NSG 252 Exam 2 - Practice
Questions and Answers
The components of the nursing metaparadigm include:
1. Person, health, environment, and theory
2. Health, theory, concepts, and environment
3. Nurses, physicians, health, and patient needs
4. Person, health, environment, and nursing - answer- 4. Person, health,
environment, and nursing
Theory is essential to nursing practice because it: (select all that apply)
1. Contributes to nursing knowledge
2. Predicts patient behaviors in situations
3. Provides a means of assessing patient vital signs
4. Guides nursing practice
5. Formulates health care legislation
6. Explains relationships between concepts - answer- 1, 2, 4, 6
1. Contributes to nursing knowledge
2. Predicts patient behaviors in situations
4. Guides nursing practice
6. Explains relationships between concepts
A nurse ensures that each patient's room is clean; well ventilated; and free from
clutter, excessive noise, and extremes in temperature. Which theorist's work is the
nurse practicing in this example?
1. Henderson
2. Orem
3. King
4. Nightingale - answer- 4. Nightingale
A nurse is caring for a patient admitted to the neurological unit with the diagnosis of
a stroke and right-sided weakness. The nurse assumes responsibility for bathing and
feeding the patient until the patient can begin performing these activities. The nurse
in this situation is applying the theory developed by:
1. Johnson
2. Orem
3. Roy
4. Peplau - answer- 2. Orem
Middle Range Theory - answer- Addresses a specific phenomenon and reflects
practice
Shared Theory - answer- Applies theory from other disciplines to nursing practice
Grand Theory - answer- Very abstract; attempts to describe nursing in a global
context
,Practice Theory - answer- Specific to a particular situation; brings theory to the
bedside
Match the following description with the appropriate grand theorist:
Based on the theory that focuses on wellness and prevention of disease - answer-
Neuman
Match the following description with the appropriate grand theorist:
Based on the belief that people who participate in self-care activities are more likely
to improve their health outcomes - answer- Orem
Match the following description with the appropriate grand theorist:
Based on 14 activities, the belief that the nurse should assist patients with meeting
needs until they are able to do so independently - answer- Henderson
Match the following description with the appropriate grand theorist:
Based on the belief that nurses should work with patients to develop goals for care -
answer- KIng
Which of the following statements related to theory-based nursing practice are
correct? (select all that apply)
1. Nursing theory differentiates nursing from other disciplines
2. Nursing theories are standardized and do not change over time
3. Integrating theory into practice promotes coordinated care delivery
4. Nursing knowledge is generated by theory
5. The theory of nursing process is used in planning patient care
6. Evidence-based practice results from theory-testing research - answer- 1, 3, 4, 6
1. Nursing theory differentiates nursing from other disciplines
3. Integrating theory into practice promotes coordinated care delivery
4. Nursing knowledge is generated by theory
6. Evidence-based practice results from theory-testing research
A nurse is caring for a patient who recently lost a leg in a motor vehicle accident. The
nurse best assists the patient to with this situation by applying which of the following
theories?
1. Roy
2. Watson
3. Johnson
4. Benner - answer- 1. Roy
Using Maslow's hierarchy of needs, identify the priority for a patient who is
experiencing chest pain and difficulty breathing.
1. Self-actualization
2. Air, water, and nutrition
3. Safety
4. Esteem and self-esteem needs - answer- 2. Air, water, and nutrition
A nurse is analyzing data generated during a patient assessment to determine the
best plan of care. Which layer of the NCSBN-CJM best describes the cognitive
process being used by the nurse at this time?
, 1. Layer 0
2. Layer 1
3. Layer 2
4. Layer 3
5. Layer 4 - answer- 4. Layer 3
Match the components of PICO using the question "does the use of guided imagery
compared with standard care affect the postoperative pain in hospitalized
adolescents?"
(P) Patient/population - answer- Hospitalized adolescent
Match the components of PICO using the question "does the use of guided imagery
compared with standard care affect the postoperative pain in hospitalized
adolescents?"
(I) Intervention - answer- Guided imagery
Match the components of PICO using the question "does the use of guided imagery
compared with standard care affect the postoperative pain in hospitalized
adolescents?"
(C) Comparison - answer- Adolescents receiving standard care
Match the components of PICO using the question "does the use of guided imagery
compared with standard care affect the postoperative pain in hospitalized
adolescents?"
(O) Outcome - answer- Postoperative pain
Place the steps of the EBP process in the appropriate order.
1. Critically appraise the evidence you gather.
2. Ask the clinical question in PICOT format.
3. Evaluate the outcomes of the practice decision or change.
4. Search for the most relevant and best evidence.
5. Cultivate a spirit of inquiry.
6. Integrate the evidence.
7. Communicate the outcomes of the EBP change. - answer- 5, 2, 4, 1, 6, 3, 7
A nurse is reading a research article discussing a new practice to decrease the
incidence of catheter-associated urinary tract infections. One section of the article
describes who was studied and how the data were collected to answer the research
questions and hypotheses. What section of the research article is currently being
read?
1. The literature review
2. The data analysis
3. The methods
4. The implications for practice - answer- 3. The methods
A nurse implements an EBP change that teaches patients the importance of taking
their diabetes medications correctly and regularly on time using videos streamed on
the Internet. The nurse measures the patients' behavioral outcome from the practice
change by using which type of measurement?
