Online Practice Test 3

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 3 > NCLEX® Review Date/Time Submitted: July 4, 2012 at 5:37 AM (UTC/GMT)

Summary of Results 60% Correct of 15 Scored items: 9 Correct:  60% 6 Incorrect:  40% More information about scoring

1.		Nursing is considered a practice discipline. What should the nurse be aware is the main difference between this and a research/theory discipline? Your Answer: Nonpractice disciplines have a central focus of performance of a professional role. Correct Answer: Nursing uses theory and research to help understand its focus.
		Objective: Describe the major purpose of theory in the sciences and practice disciplines. Rationale: A practice discipline, such as nursing, utilizes theory as a means of providing new possibilities for understanding the discipline's focus. Other disciplines have research and theory development as their central focus. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension Strategy: Use nursing knowledge and the process of elimination to make a selection.
2.		Nursing theory articulates the relationship among person, environment, health, and nursing. What term would a nurse use when referring to these four concepts collectively? Your Answer: Metaparadigm
		Objective: Differentiate the terms concept, conceptual framework, theory, paradigm, and metaparadigm for nursing. Rationale: The term metaparadigm originated from the Greek words meta (with) and paradigm (pattern). The four concepts are collectively referred to as a metaparadigm. The others are simply terms used in nursing and other disciplines. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
3.		What central theory was the basis for Florence Nightingale's definition of nursing, and is integrated in all aspects of nursing as we know it today? Your Answer: Environmental Theory
		Objective: Identify the purposes of nursing theory in nursing education, research, and clinical practice. Rationale: Over 100 years ago, Florence Nightingale defined nursing utilizing the environment of the recovery of the patient. Her concepts about ventilation, cleanliness, quiet, warmth, and diet remain integral parts of nursing and health care today. The interpersonal relations model is Peplau's. The Science of Unitary Human Beings is Rogers's. Goal Attainment is King's. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
4.		Which statement by the client would indicate to the nurse that the client is utilizing Orem's universal self-care requisites (needs)? Your Answer: "I will not allow my mastectomy to stop me from living life fully." Correct Answer: "Sometimes I prefer to just be alone in my room and meditate."
		Objective: Identify the purposes of nursing theory in nursing education, research, and clinical practice. Rationale: According to Orem, self-care requisites (needs) are measures or actions taken that provide self-care. Universal requisites are common to all people (air, water, food, solitude, etc.); developmental requisites result from maturation (body image changes, loss of spouse); and health deviation requisites result from illness, injury, or disease/treatment (seeking health assistance, performing prescribed therapies, and adjusting to effects of illness/treatment). Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection
5.		Using Betty Neuman's Systems Model, the nurse assesses the client's stressors. Which stressor would the nurse indicate as intrapersonal? Your Answer: A desire to be everything to everyone Correct Answer: An incisional infection
		Objective: Identify the purposes of nursing theory in nursing education, research, and clinical practice. Rationale: Neuman categorizes three types of stressors: intrapersonal (e.g., an infection); interpersonal (e.g., unrealistic role expectation); and extrapersonal (e.g., financial concerns). Nursing Process: Assessment Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
6.		What would the nurse expect the nurse's role to be when utilizing Parse's human becoming theory? Your Answer: Accepting the expression of positive and negative feelings Correct Answer: Helping individuals and families change the health process
		Objective: Identify the purposes of nursing theory in nursing education, research, and clinical practice. Rationale: Parse's human becoming theory features the nurse helping individuals and families choose possibilities for changing the health process. The other answers are not part of Parse's theory. Nursing Process: Implementation Client Need: Psychosocial Integrity Cognitive Level: Comprehension Strategy: Use nursing knowledge and the process of elimination to make a selection.
7.		The nurse is evaluating the concept of nursing theories. Which would the nurse rule out as a purpose of nursing theories? Your Answer: To promote enhanced salaries and benefits for nurses
		Objective: Identify the purposes of nursing theory in nursing education, research, and clinical practice. Rationale: The purposes of nursing theories include helping to build a common nursing terminology, helping establish criteria to measure the quality of nursing care, and offering a framework for generating knowledge and new ideas. There is a direct link between theory, education, research, and clinical practice. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
