Nursing Theories and Developmental Significance
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Questions and Answers

Why are developmental theories particularly significant in nursing practice?

  • They define human adaptation to others and to the environment.
  • They explain the importance of legal and ethical care.
  • They outline the process of human growth and development. (correct)
  • They describe how parts work together as a system.
  • Which nursing theory involves analyzing how different entities within healthcare work together as a whole?

  • Adaptation theory
  • General systems theory (correct)
  • Developmental theory
  • Compartment theory
  • Among the four concepts common in all nursing theories, which one is primarily focused on nursing?

  • Nursing (correct)
  • Person
  • Environment
  • Health
  • Which characteristic is NOT associated with nursing theories?

    <p>They are based on personal opinions of nursing. (A)</p> Signup and view all the answers

    What is the ultimate goal of expanding nursing knowledge through research?

    <p>Learn improved ways to promote and maintain health (A)</p> Signup and view all the answers

    What was a significant outcome of promoting the National Center for Nursing Research to the NINR?

    <p>NINR gained equal status with all other National Institutes of Health. (B)</p> Signup and view all the answers

    In the context of quantitative research, which term is relevant?

    <p>Variable (C)</p> Signup and view all the answers

    Which of the following characteristics does NOT apply to nursing theories?

    <p>They always utilize complex terminology. (C)</p> Signup and view all the answers

    Which intervention best accommodates a patient's intellectual dimension?

    <p>Teaching her how to care for the stump and explaining the rehabilitation program (C)</p> Signup and view all the answers

    Which statement accurately describes the relationship between risk factors and illness?

    <p>An increase in risk factors increases the possibility of illness. (C)</p> Signup and view all the answers

    Which intervention is an example of primary-level health promotion?

    <p>A nurse counsels a teenager to stop smoking. (D)</p> Signup and view all the answers

    Which topic is essential for teaching teens and young adults about health?

    <p>Safer sex practices (A)</p> Signup and view all the answers

    Which statement illustrates the sociocultural dimension's impact on health?

    <p>My mother has sickle cell anemia, and so do I. (A)</p> Signup and view all the answers

    Which statement best reflects how self-concept influences health and illness?

    <p>Why should I lose weight? I'll still be fat. (A)</p> Signup and view all the answers

    Which of the following best describes modifiable risk factors?

    <p>They can be altered by lifestyle and behavioral changes. (A)</p> Signup and view all the answers

    What is the primary focus of secondary prevention in nursing?

    <p>Early detection and intervention of diseases. (A)</p> Signup and view all the answers

    Which option best represents a method for nurses to enhance their cultural self-awareness?

    <p>Examine their own beliefs and values objectively (A)</p> Signup and view all the answers

    In the scenario where a husband's dominance in communication is observed, what should a nurse infer?

    <p>The husband exhibits controlling behavior (C)</p> Signup and view all the answers

    What is the most accurate description of a value?

    <p>A belief affecting choices and behaviors (D)</p> Signup and view all the answers

    What mode of value transmission is exemplified by a child's imitation of their parent's behavior?

    <p>Modeling (C)</p> Signup and view all the answers

    Which negative outcome can arise from the moralizing method of value transmission for children?

    <p>Development of conflicting values leading to confusion (A)</p> Signup and view all the answers

    What is the potential impact of a nurse providing nonjudgmental care while personally valuing abstinence?

    <p>It demonstrates integration of personal and professional ethics (B)</p> Signup and view all the answers

    Which mode of value transmission is most likely to result in internal conflict and confusion among children?

    <p>Moralizing (C)</p> Signup and view all the answers

    What should a nurse consider if a patient consistently defers to a family member in communication?

    <p>The family member may dominate communication (A)</p> Signup and view all the answers

    Which actions are considered examples of a nurse demonstrating the professional value of altruism? (Select all that apply)

    <p>The nurse calls the physician of a patient whose pain medication is not strong enough. (B), The nurse provides information for a patient to participate in planning his care. (C), The nurse arranges for an interpreter for a patient whose primary language is Spanish. (D)</p> Signup and view all the answers

    What is the first activity in the valuing process as described by values theorists?

    <p>choosing (C)</p> Signup and view all the answers

    Which option illustrates the activity of acting in values clarification?

    <p>respecting the human dignity of all patients (D)</p> Signup and view all the answers

    What value is the nurse demonstrating by refusing to participate in gossip about a patient?

    <p>basic respect for human dignity (B)</p> Signup and view all the answers

    Which option is a means of helping a patient change health-related behaviors?

    <p>values clarification (C)</p> Signup and view all the answers

    Which word is most closely associated with the term ethics?

    <p>values (C)</p> Signup and view all the answers

    Which statements accurately describe a characteristic of ethics? (Select all that apply)

    <p>Ethics applies universally across cultures. (A), Ethics is concerned with moral principles. (C)</p> Signup and view all the answers

    Which scenario exemplifies the application of ethics in nursing?

    <p>A nurse advocates for a patient's right to refuse treatment. (B)</p> Signup and view all the answers

    How is change viewed in the new quantum age currently experienced in society?

