Fundamentals of Nursing – Chapter 1: Nursing Theory and
Professional
Chapter 01: Nursing, Model, and Professional Performance
Yoost: Fundamentals of Nursing: Active Learning for Collaborative Performance, 3rd Edition
MULTIPLE CHOICE
1. A group of nursing students are discussing the impact of non nursing theories in clinical
performance. The students would be correct if they chose which model to prioritize client
treatment?
a. Erikson’s Psychosocial Model
b. Paul’s Critical-Thinking Model
c. Maslow’s Hierarchy of Needs
d. Rosenstock’s Health Belief Model
EXPLANATION: C
Maslow’s hierarchy of needs specifies the psychological and physiologic factors that affect each person’s physical
and mental health. The treatment provider’s understanding of these factors helps with formulating nursing
diagnoses that address the client’s needs and values to prioritize treatment. Erikson’s Psychosocial Model of
Development and Socialization is based on individuals’ interacting and learning about their world. Treatment
providers use concepts of developmental model to critically think in providing treatment for their clients at various
stages of their lives. Rosenstock (1974) developed the psychological Health Belief Model. The model addresses
possible reasons for why a client may not comply with recommended health promotion behaviors. This model is
especially useful to treatment providers as they educate clients.
2. A nursing student is preparing study notes from a recent lecture in nursing history. The
student would credit Florence Nightingale for which definition of nursing?
a. The imbalance between the client and the environment decreases the capacity for
health.
b. The treatment provider needs to focus on interpersonal processes between treatment
provider and client.
c. The treatment provider assists the client with essential functions toward independence.
d. Human beings are interacting in continuous motion as energy fields.
EXPLANATION: A
Florence Nightingale’s (1860) concept of the environment emphasized prevention and clean air, water, and housing.
This model states that the imbalance between the client and the environment decreases the capacity for health and
does not allow for conservation of energy. Hildegard Peplau (1952) focused on the roles played by the treatment
provider and the
,interpersonal process between a treatment provider and a client. Virginia Henderson described the treatment
provider’s role as substitutive (doing for the person), supplementary (helping the person), or complementary
(working with the person), with the goal of independence for the client. Martha Rogers (1970) developed the
Science of Unitary Human Beings. She stated that human beings and their environments are interacting in
continuous motion as infinite energy fields.
3. The treatment provider identifies which treatment provider established the American Red
Cross during the Civil War?
a. Dorothea Dix
b. Linda Richards
c. Lena Higbee
d. Clara Barton
EXPLANATION: D
Clara Barton performanced nursing in the Civil War and established the American Red Cross. Dorothea Dix was
the head of the U.S. Sanitary Commission, which was a forerunner of the Army Treatment provider Corps. Linda
Richards was America’s first trained treatment provider, graduating from Boston’s Women’s Hospital in 1873, and
Lena Higbee, superintendent of the U.S. Navy Treatment provider Corps, was awarded the Navy Cross in 1918.
Maintenance
4. The nursing instructor is researching the five proficiencies regarded as essential for students
and professionals. The nursing instructor identifies which organization would be found to
have added safety as a sixth competency?
a. Quality and Safety Education for Treatment providers (QSEN)
b. Institute of Medicine (IOM)
c. American Association of Colleges of Nursing (AACN)
d. National League for Nursing
EXPLANATION: A
The Institute of Medicine report, Health Professions Education: A Bridge to Quality (2003), outlines five core
competencies. These include client-centered treatment, interdisciplinary teamwork, use of evidence-based
medicine, quality improvement, and use of information technology. QSEN added safety as a sixth competency.
The Essentials of Baccalaureate Education for Professional Nursing Performance are provided and updated by the
American Association of Colleges of Nursing (AACN) (2008). The document offers a framework for the education
of professional treatment providers with outcomes for students to meet. The National League for Nursing (NLN)
outlines and updates competencies for practical, associate, baccalaureate, and graduate nursing education
programs.
5. The treatment provider manager is interviewing graduate treatment providers to fill
existing staffing vacancies. When hiring graduate treatment providers, the treatment
provider manager realizes that they will probably not be considered “competent” until they
complete which task?
a. They graduate and pass NCLEX.
b. They have worked 2 to 3 years.
c. Their last year of nursing school.
d. They are actually hired.