Which of the following are components of the paradigm of nursing?
A. The person, health, environment, and theory
B. Health, theory, concepts, and environment
C. Nurses, physicians, health, and patient needs
D. The person, health, environment/situation, and nursing - ANSWER D. The
person, health, environment/situation, and nursing
RATIONALE: The nursing paradigm focuses on person, health,
environment/situation, and nursing. All the elements interact with one another, with
the patient being central.
A theory is a set of concepts, definitions, relationships, and assumptions that:
A. Formulate legislation.
,B. Explain a phenomenon.
C. Measure nursing functions.
D. Reflect the domain of nursing practice. - ANSWER B. Explain a
phenomenon.
RATIONALE: Theories are designed to explain a phenomenon such as self-care or
caring. A theory is a way of seeing through a "set of relatively concrete and
specific concepts" and the propositions that describe or link the concepts.
A patient with diabetes is controlling the disease with insulin and diet. The
nursing health care provider is focusing efforts to teach the patient self-
management. Which of the following nursing theories is useful in promoting self-
management?
A. Neuman
B. Orem
C. Roy
D. Peplau - ANSWER B. Orem
RATIONALE: Orem's theory of self-care provides a solid theoretical background
for self-management for a variety of diseases. This theory shows the nurse how to
direct the patient toward self-management to promote health and/or sustain
wellness.
While working in a community health clinic, it is important to obtain nursing
histories and get to know the patients. Part of history taking is to develop the
nurse-patient relationship. Which of the following apply to Peplau's theory when
establishing the nurse-patient relationship? (Select all that apply.)
,A. An interaction between the nurse and patient must develop.
B. The patient's needs must be clarified and described.
C. The nurse-patient relationship is influenced by patient and nurse preconceptions.
D. The nurse-patient relationship is influenced only by the nurse's preconceptions.
- ANSWER Answer: 1, 2, 3.
There is continual interaction by both the patient and the nurse throughout all
phases of the nurse-patient relationship. Option 4 is incorrect because the focus is
only on the nurse.
Theory-based nursing practice uses a theoretical approach for nursing care. This
approach moves nursing forward as a science. This suggests that:
A. One theory will guide nursing practice.
B. Scientists will make nursing decisions.
C. Nursing will only base patient care on the practice of other sciences.
D. Theories will be tested to describe or predict patient outcomes. -
ANSWER D. Theories will be tested to describe or predict patient outcomes.
RATIONALE: There are multiple theories for the practice of nursing; these
theories are tested to develop the evidence to describe or predict patient outcomes.
, 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. This statement identifies the need for which of the following?
A. Systems theories
B. Developmental theories
C. Interdisciplinary theories
D. Health and wellness models - ANSWER C. Interdisciplinary theories
RATIONALE: As the health system evolves and the health care needs of the
patient focus on health promotion, illness prevention, and treatment, more
disciplines are involved in patient care. To be effective in practice, nurses need to
be aware of theoretical approaches of care arising from other disciplines and from
nursing.
7.
Which of the following theories describes the life processes of an older adult
facing chronic illness?
A. Systems theories
B. Developmental theories
C. Interdisciplinary theories
D. Health and wellness models - ANSWER B. Developmental theories
RATIONALE: Developmental theories describe and predict behavior and
development at various phases of the life continuum, as in the phase of older
adulthood.
A. The person, health, environment, and theory
B. Health, theory, concepts, and environment
C. Nurses, physicians, health, and patient needs
D. The person, health, environment/situation, and nursing - ANSWER D. The
person, health, environment/situation, and nursing
RATIONALE: The nursing paradigm focuses on person, health,
environment/situation, and nursing. All the elements interact with one another, with
the patient being central.
A theory is a set of concepts, definitions, relationships, and assumptions that:
A. Formulate legislation.
,B. Explain a phenomenon.
C. Measure nursing functions.
D. Reflect the domain of nursing practice. - ANSWER B. Explain a
phenomenon.
RATIONALE: Theories are designed to explain a phenomenon such as self-care or
caring. A theory is a way of seeing through a "set of relatively concrete and
specific concepts" and the propositions that describe or link the concepts.
A patient with diabetes is controlling the disease with insulin and diet. The
nursing health care provider is focusing efforts to teach the patient self-
management. Which of the following nursing theories is useful in promoting self-
management?
A. Neuman
B. Orem
C. Roy
D. Peplau - ANSWER B. Orem
RATIONALE: Orem's theory of self-care provides a solid theoretical background
for self-management for a variety of diseases. This theory shows the nurse how to
direct the patient toward self-management to promote health and/or sustain
wellness.
While working in a community health clinic, it is important to obtain nursing
histories and get to know the patients. Part of history taking is to develop the
nurse-patient relationship. Which of the following apply to Peplau's theory when
establishing the nurse-patient relationship? (Select all that apply.)
,A. An interaction between the nurse and patient must develop.
B. The patient's needs must be clarified and described.
C. The nurse-patient relationship is influenced by patient and nurse preconceptions.
D. The nurse-patient relationship is influenced only by the nurse's preconceptions.
- ANSWER Answer: 1, 2, 3.
There is continual interaction by both the patient and the nurse throughout all
phases of the nurse-patient relationship. Option 4 is incorrect because the focus is
only on the nurse.
Theory-based nursing practice uses a theoretical approach for nursing care. This
approach moves nursing forward as a science. This suggests that:
A. One theory will guide nursing practice.
B. Scientists will make nursing decisions.
C. Nursing will only base patient care on the practice of other sciences.
D. Theories will be tested to describe or predict patient outcomes. -
ANSWER D. Theories will be tested to describe or predict patient outcomes.
RATIONALE: There are multiple theories for the practice of nursing; these
theories are tested to develop the evidence to describe or predict patient outcomes.
, 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. This statement identifies the need for which of the following?
A. Systems theories
B. Developmental theories
C. Interdisciplinary theories
D. Health and wellness models - ANSWER C. Interdisciplinary theories
RATIONALE: As the health system evolves and the health care needs of the
patient focus on health promotion, illness prevention, and treatment, more
disciplines are involved in patient care. To be effective in practice, nurses need to
be aware of theoretical approaches of care arising from other disciplines and from
nursing.
7.
Which of the following theories describes the life processes of an older adult
facing chronic illness?
A. Systems theories
B. Developmental theories
C. Interdisciplinary theories
D. Health and wellness models - ANSWER B. Developmental theories
RATIONALE: Developmental theories describe and predict behavior and
development at various phases of the life continuum, as in the phase of older
adulthood.
