Chapter 1: Theory Based Perspectives and Contemporary Dynamics A
d d d d d d d d
rnold: Interpersonal Relationships, 8th Edition
d d d d
MULTIPLEdCHOICE
1. Whenddescribingdnursingdtodadgroupdofdnursingdstudents,dthednursingdinstructordlistsdalldofdthedf
ollowingdcharacteristicsdofdnursingdexcept
a. historicallydnursingdisdasdolddasdmankind.
b. nursingdwasdoriginallydpracticeddinformallydbydreligiousdordersddedicateddtodcaredofdt
hedsick.
c. nursingdwasdlaterdpracticeddindthedhomedbydfemaledcaregiversdwithdnodformalde
ducation.
d. nursingdhasdalwaysdbeendidentifiabledasdaddistinctdoccupation.
ANS:d A
Historically,dnursingdisdasdolddasdmankind.dOriginallydpracticeddinformallydbydreligiousdordersdd
edicateddtodcaredofdthedsickdanddlaterdindthedhomedbydfemaledcaregiversdwithdnodformaldeducatio
n,dnursingdwasdnotdidentifiabledasdaddistinctdoccupationduntildthed1854dCrimeandwar.dThere,dFlor
encedNightingale’sdNotesdondNursingdintroduceddthedworlddtodthedfunctionaldrolesdofdprofession
aldnursingdanddthedneeddfordformaldeducation.
DIF: CognitivedLevel:dComprehension
REF:d p.d1dTOP:d StepdofdthedNursingdProcess:d
Alldphases
MSC:d ClientdNeeds:dPsychosocialdIntegrity
2. Thednursingdprofession’sdfirstdnursedresearcher,dwhodserveddasdandearlydadvocatedfor
high-
qualitydcaredandduseddstatisticalddatadtoddocumentdthedneeddfordhandwashingdindpreventingdinfection,d
was
a. AbrahamdMaslow.
b. MarthadRogers.
c. HildegarddPeplau.
d. FlorencedNightingale.
ANS:d D
Andearlydadvocatedfordhigh-
qualitydcare,dFlorencedNightingale’sdusedofdstatisticalddatadtoddocumentdthedneeddfordhandwashin
gdindpreventingdinfectiondmarksdherdasdthedprofession’sdfirstdnursedresearcher.
DIF: CognitivedLevel:dKnowledge
REF:d p.d1dTOP:d StepdofdthedNursingdProcess:d
Alldphases
MSC:d ClientdNeeds:dManagementdofdCare
3. Today,dprofessionaldnursingdeducationdbeginsdatdthe
a. undergraduatedlevel.
b. graduatedlevel.
c. advanceddpracticedlevel.
d. administrativedlevel.
ANS:d A
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, Today,dprofessionaldnursingdeducationdbeginsdatdthedundergraduatedlevel,dwithdadgrowingdnumb
erdofdnursesdchoosingdgraduatedstudiesdtodsupportddifferentiateddpracticedrolesdand/ordresearchdo
pportunities.dNursesdaredprepareddtodfunctiondasdadvanceddpracticednursedpractitioners,dadminis
trators,danddeducators.
DIF: CognitivedLevel:dComprehension
REF:d p.d2dTOP:d StepdofdthedNursingdProcess:d
Alldphases
MSC:d ClientdNeeds:dManagementdofdCare
4. Nursing’sdmetaparadigm,dordworldview,ddistinguishesdthednursingdprofessiondfromdotherddis
ciplinesdanddemphasizesditsduniquedfunctionaldcharacteristics.dThedfourdkeydconceptsdthatdfor
mdthedfoundationdfordalldnursingdtheoriesdare
a. caring,dcompassion,dhealthdpromotion,danddeducation.
b. respect,dintegrity,dhonesty,danddadvocacy.
c. person,denvironment,dhealth,danddnursing.
d. nursing,dteaching,dcaring,danddhealthdpromotion.
