Chapter 1: Theory
PROFESSIONAL Based Perspectives and Contemporary
COMMUNICATION SKILLS FOR Dynamics
NURSING 8th
Arnold: Interpersonal Relationships, 8th Edition
EDITION BY ARNOLD
MULTIPLE CHOICE
1. When describing\ nursing\ to\ a\ group\ of\ nursing\ students,\ the\ nursing\ instructor\ lists\ all\ of\ the\
following\ characteristics\ of\ nursing\ except
a. historically\ nursing\ is\ as\ old\ as\ mankind.
b. nursing\ was\ originally\ practiced\ informally\ by\ religious\ orders\ dedicated\ to\ care\ of\
the\ sick.
c. nursing\ was\ later\ practiced\ in\ the\ home\ by\ female\ caregivers\ with\ no\ formal\
education.
d. nursing\ has\ always\ been\ identifiable\ as\ a\ distinct\ occupation.
ANS:\ A
Historically,\ nursing\ is\ as\ old\ as\ mankind.\ Originally\ practiced\ informally\ by\ religious\ orders\
dedicated\ to\ care\ of\ the\ sick\ and\ later\ in\ the\ home\ by\ female\ caregivers\ with\ no\ formal\
education,\ nursing\ was\ not\ identifiable\ as\ a\ distinct\ occupation\ until\ the\ 1854\ Crimean\ war.\
There,\ Florence\ Nightingale’s\ Notes\ on\ Nursing\ introduced\ the\ world\ to\ the\ functional\ roles\
of\ professional\ nursing\ and\ the\ need\ for\ formal\ education.
DIF: Cognitive\ Level:\ Comprehension REF:\ p.\
1\ TOP:\ Step\ of\ the\ Nursing\ Process:\ All\ phases
MSC:\ Client\ Needs:\ Psychosocial\ Integrity
2. The\ nursing\ profession’s\ first\ nurse\ researcher,\ who\ served\ as\ an\ early\ advocate\ for
high-quality\ care\ and\ used\ statistical\ data\ to\ document\ the\ need\ for\ handwashing\ in\ preventing\
infection,\ was
a. Abraham\ Maslow.
b. Martha\ Rogers.
c. Hildegard\ Peplau.
d. Florence\ Nightingale.
ANS:\ D
An\ early\ advocate\ for\ high-quality\ care,\ Florence\ Nightingale’s\ use\ of\ statistical\ data\ to\
document\ the\ need\ for\ handwashing\ in\ preventing\ infection\ marks\ her\ as\ the\ profession’s\ first\
nurse\ researcher.
DIF: Cognitive\ Level:\ Knowledge REF:\ p.\
1\ TOP:\ Step\ of\ the\ Nursing\ Process:\ All\ phases
MSC:\ Client\ Needs:\ Management\ of\ Care
3. Today,\ professional\ nursing\ education\ begins\ at\ the
a. undergraduate\ level.
b. graduate\ level.
c. advanced\ practice\ level.
d. administrative\ level.
ANS:\ A
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, Today,\ professional\ nursing\ education\ begins\ at\ the\ undergraduate\ level,\ with\ a\ growing\
number\ of\ nurses\ choosing\ graduate\ studies\ to\ support\ differentiated\ practice\ roles\ and/or\
research\ opportunities.\ Nurses\ are\ prepared\ to\ function\ as\ advanced\ practice\ nurse\
practitioners,\ administrators,\ and\ educators.
DIF: Cognitive\ Level:\ Comprehension REF:\ p.\
2\ TOP:\ Step\ of\ the\ Nursing\ Process:\ All\ phases
MSC:\ Client\ Needs:\ Management\ of\ Care
4. Nursing’s\ metaparadigm,\ or\ worldview,\ distinguishes\ the\ nursing\ profession\ from\ other\
disciplines\ and\ emphasizes\ its\ unique\ functional\ characteristics.\ The\ four\ key\ concepts\ that\
form\ the\ foundation\ for\ all\ nursing\ theories\ are
a. caring,\ compassion,\ health\ promotion,\ and\ education.
b. respect,\ integrity,\ honesty,\ and\ advocacy.
c. person,\ environment,\ health,\ and\ nursing.
d. nursing,\ teaching,\ caring,\ and\ health\ promotion.
ANS:\ C
Individual\ nursing\ theories\ represent\ different\ interpretations\ of\ the\ phenomenon\ of\ nursing,\
but\ central\ constructs—person,\ environment,\ health,\ and\ nursing—are\ found\ in\ all\ theories\
and\ models.\ They\ are\ referred\ to\ as\ nursing’s\ metaparadigm.
DIF: Cognitive\ Level:\ Knowledge REF:\ p.\
2\ TOP:\ Step\ of\ the\ Nursing\ Process:\ All\ phases
MSC:\ Client\ Needs:\ Management\ of\ Care
5. When\ admitting\ a\ client\ to\ the\ medical-surgical\ unit,\ the\ nurse\ asks\ the\ client\ about\ cultural
issues.\ The\ nurse\ is\ demonstrating\ use\ of\ the\ concept\ of
a. person.
b. environment.
c. health.
d. nursing.
