NURSING TEST BANK EXAM
QUESTIONS AND ANSWERS
The patient is newly diagnosed with diabetes and will be discharged in the next day
or so. The nurse is teaching the patient how to draw up and self-administer insulin.
Which nursing theory is the nurse utilizing?
a.
Watson's theory
b.
Orem's theory
c.
Roger's theory
d.
Henderson's theory - Answer-ANS: B
The goal of Orem's theory is to help the patient perform self-care. In Watson's
theory, the nurse is concerned with promoting and restoring health and preventing
illness. Roger's theory considers caring as a fundamental component of professional
nursing practice and is based upon 10 curative factors. Henderson defines nursing
as assisting patients with 14 activities until patients can meet these needs for
themselves.
A nurse is conducting research about the needs of depressed patients. The nurse
writes the following: Depression is a patient reporting a score above 7 on the
Hamilton Depression Rating Scale. What did the nurse write?
a.
Operational definition
b.
Conceptual definition
c.
Paradigm
d.
Concept - Answer-ANS: A
Operational definitions state how concepts are measured (Hamilton Depression
Rating Scale). Theoretical or conceptual definitions simply define a particular
concept, much like what can be found in a dictionary, based on the theorist's
perspective (a mood disorder causing severe sadness and apathy). A paradigm is a
pattern of beliefs used to describe a discipline's domain. Think of concepts as ideas
and mental images, like depression is a concept.
Which action indicates the nurse is using the nursing process in patient care?
a.
Generates nursing knowledge for use in nursing practice.
b.
Conceptualizes an aspect of nursing to predict nursing care.
c.
Develops nursing care as a specific, distinct phenomenon.
d.
Delivers nursing care using a systematic approach. - Answer-ANS: D
,The nursing process provides a systematic approach for the delivery of nursing care.
Theory generates nursing knowledge for use in practice; the nursing process is not a
theory. A nursing theory conceptualizes an aspect of nursing to describe, explain,
predict, or prescribe nursing care. An interdisciplinary theory explains a phenomenon
specific to the discipline that developed the theory.
A nurse is using theoretical knowledge in nursing practice to provide patient care.
Which nursing behavior is an example of theoretical knowledge?
a.
Reads about different concepts
b.
Reflects on clinical experiences
c.
Combines the art and science of nursing
d.
Creates a narrow understanding of nursing practice - Answer-ANS: A
Theoretical knowledge is acquired through "reading, observing, or discussing"
concepts. The goals of theoretical knowledge are to stimulate thinking and create a
broad understanding of nursing science and practices. Experiential, or clinical,
knowledge is formed from nurses' clinical experiences. Both types of knowledge are
needed in order to provide safe, comprehensive nursing care.
A nurse is using Maslow's hierarchy of needs to prioritize care. Place the levels in
order of basic priority to highest priority that the nurse will follow.
1. Physiological
2. Self-esteem
3. Self-actualization
4. Safety and security
5. Love and belonging
a.
4, 1, 2, 3, 5
b.
1, 4, 5, 3, 2
c.
4, 5, 3, 2, 1
d.
1, 4, 5, 2, 3 - Answer-ANS: D
Maslow's hierarchy is as follows: physiological, safety and security, love and
belonging, self-esteem, and self-actualization.
A nurse is using a nursing metaparadigm to define nursing. Which concepts will the
nurse include? (Select all that apply.)
a.
Person
b.
Disease
c.
Health
d.
Nursing
, e.
Environment - Answer-ANS: A, C, D, E
Nursing's metaparadigm includes four concepts: person, health,
environment/situation, and nursing. Disease is not part of nursing's metaparadigm.
A nurse wants to incorporate psychosocial theories into nursing practice. Which
elements will the nurse include? (Select all that apply.)
a.
Physiological needs of the patient
b.
Psychological needs of the patient
c.
Sociocultural needs of the patient
d.
Cognitive needs of the patient
e.
Spiritual needs of the patient - Answer-ANS: A, B, C, E
When nursing incorporates psychosocial theories into nursing practice, the nurse
strives to meet the physiological, psychological, sociocultural, developmental, and
spiritual needs of patients. Cognitive needs of the patient are included in educational
theories.
The nursing instructor is teaching a class on nursing theory. One of the students
asks, "Why do we need to know this stuff? It doesn't really affect patients." The
instructor's best response would be
a.
"You are correct, but we have to learn it anyway."
b.
"Exposure to theories will help you later in graduate school."
c.
"Theories help keep the focus of nursing narrow."
d.
"Theories help explain why nurses do what they do." - Answer-ANS: D
Theories offer well-grounded rationales or reasons for how and why nurses perform
specific interventions. Learning about theories is important because these theories
help to describe, explain, predict, and/or prescribe 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 patient care, and it expands scientific knowledge of the
profession.
The nurse is caring for a patient who is known as a "frequent flyer," and who has
been labeled as "noncompliant" by most of the staff because she does not follow her
prescribed regimen for diabetes management. As a prescriber to Orem's theory, the
nurse interviews the patient in an attempt to identify the cause of the patient's
"noncompliance." This is because Orem's theory
a.