ANS:d C
Individualdnursingdtheoriesdrepresentddifferentdinterpretationsdofdthedphenomenondofdnursing,db
utdcentraldconstructs—person,denvironment,dhealth,danddnursing—
aredfounddindalldtheoriesdanddmodels.dTheydaredreferreddtodasdnursing’sdmetaparadigm.
DIF: CognitivedLevel:dKnowledge
REF:d p.d2dTOP:d StepdofdthedNursingdProcess:d
Alldphases
MSC:d ClientdNeeds:dManagementdofdCare
5. Whendadmittingdadclientdtodthedmedical-surgicaldunit,dthednursedasksdthedclientdaboutdcultural
issues.dThednursedisddemonstratingdusedofdthedconceptdof
a. person.
b. environment.
c. health.
d. nursing.
ANS:d B
Thedconceptdofdenvironmentdincludesdalldcultural,ddevelopmental,danddsocialddeterminantsdthatdi
nfluencedadclient’sdhealthdperceptionsdanddbehavior.dAdpersondisddefineddasdthedrecipientdofdnursi
ngdcare,dhavingduniquedbio-psycho-
socialdanddspiritualddimensions.dThedworddhealthdderivesdfromdthedworddwhole.dHealthdisdadmulti
dimensionaldconcept,dhavingdphysical,dpsychological,dsociocultural,ddevelopmental,danddspiritu
aldcharacteristics.dThedWorlddHealthdOrganizationd(WHO,d1946)ddefinesdhealthdasd“adstatedofdco
mpletedphysical,dmental,dsocialdwell-
being,dnotdmerelydthedabsencedofddiseasedordinfirmity.”dNursingdincludesdthedpromotiondofdhealth
,dpreventiondofdillness,danddthedcaredofdill,ddisabled,dandddyingdpeople.
DIF: CognitivedLevel:dApplication
REF:d p.d3dTOP:d StepdofdthedNursingdProcess:d
Assessment
MSC:d ClientdNeeds:dPsychosocialdIntegrity
6. Adyoungdmotherdtellsdthednurse,d“I’mdworrieddbecausedmydsondneedsdadblooddtransfusion.dIdd
on’tdknowdwhatdtoddo,dbecausedblooddtransfusionsdcausedAIDS.”dWhichdcentraldnursingdcon
structdisdrepresenteddindthisdsituation?
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,a. Environment
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, b. Caring
c. Health
d. Person
ANS:d D
Thedconceptdofdenvironmentdincludesdalldcultural,ddevelopmental,danddsocialddeterminantsdthatdi
nfluencedadclient’sdhealthdperceptionsdanddbehavior.dCaringdisdnotdonedofdthedfourdcentraldnursin
gdconstructs.dThedworddhealthdderivesdfromdthedworddwhole.dHealthdisdadmultidimensionaldconc
ept,dhavingdphysical,dpsychological,dsociocultural,ddevelopmental,danddspiritualdcharacteristics
.dThedWorlddHealthdOrganizationd(WHO,d1946)ddefinesdhealthdasd“adstatedofdcompletedphysical
,dmental,dsocialdwell-
being,dnotdmerelydthedabsencedofddiseasedordinfirmity.”dNursingdincludesdthedpromotiondofdhealt
h,dpreventiondofdillness,danddthedcaredofdill,ddisabled,dandddyingdpeople.dPersondisddefineddasdthed
recipientdofdnursingdcare,dhavingduniquedbio-psycho-socialdanddspiritualddimensions.
