Nursing Test Bank
a.
"You are correct, but we have to learn it anyway."
b.
"This keeps the focus of nursing narrow."
c.
"Theories help explain why nurses do what they do."
d.
"Exposure to theories will help you later in graduate school." - ANS: C
Theories offer well-grounded ra onales for how and why nurses perform specific interven ons and for
predic ng and/or prescribing nursing care measures. Although nursing theory will help the nurse in
graduate school, it is also an important basis for the nurse's approach to daily pa ent care, and it
expands scien fic knowledge of the profession.
The nurse is caring for a pa ent who does not follow the prescribed regimen for diabetes management.
As a prescriber to Orem's theory, the nurse interviews the pa ent in an a empt to iden fy the cause of
the pa ent's "noncompliance." What is the ra onale for the nurse's behavior?
a.
Orem's theory is useful in designing interven ons to promote self-care.
b.
Orem's theory focuses on cultural issues that may affect compliance.
c.
Orem's theory allows for reduc on of anxiety with communica on.
d.
Orem's theory helps nurses manipulate the pa ent's environment. - ANS: A
When applying Orem's theory, a nurse con nually assesses a pa ent's ability to perform self-care and
intervenes as needed to ensure that the pa ents meet physical, psychological, sociological, and
developmental needs. According to Orem, people who par cipate in self-care ac vi es are more likely to
improve their health outcomes. Leiniger's culture care theory focuses on culture diversity and provides
culturally specific nursing care. According to Peplau, nurses help pa ents reduce anxiety by conver ng it
,into construc ve ac ons, using therapeu c communica on. Nigh ngale's grand theory is a pa ent's
environment can be manipulated by nurses to restore a pa ent to health.
A nurse is tes ng medita on for migraine headaches and the expected outcome of care when
performing this interven on. Which type of theory is the nurse using?
a.
Grand
b.
Prescrip ve
c.
Descrip ve
d.
Middle-range - ANS: B
A prescrip ve theory details nursing interven ons (medita on) for a specific phenomenon (migraine
headaches) and the expected outcome of the care. Grand theories are broad in scope and complex and
require further specifica on through research; it does not provide guidance for specific nursing
interven ons. Descrip ve theories do not direct specific nursing ac vi es but help to explain pa ent
assessment. A middle-range theory tends to focus on a concept found in a specific field of nursing, such
as uncertainty, incon nence, social support, quality of life, and caring, rather than reflect on a wide
variety of nursing care situa ons.
The nurse researcher is evalua ng whether holding pressure at an injec on site a er injec ng the
an coagulant enoxaparin will reduce bruising at the injec on site. This study involves a prescrip ve
theory. What is the nurse's ra onale for involving a prescrip ve theory?
a.
It explains why bruising occurs.
b.
It is broad in scope and complex.
c.
It tests a specific nursing interven on.
d.
It reflects a wide variety of nursing care situa ons. - ANS: C
, Prescrip ve theories detail nursing interven ons for a specific phenomenon and the expected outcome
of the care but it does not explain why. Grand theories are broad in scope and complex and focus on a
wide variety of nursing care situa ons.
A nurse is using nursing theory and the nursing process simultaneously to plan nursing care. How will the
nurse use nursing theory and the nursing process in prac ce?
a.
Nursing theory can direct how a nurse uses the nursing process.
b.
Nursing theory requires the nursing process to develop knowledge.
c.
Nursing theory with the nursing process has a minor role in professional nursing.
d.
Nursing theory combined with the nursing process is specific to certain ill pa ents. - ANS: A
Nursing theory can direct how a nurse uses the nursing process. Integra on of theory into prac ce
(nursing process) serves as the basis for professional nursing. The nursing process provides a systema c
process for the delivery of care, not the knowledge component of the discipline. Useful theories are
adaptable to different pa ents and to all care se ngs.
The nurse views the pa ent as an open system that needs help in coping with stressors. Which theorist is
the nurse using?
a.
King
b.
Levine
c.
Neuman
d.
Johnson - ANS: C
Neuman views a pa ent as being an open system that is in constant energy exchange with the
environment that the nurse must help cope with stressors. King views a pa ent as a unique personal
system that is constantly interac ng/transac ng with other systems that the nurse helps with goal
a.
