v v v v v
v
Chapter 1: Theory
PROFESSIONAL Based Perspectives and Contemporary
COMMUNICATION v v
SKILLS FOR Dynamics
v NURSING 8th v v v v
v v
v
v v
Arnold: Interpersonal Relationships, 8th Edition
v v v v v
EDITION BY ARNOLD
v v v
MULTIPLE CHOICE v
1. When describing nursing to a group of nursing students, the nursing instructor lists all of the
v v v v v v v v v v v v v v v
following characteristics of nursing except
v v v v v
a. historically nursing is as old as mankind. v v v v v v
b. nursing was originally practiced informally by religious orders dedicated to care of
v v v v v v v v v v v
the sick. v v
c. nursing was later practiced in the home by female caregivers with no formal
v v v v v v v v v v v v
education. v
d. nursing has always been identifiable as a distinct occupation.
v v v v v v v v
ANS: A v
Historically, nursing is as old as mankind. Originally practiced informally by religious orders
v v v v v v v v v v v v
dedicated to care of the sick and later in the home by female caregivers with no formal
v v v v v v v v v v v v v v v v v
education, nursing was not identifiable as a distinct occupation until the 1854 Crimean war.
v v v v v v v v v v v v v v
There, Florence Nightingale’s Notes on Nursing introduced the world to the functional roles
v v v v v v v v v v v v v
of professional nursing and the need for formal education.
v v v v v v v v v
DIF: Cognitive Level: Comprehension REF: p. v v v
1 TOP: Step of the Nursing Process: All phases
v v v v v v v v v
MSC: Client Needs: Psychosocial Integrity
v v v v
2. The nursing profession’s first nurse researcher, who served as an early advocate for
v v v v v v v v v v v v
high-quality care and used statistical data to document the need for handwashing in preventing
v v v v v v v v v v v v v
infection, was
v v
a. Abraham Maslow. v
b. Martha Rogers. v
c. Hildegard Peplau. v
d. Florence Nightingale. v
ANS: D v
An early advocate for high-quality care, Florence Nightingale’s use of statistical data to
v v v v v v v v v v v v
document the need for handwashing in preventing infection marks her as the profession’s first
v v v v v v v v v v v v v v
nurse researcher.
v v
DIF: Cognitive Level: Knowledge REF: p. v v v
1 TOP: Step of the Nursing Process: All phases
v v v v v v v v v
MSC: Client Needs: Management of Care
v v v v v
3. Today, professional nursing education begins at the
v v v v v v
a. undergraduate level. v
b. graduate level. v
c. advanced practice level. v v
d. administrative level. v
ANS: A v
WWW.NURSYLAB.COM
, Today, professional nursing education begins at the undergraduate level, with a growing
v v v v v v v v v v v
number of nurses choosing graduate studies to support differentiated practice roles and/or
v v v v v v v v v v v v
research opportunities. Nurses are prepared to function as advanced practice nurse
v v v v v v v v v v v
practitioners, administrators, and educators.
v v v v
DIF: Cognitive Level: Comprehension REF: p. v v v
2 TOP: Step of the Nursing Process: All phases
v v v v v v v v v
MSC: Client Needs: Management of Care
v v v v v
4. Nursing’s metaparadigm, or worldview, distinguishes the nursing profession from other
v v v v v v v v v
disciplines and emphasizes its unique functional characteristics. The four key concepts that
v v v v v v v v v v v v
form the foundation for all nursing theories are
v v v v v v v v
a. caring, compassion, health promotion, and education.
v v v v v
b. respect, integrity, honesty, and advocacy. v v v v
c. person, environment, health, and nursing. v v v v
d. nursing, teaching, caring, and health promotion. v v v v v
ANS: C v
Individual nursing theories represent different interpretations of the phenomenon of nursing,
v v v v v v v v v v
vbut central constructs—person, environment, health, and nursing—are found in all theories
v v v v v v v v v v
vand models. They are referred to as nursing’s metaparadigm.
v v v v v v v v
DIF: Cognitive Level: Knowledge REF: p. v v v
2 TOP: Step of the Nursing Process: All phases
v v v v v v v v v
MSC: Client Needs: Management of Care
v v v v v
5. When admitting a client to the medical-surgical unit, the nurse asks the client about cultural
v v v v v v v v v v v v v v
issues. The nurse is demonstrating use of the concept of
v v v v v v v v v
a. person.
b. environment.
c. health.
d. nursing.
