Policy Analysis | 2026/2027 Update Galen
1. Which component of the nursing metaparadigm focuses on the external
factors that influence a patient’s health and well-being?
A. Person
B. Environment
C. Health
D. Nursing
Answer: B
Rationale: The Environment component of the metaparadigm includes internal and
external surroundings that affect the client, including social, physical, and economic factors.
2. In the context of nursing theory, how is a ‘Grand Theory’ best described?
A. A theory that focuses on a specific clinical population or setting.
B. A set of concrete instructions for performing bedside procedures.
C. A theory that provides a broad and abstract framework for nursing practice.
D. A theory derived solely from quantitative research data.
Answer: C
Rationale: Grand theories are the most abstract level of theory and provide a general
framework for nursing ideas and the nature of nursing as a whole.
,3. According to Jean Watson’s Theory of Human Caring, what is the primary
focus of nursing?
A. The biological management of disease symptoms.
B. The transpersonal caring relationship and its healing potential.
C. The efficiency of hospital administrative workflows.
D. The implementation of technological solutions in patient care.
Answer: B
Rationale: Watson emphasizes that nursing is a human science focusing on the processes
of human-to-human caring and the transpersonal relationship.
4. Which stage of the policy-making process involves determining the success or
failure of a specific healthcare intervention?
A. Agenda Setting
B. Policy Evaluation
C. Policy Implementation
D. Policy Formulation
Answer: B
Rationale: Evaluation is the final stage where the impact and effectiveness of the policy are
analyzed to determine if goals were met.
5. A nurse practitioner is using Dorothea Orem’s theory to guide patient care.
What is the central theme of this theory?
A. Adaptation to environmental stressors.
B. Self-care and the management of self-care deficits.
C. Unitary human beings and energy fields.
D. The cultural preservation of traditional healing.
Answer: B
Rationale: Orem’s Self-Care Deficit Nursing Theory focuses on the individual’s ability to
perform self-care and the role of the nurse when a deficit exists.
, 6. Which of the following describes ‘Epistemology’ in the context of advanced
nursing?
A. The study of the nature of reality and being.
B. The statistical analysis of healthcare outcomes.
C. The ethical guidelines used in clinical research.
D. The branch of philosophy concerned with the nature and scope of knowledge.
Answer: D
Rationale: Epistemology asks ‘how do we know what we know?’ and explores the
foundations and limits of nursing knowledge.
7. In healthcare policy, what does the term ‘Stakeholder’ refer to?
A. Only the government officials who write the laws.
B. Patients who are currently hospitalized.
C. Any individual or group with an interest in the outcome of a policy.
D. The financial institutions that fund hospital construction.
Answer: C
Rationale: Stakeholders include patients, providers, insurers, government bodies, and any
group affected by or influential toward a policy.
8. Which theorist developed the ‘Science of Unitary Human Beings,’ focusing on
energy fields and pattern recognition?
A. Hildegard Peplau
B. Callista Roy
C. Patricia Benner
D. Martha Rogers
Answer: D
Rationale: Martha Rogers viewed humans and their environments as irreducible energy
fields that are integral with one another.