1. Measuring the patients' weight
Questions and Answers
The components of the nursing metaparadigm include:
1. Person, health, environment, and theory
2. Health, theory, concepts, and environment
3. Nurses, physicians, health, and patient needs
4. Person, health, environment, and nursing - answer- 4. Person, health,
environment, and nursing
Theory is essential to nursing practice because it: (select all that apply)
1. Contributes to nursing knowledge
2. Predicts patient behaviors in situations
3. Provides a means of assessing patient vital signs
4. Guides nursing practice
5. Formulates health care legislation
6. Explains relationships between concepts - answer- 1, 2, 4, 6
1. Contributes to nursing knowledge
2. Predicts patient behaviors in situations
4. Guides nursing practice
6. Explains relationships between concepts
A nurse ensures that each patient's room is clean; well ventilated; and free from
clutter, excessive noise, and extremes in temperature. Which theorist's work is the
nurse practicing in this example?
1. Henderson
2. Orem
3. King
4. Nightingale - answer- 4. Nightingale
A nurse is caring for a patient admitted to the neurological unit with the diagnosis of
a stroke and right-sided weakness. The nurse assumes responsibility for bathing and
feeding the patient until the patient can begin performing these activities. The nurse
in this situation is applying the theory developed by:
1. Johnson
2. Orem
3. Roy
4. Peplau - answer- 2. Orem
Middle Range Theory - answer- Addresses a specific phenomenon and reflects
practice
Shared Theory - answer- Applies theory from other disciplines to nursing practice
Grand Theory - answer- Very abstract; attempts to describe nursing in a global
context
,Practice Theory - answer- Specific to a particular situation; brings theory to the
bedside
Match the following description with the appropriate grand theorist:
Based on the theory that focuses on wellness and prevention of disease - answer-
Neuman
Match the following description with the appropriate grand theorist:
Based on the belief that people who participate in self-care activities are more likely
to improve their health outcomes - answer- Orem
Match the following description with the appropriate grand theorist:
Based on 14 activities, the belief that the nurse should assist patients with meeting
needs until they are able to do so independently - answer- Henderson
Match the following description with the appropriate grand theorist:
Based on the belief that nurses should work with patients to develop goals for care -
answer- KIng
Which of the following statements related to theory-based nursing practice are
correct? (select all that apply)
1. Nursing theory differentiates nursing from other disciplines
2. Nursing theories are standardized and do not change over time
3. Integrating theory into practice promotes coordinated care delivery
4. Nursing knowledge is generated by theory
5. The theory of nursing process is used in planning patient care
6. Evidence-based practice results from theory-testing research - answer- 1, 3, 4, 6
1. Nursing theory differentiates nursing from other disciplines
3. Integrating theory into practice promotes coordinated care delivery
4. Nursing knowledge is generated by theory
6. Evidence-based practice results from theory-testing research
A nurse is caring for a patient who recently lost a leg in a motor vehicle accident. The
nurse best assists the patient to with this situation by applying which of the following
theories?
1. Roy
2. Watson
3. Johnson
4. Benner - answer- 1. Roy
Using Maslow's hierarchy of needs, identify the priority for a patient who is
experiencing chest pain and difficulty breathing.
1. Self-actualization
2. Air, water, and nutrition
3. Safety
4. Esteem and self-esteem needs - answer- 2. Air, water, and nutrition
A nurse is analyzing data generated during a patient assessment to determine the
best plan of care. Which layer of the NCSBN-CJM best describes the cognitive
process being used by the nurse at this time?
, 1. Layer 0
2. Layer 1
3. Layer 2
4. Layer 3
5. Layer 4 - answer- 4. Layer 3
Match the components of PICO using the question "does the use of guided imagery
compared with standard care affect the postoperative pain in hospitalized
adolescents?"
(P) Patient/population - answer- Hospitalized adolescent
Match the components of PICO using the question "does the use of guided imagery
compared with standard care affect the postoperative pain in hospitalized
adolescents?"
(I) Intervention - answer- Guided imagery
Match the components of PICO using the question "does the use of guided imagery
compared with standard care affect the postoperative pain in hospitalized
adolescents?"
(C) Comparison - answer- Adolescents receiving standard care
Match the components of PICO using the question "does the use of guided imagery
compared with standard care affect the postoperative pain in hospitalized
adolescents?"
(O) Outcome - answer- Postoperative pain
Place the steps of the EBP process in the appropriate order.
1. Critically appraise the evidence you gather.
2. Ask the clinical question in PICOT format.
3. Evaluate the outcomes of the practice decision or change.
4. Search for the most relevant and best evidence.
5. Cultivate a spirit of inquiry.
6. Integrate the evidence.
7. Communicate the outcomes of the EBP change. - answer- 5, 2, 4, 1, 6, 3, 7
A nurse is reading a research article discussing a new practice to decrease the
incidence of catheter-associated urinary tract infections. One section of the article
describes who was studied and how the data were collected to answer the research
questions and hypotheses. What section of the research article is currently being
read?
1. The literature review
2. The data analysis
3. The methods
4. The implications for practice - answer- 3. The methods
A nurse implements an EBP change that teaches patients the importance of taking
their diabetes medications correctly and regularly on time using videos streamed on
the Internet. The nurse measures the patients' behavioral outcome from the practice
change by using which type of measurement?
1. Measuring the patients' weight
