Keiser University
Course Code: NUR 502
Course Title: Nursing Theory for Practice
Credit Hours:3.0
Exam: Final Exam
Date:2026
A nurse caring for a postoperative patient emphasizes assistance with activities the patient would
perform independently if able. This approach reflects which theory?
A. Dorothea Orem – Self-Care Deficit Theory
B. Martha Rogers – Science of Unitary Human Beings
C. Betty Neuman – Systems Model
D. Imogene King – Goal Attainment Theory
Answer: A
Rationale: Orem’s theory focuses on supporting patients’ self-care deficits to promote
independence.
A nurse identifies stressors affecting a patient’s physiological and psychological stability and
implements primary, secondary, and tertiary interventions. This reflects which theoretical
framework?
A. Betty Neuman – Systems Model
B. Jean Watson – Theory of Human Caring
C. Hildegard Peplau – Interpersonal Relations Theory
D. Callista Roy – Adaptation Model
Answer: A
Rationale: Neuman’s model focuses on stressors and levels of prevention to maintain system
stability.
True or False: Grand nursing theories are typically highly abstract and not directly testable in
clinical settings.
Answer: True
Rationale: Grand theories provide broad conceptual frameworks rather than direct clinical
interventions.
A nurse collaborates with a patient to set mutually agreed-upon discharge goals. This reflects
which concept?
A. Adaptation
B. Self-transcendence
1
,C. Transaction
D. Energy fields
Answer: C
Rationale: In Imogene King’s theory, transactions occur when nurse and patient mutually set and
achieve goals.
Fill in the blank: The four central concepts of nursing theory—person, environment, health, and
nursing—are collectively known as the nursing __________.
Answer: Metaparadigm
Rationale: The metaparadigm defines the global concepts central to nursing.
A nurse structures care around adaptation to environmental stimuli in physiologic, self-concept,
role function, and interdependence modes. This aligns with:
A. Callista Roy
B. Madeleine Leininger
C. Patricia Benner
D. Florence Nightingale
Answer: A
Rationale: Roy’s Adaptation Model emphasizes these four adaptive modes.
True or False: Middle-range theories are more specific and more easily applied to practice than
grand theories.
Answer: True
Rationale: Middle-range theories bridge theory and practice with measurable concepts.
A nurse prioritizes environmental cleanliness, ventilation, and light exposure to prevent infection.
This approach reflects the foundational work of:
A. Florence Nightingale
B. Jean Watson
C. Martha Rogers
D. Dorothy Johnson
Answer: A
Rationale: Nightingale emphasized environmental manipulation to promote healing.
Fill in the blank: The novice-to-expert framework describing skill acquisition in nursing practice
was developed by __________.
Answer: Patricia Benner
Rationale: Benner adapted the Dreyfus model to nursing clinical competence.
A psychiatric nurse establishes orientation, working, and termination phases in a therapeutic
relationship. This reflects:
A. Self-care theory
B. Interpersonal theory
C. Systems theory
D. Caring science
Answer: B
Rationale: Hildegard Peplau described these phases in nurse–patient relationships.
True or False: Rogers’ theory views humans as energy fields in constant interaction with the
environment.
2
, Answer: True
Rationale: Martha Rogers conceptualized persons as unitary energy fields.
A nurse implements culturally congruent care based on patient values and beliefs. This aligns with:
A. Madeleine Leininger
B. Dorothea Orem
C. Imogene King
D. Faye Abdellah
Answer: A
Rationale: Leininger’s Culture Care Theory emphasizes culturally congruent care.
Fill in the blank: The caring-healing modalities described by __________ emphasize transpersonal
relationships.
Answer: Jean Watson
Rationale: Watson’s Theory of Human Caring centers on transpersonal caring relationships.
A nurse analyzes patient behaviors in terms of subsystems such as attachment and dependency.
This reflects:
A. Behavioral System Model
B. Adaptation Model
C. Self-Care Model
D. Caring Theory
Answer: A
Rationale: Dorothy Johnson proposed the Behavioral System Model.
True or False: Conceptual models provide direction for nursing curricula and research.
Answer: True
Rationale: They guide education, research, and practice frameworks.
A nurse researcher tests a theory predicting improved glycemic control through self-management
education. This reflects theory:
A. Analysis
B. Synthesis
C. Testing
D. Derivation
Answer: C
Rationale: Empirical testing evaluates theory validity.
Fill in the blank: The deliberate use of self as a therapeutic tool is central to __________’s theory.
Answer: Hildegard Peplau
Rationale: Peplau emphasized therapeutic use of self in nurse–patient relationships.
A nurse integrates theory into practice guidelines to reduce catheter-associated infections. This
demonstrates:
A. Theory–practice gap
B. Evidence-based application
C. Theoretical abstraction
D. Conceptual redundancy
Answer: B
Rationale: Applying theory strengthens evidence-based practice.
