walk into
a hospital again and quits her job. A second nurse, whose husband died in the hospital,
continues to work her shifts responsibly and compassionately without incident.
a. Role theory
b. Adaptation theory
c. Developmental theories
d. Systems theory
ANS: B
Adaptation theory explains the ability of living things to adjust, or adapt, in response to
continuous internal or external stimuli. This theory illustrates how humans cope or don’t cope
with physical, developmental, emotional, intellectual, social, and spiritual stressors. Role
theory describes how roles of individuals in their family may change over a lifetime.
Developmental theories explain the interdependence of the systems in the body helping to
reveal the presence of health and illness. Systems theory describes the relationship of the
environment, both internal and external, with the individual and how changing one part affects
all other parts.
13. Which of the following is an example of the application of Madeleine Leininger’s Cultural
Care Theory of Diversity and Universality?
a. Preparing a patient for a medical procedure by using medical terminology
b. Learning about diverse ethnic patient populations
c. Planning nursing care in a standardized manner ensuring that everyone is treated
the same way
d. Asking a non–English-speaking patient to provide an English-speaking person to
translate details of care
ANS: B
Demonstrating cultural competency includes learning about the cultural community as
individuals, families, and communities and their expressive abilities of caring, values, beliefs,
actions, and practices that are based on their cultural lifestyles. This will ensure that nurses
deliver the appropriate level of care respectfully based on these aspects with a noted increase
in nursing satisfaction performance, healing, and well-being. Speaking in medical jargon is
discouraged and does not help to explain or alleviate anxiety. Planning individualized nursing
care is the goal, rather than treating everyone in the same manner. Asking a
non–English-speaking patient to provide a translator does not demonstrate respect for a
diverse population.
15. The goal of Ida Jean Orlando’s theory of effective nursing practice is to:
a. focus on relationships among the environment, nurse, and patient.
b. reduce the duration of hospital stays.
c. meet the immediate needs of the patient and relieve distress or discomfort.
d. integrate holism into nursing.
ANS: C
Orlando believed that the goal of the nurse is to meet the immediate needs of the patient and
relieve distress and discomfort. A major assumption by Orlando was that nursing practice
should be autonomous. She believed that using the nursing process in the provision of nursing
care provides an overall framework for nursing and is effective in achieving a good outcome.
Florence Nightingale’s theory focused on three major relationships: environment to patient,
nurse to environment, and nurse to patient. Virginia Henderson is well known for defining
nursing. She was also credited with integrating the view of holism into nursing. She believed
that humans have needs that are not only biological but also psychological. Reduction of
hospital stays is not discussed.
16. Which theory focuses on patterns, life processes, and wholeness and describes seeing the life
process as a progression believing that health and the evolving pattern of consciousness are
the same?
a. Theory of Goal Attainment
b. Theory of Health as Expanding Consciousness: Margaret Newman
c. Theory of Interpersonal Relations
d. Roy Adaptation Model
ANS: B
Margaret Newman’s Theory of Health as Expanding Consciousness focuses on patterns, life
processes, and wholeness. She saw the life process as a progression toward higher levels of
consciousness health and believed that health and the evolving pattern of consciousness are
the same. Imogene King developed the Theory of Goal Attainment. Her theory is based on her
belief that humans are composed of three interacting systems (personal, interpersonal, and
social), and that they can lead to goal attainment, representing outcomes. Hildegard Peplau
developed the Theory of Interpersonal Relations. This theory describes the connection of
nurse, patient, health, and environment and should be viewed within the context of
environment. Sister Callista Roy developed the Roy Adaptation Model. Roy believed that the
goal of nursing is to promote adaptive responses through a six-step nursing process.
17. What example illustrates the conclusion that can be drawn from deductive reasoning?
a. All men are mortal and the Dalai Lama is a man; therefore, the Dalai Lama is
mortal.
b. The planet Earth orbits the Sun; therefore, all planets orbit the Sun.
c. Five marbles taken from the bag are blue; therefore, all marbles from the bag are
blue.
d. The first five people you met at a work interview were nice; therefore, everyone at
this office is nice.
ANS: A
“All men are mortal and the Dalai Lama is a man; therefore, the Dalai Lama is mortal” is
correct. Deductive reasoning goes from the general to the specific. Here the reasoning
progresses such that you would use a true broad premise or principle to progress logically to a
more detailed conclusion. The other answer choices are all examples of inductive reasoning.