QUESTIONS AND ANSWERS
The patient is newly diagnosed with diabetes and will be discharged in the next day
or so. The nurse is teaching the patient how to draw up and self-administer insulin.
Which nursing theory is the nurse utilizing?
a.
Watson's theory
b.
Orem's theory
c.
Roger's theory
d.
Henderson's theory - Answer-ANS: B
The goal of Orem's theory is to help the patient perform self-care. In Watson's
theory, the nurse is concerned with promoting and restoring health and preventing
illness. Roger's theory considers caring as a fundamental component of professional
nursing practice and is based upon 10 curative factors. Henderson defines nursing
as assisting patients with 14 activities until patients can meet these needs for
themselves.
A nurse is conducting research about the needs of depressed patients. The nurse
writes the following: Depression is a patient reporting a score above 7 on the
Hamilton Depression Rating Scale. What did the nurse write?
a.
Operational definition
b.
Conceptual definition
c.
Paradigm
d.
Concept - Answer-ANS: A
Operational definitions state how concepts are measured (Hamilton Depression
Rating Scale). Theoretical or conceptual definitions simply define a particular
concept, much like what can be found in a dictionary, based on the theorist's
perspective (a mood disorder causing severe sadness and apathy). A paradigm is a
pattern of beliefs used to describe a discipline's domain. Think of concepts as ideas
and mental images, like depression is a concept.
Which action indicates the nurse is using the nursing process in patient care?
a.
Generates nursing knowledge for use in nursing practice.
b.
Conceptualizes an aspect of nursing to predict nursing care.
c.
Develops nursing care as a specific, distinct phenomenon.
d.
Delivers nursing care using a systematic approach. - Answer-ANS: D
,The nursing process provides a systematic approach for the delivery of nursing care.
Theory generates nursing knowledge for use in practice; the nursing process is not a
theory. A nursing theory conceptualizes an aspect of nursing to describe, explain,
predict, or prescribe nursing care. An interdisciplinary theory explains a phenomenon
specific to the discipline that developed the theory.
A nurse is using theoretical knowledge in nursing practice to provide patient care.
Which nursing behavior is an example of theoretical knowledge?
a.
Reads about different concepts
b.
Reflects on clinical experiences
c.
Combines the art and science of nursing
d.
Creates a narrow understanding of nursing practice - Answer-ANS: A
Theoretical knowledge is acquired through "reading, observing, or discussing"
concepts. The goals of theoretical knowledge are to stimulate thinking and create a
broad understanding of nursing science and practices. Experiential, or clinical,
knowledge is formed from nurses' clinical experiences. Both types of knowledge are
needed in order to provide safe, comprehensive nursing care.
A nurse is using Maslow's hierarchy of needs to prioritize care. Place the levels in
order of basic priority to highest priority that the nurse will follow.
1. Physiological
2. Self-esteem
3. Self-actualization
4. Safety and security
5. Love and belonging
a.
4, 1, 2, 3, 5
b.
1, 4, 5, 3, 2
c.
4, 5, 3, 2, 1
d.
1, 4, 5, 2, 3 - Answer-ANS: D
Maslow's hierarchy is as follows: physiological, safety and security, love and
belonging, self-esteem, and self-actualization.
A nurse is using a nursing metaparadigm to define nursing. Which concepts will the
nurse include? (Select all that apply.)
a.
Person
b.
Disease
c.
Health
d.
Nursing
, e.
Environment - Answer-ANS: A, C, D, E
Nursing's metaparadigm includes four concepts: person, health,
environment/situation, and nursing. Disease is not part of nursing's metaparadigm.
A nurse wants to incorporate psychosocial theories into nursing practice. Which
elements will the nurse include? (Select all that apply.)
a.
Physiological needs of the patient
b.
Psychological needs of the patient
c.
Sociocultural needs of the patient
d.
Cognitive needs of the patient
e.
Spiritual needs of the patient - Answer-ANS: A, B, C, E
When nursing incorporates psychosocial theories into nursing practice, the nurse
strives to meet the physiological, psychological, sociocultural, developmental, and
spiritual needs of patients. Cognitive needs of the patient are included in educational
theories.
The nursing instructor is teaching a class on nursing theory. One of the students
asks, "Why do we need to know this stuff? It doesn't really affect patients." The
instructor's best response would be
a.
"You are correct, but we have to learn it anyway."
b.
"Exposure to theories will help you later in graduate school."
c.
"Theories help keep the focus of nursing narrow."
d.
"Theories help explain why nurses do what they do." - Answer-ANS: D
Theories offer well-grounded rationales or reasons for how and why nurses perform
specific interventions. Learning about theories is important because these theories
help to describe, explain, predict, and/or prescribe 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 patient care, and it expands scientific knowledge of the
profession.
The nurse is caring for a patient who is known as a "frequent flyer," and who has
been labeled as "noncompliant" by most of the staff because she does not follow her
prescribed regimen for diabetes management. As a prescriber to Orem's theory, the
nurse interviews the patient in an attempt to identify the cause of the patient's
"noncompliance." This is because Orem's theory
a.
