QUIZ 1 AND QUIZ 2 AND 6TH EDITION
PRACTICE EXAM QUESTIONS WITH
VERIFIED ANSWERS
Are explanations of the theory sufficient to be used as basis for nsg action? ---- ANSWER---
Identify guidelines that affect your selection of a theory to shape your advanced nursing
practice
Does research evidence support the theory? ---- ANSWER----Identify guidelines that affect
your selection of a theory to shape your advanced nursing practice
What shouldnt you do when Searching the lit: ---- ANSWER----Review only articles in full
text online (too limiting), limit to last 5 yrs, limits search to just 2 databases, secondary
sources, ignoring publications from other countries, limit search to electronic databases
Example of Orem's Self-Care Theory ---- ANSWER----CKD affects many parts of pts life
(Ex diet changes, energy levels, complex med regimen, etc.). Pts are encouraged to be active
participants in their care. Participation in decision-making r/t treatment, compliance, etc.
seeking & securing appropriate medical assistance.
Example of Orem's self-care theory ---- ANSWER----o Mr. Reagan is a pleasant 68 year old
gentleman who is African American and just became an American citizen 4 months ago. He
is on your unit and has just been diagnosed with diabetes requiring you to be begin diabetic
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,teaching. And Orem theory encourages patients to actively participate in their care and
decision making to enhance their treatment compliance.
Define neuman's System Model ---- ANSWER----o Nurse practice w/ a goal setting &
holistic approach to care. Model affects decision making r/t pts perceptions & role of pts
normal & flexible lines of defense. Need to consider pts central core attributes & resources.
Pts have to decide type of renal replacement therapy to begin & maintain & how resources
(Ex self, financial) affect choice & sustainability
Example of Neuman's System Model ---- ANSWER----o A nursing system's theory created
by a nurse envisioning individuals holistically as a series of concentric circles.
Describe Peplau's Theory of Interpersonal Relationships ---- ANSWER----o Nsg is a healing
art that requires mutual respect btwn the nurse & pt as part of therapeutic process. Focus is to
assist pt to understand the need for care & facilitate his/her learning process. Focus is on
PATIENT'S needs, not the nurse. Nurses need to understand their own personal reactions to
situations & recognize risk of becoming either over-involved (personal level) or
underinvolved (focus on clinical/technical aspects of work)
Focuses on long-term interpersonal relationships and views nursing as a healing art requiring
mutual respect between the nurse and the patients. ---- ANSWER----Another factor in
Peplaus theory
Recognize major barriers and/or facilitators that can affect the selection of theories to guide
practice. ---- ANSWER----O Requires understanding of concepts and principles associated
with the particular needs of the client, groups of clients, and/or community and recognition of
when and how to use these concepts and principles when planning and implementing care O
Are the theory goals and practice goals congruent?
O Is the context of the theory compatible with your practice situation?
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,O is there similarity between the theory variables and your practice variables?
O Are explanations o the theory sufficient to be used as a basis for nursing care?
O Does research evidence support the theory?
O How can the theory influence nursing practice in your setting?
How can the theory influence nsg practice in your setting? ---- ANSWER----Identify
guidelines that affect your selection of a theory to shape your advanced nursing practice
A decision must be made about the applicability of the research to practice ---- ANSWER---
Identify guidelines that affect your selection of a theory to shape your advanced nursing
practice
What are the best strategies to search the literature to identify relevant theories to guide
practice? ---- ANSWER----• Use primary sources, not secondary.
• Peer reviewed & refereed sources
Scholarly- ---- ANSWER----edited by professionals in the discipline (Ex. Journal of Nursing
Scholarship, Stroke, New England Journal of Medicine)
Trade ---- ANSWER----more casual & contain info r/t professional development, products,
practices, & trends in the discipline (Ex AJN)
Popular lit ---- ANSWER----- for the general public & basic info (Ex Prevention)
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, •what are Types of lit reviews? ---- ANSWER----o Integrative reviews
o Systematic reviews o Meta-analysis
o Integrative reviews ---- ANSWER----provide summary of empirical & theoretical lit to
improve understanding of a topic. Qualitative & quantitative studies. Ex Holt did a review to
summarize evidence of length ofRN shifts & pt outcomes.
Systematic reviews ---- ANSWER----higher level of evidence than integrative. More
rigorous. Scientific tools used to summarize results/implications of otherwise manageable
qualities of research. Articles included all address the SAME question.
Systematic reviews ---- ANSWER----Ex. Phillips & Nay did a review to determine nsg
interventions & how effective they were at minimizing complications r/t med administration
via enteral tubes. Quality Improvement
Integrative reviews ---- ANSWER----Ex Holt did a review to summarize evidence of length
of RN shifts & pt outcomes.
Meta-analysis- ---- ANSWER----combine results into measurable format & statically estimate
effects of interventions. Combine works that are similar/identical to make statistical
comparisons. Use this when you can't use a RCT
Meta-analysis- ---- ANSWER----Ex. Johnson et al. determined the benefits & harms of meds
for adults w/ ETOH use disorders Quality Improvement
What should you do when Searching the lit? ---- ANSWER----use lots of search terms &
variations.
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