ADVANCED NURSING PRACTICE
COMPREHENSIVE TEST PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ used for fields of study in which the central focus is performance of a
professional role (nursing, teaching, etc). Answer: practice discipline
⩥ a group of related ideas, statements, or concepts. Answer: conceptual
framework
⩥ those that articulate a broad range of the significant relationships
among the concepts of a discipline. Answer: grand theories
⩥ refers to a pattern of shared understandings and assumptions about
reality and the world. they include our notions of reality that are largely
unconscious or taken for granted. Answer: paradigm
⩥ client, environment, health, nursing. Answer: metaparadigm for
nursing
⩥ focus on the exploration of concepts such as pain, self-esteem,
learning, and hardiness. Answer: midlevel theory
,⩥ a belief system, often an early effort to define nursing phenomena,
and serves as the basis for later theoretical formulations. Answer:
philosophy
⩥ Nightingale, Henderson, and Watson. Answer: nursing philosophies
⩥ Neuman, Orem, Rogers, Roy, and King. Answer: nursing models
⩥ Peplau, Leininger, and Parse. Answer: nursing theories
⩥ links health w/ 5 environmental factors: pure or fresh air, pure water,
efficient drainage, cleanliness, and light, especially sunlight. Answer:
Nightingale's environmental theory
⩥ existence of a therapeutic relationship betw the nurse and the client. 4
phases: orientation, identification, exploitation, and resolution. Answer:
PEPLAU'S INTERPERSONAL RELATIONS MODEL
⩥ nurse is concerned w/ both healthy and ill. emphasis on independence
from, and interdependence w/, other health care disciplines is well
recognized. Nurses role= assisting sick or healthy individuals
independence in meeting 14 fundamental needs.. Answer: Henderson's
definition of nursing
, ⩥ person=irreducible whole, the whole being greater than the sum of its
parts. humans=dynamic energy fields in continuous exchange w/
environmental fields. 4D.. Answer: Rogers' science of unitary human
beings
⩥ based on 4 concepts: self-care, self-care agency, self-care
requisites(needs), and therapeutic self-care demand. Answer: Orem's
general theory of nursing*
⩥ relationship of personal systems (individuals), interpersonal systems
(groups such as nurse-client), and social systems (education, health care,
etc). Answer: King's goal attainment theory
⩥ based on the individual's relationship to stress, the reaction to it, and
reconstitution factors that are dynamic in nature. reconstitution is the
state of adaptation to stressors (atom model) intra=infection,
inter=unrealistic role expectations, extra=$ concerns. Answer: Neuman's
systems model*
⩥ the process and outcome whereby the thinking and feeling person uses
conscious awareness and choice to create human and environmental
integration. 4 modes: physiological, self-concept, role function mode,
and interdependence mode.. Answer: Roy's adaptation model
⩥ human caring varies among cultures in its expressions, processes, and
patterns. it is largely culturally derived. focuses on what is univeral