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, 1
Caputi: Nursing Concepts: A Practical Approach, 1e
Chapter 1
Chapter 1. Introduction to Concepts and How Nurses Use Concepts to Think
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which of the five categories of nursing concepts focuses on caring, collaboration, communication,
and professionalism?
1. Physiological concepts
2. Healthcare concepts
3. Nursing practice concepts
4. Person-centered concepts
____ 2. Which is a benefit of a concept-based nursing curriculum?
1. Reflects real-world approaches to clinical reasoning
2. Reduces the number of nonnursing classes needed
3. Provides more opportunities for hands-on learning
4. Emphasizes memorization of complex diseases and procedures
____ 3. How is a deep understanding of concepts applied to the nursing assessment step?
1. Guides the nurse in identifying priority actions
2. Provides a protocol to follow for specific diseases or conditions
3. Allows the nurse to rely on objective data over subjective data
4. Helps the nurse identify related patient issues that require additional investigation
____ 4. The nurse is caring for a patient with heart failure. The patient is experiencing increased shortness
of breath, new cough, “puffy feet,” and a 3-pound weight gain. Which step is the nurse engaged in
when they identify these manifestations as potential signs of worsening fluid overload?
1. Prioritize hypotheses
2. Generate solutions
3. Recognize cues
4. Analyze cues
____ 5. While assessing a patient with shortness of breath, the nurse notes crackles in both lungs, oxygen
saturation of 88%, mild pedal edema, and a history of heart failure. The nurse recognizes that fluid
overload, pneumonia, or anxiety could be causing these manifestations. Which action would the
nurse take next?
Copyright © 2026 F. A. Davis Company
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Caputi: Nursing Concepts: A Practical Approach, 1e
Chapter 1
1. Analyze cues
2. Generate solutions
3. Take action
4. Prioritize hypotheses
____ 6. Which concept knowledge category is most closely associated with verifying the patient’s name
and date of birth before administering medications?
1. Safety
2. Professionalism
3. Communication
4. Comfort
____ 7. What action does the nurse take immediately after identifying the interconnected concepts
affecting a patient?
1. Categorize each of the concepts identified
2. Determine what potential complications the patient is at risk for
3. Develop a personalized plan of care
4. Identify whether any of the patient’s symptoms are attributable to modifiable risk factors
____ 8. Immediately implementing needed nursing actions and planning ongoing nursing actions that
address both the conceptual issue and interconnected conceptual issues reflects which step(s) in the
Clinical Judgment Measurement Model?
1. Recognize and analyze cues
2. Evaluate outcomes
3. Generate solutions and take actions
4. Prioritize hypotheses
____ 9. The nurse manager has noticed an increase in catheter-associated urinary tract infections
(CAUTIs). During the daily shift huddle, the nurse manager provides staff education on practices
to prevent CAUTIs in patients with indwelling catheters. What category of concept-based thinking
is the nurse manager practicing?
1. Person-centered concepts
2. Nursing practice concepts
3. Psychosocial concepts
4. Physiological concepts
Copyright © 2026 F. A. Davis Company
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Caputi: Nursing Concepts: A Practical Approach, 1e
Chapter 1
____ 10. The nurse is preparing to give report to the oncoming nurse. During bedside report, the nurse
reassesses the patient’s temperature after administering prescribed acetaminophen 45 minutes ago.
The nurse is demonstrating what category of concept-based thinking?
1. Physiological concepts
2. Psychosocial concepts
3. Person-centered concepts
4. Healthcare concepts
____ 11. Checking the food tray to see how much food the patient ate is an example of which concept?
1. Cellular regulation
2. Nutrition
3. Fluid and electrolytes
4. Mood and affect
____ 12. While taking the patient’s vital signs, the nurse records a blood pressure reading of 195/100 mm
Hg, recognizes that this is a hypertensive crisis, immediately alerts the healthcare provider, and
assesses for severe headache, visual changes, chest pain, shortness of breath, numbness, and
confusion. Assessing for headache and other symptoms best aligns with which of the six steps to
thinking using concepts?
