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Exam (elaborations)

Exam Q&A Pack – Real Questions with Model Answers

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Exam Q&A Pack – Real Questions with Model Answers

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NURS 312 Midterm
Top-Scoring Exam Questions with Detailed Solutions


Who proposed a gender differentiation developmental theory that female development does

not follow a progression of stages but based on experiences within relationships?



A. Anna Freud

B. Carl Rogers

C. Carol Gilligan

D. Abraham Maslow - C



Which theory attempted to reconstruct the personality by examining free associations and the

interpretation of dreams?



A. cognitive-behaviour therapy

B. psychoanalysis
C. interpersonal relations

D. transference - B



When integrating the Neuman systems model while caring for a client with a mood disorder, a
nurse would focus on what about the client?



A. behaviours

B. relationships

C. self-care activities

D. stressors - D

,Interpersonal Relations: - -Hildegard Peplau

-The nurse is responsible to exhibit an empathetic linkage, where they are able to feel the
feelings experienced

-The nurse should also be aware of Peplau's stages of anxiety and their associated behavioural
cues that Paplau calls "relief behaviours". These behaviours are generated by unmet self-system
security needs.

-Stages of the therapeutic nurse-client relationship: Orientation, identification, exploitation,
resolution

-Stages of Anxiety:

>Mild: positive state of heightened awareness and sharpened senses, allowing the person to learn
new behaviours and solve problems. >Moderate anxiety: decreased perceptual field. The person
can learn a new behaviour or solve problems only with assistance.

>Severe anxiety: feeling of dread and terror. Person cannot be redirected to a task. Has
physiologic symptoms of tachycardia, diaphoresis and chest pain

>Panic anxiety: loss of rational thought, delusions, hallucinations, and complete physical
immobility and muteness. Person may bolt and run aimlessly, often exposing themselves to
injury.



Dynamic-Nurse-Patient Relationship - -Nursing theory

-Jean Orlando

-Involves the pt's behaviour, the nurse's reaction and anything that does not relieve the distress of
the pt, which Orlando attributed to the pt's inability to meet or communicate his/her needs



Human becoming - -Nursing theory

-Rosemarie Rizzo Parse

-Quality of life
-3 Structures:

(1) Meaning: structuring meaning is the imagining valuing of language

(2) Rhythmicity: Configuring rhythmical patterns of relation is the revealing-concealing and
enabling-limiting of connecting-separating

, (3) Transcendence: Cotrascending with possible is the powering and originating of transforming.

-The nurse can support the family's exploration of paradoxical feelings (guilt and powerlessness)



Primacy of Caring: - -Patricia Benner

-Nursing theory

-nursing a caring relationship

-environment situates meaning. And people enter situations with their own set of meanings,
habits, and perspectives and their interpretations affect the way they respond in these situations



Caring - -Jean Watson

-caring is the foundation of nursing

-trusting relationship, congruence, empathy, nonpossessive warmth, effective communication



Tidal Model of Mental Health Recovery and Reclamation: - -Philip Barker

-Nursing Theory

-Reclamation of one's own life story is necessary for recovery (nurse helps pt. to discover,
identify and address problems affecting them)

-Change: nurse's role is shaped by the changing needs of the pt. across the continuum of care

-domains of self, world and others



Health Promotion: The McGill Model of Nursing - -four major concepts: health, family
(person), collaboration and learning
-Coping and development are health processes that facilitate functioning and satisfaction



Goal Attainment: - -Imogen M. King

-Nursing theory

-Goal oriented and purposeful; reacting to stressors, viewed as an open system interacting with
the environment

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