Chapter 10 Using Nursing Theory to Guide Professional Practice

Chapter 10  Using Nursing Theory to Guide Professional Practice

Complete Chapter Questions And Answers
 

Sample Questions

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 REF: Pages 153-154
OBJ: Apply the four universal concepts central to nursing practice.
TOP: Nursing Theory
MSC: NCLEX: Safe, 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 experienced nurses 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 REF: Page 150
OBJ: Compare and contrast the nursing philosophies, theories, models, and frameworks discussed in this chapter. TOP: Nursing Theory
MSC: NCLEX: Safe, 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 REF: Page 145
OBJ: Discuss the role of nursing theory in the practice of nursing.
TOP: Nursing Theory
MSC: NCLEX: Safe, 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 REF: Page 150
OBJ: Compare and contrast the nursing philosophies, theories, models, and frameworks discussed in this chapter. TOP: Nursing Theory
MSC: NCLEX: Safe, Effective Care Environment: Management of Care

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 REF: Page 151
OBJ: Compare and contrast the nursing philosophies, theories, models, and frameworks discussed in this chapter. TOP: Nursing Theory
MSC: NCLEX: Safe, Effective Care Environment: Management of Care