1. Recall the attributes or characteristics related to the identified conceptual issue
2. Identify interconnected concepts that may occur as a result of the identified conceptual
problem
3. Predict potential complications that may occur if the conceptual issue is not addressed
4. Immediately implement needed nursing actions and plan ongoing nursing actions
____ 13. What is the primary risk of assessing a patient based solely on the medical diagnosis?
1. Makes it more challenging to prioritize nursing care
2. Increases patient nonadherence
3. Commonly results in underuse of standardized protocols
4. May miss conceptual issues unrelated to the medical diagnosis
____ 14. The nurse is caring for a patient with diagnoses of chronic heart failure, chronic kidney disease,
and depression. Which approach to care best exemplifies a conceptual approach?
1. Approaching each diagnosis individually both in terms of assessment and nursing
interventions
2. Assessing how perfusion, fluid balance, and mood regulation affect one another in this
patient
3. Prioritizing nursing actions that are aimed at addressing the primary medical diagnosis
Copyright © 2026 F. A. Davis Company
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Caputi: Nursing Concepts: A Practical Approach, 1e
Chapter 1
4. Focusing the assessment on acute symptoms of each disease
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 15. A 10-year-old patient is newly diagnosed with type 1 diabetes. The nurse asks the patient and their
parents about their daily routines and what feels manageable, collaboratively developing a meal
and activity plan that fits their family’s schedule. Which three concepts are predominantly
demonstrated in this scenario?
1. Nursing practice concepts
2. Person-centered concepts
3. Physiological concepts
4. Psychosocial concepts
5. Healthcare concepts
Copyright © 2026 F. A. Davis Company
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Caputi: Nursing Concepts: A Practical Approach, 1e
Chapter 1
Chapter 1. Introduction to Concepts and How Nurses Use Concepts to Think
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Chapter: 1, Introduction to Concepts and How Nurses Use Concepts to Think
Objective:
Heading: Welcome to Concept-Based Learning in Nursing Education > Concept > What Is a
Concept?
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Knowledge [Remembering]
Concept: Professionalism
Difficulty: Moderate
Feedback
1 This is incorrect. Physiological concepts focus on the physical needs of patients,
such as immunity, nutrition, and elimination.
2 This is incorrect. Healthcare concepts focus on the healthcare system,
population health, and social determinants of health.
3 This is correct. Nursing practice concepts are concepts that influence the daily
practice of nurses, such as caring, collaboration, communication, and
professionalism.
4 This is incorrect. Person-centered concepts place family, health promotion, and
self-care at the center of focus.
2. ANS: 1
Chapter: 1, Introduction to Concepts and How Nurses Use Concepts to Think
Objective:
Heading: How Nurses Think With Concepts
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Comprehension [Understanding]
Concept: Teaching and Learning
Difficulty: Moderate
Feedback
1 This is correct. Concept-based curricula teach students to consider
interconnected concepts, improving their ability to assess real-world complex
Copyright © 2026 F. A. Davis Company
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Caputi: Nursing Concepts: A Practical Approach, 1e
Chapter 1
situations and respond appropriately.
2 This is incorrect. The number of nonnursing education courses is typically set by
academic requirements and is not influenced by whether the nursing curriculum
is concept-based or traditional.
3 This is incorrect. Hands-on learning depends on clinical and lab hours, not the
structure of the curriculum.
4 This is incorrect. Concept-based curricula intentionally reduce reliance on
memorization, instead encouraging students to understand and apply principles
across multiple conditions.
3. ANS: 4
Chapter: 1, Introduction to Concepts and How Nurses Use Concepts to Think
Objective:
Heading: How Nurses Think With Concepts
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Comprehension [Understanding]
Concept: Teaching and Learning
Difficulty: Moderate
Feedback
1 This is incorrect. Prioritizing actions comes after the assessment step.
2 This is incorrect. A concept-based approach is not protocol-driven; it encourages
nurses to think broadly across conditions, not follow disease-specific checklists
during assessment.
