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MULTIPLE iCHOICE
1. The inursing iinstructor iis iteaching ia iclass ion inursing itheory. iOne iof ithe istudents iasks, i“Why
ido iwe ineed ito iknow ithis istuff? iIt idoesn’t ireally iaffect ipatients.” iWhat iis ithe iinstructor’s
ibestresponse?
a. “You iare icorrect, ibut iwe ihave ito ilearn iit ianyway.”
b. “This ikeeps ithe ifocus iof inursing inarrow.”
c. “Theories ihelp iexplain iwhy inurses ido iwhat ithey ido.”
d. “Exposure ito itheories iwill ihelp iyou ilater iin igraduate ischool.”
ANS: iC
Theories ioffer iwell-grounded irationales ifor ihow iand iwhy inurses iperform ispecific iinterventions iand
ifor ipredicting iand/or iprescribing inursing icare imeasures. iAlthough inursing itheory iwill ihelp ithe inurse
iin igraduate ischool, iit iis ialso ian iimportant ibasis ifor ithe inurse’s iapproach ito idaily ipatient icare, iand iit
iexpands iscientific iknowledge iof ithe iprofession.
DIF:Apply i(application)REF:41
OBJ: iExplain ithe iinfluence iof inursing itheory ion ia inurse’s iapproach ito ipractice.
i TOP:ImplementationMSC:Management iof iCare
2. The inurse iis icaring ifor ia ipatient iwho idoes inot ifollow ithe iprescribed iregimen ifor
idiabetes imanagement. iAs ia iprescriber ito iOrem’s itheory, ithe inurse iinterviews ithe ipatient iin ian
iattempt ito iidentify ithe icause iof ithe ipatient’s i“noncompliance.” iWhat iis ithe irationale ifor ithe
inurse’s ibehavior?
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a. Orem’s itheory iis iuseful iin idesigning iinterventions ito ipromote iself-care.
b. Orem’s itheory ifocuses ion icultural iissues ithat imay iaffect icompliance.
c. Orem’s itheory iallows ifor ireduction iof ianxiety iwith icommunication.
d. Orem’s itheory ihelps inurses imanipulate ithe ipatient’s ienvironment.
ANS: iA
When iapplying iOrem’s itheory, ia inurse icontinually iassesses ia ipatient’s iability ito iperform iself-care
iand iintervenes ias ineeded ito iensure ithat ithe ipatients imeet iphysical, ipsychological, isociological,
iand idevelopmental ineeds. iAccording ito iOrem, ipeople iwho iparticipate iin iself-care iactivities iare
imore ilikely ito iimprove itheir ihealth ioutcomes. iLeiniger’s iculture icare itheory ifocuses ion iculture
idiversity iand iprovides iculturally ispecific inursing icare. iAccording ito iPeplau, inurses ihelp
ipatients ireduce ianxiety iby iconverting iit iinto iconstructive iactions, iusing itherapeutic icommunication.
iNightingale’s igrand itheory iis ia ipatient’s ienvironment ican ibe imanipulated iby inurses ito irestore ia
ipatient ito ihealth.
DIF:Apply i (application)REF:47-48
OBJ: iExplain ithe iinfluence iof inursing itheory ion ia inurse’s iapproach ito ipractice.
i TOP:EvaluationMSC:Management iof iCare
3. A inurse iis itesting imeditation ifor imigraine iheadaches iand ithe iexpected ioutcome iof icare iwhen
iperforming ithis iintervention. iWhich itype iof itheory iis ithe inurse iusing?
a. Grand
b. Prescriptive
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c. Descriptive
d. Middle-range
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ANS: iB
A iprescriptive itheory idetails inursing iinterventions i(meditation) ifor ia ispecific iphenomenon i(migraine
iheadaches) iand ithe iexpected ioutcome iof ithe icare. iGrand itheories iare ibroad iin iscope iand icomplex
iand irequire ifurther ispecification ithrough iresearch; iit idoes inot iprovide iguidance ifor ispecific
inursing iinterventions. iDescriptive itheories ido inot idirect ispecific inursing iactivities ibut ihelp ito
iexplain ipatient iassessment. iA imiddle-range itheory itends ito ifocus ion ia iconcept ifound iin ia ispecific
ifield iof inursing, isuch ias iuncertainty, iincontinence, isocial isupport, iquality iof ilife, iand icaring, irather
ithan ireflect ion ia iwide ivariety iof inursing icare isituations.
DIF:Apply i(application)REF:44
OBJ:Describe itypes iof inursing itheories.TOP:Implementation
i MSC:Management iof iCare
4. The inurse iresearcher iis ievaluating iwhether iholding ipressure iat ian iinjection isite iafter iinjecting ithe
ianticoagulant ienoxaparin iwill ireduce ibruising iat ithe iinjection isite. iThis istudy iinvolves ia
iprescriptive itheory. iWhat iis ithe inurse’s irationale ifor iinvolving ia iprescriptive itheory?
a. It iexplains iwhy ibruising ioccurs.
b. It iis ibroad iin iscope iand icomplex.
c. It itests ia ispecific inursing iintervention.
d. It ireflects ia iwide ivariety iof inursing icare isituations.
ANS: iC