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RATIONALES PLUS EXPERT ANSWER KEY 2026-2027
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1. A nurse researcher is examining the structure of nursing knowledge. Which term
refers to the most abstract level of knowledge that presents a global view of a
discipline?
A) Conceptual framework
B) Metaparadigm
C) Middle-range theory
D) Empirical indicator
B) Metaparadigm
Rationale: The metaparadigm is the most abstract, global perspective of a
discipline, providing a broad framework for its concepts. Conceptual frameworks
are less abstract, and middle-range theories are more specific and testable.
Empirical indicators are the most concrete level of measurement.
2. The four central concepts of the nursing metaparadigm are:
A) Nursing, medicine, sociology, psychology
B) Person, environment, health, nursing
C) Theory, research, practice, education
D) Diagnosis, intervention, outcome, evaluation
B) Person, environment, health, nursing
Rationale: The universally accepted nursing metaparadigm consists of four
,concepts: person (recipient of care), environment (internal and external context),
health (wellness-illness continuum), and nursing (actions and roles).
3. Which of the following is NOT one of the four concepts of the nursing
metaparadigm?
A) Person
B) Environment
C) Cure
D) Health
C) Cure
Rationale: The nursing metaparadigm consists of person, environment, health, and
nursing. "Cure" belongs to the medical model, not the nursing paradigm.
4. In the nursing metaparadigm, "environment" includes:
A) Only the patient's hospital room
B) Internal and external factors affecting the patient
C) The nurse's work schedule
D) Only social support systems
B) Internal and external factors affecting the patient
Rationale: Environment encompasses all internal (e.g., hormones, thoughts) and
external (e.g., family, culture, healthcare system) conditions that influence the
person's health.
5. A nurse who believes health is "the absence of disease" is operating from which
worldview?
A) Reciprocal interaction
B) Simultaneous action
C) Biomedical/reactive
D) Caring science
C) Biomedical/reactive
Rationale: The biomedical paradigm defines health as absence of
disease/symptoms, focusing on diagnosis and treatment, rather than holistic well-
being.
6. Which philosophy emphasizes human becoming as unitary and indivisible?
A) Parse's Human Becoming Theory
B) Orem's Self-Care Deficit
,C) Roy's Adaptation Model
D) Neuman's Systems Model
A) Parse's Human Becoming Theory
Rationale: Parse's theory views humans as unitary beings cocreating health
through meaning, rhythmicity, and transcendence—not as biopsychosocial systems.
7. "Nursing is both a science and an art." This statement aligns with whose
philosophy?
A) Florence Nightingale
B) Benner
C) Watson
D) All of the above
D) All of the above
Rationale: Nightingale emphasized the art of environment and science of
observation; Benner described the art of skilled clinical judgment; Watson
integrated caring as both art and science.
8. Which paradigm asserts that reality is multiple, subjective, and constructed by
individuals?
A) Positivism
B) Post-positivism
C) Constructivism
D) Critical theory
C) Constructivism
Rationale: Constructivism holds that meaning is socially constructed, supporting
qualitative nursing research and person-centered care.
9. A nurse practitioner uses evidence-based guidelines but also asks the patient,
"What does health mean to you?" This reflects:
A) Positivist approach only
B) Constructivist approach
C) Biomedical reductionism
D) Rejecting nursing theory
B) Constructivist approach
Rationale: Integrating objective data (EBP) with subjective patient meaning is a
constructivist-informed advanced practice approach.
, 10. Which statement best defines "paradigm" in nursing science?
A) A specific nursing intervention
B) A worldview or disciplinary lens
C) A type of research design
D) A grand theory
B) A worldview or disciplinary lens
Rationale: A paradigm is the broad philosophical perspective that shapes what
problems are important and how to address them.
11. The nursing metaparadigm concept "nursing" refers to:
A) The hospital organization
B) The profession's actions, roles, and interventions
C) Only bedside care
D) Physician orders
B) The profession's actions, roles, and interventions
Rationale: "Nursing" in the metaparadigm includes the art and science of caring,
advocacy, interventions, and outcomes achieved by nurses.
12. "Person" in the metaparadigm may include:
A) Individual patient only
B) Family only
C) Community
D) Individual, family, group, or community
D) Individual, family, group, or community
Rationale: In contemporary nursing theory, the person is viewed broadly as the
recipient of care, including individuals, families, groups, and communities.
13. Which nursing theorist explicitly incorporated the concept of carative factors
as a counterpoint to curative medicine?
A) Imogene King
B) Madeleine Leininger
C) Jean Watson
D) Martha Rogers
C) Jean Watson
Rationale: Watson's Theory of Human Caring uses carative factors (later clinical