3
Course Code: NUR 502
Course Title: Nursing Theory for Practice
Credit Hours:3.0
Exam: Final Exam
Date:2026
A nurse caring for a postoperative patient emphasizes assistance with activities the patient would
perform independently if able. This approach reflects which theory?
A. Dorothea Orem – Self-Care Deficit Theory
B. Martha Rogers – Science of Unitary Human Beings
C. Betty Neuman – Systems Model
D. Imogene King – Goal Attainment Theory
Answer: A
Rationale: Orem’s theory focuses on supporting patients’ self-care deficits to promote
independence.
A nurse identifies stressors affecting a patient’s physiological and psychological stability and
implements primary, secondary, and tertiary interventions. This reflects which theoretical
framework?
A. Betty Neuman – Systems Model
B. Jean Watson – Theory of Human Caring
C. Hildegard Peplau – Interpersonal Relations Theory
D. Callista Roy – Adaptation Model
Answer: A
Rationale: Neuman’s model focuses on stressors and levels of prevention to maintain system
stability.
True or False: Grand nursing theories are typically highly abstract and not directly testable in
clinical settings.
Answer: True
Rationale: Grand theories provide broad conceptual frameworks rather than direct clinical
interventions.
A nurse collaborates with a patient to set mutually agreed-upon discharge goals. This reflects
which concept?
A. Adaptation
B. Self-transcendence
1
,C. Transaction
D. Energy fields
Answer: C
Rationale: In Imogene King’s theory, transactions occur when nurse and patient mutually set and
achieve goals.
Fill in the blank: The four central concepts of nursing theory—person, environment, health, and
nursing—are collectively known as the nursing __________.
Answer: Metaparadigm
Rationale: The metaparadigm defines the global concepts central to nursing.
A nurse structures care around adaptation to environmental stimuli in physiologic, self-concept,
role function, and interdependence modes. This aligns with:
A. Callista Roy
B. Madeleine Leininger
C. Patricia Benner
D. Florence Nightingale
Answer: A
Rationale: Roy’s Adaptation Model emphasizes these four adaptive modes.
True or False: Middle-range theories are more specific and more easily applied to practice than
grand theories.
Answer: True
Rationale: Middle-range theories bridge theory and practice with measurable concepts.
A nurse prioritizes environmental cleanliness, ventilation, and light exposure to prevent infection.
This approach reflects the foundational work of:
A. Florence Nightingale
B. Jean Watson
C. Martha Rogers
D. Dorothy Johnson
Answer: A
Rationale: Nightingale emphasized environmental manipulation to promote healing.
Fill in the blank: The novice-to-expert framework describing skill acquisition in nursing practice
was developed by __________.
Answer: Patricia Benner
Rationale: Benner adapted the Dreyfus model to nursing clinical competence.
A psychiatric nurse establishes orientation, working, and termination phases in a therapeutic
relationship. This reflects:
A. Self-care theory
B. Interpersonal theory
C. Systems theory
D. Caring science
Answer: B
Rationale: Hildegard Peplau described these phases in nurse–patient relationships.
True or False: Rogers’ theory views humans as energy fields in constant interaction with the
environment.
2
, Answer: True
Rationale: Martha Rogers conceptualized persons as unitary energy fields.
A nurse implements culturally congruent care based on patient values and beliefs. This aligns with:
A. Madeleine Leininger
B. Dorothea Orem
C. Imogene King
D. Faye Abdellah
Answer: A
Rationale: Leininger’s Culture Care Theory emphasizes culturally congruent care.
Fill in the blank: The caring-healing modalities described by __________ emphasize transpersonal
relationships.
Answer: Jean Watson
Rationale: Watson’s Theory of Human Caring centers on transpersonal caring relationships.
A nurse analyzes patient behaviors in terms of subsystems such as attachment and dependency.
This reflects:
A. Behavioral System Model
B. Adaptation Model
C. Self-Care Model
D. Caring Theory
Answer: A
Rationale: Dorothy Johnson proposed the Behavioral System Model.
True or False: Conceptual models provide direction for nursing curricula and research.
Answer: True
Rationale: They guide education, research, and practice frameworks.
A nurse researcher tests a theory predicting improved glycemic control through self-management
education. This reflects theory:
A. Analysis
B. Synthesis
C. Testing
D. Derivation
Answer: C
Rationale: Empirical testing evaluates theory validity.
Fill in the blank: The deliberate use of self as a therapeutic tool is central to __________’s theory.
Answer: Hildegard Peplau
Rationale: Peplau emphasized therapeutic use of self in nurse–patient relationships.
A nurse integrates theory into practice guidelines to reduce catheter-associated infections. This
demonstrates:
A. Theory–practice gap
B. Evidence-based application
C. Theoretical abstraction
D. Conceptual redundancy
Answer: B
Rationale: Applying theory strengthens evidence-based practice.
3