ANS:\ B
The\ concept\ of\ environment\ includes\ all\ cultural,\ developmental,\ and\ social\ determinants\ that\
influence\ a\ client’s\ health\ perceptions\ and\ behavior.\ A\ person\ is\ defined\ as\ the\ recipient\ of\
nursing\ care,\ having\ unique\ bio-psycho-social\ and\ spiritual\ dimensions.\ The\ word\ health\
derives\ from\ the\ word\ whole.\ Health\ is\ a\ multidimensional\ concept,\ having\ physical,\
psychological,\ sociocultural,\ developmental,\ and\ spiritual\ characteristics.\ The\ World\ Health\
Organization\ (WHO,\ 1946)\ defines\ health\ as\ “a\ state\ of\ complete\ physical,\ mental,\ social\
well-being,\ not\ merely\ the\ absence\ of\ disease\ or\ infirmity.”\ Nursing\ includes\ the\ promotion\ of\
health,\ prevention\ of\ illness,\ and\ the\ care\ of\ ill,\ disabled,\ and\ dying\ people.
DIF: Cognitive\ Level:\ Application REF:\ p.\
3\ TOP:\ Step\ of\ the\ Nursing\ Process:\ Assessment
MSC:\ Client\ Needs:\ Psychosocial\ Integrity
6. A\ young\ mother\ tells\ the\ nurse,\ “I’m\ worried\ because\ my\ son\ needs\ a\ blood\ transfusion.\
I\ don’t\ know\ what\ to\ do,\ because\ blood\ transfusions\ cause\ AIDS.”\ Which\ central\
nursing\ construct\ is\ represented\ in\ this\ situation?
a. Environment
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, b. Caring
c. Health
d. Person
ANS:\ D
The\ concept\ of\ environment\ includes\ all\ cultural,\ developmental,\ and\ social\ determinants\ that\
influence\ a\ client’s\ health\ perceptions\ and\ behavior.\ Caring\ is\ not\ one\ of\ the\ four\ central\
nursing\ constructs.\ The\ word\ health\ derives\ from\ the\ word\ whole.\ Health\ is\ a\
multidimensional\ concept,\ having\ physical,\ psychological,\ sociocultural,\ developmental,\ and\
spiritual\ characteristics.\ The\ World\ Health\ Organization\ (WHO,\ 1946)\ defines\ health\ as\ “a\
state\ of\ complete\ physical,\ mental,\ social\ well-being,\ not\ merely\ the\ absence\ of\ disease\ or\
infirmity.”\ Nursing\ includes\ the\ promotion\ of\ health,\ prevention\ of\ illness,\ and\ the\ care\ of\
ill,\ disabled,\ and\ dying\ people.\ Person\ is\ defined\ as\ the\ recipient\ of\ nursing\ care,\ having\
unique\ bio-psycho-social\ and\ spiritual\ dimensions.
DIF: Cognitive\ Level:\ Application REF:\ p.\
2\ TOP:\ Step\ of\ the\ Nursing\ Process:\
Implementation\ MSC:\ Client\ Needs:\ Psychosocial\
Integrity
7. The\ nurse\ performs\ a\ dressing\ change\ using\ sterile\ technique.\ This\ is\ an\ example\ of\ which\
pattern\ of\ knowledge?
a. Empirical
b. Personal
c. Aesthetic
d. Ethical
ANS:\ A
Empirical\ knowledge\ is\ the\ scientific\ rationale\ for\ skilled\ nursing\ interventions.\ Personal\
ways\ of\ knowing\ allow\ the\ nurse\ to\ understand\ and\ treat\ each\ individual\ as\ a\ unique\ person.\
Aesthetic\ ways\ of\ knowing\ allow\ the\ nurse\ to\ connect\ in\ different\ and\ more\ meaningful\ ways.\
Ethical\ ways\ of\ knowing\ refer\ to\ the\ moral\ aspects\ of\ nursing.
DIF: Cognitive\ Level:\ Comprehension REF:\ p.\
5\ TOP:\ Step\ of\ the\ Nursing\ Process:\
Implementation\ MSC:\ Client\ Needs:\ Management\ of\
Care
8. The\ nurse-client\ relationship\ as\ described\ by\ Hildegard\ Peplau
a. would\ not\ be\ useful\ in\ a\ short-stay\ unit.
b. allows\ personal\ and\ social\ growth\ to\ occur\ only\ for\ the\ client.
c. facilitates\ the\ identification\ and\ accomplishment \ of\ therapeutic\ goals.
d. focuses\ on\ maintaining\ a\ personal\ relationship\ between\ the\ nurse\ and\ client.