DIF: CognitivedLevel:dApplication
REF:d p.d2dTOP:d StepdofdthedNursingdProcess:dI
mplementationdMSC:d ClientdNeeds:dPsychosocialdInte
grity
7. Thednursedperformsdaddressingdchangedusingdsteriledtechnique.dThisdisdandexampledofdwhichdp
atterndofdknowledge?
a. Empirical
b. Personal
c. Aesthetic
d. Ethical
ANS:d A
Empiricaldknowledgedisdthedscientificdrationaledfordskilleddnursingdinterventions.dPersonaldways
dofdknowingdallowdthednursedtodunderstanddanddtreatdeachdindividualdasdaduniquedperson.dAestheti
cdwaysdofdknowingdallowdthednursedtodconnectdinddifferentdanddmoredmeaningfuldways.dEthicaldw
aysdofdknowingdreferdtodthedmoraldaspectsdofdnursing.
DIF: CognitivedLevel:dComprehension
REF:d p.d5dTOP:d StepdofdthedNursingdProcess:dI
mplementationdMSC:d ClientdNeeds:dManagementdofdC
are
8. Thednurse-clientdrelationshipdasddescribeddbydHildegarddPeplau
a. woulddnotdbedusefuldindadshort-staydunit.
b. allowsdpersonaldanddsocialdgrowthdtodoccurdonlydfordthedclient.
c. facilitatesdthedidentificationdanddaccomplishmentdofdtherapeuticdgoals.
d. focusesdondmaintainingdadpersonaldrelationshipdbetweendthednursedanddclient.
ANS:d C
HildegarddPeplaudoffersdthedbest-
knowndnursingdmodeldfordthedstudydofdinterpersonaldrelationshipsdindhealthdcare.dHerdmodelddes
cribesdhowdthednurse-
clientdrelationshipdcandfacilitatedthedidentificationdanddaccomplishmentdofdtherapeuticdgoalsdtod
enhancedclientdanddfamilydwell-
being.dIndcontemporarydpractice,dPeplau’sdframeworkdisdmoredapplicabledtodaydindlongerdtermdr
elationships,danddindsettingsdsuchdasdrehabilitationdcenters,dlong-
termdcare,danddnursingdhomes.dDespitedthedbrevitydofdthedalliancesdindacutedcaredsettings,dbasicdp
rinciplesdofdbeingdadparticipantdobserverdindthedrelationship,dbuildingdrapport,ddevelopingdadwor
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d d d d d d d d
rnold: Interpersonal Relationships, 8th Edition
d d d d
MULTIPLEdCHOICE
1. Whenddescribingdnursingdtodadgroupdofdnursingdstudents,dthednursingdinstructordlistsdalldofdthedf
ollowingdcharacteristicsdofdnursingdexcept
a. historicallydnursingdisdasdolddasdmankind.
b. nursingdwasdoriginallydpracticeddinformallydbydreligiousdordersddedicateddtodcaredofdt
hedsick.
c. nursingdwasdlaterdpracticeddindthedhomedbydfemaledcaregiversdwithdnodformalde
ducation.
d. nursingdhasdalwaysdbeendidentifiabledasdaddistinctdoccupation.
ANS:d A
Historically,dnursingdisdasdolddasdmankind.dOriginallydpracticeddinformallydbydreligiousdordersdd
edicateddtodcaredofdthedsickdanddlaterdindthedhomedbydfemaledcaregiversdwithdnodformaldeducatio
n,dnursingdwasdnotdidentifiabledasdaddistinctdoccupationduntildthed1854dCrimeandwar.dThere,dFlor
encedNightingale’sdNotesdondNursingdintroduceddthedworlddtodthedfunctionaldrolesdofdprofession
aldnursingdanddthedneeddfordformaldeducation.
DIF: CognitivedLevel:dComprehension
REF:d p.d1dTOP:d StepdofdthedNursingdProcess:d
Alldphases
MSC:d ClientdNeeds:dPsychosocialdIntegrity
2. Thednursingdprofession’sdfirstdnursedresearcher,dwhodserveddasdandearlydadvocatedfor
high-
qualitydcaredandduseddstatisticalddatadtoddocumentdthedneeddfordhandwashingdindpreventingdinfection,d
was
a. AbrahamdMaslow.
b. MarthadRogers.
c. HildegarddPeplau.
d. FlorencedNightingale.