ANS: B v
The concept of environment includes all cultural, developmental, and social determinants that
v v v v v v v v v v v
influence a client’s health perceptions and behavior. A person is defined as the recipient of
v v v v v v v v v v v v v v v
nursing care, having unique bio-psycho-social and spiritual dimensions. The word health
v v v v v v v v v v v
derives from the word whole. Health is a multidimensional concept, having physical,
v v v v v v v v v v v v
psychological, sociocultural, developmental, and spiritual characteristics. The World Health
v v v v v v v v v
Organization (WHO, 1946) defines health as “a state of complete physical, mental, social
v v v v v v v v v v v v v
well-being, not merely the absence of disease or infirmity.” Nursing includes the promotion of
v v v v v v v v v v v v v v
health, prevention of illness, and the care of ill, disabled, and dying people.
v v v v v v v v v v v v v
DIF: Cognitive Level: Application REF: p. v v v
3 TOP: Step of the Nursing Process: Assessment
v v v v v v v v
MSC: Client Needs: Psychosocial Integrity
v v v v
6. A young mother tells the nurse, “I’m worried because my son needs a blood transfusion. I
v v v v v v v v v v v v v v v
don’t know what to do, because blood transfusions cause AIDS.” Which central nursing
v v v v v v v v v v v v v
construct is represented in this situation?
v v v v v v
a. Environment
WWW.NURSYLAB.COM
, b. Caring
c. Health
d. Person
ANS: D v
The concept of environment includes all cultural, developmental, and social determinants that
v v v v v v v v v v v
influence a client’s health perceptions and behavior. Caring is not one of the four central
v v v v v v v v v v v v v v v
nursing constructs. The word health derives from the word whole. Health is a
v v v v v v v v v v v v v
multidimensional concept, having physical, psychological, sociocultural, developmental, and
v v v v v v v v
spiritual characteristics. The World Health Organization (WHO, 1946) defines health as “a
v v v v v v v v v v v v
state of complete physical, mental, social well-being, not merely the absence of disease or
v v v v v v v v v v v v v v
infirmity.” Nursing includes the promotion of health, prevention of illness, and the care of ill,
v v v v v v v v v v v v v v v
disabled, and dying people. Person is defined as the recipient of nursing care, having unique
v v v v v v v v v v v v v v v
bio-psycho-social and spiritual dimensions.
v v v v
DIF: Cognitive Level: Application REF: p. v v v
2 TOP: Step of the Nursing Process: Implementation
v v v v v v v v
MSC: Client Needs: Psychosocial Integrity
v v v v v
7. The nurse performs a dressing change using sterile technique. This is an example of which
v v v v v v v v v v v v v v
pattern of knowledge?
v v v
a. Empirical
b. Personal
c. Aesthetic
d. Ethical
ANS: A v
Empirical knowledge is the scientific rationale for skilled nursing interventions. Personal
v v v v v v v v v v
ways of knowing allow the nurse to understand and treat each individual as a unique person.
v v v v v v v v v v v v v v v v
Aesthetic ways of knowing allow the nurse to connect in different and more meaningful ways.
v v v v v v v v v v v v v v v
Ethical ways of knowing refer to the moral aspects of nursing.
v v v v v v v v v v v
DIF: Cognitive Level: Comprehension REF: p. v v v
5 TOP: Step of the Nursing Process: Implementation
v v v v v v v v
MSC: Client Needs: Management of Care
v v v v v v
8. The nurse-client relationship as described by Hildegard Peplau
v v v v v v v
a. would not be useful in a short-stay unit.v v v v v v v
b. allows personal and social growth to occur only for the client.
v v v v v v v v v v
c. facilitates the identification and accomplishment of therapeutic goals.
v v v v v v v
d. focuses on maintaining a personal relationship between the nurse and client.
