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Chapter 5 Using Nursing Theory to Guide Professional Practice
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Chapter 05: Using Nursing Theory to Guide Professional PracticeClaywell: LPN to RN Transitions
MULTIPLE CHOICE
1. Which of the following are the concepts common among most nursing philosophies, models,
and theories?
a. Person, nurse, health, and environment
b. Person, physician, health, and environment
c. Person, nurse, health, and culture
d. Person, nurse, environment, and culture
ANS: A
Person, nurse, health, and environment are the four universal concepts central to nursing
practice. The physician and culture are not considered to be among the four universal
concepts. These themes are described, defined, ordered, and interrelated in distinctive,
meaningful, and powerful ways as nursing theorists endeavor to continue the development of
nursing’s unique body of knowledge.
DIF: Cognitive Level: Analysis
OBJ: Apply the four universal concepts central to nursing practice.
TOP: Nursing Theory
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. What skills would a nurse demonstrate if the nurse reached the “competent stage” of Patricia
Benner’s theory of skill acquisition?
a. Relies on more experiencedNnurses for guidance
b. Can multitask, set goals, and think analytically
c. Can see the whole picture and recognizes subtle changes in condition
d. Recognizes patterns and responds automatically
ANS: B
The competent nurse is able to multitask, set goals, and think analytically. The advanced
beginner is the new graduate nurse with marginally acceptable performance who relies on
other experienced nurses. The proficient nurse sees the whole and focuses on long-term goals,
and the level of expert nurse is reached after considerable experience (recognizes patterns and
has responses that are automatic and integrated).
DIF: Cognitive Level: Application
OBJ: Compare and contrast the nursing philosophies, theories, models, and frameworks discussed in
this chapter. TOP: Nursing Theory
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
3. A group of nursing students was discussing the functions of nursing theories. Which statement
below would give the impression a student requires more review of the material?
a. “Nursing theories help guide professional practice by interpreting evidence.”
b. “Nursing theories have little effect on decision-making in practice.”
c. “Nursing theories are influenced by personal values and beliefs.”
d. “Nursing theories influence professional behaviors.”
ANS: B
, The statements that nursing theories serve as guidelines for professional practice, nursing
theories are influenced by values and beliefs, and nursing theories influence professional
behaviors are true about nursing theories. The statement that nursing theories have little effect
on decision-making is incorrect because nursing theories do have a significant effect on
decision-making.
DIF: Cognitive Level: Application
OBJ: Discuss the role of nursing theory to the practice of nursing.
TOP: Nursing Theory
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. What criterion would the nurse use to support Hildegard Peplau’s Theory of Interpersonal
Relations?
a. The relationship between nurse and doctor
b. The mutual caring relationship
c. Meeting the needs of nurse and patient
d. The relationship between nurse and patient
ANS: D
The nurse–patient relationship is the focus of Hildegard Peplau’s theory. The doctor–nurse
relationship, the mutual caring relationship, and meeting the needs of the nurse and patient are
not the focus of Hildegard Peplau’s theory.
DIF: Cognitive Level: Evaluation
OBJ: Compare and contrast the nursing philosophies, theories, models, and frameworks discussed in
this chapter. TOP: Nursing Theory
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
N
5. The nurse providing teaching on a weight loss program to the obese patient is applying which
nursing model developed by Nola Pender?
a. Interpersonal relations
b. Health promotion
c. Conservation
d. Adaptation
ANS: B
Pender’s Health Promotion Model emphasizes the importance of the patient to manage his or
her own health actively and focuses on wellness. Interpersonal relations is the theory
developed by Hildegard Peplau. The Conservation Model was developed by Myra Levine,
and the Adaptation Model was developed by Sister Callista Roy.
DIF: Cognitive Level: Application
OBJ: Compare and contrast the nursing philosophies, theories, models, and frameworks discussed in
this chapter. TOP: Nursing Theory
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
6. What changes in nursing practice did Florence Nightingale make to improve the personal care
of patients?
a. Behaviors
b. Environment
c. Culture
d. Communication
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