ANS:d D
Andearlydadvocatedfordhigh-
qualitydcare,dFlorencedNightingale’sdusedofdstatisticalddatadtoddocumentdthedneeddfordhandwashin
gdindpreventingdinfectiondmarksdherdasdthedprofession’sdfirstdnursedresearcher.
DIF: CognitivedLevel:dKnowledge
REF:d p.d1dTOP:d StepdofdthedNursingdProcess:d
Alldphases
MSC:d ClientdNeeds:dManagementdofdCare
3. Today,dprofessionaldnursingdeducationdbeginsdatdthe
a. undergraduatedlevel.
b. graduatedlevel.
c. advanceddpracticedlevel.
d. administrativedlevel.
ANS:d A
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, Today,dprofessionaldnursingdeducationdbeginsdatdthedundergraduatedlevel,dwithdadgrowingdnumb
erdofdnursesdchoosingdgraduatedstudiesdtodsupportddifferentiateddpracticedrolesdand/ordresearchdo
pportunities.dNursesdaredprepareddtodfunctiondasdadvanceddpracticednursedpractitioners,dadminis
trators,danddeducators.
DIF: CognitivedLevel:dComprehension
REF:d p.d2dTOP:d StepdofdthedNursingdProcess:d
Alldphases
MSC:d ClientdNeeds:dManagementdofdCare
4. Nursing’sdmetaparadigm,dordworldview,ddistinguishesdthednursingdprofessiondfromdotherddis
ciplinesdanddemphasizesditsduniquedfunctionaldcharacteristics.dThedfourdkeydconceptsdthatdfor
mdthedfoundationdfordalldnursingdtheoriesdare
a. caring,dcompassion,dhealthdpromotion,danddeducation.
b. respect,dintegrity,dhonesty,danddadvocacy.
c. person,denvironment,dhealth,danddnursing.
d. nursing,dteaching,dcaring,danddhealthdpromotion.
ANS:d C
Individualdnursingdtheoriesdrepresentddifferentdinterpretationsdofdthedphenomenondofdnursing,db
utdcentraldconstructs—person,denvironment,dhealth,danddnursing—
aredfounddindalldtheoriesdanddmodels.dTheydaredreferreddtodasdnursing’sdmetaparadigm.
DIF: CognitivedLevel:dKnowledge
REF:d p.d2dTOP:d StepdofdthedNursingdProcess:d
Alldphases
MSC:d ClientdNeeds:dManagementdofdCare
5. Whendadmittingdadclientdtodthedmedical-surgicaldunit,dthednursedasksdthedclientdaboutdcultural
issues.dThednursedisddemonstratingdusedofdthedconceptdof
a. person.
b. environment.
c. health.
d. nursing.
ANS:d B
Thedconceptdofdenvironmentdincludesdalldcultural,ddevelopmental,danddsocialddeterminantsdthatdi
nfluencedadclient’sdhealthdperceptionsdanddbehavior.dAdpersondisddefineddasdthedrecipientdofdnursi
ngdcare,dhavingduniquedbio-psycho-
socialdanddspiritualddimensions.dThedworddhealthdderivesdfromdthedworddwhole.dHealthdisdadmulti
dimensionaldconcept,dhavingdphysical,dpsychological,dsociocultural,ddevelopmental,danddspiritu
aldcharacteristics.dThedWorlddHealthdOrganizationd(WHO,d1946)ddefinesdhealthdasd“adstatedofdco
mpletedphysical,dmental,dsocialdwell-
being,dnotdmerelydthedabsencedofddiseasedordinfirmity.”dNursingdincludesdthedpromotiondofdhealth
,dpreventiondofdillness,danddthedcaredofdill,ddisabled,dandddyingdpeople.
