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WEST COAST UNIVERSITY NURS 500 –THEORETICAL
FOUNDATIONS OF NURSING PRACTICE
COMPREHENSIVE PRACTICE EXAM QUESTIONS
WITH ANSWERS AND RATIONALES |100% PASS
|GRADED A+ 2026/27
Covers Nursing Theories and Theorists, Theory Development,
Conceptual Frameworks, Grand Theories, Middle-Range Theories,
Practice Theories, Application of Theory to Practice, Nursing
Metaparadigm, and Research Utilization
QUESTION 1
A nurse is reviewing the four concepts of the nursing metaparadigm.
Which of the following is included in the metaparadigm?
A) Health, Environment, Person, Nursing
B) Health, Disease, Person, Nursing
C) Person, Nursing, Environment, Illness
D) Health, Person, Nursing, Communication
Verified Answer: A
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Rationale: The nursing metaparadigm consists of four concepts: Person
(recipient of care), Environment (internal and external surroundings),
Health (wellness and illness), and Nursing (the profession and its
actions). These provide the foundation for nursing theory.
QUESTION 2
Which nursing theorist is known for the Theory of Human Caring?
A) Dorothea Orem
B) Jean Watson
C) Patricia Benner
D) Madeleine Leininger
Verified Answer: B
Rationale: Jean Watson developed the Theory of Human Caring, which
emphasizes the caring relationship between the nurse and patient. Orem
developed the Self-Care Deficit Theory, Benner developed Novice to
Expert, and Leininger developed Transcultural Nursing.
QUESTION 3
A nurse is applying Orem's Self-Care Deficit Theory in practice. Which
statement best describes the nurse's role in this theory?
A) The nurse helps the patient achieve their highest level of functioning
B) The nurse provides care when the patient is unable to perform self-
care
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C) The nurse focuses on the patient's environment
D) The nurse uses interpersonal relationships to promote healing
Verified Answer: B
Rationale: Orem's Self-Care Deficit Theory focuses on helping patients
perform self-care when they are unable to do so independently. The
nurse provides supportive care and education.
QUESTION 4
A nurse is using Peplau's Interpersonal Relations Theory. Which
statement best describes this theory?
A) Nursing is a therapeutic interpersonal process
B) Nursing focuses on self-care deficits
C) Nursing is about adapting to the environment
D) Nursing is about achieving self-actualization
Verified Answer: A
Rationale: Peplau's theory describes nursing as a therapeutic
interpersonal process between the nurse and the patient. It focuses on the
nurse-patient relationship and its stages (orientation, identification,
exploitation, resolution).
QUESTION 5
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A nurse is reviewing the stages of Peplau's Interpersonal Relations
Theory. Which stage involves the patient actively participating in goal
setting and problem-solving?
A) Orientation stage
B) Identification stage
C) Exploitation stage
D) Resolution stage
Verified Answer: C
Rationale: The exploitation stage involves the patient actively
participating in goal setting and problem-solving. The orientation stage
is the initial meeting, identification involves role clarification, and
resolution is the termination of the relationship.
QUESTION 6
A nurse is applying Roy's Adaptation Model in practice. Which
statement best describes this theory?
A) The patient is an adaptive system that responds to environmental
stimuli
B) The patient is a self-care agent
C) The nurse-patient relationship is therapeutic
D) The patient's environment is the focus of care
Verified Answer: A
WEST COAST UNIVERSITY NURS 500 –THEORETICAL
FOUNDATIONS OF NURSING PRACTICE
COMPREHENSIVE PRACTICE EXAM QUESTIONS
WITH ANSWERS AND RATIONALES |100% PASS
|GRADED A+ 2026/27
Covers Nursing Theories and Theorists, Theory Development,
Conceptual Frameworks, Grand Theories, Middle-Range Theories,
Practice Theories, Application of Theory to Practice, Nursing
Metaparadigm, and Research Utilization
QUESTION 1
A nurse is reviewing the four concepts of the nursing metaparadigm.
Which of the following is included in the metaparadigm?
A) Health, Environment, Person, Nursing
B) Health, Disease, Person, Nursing
C) Person, Nursing, Environment, Illness
D) Health, Person, Nursing, Communication
Verified Answer: A
,2 | Page
Rationale: The nursing metaparadigm consists of four concepts: Person
(recipient of care), Environment (internal and external surroundings),
Health (wellness and illness), and Nursing (the profession and its
actions). These provide the foundation for nursing theory.
QUESTION 2
Which nursing theorist is known for the Theory of Human Caring?
A) Dorothea Orem
B) Jean Watson
C) Patricia Benner
D) Madeleine Leininger
Verified Answer: B
Rationale: Jean Watson developed the Theory of Human Caring, which
emphasizes the caring relationship between the nurse and patient. Orem
developed the Self-Care Deficit Theory, Benner developed Novice to
Expert, and Leininger developed Transcultural Nursing.
QUESTION 3
A nurse is applying Orem's Self-Care Deficit Theory in practice. Which
statement best describes the nurse's role in this theory?
A) The nurse helps the patient achieve their highest level of functioning
B) The nurse provides care when the patient is unable to perform self-
care
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C) The nurse focuses on the patient's environment
D) The nurse uses interpersonal relationships to promote healing
Verified Answer: B
Rationale: Orem's Self-Care Deficit Theory focuses on helping patients
perform self-care when they are unable to do so independently. The
nurse provides supportive care and education.
QUESTION 4
A nurse is using Peplau's Interpersonal Relations Theory. Which
statement best describes this theory?
A) Nursing is a therapeutic interpersonal process
B) Nursing focuses on self-care deficits
C) Nursing is about adapting to the environment
D) Nursing is about achieving self-actualization
Verified Answer: A
Rationale: Peplau's theory describes nursing as a therapeutic
interpersonal process between the nurse and the patient. It focuses on the
nurse-patient relationship and its stages (orientation, identification,
exploitation, resolution).
QUESTION 5
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A nurse is reviewing the stages of Peplau's Interpersonal Relations
Theory. Which stage involves the patient actively participating in goal
setting and problem-solving?
A) Orientation stage
B) Identification stage
C) Exploitation stage
D) Resolution stage
Verified Answer: C
Rationale: The exploitation stage involves the patient actively
participating in goal setting and problem-solving. The orientation stage
is the initial meeting, identification involves role clarification, and
resolution is the termination of the relationship.
QUESTION 6
A nurse is applying Roy's Adaptation Model in practice. Which
statement best describes this theory?
A) The patient is an adaptive system that responds to environmental
stimuli
B) The patient is a self-care agent
C) The nurse-patient relationship is therapeutic
D) The patient's environment is the focus of care
Verified Answer: A