"You are correct, but we have to learn it anyway."
b.
"This keeps the focus of nursing narrow."
c.
"Theories help explain why nurses do what they do."
d.
"Exposure to theories will help you later in graduate school." - ANS: C
Theories offer well-grounded ra onales for how and why nurses perform specific interven ons and for
predic ng and/or prescribing nursing care measures. Although nursing theory will help the nurse in
graduate school, it is also an important basis for the nurse's approach to daily pa ent care, and it
expands scien fic knowledge of the profession.
The nurse is caring for a pa ent who does not follow the prescribed regimen for diabetes management.
As a prescriber to Orem's theory, the nurse interviews the pa ent in an a empt to iden fy the cause of
the pa ent's "noncompliance." What is the ra onale for the nurse's behavior?
a.
Orem's theory is useful in designing interven ons to promote self-care.
b.
Orem's theory focuses on cultural issues that may affect compliance.
c.
Orem's theory allows for reduc on of anxiety with communica on.
d.
Orem's theory helps nurses manipulate the pa ent's environment. - ANS: A
When applying Orem's theory, a nurse con nually assesses a pa ent's ability to perform self-care and
intervenes as needed to ensure that the pa ents meet physical, psychological, sociological, and
developmental needs. According to Orem, people who par cipate in self-care ac vi es are more likely to
improve their health outcomes. Leiniger's culture care theory focuses on culture diversity and provides
culturally specific nursing care. According to Peplau, nurses help pa ents reduce anxiety by conver ng it
,into construc ve ac ons, using therapeu c communica on. Nigh ngale's grand theory is a pa ent's
environment can be manipulated by nurses to restore a pa ent to health.
A nurse is tes ng medita on for migraine headaches and the expected outcome of care when
performing this interven on. Which type of theory is the nurse using?
a.
Grand
b.
Prescrip ve
c.
Descrip ve
d.
Middle-range - ANS: B
A prescrip ve theory details nursing interven ons (medita on) for a specific phenomenon (migraine
headaches) and the expected outcome of the care. Grand theories are broad in scope and complex and
require further specifica on through research; it does not provide guidance for specific nursing
interven ons. Descrip ve theories do not direct specific nursing ac vi es but help to explain pa ent
assessment. A middle-range theory tends to focus on a concept found in a specific field of nursing, such
as uncertainty, incon nence, social support, quality of life, and caring, rather than reflect on a wide
variety of nursing care situa ons.
The nurse researcher is evalua ng whether holding pressure at an injec on site a er injec ng the
an coagulant enoxaparin will reduce bruising at the injec on site. This study involves a prescrip ve
theory. What is the nurse's ra onale for involving a prescrip ve theory?
a.
It explains why bruising occurs.
b.
It is broad in scope and complex.
c.
It tests a specific nursing interven on.
d.
It reflects a wide variety of nursing care situa ons. - ANS: C
, Prescrip ve theories detail nursing interven ons for a specific phenomenon and the expected outcome
of the care but it does not explain why. Grand theories are broad in scope and complex and focus on a
wide variety of nursing care situa ons.
A nurse is using nursing theory and the nursing process simultaneously to plan nursing care. How will the
nurse use nursing theory and the nursing process in prac ce?
a.
Nursing theory can direct how a nurse uses the nursing process.
b.
Nursing theory requires the nursing process to develop knowledge.
c.
Nursing theory with the nursing process has a minor role in professional nursing.
d.
Nursing theory combined with the nursing process is specific to certain ill pa ents. - ANS: A
Nursing theory can direct how a nurse uses the nursing process. Integra on of theory into prac ce
(nursing process) serves as the basis for professional nursing. The nursing process provides a systema c
process for the delivery of care, not the knowledge component of the discipline. Useful theories are
adaptable to different pa ents and to all care se ngs.
The nurse views the pa ent as an open system that needs help in coping with stressors. Which theorist is
the nurse using?
a.
King
b.
Levine
c.
Neuman
d.
Johnson - ANS: C
Neuman views a pa ent as being an open system that is in constant energy exchange with the
environment that the nurse must help cope with stressors. King views a pa ent as a unique personal
system that is constantly interac ng/transac ng with other systems that the nurse helps with goal