8.		Which intervention would the nurse use to implement Imogene King's theory of goal attainment? Your Answer: Purposeful transactions
		Objective: Identify the purposes of nursing theory in nursing education, research, and clinical practice. Rationale: King's theory of goal attainment is based on the behavioral sciences, and includes transactions, which are defined as purposeful interactions that lead to goal attainment. The other answers are based on other theorists. Nursing Process: Intervention Client Need: Health Promotion and Maintenance Cognitive Level: Comprehension Strategy: Use nursing knowledge and the process of elimination to make a selection.
9.		When utilizing Leininger's cultural care theory, it would be important for the nurse to remember what concept of human caring? Your Answer: It varies among cultures and is largely culturally derived.
		Objective: Identify the purposes of nursing theory in nursing education, research, and clinical practice. Rationale: Leininger's theory is based on the phenomenon that human caring is universal but varies among cultures and is culturally derived. The other answers are not part of Leininger's theory. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
10.		Which statement would the nurse include in a report on Jean Watson's theory of human caring? Your Answer: There are ten carative factors related to human care.
		Objective: Identify the purposes of nursing theory in nursing education, research, and clinical practice. Rationale: Watson believes that the "core of nursing" involves ten carative, or nursing intervention, factors. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
11.		Virginia Henderson, a nursing pioneer, conceptualized the nurse's role in assisting the client to achieve independence. Henderson's defined nursing as it focused on which of the following fundamental needs: Select all that apply. Your Answer: Breathing normally Sleeping and resting
		Objective: Identify the purposes of nursing theory in nursing education, research, and clinical practice. Rationale: Henderson's definition of nursing conceptualized the profession as assisting healthy and ill individuals to gain independence. Henderson defined 14 fundamental needs. the needs include: breathing normally, eating and drinking adequately, eliminating body wastes, moving and maintaining a desirable position, sleeping and resting, selecting suitable clothes, maintaining body temperature, cleanliness, avoiding environmental dangers, communicating feelings, worshipping, recreation, and learning and discovery. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
12.		Which nursing theorists have developed nursing models? Select all that apply. Your Answer: Rogers Correct Answers: Dorothea Orem Rogers Roy
		Objective: Identify the purposes of nursing theory in nursing education, research, and clinical practice. Rationale: Conceptual models include those of Orem, Rogers, Roy, and King. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Comprehension Strategy: Use nursing knowledge and the process of elimination to make a selection.
13.		A supposition or system of ideas that is proposed to explain a given phenomenon is known as: Your Answer: Theory
		Objective: The definition of a theory is a supposition or system of ideas that describes, explains or predicts phenomena. Rationale: The definition of a theory is a supposition or system of ideas that describes, explains or predicts phenomena. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension Strategy: Use nursing knowledge and the process of elimination to make a selection.
14.		A 12 year old client with a wrist fracture was casted in the Emergency Room and prepared for discharge. The nurse explains to the client ways in which the client can take showers, comb their hair, and eat meals without disrupting the integrity of the cast and needing the assistance of her parents. The nurse focuses on which aspect of Orem's Self Care Theory?  Your Answer: Self-care requisites Correct Answer: Self-care agency
		Self-care requisites are measured actions taken to provide self-care. Objective: Identify the purposes of nursing theory in nursing education, research, and clinical practice. Rationale: Orem's self-care theory is based on self-care, self-care agency, self-care requisites, and therapeutic self-care demand. Self-care refers to the individual performing activities independently. Nursing Process: Planning Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension Strategy: Use nursing knowledge and process of elimination.
15.		Which nursing model focuses on the biopsychosocial adaptive systems? Your Answer: Roy
		Objective: Identify the purposes of nursing theory in nursing education, research, and clinical practice. Rationale: Sister Callista Roy's Adaptation Theory focuses on an individual as a biopsychosocial adaptive system that employs a feedback cycle of input, throughput, and output. Nursing Process: Assessment Client Need: Safe, Psychosocial Integrity Cognitive Level: Comprehension Strategy: Use nursing knowledge and the process of elimination to make a selection.