DIF: CognitivedLevel:dApplication
REF:d p.d3dTOP:d StepdofdthedNursingdProcess:d
Assessment
MSC:d ClientdNeeds:dPsychosocialdIntegrity
6. Adyoungdmotherdtellsdthednurse,d“I’mdworrieddbecausedmydsondneedsdadblooddtransfusion.dIdd
on’tdknowdwhatdtoddo,dbecausedblooddtransfusionsdcausedAIDS.”dWhichdcentraldnursingdcon
structdisdrepresenteddindthisdsituation?
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,a. Environment
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, b. Caring
c. Health
d. Person
ANS:d D
Thedconceptdofdenvironmentdincludesdalldcultural,ddevelopmental,danddsocialddeterminantsdthatdi
nfluencedadclient’sdhealthdperceptionsdanddbehavior.dCaringdisdnotdonedofdthedfourdcentraldnursin
gdconstructs.dThedworddhealthdderivesdfromdthedworddwhole.dHealthdisdadmultidimensionaldconc
ept,dhavingdphysical,dpsychological,dsociocultural,ddevelopmental,danddspiritualdcharacteristics
.dThedWorlddHealthdOrganizationd(WHO,d1946)ddefinesdhealthdasd“adstatedofdcompletedphysical
,dmental,dsocialdwell-
being,dnotdmerelydthedabsencedofddiseasedordinfirmity.”dNursingdincludesdthedpromotiondofdhealt
h,dpreventiondofdillness,danddthedcaredofdill,ddisabled,dandddyingdpeople.dPersondisddefineddasdthed
recipientdofdnursingdcare,dhavingduniquedbio-psycho-socialdanddspiritualddimensions.
DIF: CognitivedLevel:dApplication
REF:d p.d2dTOP:d StepdofdthedNursingdProcess:dI
mplementationdMSC:d ClientdNeeds:dPsychosocialdInte
grity
7. Thednursedperformsdaddressingdchangedusingdsteriledtechnique.dThisdisdandexampledofdwhichdp
atterndofdknowledge?
a. Empirical
b. Personal
c. Aesthetic
d. Ethical
ANS:d A
Empiricaldknowledgedisdthedscientificdrationaledfordskilleddnursingdinterventions.dPersonaldways
dofdknowingdallowdthednursedtodunderstanddanddtreatdeachdindividualdasdaduniquedperson.dAestheti
cdwaysdofdknowingdallowdthednursedtodconnectdinddifferentdanddmoredmeaningfuldways.dEthicaldw
aysdofdknowingdreferdtodthedmoraldaspectsdofdnursing.
DIF: CognitivedLevel:dComprehension
REF:d p.d5dTOP:d StepdofdthedNursingdProcess:dI
mplementationdMSC:d ClientdNeeds:dManagementdofdC
are
8. Thednurse-clientdrelationshipdasddescribeddbydHildegarddPeplau
a. woulddnotdbedusefuldindadshort-staydunit.
b. allowsdpersonaldanddsocialdgrowthdtodoccurdonlydfordthedclient.
c. facilitatesdthedidentificationdanddaccomplishmentdofdtherapeuticdgoals.
d. focusesdondmaintainingdadpersonaldrelationshipdbetweendthednursedanddclient.
ANS:d C
HildegarddPeplaudoffersdthedbest-
knowndnursingdmodeldfordthedstudydofdinterpersonaldrelationshipsdindhealthdcare.dHerdmodelddes
cribesdhowdthednurse-
clientdrelationshipdcandfacilitatedthedidentificationdanddaccomplishmentdofdtherapeuticdgoalsdtod
enhancedclientdanddfamilydwell-
being.dIndcontemporarydpractice,dPeplau’sdframeworkdisdmoredapplicabledtodaydindlongerdtermdr
elationships,danddindsettingsdsuchdasdrehabilitationdcenters,dlong-
termdcare,danddnursingdhomes.dDespitedthedbrevitydofdthedalliancesdindacutedcaredsettings,dbasicdp
rinciplesdofdbeingdadparticipantdobserverdindthedrelationship,dbuildingdrapport,ddevelopingdadwor
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