v v v v v v v v v v
ANS: C v
Hildegard Peplau offers the best-known nursing model for the study of interpersonal
v v v v v v v v v v v
relationships in health care. Her model describes how the nurse-client relationship can
v v v v v v v v v v v v
facilitate the identification and accomplishment of therapeutic goals to enhance client and
v v v v v v v v v v v v
family well-being. In contemporary practice, Peplau’s framework is more applicable today in
v v v v v v v v v v v v
longer term relationships, and in settings such as rehabilitation centers, long-term care, and
v v v v v v v v v v v v v
nursing homes. Despite the brevity of the alliances in acute care settings, basic principles of
v v v v v v v v v v v v v v v
being a participant observer in the relationship, building rapport, developing a working
v v v v v v v v v v v v
partnership, and terminating a relationship remain relevant.
v v v v v v v
WWW.NURSYLAB.COM
, DIF: Cognitive Level: Knowledge REF: p. v v v
10 TOP: Step of the Nursing Process: All phases
v v v v v v v v v
MSC: Client Needs: Psychosocial Integrity
v v v v
9. The identification phase of the nurse-client relationship
v v v v v v
a. sets the stage for the rest of the relationship.
v v v v v v v v
b. correlates with the assessment phase of the nursing process. v v v v v v v v
c. focuses on therapeutic goals to enhance client and family well-being.
v v v v v v v v v
d. uses community resources to help resolve health care issues.
v v v v v v v v
ANS: C v
Hildegard Peplau offers the best-known nursing model for the study of interpersonal
v v v v v v v v v v v
relationships in health care. Her model describes how the nurse-client relationship can
v v v v v v v v v v v v
facilitate the identification and accomplishment of therapeutic goals to enhance client and
v v v v v v v v v v v v
family well-being.
v v
DIF: Cognitive Level: Knowledge REF: p. v v v
10 TOP: Step of the Nursing Process: Implementation
v v v v v v v v
MSC: Client Needs: Management of Care
v v v v v v
10. Abraham Maslow's needs theory is a framework that
v v v v v v v
a. begins with meeting basic psychosocial needs first.
v v v v v v
b. ensures essential needs are satisfied, then people move into higher physiological
v v v v v v v v v v
areas of development.
v v v
c. proposes that people are motivated to meet their needs in a descending order.
v v v v v v v v v v v v
d. nurses use to prioritize client needs and develop relevant nursing approaches.
v v v v v v v v v v
ANS: D v
Abraham Maslow's needs theory is a framework that nurses use to prioritize client needs and
v v v v v v v v v v v v v v
develop relevant nursing approaches. Maslow's model proposes that people are motivated to
v v v v v v v v v v v v
meet their needs in an ascending order beginning with meeting basic survival needs. As
v v v v v v v v v v v v v v
essential needs are satisfied, people move into higher psychosocial areas of development.
v v v v v v v v v v v v
DIF: Cognitive Level: Application REF: p. v v v
10 TOP: Step of the Nursing Process: All phases
v v v v v v v v v
MSC: Client Needs: Psychosocial Integrity
v v v v
11. Which of the following statements about communication theory is true?
v v v v v v v v v
a. Primates are able to learn new languages to share ideas and feelings.
v v v v v v v v v v v
b. Concepts include only verbal communication. v v v v
c. Perceptions are clarified through feedback. v v v v
d. Past experience does not influence communication.
v v v v v
ANS: C v
Feedback is the only way to know that one’s perceptions about meanings are valid. Human
v v v v v v v v v v v v v v
communication is unique. Only human beings have large vocabularies and are capable of
v v v v v v v v v v v v v
learning new languages as a means of sharing their ideas and feelings. Communication
v v v v v v v v v v v v v
includes language, gestures, and symbols to convey intended meaning, exchange ideas and
v v v v v v v v v v v v
feelings, and to share significant life experience. To encode a message appropriately requires
v v v v v v v v v v v v v
a clear understanding of the receiver’s mental frame of reference (e.g., feelings, personal
v v v v v v v v v v v v v
agendas, past experiences) and knowledge of its purpose or intent of the communication.
v v v v v v v v v v v v v
WWW.NURSYLAB.COM