3 This is incorrect. Both objective and subjective data are important to collect
during assessment.
4 This is correct. A deep conceptual understanding allows the nurse to recognize
interconnected issues and ask deeper or follow-up questions during assessment,
improving accuracy and completeness.
4. ANS: 4
Chapter: 1, Introduction to Concepts and How Nurses Use Concepts to Think
Objective:
Heading: Six Steps to Thinking Using Concepts
Integrated Processes: Clinical Judgment
Client Need: Physiological Integrity: Basic Care and Comfort
Cognitive Level: Application [Applying]
Concept: Clinical Judgment
Copyright © 2026 F. A. Davis Company
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Caputi: Nursing Concepts: A Practical Approach, 1e
Chapter 1
Difficulty: Easy
Feedback
1 This is incorrect. Prioritizing hypotheses comes next. When prioritizing
hypotheses, the nurse is ranking hypotheses according to priority.
2 This is incorrect. Generating solutions comes later in the process. It involves
identifying expected outcomes and then defining interventions.
3 This is incorrect. Recognizing cues is the first step in the process. It includes
identifying information that is relevant and of immediate concern.
4 This is correct. Analyzing cues involves determining which conditions are
consistent with the cues, as is being done here when the nurse connects the
manifestations to worsening fluid overload.
5. ANS: 4
Chapter: 1, Introduction to Concepts and How Nurses Use Concepts to Think
Objective:
Heading: Six Steps to Thinking Using Concepts
Integrated Processes: Clinical Judgment
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Clinical Judgment
Difficulty: Moderate
Feedback
1 This is incorrect. The nurse has already identified possible causes for the
patient’s manifestations (analyze cues).
2 This is incorrect. The nurse cannot generate solutions until the highest priority
hypothesis has been established.
3 This is incorrect. The take action step is completed after the nurse has generated
solutions.
4 This is correct. Once the cues have been analyzed, the next step is to prioritize
hypotheses.
6. ANS: 1
Chapter: 1, Introduction to Concepts and How Nurses Use Concepts to Think
Objective:
Heading: Exemplars > Another Application of Conceptual Thinking in Nursing > Table 1-1
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Comprehension [Understanding]
Copyright © 2026 F. A. Davis Company
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Caputi: Nursing Concepts: A Practical Approach, 1e
Chapter 1
Concept: Safety
Difficulty: Difficult
Feedback
1 This is correct. Verifying patient identity before administering medications is a
core safety measure to prevent medication errors, aligning directly with the
concept of safety in nursing practice.
2 This is incorrect. An example of professionalism would be the nurse introducing
themself to the patient.
3 This is incorrect. “Communication” refers to therapeutic communication. The
behavior demonstrated in this example best reflects the concept of safety.
4 This is incorrect. Although certain medications, such as pain relievers, may be
linked to patient comfort, the behavior demonstrated in this example best
reflects the concept of safety.
7. ANS: 2
Chapter: 1, Introduction to Concepts and How Nurses Use Concepts to Think
Objective:
Heading: Applying Concept Knowledge When a Conceptual Issue Is Identified
Integrated Processes: Clinical Judgment
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Clinical Judgment; Safety
Difficulty: Moderate
Feedback
1 This is incorrect. The focus at this time is on action and clinical reasoning, not
classification.
2 This is correct. The next step is to determine what potential complications or
problems may occur if the conceptual issues are not addressed.
3 This is incorrect. A plan of care is not developed until after the potential
complications have been identified.
4 This is incorrect. While evaluating modifiable risk factors can be useful, it is not
the next immediate step after identifying interconnected concepts.
8. ANS: 3
Chapter: 1, Introduction to Concepts and How Nurses Use Concepts to Think
Objective:
Heading: Six Steps to Thinking Using Concepts
Copyright © 2026 F. A. Davis Company