NURS 600: Theoretical Foundations of Nursing Practice - Exam 1 2026
|Maryville
1. Which component of the nursing metaparadigm refers to the recipient of
nursing care, including individuals, families, and communities?
A. Person
B. Health
C. Nursing
D. Environment
Answer: A
Rationale: The ‘Person’ component of the metaparadigm represents the human beings
who are the subjects of care, encompassing their physical, psychological, social, and
spiritual dimensions.
2. Florence Nightingale’s theory focused primarily on which aspect of care?
A. The manipulation of the patient’s environment
B. Interpersonal relationships
C. Self-care deficits
D. Adaptive systems
Answer: A
Rationale: Nightingale’s Environmental Theory emphasized that the nurse’s primary role
was to manage the environment (light, ventilation, noise, hygiene) to allow nature to act
upon the patient.
,3. Which level of nursing theory is the most abstract and provides a broad
worldview of nursing practice?
A. Middle-range theory
B. Practice theory
C. Grand theory
D. Prescriptive theory
Answer: C
Rationale: Grand theories are global and provide a conceptual framework under which
more specific theories are developed. They are not intended for immediate empirical
testing.
4. Hildegard Peplau is best known for her theory regarding:
A. Human Becoming
B. Interpersonal Relations
C. Transcultural Nursing
D. Unitary Human Beings
Answer: B
Rationale: Peplau’s theory focuses on the therapeutic relationship between the nurse and
the patient, identifying phases such as orientation, identification, exploitation, and
resolution.
5. Dorothea Orem’s theory is based on the premise that people should be self-
reliant and responsible for their own care. This is known as the:
A. Adaptation Model
B. Self-Care Deficit Theory
C. Systems Model
D. Health Promotion Model
Answer: B
, Rationale: Orem’s theory suggests that nursing is required when an individual is unable to
perform self-care necessary to maintain life, health, and well-being.
6. The ‘Science of Unitary Human Beings’ was developed by which theorist?
A. Martha Rogers
B. Jean Watson
C. Callista Roy
D. Betty Neuman
Answer: A
Rationale: Martha Rogers viewed humans as irreducible energy fields that are integral
with the environment, focusing on the pandimensionality of life.
7. Which theory focuses on the nurse and patient interacting to set goals and
move toward goal attainment?
A. Johnson’s Behavioral System Model
B. King’s Theory of Goal Attainment
C. Pender’s Health Promotion Model
D. Kolcaba’s Comfort Theory
Answer: B
Rationale: Imogene King’s theory emphasizes that the nurse and patient communicate, set
goals, and act to achieve those goals within a social system.
8. The Roy Adaptation Model views the person as a set of interrelated systems.
Which of the following is NOT one of Roy’s adaptive modes?
A. Cultural Competence
B. Self-Concept-Group Identity
C. Role Function
D. Physiological-Physical
Answer: A
|Maryville
1. Which component of the nursing metaparadigm refers to the recipient of
nursing care, including individuals, families, and communities?
A. Person
B. Health
C. Nursing
D. Environment
Answer: A
Rationale: The ‘Person’ component of the metaparadigm represents the human beings
who are the subjects of care, encompassing their physical, psychological, social, and
spiritual dimensions.
2. Florence Nightingale’s theory focused primarily on which aspect of care?
A. The manipulation of the patient’s environment
B. Interpersonal relationships
C. Self-care deficits
D. Adaptive systems
Answer: A
Rationale: Nightingale’s Environmental Theory emphasized that the nurse’s primary role
was to manage the environment (light, ventilation, noise, hygiene) to allow nature to act
upon the patient.
,3. Which level of nursing theory is the most abstract and provides a broad
worldview of nursing practice?
A. Middle-range theory
B. Practice theory
C. Grand theory
D. Prescriptive theory
Answer: C
Rationale: Grand theories are global and provide a conceptual framework under which
more specific theories are developed. They are not intended for immediate empirical
testing.
4. Hildegard Peplau is best known for her theory regarding:
A. Human Becoming
B. Interpersonal Relations
C. Transcultural Nursing
D. Unitary Human Beings
Answer: B
Rationale: Peplau’s theory focuses on the therapeutic relationship between the nurse and
the patient, identifying phases such as orientation, identification, exploitation, and
resolution.
5. Dorothea Orem’s theory is based on the premise that people should be self-
reliant and responsible for their own care. This is known as the:
A. Adaptation Model
B. Self-Care Deficit Theory
C. Systems Model
D. Health Promotion Model
Answer: B
, Rationale: Orem’s theory suggests that nursing is required when an individual is unable to
perform self-care necessary to maintain life, health, and well-being.
6. The ‘Science of Unitary Human Beings’ was developed by which theorist?
A. Martha Rogers
B. Jean Watson
C. Callista Roy
D. Betty Neuman
Answer: A
Rationale: Martha Rogers viewed humans as irreducible energy fields that are integral
with the environment, focusing on the pandimensionality of life.
7. Which theory focuses on the nurse and patient interacting to set goals and
move toward goal attainment?
A. Johnson’s Behavioral System Model
B. King’s Theory of Goal Attainment
C. Pender’s Health Promotion Model
D. Kolcaba’s Comfort Theory
Answer: B
Rationale: Imogene King’s theory emphasizes that the nurse and patient communicate, set
goals, and act to achieve those goals within a social system.
8. The Roy Adaptation Model views the person as a set of interrelated systems.
Which of the following is NOT one of Roy’s adaptive modes?
A. Cultural Competence
B. Self-Concept-Group Identity
C. Role Function
D. Physiological-Physical
Answer: A
