NSG 527 FINAL EXAM COMPREHENSIVE
PRACTICE EXAMINATION 300 MULTIPLE-
CHOICE QUESTIONS AND ANSWERS
WITH DETAILED RATIONALES LATEST
UPDATE
Question 1
A patient with chronic heart failure presents with worsening dyspnea, peripheral
edema, and fatigue. The nurse practitioner applies Orem's Self-Care Deficit Theory
to guide the assessment. Which intervention best exemplifies the supportive-
educative nursing system?
A. Administering intravenous diuretics to reduce fluid overload
B. Positioning the patient in high Fowler's position to facilitate breathing
C. Teaching the patient to recognize early signs of fluid retention and adjust
dietary sodium intake
D. Monitoring daily weights and strict intake/output measurements
Correct Answer: C
Rationale: Orem's Self-Care Deficit Theory identifies three nursing systems:
wholly compensatory, partly compensatory, and supportive-educative. The
supportive-educative system is used when the patient can perform self-care
activities but needs assistance with decision-making, behavior modification, or
acquiring knowledge. Teaching the patient to recognize early signs of fluid
,retention and adjust dietary sodium intake empowers the patient to manage their
condition independently, which is the hallmark of the supportive-educative system.
---
Question 2
In applying Watson's Theory of Human Caring to a terminally ill patient
experiencing existential distress, which nursing action most effectively
demonstrates the carative factor of "cultivating sensitivity to self and others"?
A. Administering prescribed analgesics to manage physical pain
B. Arranging for spiritual counseling services to address spiritual needs
C. Sitting quietly with the patient, acknowledging their fears and validating their
emotional responses
D. Educating the family about the stages of grief and dying process
Correct Answer: C
Rationale: Watson's Theory of Human Caring includes ten carative factors.
"Cultivating sensitivity to self and others" involves being authentically present,
acknowledging emotions, and validating the patient's experience. Sitting quietly
with the patient and acknowledging their fears demonstrates emotional presence
and sensitivity, which is the essence of this carative factor.
---
Question 3
,According to King's Theory of Goal Attainment, what is the most important
element in the nurse-patient relationship?
A. The nurse's clinical expertise
B. Mutual goal setting between the nurse and patient
C. The patient's compliance with treatment
D. The healthcare institution's policies
Correct Answer: B
Rationale: King's Theory of Goal Attainment emphasizes that health outcomes are
achieved through mutual goal setting between the nurse and the patient. The theory
posits that when the nurse and patient collaboratively identify and work toward
shared goals, transactions occur that lead to goal attainment and improved health
outcomes.
---
Question 4
Which nursing model views the family as a unit of analysis in the same context as
the individual, where the family unit is adaptive and interacts with external
environment and stimuli?
A. King's Theory of Goal Attainment
B. Roy's Adaptation Model
C. Neumann's Health System's Model
D. Orem's Self-Care Model
, Correct Answer: B
Rationale: Roy's Adaptation Model views the family as a unit of analysis, similar
to the individual. The family unit is considered adaptive and continuously interacts
with both internal and external stimuli in the environment. The model focuses on
how the family adapts to environmental changes to maintain health.
---
Question 5
A nurse is educating women on the need for calcium to prevent bone loss. What
level of prevention does this represent?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Residual prevention
Correct Answer: A
Rationale: Primary prevention involves health promotion and disease prevention
activities that occur before the onset of disease. Educating women about calcium to
prevent bone loss is a primary prevention strategy aimed at preventing osteoporosis
before it develops.
---
Question 6
PRACTICE EXAMINATION 300 MULTIPLE-
CHOICE QUESTIONS AND ANSWERS
WITH DETAILED RATIONALES LATEST
UPDATE
Question 1
A patient with chronic heart failure presents with worsening dyspnea, peripheral
edema, and fatigue. The nurse practitioner applies Orem's Self-Care Deficit Theory
to guide the assessment. Which intervention best exemplifies the supportive-
educative nursing system?
A. Administering intravenous diuretics to reduce fluid overload
B. Positioning the patient in high Fowler's position to facilitate breathing
C. Teaching the patient to recognize early signs of fluid retention and adjust
dietary sodium intake
D. Monitoring daily weights and strict intake/output measurements
Correct Answer: C
Rationale: Orem's Self-Care Deficit Theory identifies three nursing systems:
wholly compensatory, partly compensatory, and supportive-educative. The
supportive-educative system is used when the patient can perform self-care
activities but needs assistance with decision-making, behavior modification, or
acquiring knowledge. Teaching the patient to recognize early signs of fluid
,retention and adjust dietary sodium intake empowers the patient to manage their
condition independently, which is the hallmark of the supportive-educative system.
---
Question 2
In applying Watson's Theory of Human Caring to a terminally ill patient
experiencing existential distress, which nursing action most effectively
demonstrates the carative factor of "cultivating sensitivity to self and others"?
A. Administering prescribed analgesics to manage physical pain
B. Arranging for spiritual counseling services to address spiritual needs
C. Sitting quietly with the patient, acknowledging their fears and validating their
emotional responses
D. Educating the family about the stages of grief and dying process
Correct Answer: C
Rationale: Watson's Theory of Human Caring includes ten carative factors.
"Cultivating sensitivity to self and others" involves being authentically present,
acknowledging emotions, and validating the patient's experience. Sitting quietly
with the patient and acknowledging their fears demonstrates emotional presence
and sensitivity, which is the essence of this carative factor.
---
Question 3
,According to King's Theory of Goal Attainment, what is the most important
element in the nurse-patient relationship?
A. The nurse's clinical expertise
B. Mutual goal setting between the nurse and patient
C. The patient's compliance with treatment
D. The healthcare institution's policies
Correct Answer: B
Rationale: King's Theory of Goal Attainment emphasizes that health outcomes are
achieved through mutual goal setting between the nurse and the patient. The theory
posits that when the nurse and patient collaboratively identify and work toward
shared goals, transactions occur that lead to goal attainment and improved health
outcomes.
---
Question 4
Which nursing model views the family as a unit of analysis in the same context as
the individual, where the family unit is adaptive and interacts with external
environment and stimuli?
A. King's Theory of Goal Attainment
B. Roy's Adaptation Model
C. Neumann's Health System's Model
D. Orem's Self-Care Model
, Correct Answer: B
Rationale: Roy's Adaptation Model views the family as a unit of analysis, similar
to the individual. The family unit is considered adaptive and continuously interacts
with both internal and external stimuli in the environment. The model focuses on
how the family adapts to environmental changes to maintain health.
---
Question 5
A nurse is educating women on the need for calcium to prevent bone loss. What
level of prevention does this represent?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Residual prevention
Correct Answer: A
Rationale: Primary prevention involves health promotion and disease prevention
activities that occur before the onset of disease. Educating women about calcium to
prevent bone loss is a primary prevention strategy aimed at preventing osteoporosis
before it develops.
---
Question 6