Reasoning proceeds from the specific to the general.
18. What example illustrates the conclusion that can be drawn from inductive reasoning?
a. Bachelors are unmarried men and Danny is unmarried; therefore, Danny is a
bachelor.
b. Every eagle seen this week has dark feathers; therefore, all eagles have dark
feathers.
c. Most Ford vehicles are reliable, so the Ford you just bought will be reliable, too.
d. All dogs have fleas; therefore, my dog has fleas.
ANS: B
“Every eagle seen this week has dark feathers; therefore, all eagles have dark feathers” is
correct. Inductive reasoning proceeds from the specific to the general. That is, an observation
is made, and patterns are recognized; this leads to a tentative hypothesis and then finally a
general conclusion about a broad generalization. The other answer choices are all examples of
deductive reasoning. Deductive reasoning goes from the general to the specific.
MULTIPLE RESPONSE
1. What parts make up and work together in Imogene King’s Theory of Goal Attainment?
(Select all that apply.)
a. Creating a method to evaluate outcomes
b. Defining quality nursing care
c. Setting goals
d. Focusing on self-care
e. Maintaining a clean environment
ANS: A, B, C
Imogene King believed that humans are composed of three interacting and changing systems
consisting of social, interpersonal, and personal systems. Creating a method to evaluate
outcomes, defining quality nursing care, and setting goals are reflective of King’s theory that
emphasizes goal setting and evaluating outcomes. Focusing on self-care and maintaining a
clean environment are not included in King’s theory.
2. How would you justify that a nursing theory is, in fact, a middle-range nursing theory? (Select
all that apply.)
a. It is simple, clear, generalizable, and accessible.
b. It focuses on answering specific nursing practice questions.
c. It predicts the effects of one phenomenon on another.
d. It explains relationships.
e. It is built on several important adapted scientific theories.
ANS: B, C, D
Middle-range nursing theories focus on answering specific nursing practice questions. They
can describe phenomena, explain relationships, and predict the effects of one phenomenon on
another. All theories should be clear, simple, generalizable, important, and accessible, not just
middle-range nursing theories. Nursing theories, in general, are built on adapted scientific
theories, not just middle-range nursing theories.
But many points of this kind might be decided, and our knowledge
on this subject might be brought to a condition of completeness, if a
ship or ships were sent expressly to follow the phenomena of the
Tides from point to point, as the observations themselves might
suggest a course. Till this is done, our knowledge cannot be
completed. Detached and casual observations, made aliud agendo,
can never carry us much beyond the point where we at present are.
Double Stars.
58 Outlines of Astronomy.
59 Out. 844.
END OF VOL. I.
HISTORY
OF THE
I N D U C T I V E S C I E N C E S.
VOLUME II.
B O O K VIII.
. . . . . . Ἐσσυμένη δὲ
Ἠερίην ἀψῖδα διεῤῥοίζησε πεδίλῳ
Εἰς δόμον ἉΡΜΟΝIΗΣ παμμητόρος, ὁππόθι νύμφη
Ἴκελον οἶκον ἐναίε τύπῳ τετράζυγι κόσμου
Αὐτοπαγῆ Nonnus. Dionysiac. xli. 275.
2 Ibid.
3 De Arch. v. 3.
Both the comparison, and the notice of the difference of the two
cases, prove the architect to have had very clear notions on the
subject; which he further shows by comparing the resonance of the
walls of a building to the disturbance of the outline of the waves of
water when they meet with a boundary, and are thrown back.
“Therefore, as in the outlines of waves in water, so in the voice, if no
obstacle interrupt the foremost, it does not disturb the second and
the following ones, so that all come to the ears of persons, whether
high up or low down, without resonance. But when they strike
against obstacles, the foremost, being thrown back, disturb the lines
of those which follow.” Similar analogies were employed by the
ancients in order to explain the occurrence of Echoes. Aristotle
says, 4 “An Echo takes place, when the air, being as one body in
consequence of the vessel which bounds it, and being prevented
from being thrust forwards, is reflected 26 back like a ball.” Nothing
material was added to such views till modern times.
4 De Animâ, ii. 8.