ANS:\ C
Hildegard\ Peplau\ offers\ the\ best-known\ nursing\ model\ for\ the\ study\ of\ interpersonal\
relationships\ in\ health\ care.\ Her\ model\ describes\ how\ the\ nurse-client\ relationship\ can\
facilitate\ the\ identification\ and\ accomplishment\ of\ therapeutic\ goals\ to\ enhance\ client\ and\
family\ well-being.\ In\ contemporary\ practice,\ Peplau’s\ framework\ is\ more\ applicable\ today\ in\
longer\ term\ relationships,\ and\ in\ settings\ such\ as\ rehabilitation\ centers,\ long-term\ care,\ and\
nursing\ homes.\ Despite\ the\ brevity\ of\ the\ alliances\ in\ acute\ care\ settings,\ basic\ principles\ of\
being\ a\ participant\ observer\ in\ the\ relationship,\ building\ rapport,\ developing\ a\ working\
partnership,\ and\ terminating\ a\ relationship\ remain\ relevant.
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, DIF: Cognitive\ Level:\ Knowledge REF:\ p.\
10\ TOP:\ Step\ of\ the\ Nursing\ Process:\ All\ phases
MSC:\ Client\ Needs:\ Psychosocial\ Integrity
9. The\ identification\ phase\ of\ the\ nurse-client\ relationship
a. sets\ the\ stage\ for\ the\ rest\ of\ the\ relationship.
b. correlates\ with\ the\ assessment \ phase\ of\ the\ nursing\ process.
c. focuses\ on\ therapeutic\ goals\ to\ enhance\ client\ and\ family\ well-being.
d. uses\ community\ resources\ to\ help\ resolve\ health\ care\ issues.
ANS:\ C
Hildegard\ Peplau\ offers\ the\ best-known\ nursing\ model\ for\ the\ study\ of\ interpersonal\
relationships\ in\ health\ care.\ Her\ model\ describes\ how\ the\ nurse-client\ relationship\ can\
facilitate\ the\ identification\ and\ accomplishment\ of\ therapeutic\ goals\ to\ enhance\ client\ and\
family\ well-being.
DIF: Cognitive\ Level:\ Knowledge REF:\ p.\
10\ TOP:\ Step\ of\ the\ Nursing\ Process:\
Implementation\ MSC:\ Client\ Needs:\ Management\ of\
Care
10. Abraham\ Maslow's\ needs\ theory\ is\ a\ framework\ that
a. begins\ with\ meeting\ basic\ psychosocial\ needs\ first.
b. ensures\ essential\ needs\ are\ satisfied,\ then\ people\ move\ into\ higher\ physiological\
areas\ of\ development.
c. proposes\ that\ people\ are\ motivated\ to\ meet\ their\ needs\ in\ a\ descending\ order.
d. nurses\ use\ to\ prioritize\ client\ needs\ and\ develop\ relevant\ nursing\ approaches.
ANS:\ D
Abraham\ Maslow's\ needs\ theory\ is\ a\ framework\ that\ nurses\ use\ to\ prioritize\ client\ needs\ and\
develop\ relevant\ nursing\ approaches.\ Maslow's\ model\ proposes\ that\ people\ are\ motivated\ to\
meet\ their\ needs\ in\ an\ ascending\ order\ beginning\ with\ meeting\ basic\ survival\ needs.\ As\
essential\ needs\ are\ satisfied,\ people\ move\ into\ higher\ psychosocial\ areas\ of\ development.
DIF: Cognitive\ Level:\ Application REF:\ p.\
10\ TOP:\ Step\ of\ the\ Nursing\ Process:\ All\ phases
MSC:\ Client\ Needs:\ Psychosocial\ Integrity
11. Which\ of\ the\ following\ statements\ about\ communication\ theory\ is\ true?
a. Primates\ are\ able\ to\ learn\ new\ languages\ to\ share\ ideas\ and\ feelings.
b. Concepts\ include\ only\ verbal\ communication.
c. Perceptions\ are\ clarified\ through\ feedback.
d. Past\ experience\ does\ not\ influence\ communication.
ANS:\ C
Feedback\ is\ the\ only\ way\ to\ know\ that\ one’s\ perceptions\ about\ meanings\ are\ valid.\ Human\
communication\ is\ unique.\ Only\ human\ beings\ have\ large\ vocabularies\ and\ are\ capable\ of\
learning\ new\ languages\ as\ a\ means\ of\ sharing\ their\ ideas\ and\ feelings.\ Communication\
includes\ language,\ gestures,\ and\ symbols\ to\ convey\ intended\ meaning,\ exchange\ ideas\ and\
feelings,\ and\ to\ share\ significant\ life\ experience.\ To\ encode\ a\ message\ appropriately\ requires\
a\ clear\ understanding\ of\ the\ receiver’s\ mental\ frame\ of\ reference\ (e.g.,\ feelings,\ personal\
agendas,\ past\ experiences)\ and\ knowledge\ of\ its\ purpose\ or\ intent\ of\ the\ communication.
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