Chapter 10
1. Nursing theories are not a basis for
A. nursing curriculum.
B. nursing research.
C. clinical practice of nurses.
D. medical practice. Correct
Nursing theories have been developed for nursing, not medicine. They are a basis
for a nursing curriculum, nursing research, and for providing a framework for
nursing clinical practice.
2. According to Maslow, which patient need would a LPN/LVN address first?
A. Need for a support system
B. Need to do something worthwhile, such as volunteering
C. Need to move safely from bed to chair
D. Need to increase intake of water and other fluids Correct
The first data collection for a patient is at the lowest level; love and belonging needs are
higher than physiological needs. Oxygen, food, water, and elimination are physiological
needs. Once these have been satisfied, data can be collected on safety and security
needs.
3. John is very confused and forgets how to feed himself. Using Orem’s theory, this
is an example of what?
A. Selfcare
B. Selfcare deficit Correct
C. Selfcare deficit theory
D. Nursing system
Selfcare refers to responding to health cues, such as hunger, to maintain health. Self-
care deficit occurs when personal care does not meet therapeutic selfcare demands,
such as the need to feed oneself. The selfcare deficit theory includes selfcare, selfcare
deficit, and nursing system. Nursing responds to the patient’s care needs, such as
needing assistance with feeding.
4. Which is an example of Madeline Leininger’s cultural care preservation?
A. Supporting a patient’s practice of cupping to relieve symptoms of
hemochromatosis Correct
B. Telling a patient to stop cupping, because it is not done in the United
States
,NURSING 102 Issues and Trends HESI practice questions
,NURSING 102 Issues and Trends HESI practice questions
C. Suggesting that the patient use the blood bank to reduce hematocrit
levels
instead of cupping
D. Suggesting that Vapor Rub be placed on the body, not in the nose
Assisting persons of particular cultures to follow care values that help maintain or
restore health is known as cultural care preservation. Telling a patient to stop a
cultural practice that helps maintain or restore health is not cultural care preservation.
Respecting cultural values while respecting cultural differences is known as cultural
care repatterning. Suggesting that Vapor Rub be placed on the body and not in the
nose represents cultural care accommodation.
5. John understands that he needs to accept help from the nurse in order to stop
drinking. According to Hildegard Peplau, John is in which phase of the therapeutic
relationship?
A. Orientation
B. Identification Correct
C. Exploitation
D. Resolution
In the orientation phase, a patient seeks help for an identified problem. In the
identification phase, the patient understands the situation and responds to the nurse
who is trying to help. During the exploitation phase, the patient begins to depend on
the nurse and makes use of available help to explore all possibilities. During the
resolution phase, the patient gives up dependence on the nurse and the therapeutic
relationship is ended.
6. Patty refuses to have surgery, although she is in considerable discomfort, because she
has experienced pain during healing after previous surgeries. According to
Rosenstock’s health belief theory, this is an example of what?
A. Varying perception
B. False belief
C. An existing barrier Correct
D. A cue to action
Patty’s belief about pain associated with surgical healing is persistent. Patty’s belief
about pain is associated with her experience of healing and pain. Patty’s beliefs are
connected to an existing barrier (i.e., she sees the preventive or treatment activity
as expensive, painful, or inconvenient). Patty does not see her current discomfort as
a necessary cue to action.
, NURSING 102 Issues and Trends HESI practice questions
7. Which of the following is an example of the focal stimuli in Sister Callista Roy’s
adaptation model?