    <p>Dynamic and constantly unfolding (A)</p> Signup and view all the answers

    Which action characterizes a nurse as a quantum leader?

    <p>Relinquishing power to a group deciding hospital policy (C)</p> Signup and view all the answers

    What is involved in the managerial function known as organizing?

    <p>Resources (D)</p> Signup and view all the answers

    What was the basis for the functional nursing approach?

    <p>Industrial assembly line (C)</p> Signup and view all the answers

    What characteristic is found when comparing team nursing with functional nursing?

    <p>Team nursing focuses on individual patient care (C)</p> Signup and view all the answers

    What quality of a managerial mindset involves listening to patients and coworkers more than talking?

    <p>Collaborative (B)</p> Signup and view all the answers

    In which conflict resolution strategy is the conflict rarely resolved?

    <p>Smoothing (D)</p> Signup and view all the answers

    What happens during the unfreezing stage of Lewin's classic theory of change?

    <p>The need for change is recognized (D)</p> Signup and view all the answers

    What is the first question a nurse must consider before delegating medication administration to an unskilled assistant?

    <p>Has the assistant been trained to perform the task? (D)</p> Signup and view all the answers

    Which principle does the ANA recommend regarding the scope of nursing practice?

    <p>It is the nursing profession that determines the scope of nursing practice. (A)</p> Signup and view all the answers

    Which task is appropriate to delegate to unlicensed assistive personnel?

    <p>Assisting patients with hygiene. (A)</p> Signup and view all the answers

    What is a characteristic of mentorship in healthcare settings?

    <p>It is a link to a protégé with common interests. (C)</p> Signup and view all the answers

    Which statement describes an aspect of managed care?

    <p>The nurse is considered the gatekeeper in the managed care system. (B), The care of the patient is carefully planned and monitored by the primary care provider. (C)</p> Signup and view all the answers

    What is a characteristic of primary healthcare?

    <p>It is essential healthcare based on sound methods and technology. (D)</p> Signup and view all the answers

    In the context of managed care, what may be required for access to specialty care?

    <p>Approval from a primary care provider. (C)</p> Signup and view all the answers

    Which characteristic is NOT commonly associated with unlicensed assistive personnel?

    <p>They conduct initial patient assessments. (B)</p> Signup and view all the answers

    Flashcards

    Importance of Developmental Theories in Nursing

    Developmental theories help understand how humans grow, change, and adapt, which is crucial for nurses to provide effective care for individuals at different life stages.

    General Systems Theory in Nursing

    A nursing theory examining how different parts of the healthcare system (e.g., doctors, nurses, patients) interact and work together as a whole.

    Focus of Nursing Theories

    Nursing theories focus specifically on "health" as the core area of expertise and the key to what influences nursing actions.

    Characteristics of Nursing Theories

    Nursing theories should provide reasons for interventions, describe the field of nursing itself, and offer a framework for solving issues.

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    Goal of Nursing Research

    The ultimate goal is to improve healthcare by refining healthy living and offering partnerships with other care providers.

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    Significance of National Institute of Nursing Research (NINR)

    NINR achieved equal status with other National Institutes of Health, becoming the primary nursing research organization.

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    Quantitative Research

    Quantitative research in nursing uses measurable variables to study and understand nursing practices and patient outcomes.

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    Nursing Theory's Purpose

    Nursing theories aid in explaining the reasons behind interventions aimed at patient health and understanding how each aspect of the healthcare setting functions

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    Risk Factors and Illness

    Risk factors increase the likelihood of illness or injury. Multiple risk factors increase the chance of negative health outcomes.

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    Modifiable Risk Factors

    Risk factors that can be changed through lifestyle choices or interventions, like diet or exercise.

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    Health Promotion (Primary Level)

    Actions taken before illness occurs to promote health and prevent diseases. Focuses on education and healthy habits.

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    Teen/Young Adult Health Topics

    Important health areas to focus on during adolescence and young adulthood include safer sex practices and effective hand hygiene.

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    Sociocultural Dimension on Health

    Social and cultural factors like peer pressure or family history affect health beliefs and behaviors.

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    Self-Concept and Health

    A person's perception of themselves plays a role in their health decisions and behaviors.

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    Nursing Interventions for Intellectual Dimension

    Considering a patient's developmental level and providing support that relates to cognitive understanding when planning nursing care.

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    Communicable Disease Risk Factors

    Certain factors increase the likelihood of spreading illnesses like communicable diseases.

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    Value Transmission Mode

    Methods used by parents or caregivers to teach children about values.

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    Modeling (Value Transmission)

    Children learn values by observing and imitating adults.

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    Moralizing (Value Transmission)

    Parents teach absolute rules and standards to children.

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    Reward/Punishment (Value Transmission)

    Children learn values through reinforcement for good behavior and punishment for bad.

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    Responsible Choice (Value Transmission)

    Parents encourage children to explore values and make their own decisions.

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    Cultural Self-Awareness in Nursing

    Objectively examining personal beliefs, values, and practices to understand how they influence interactions.

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    Cultural Competence in Nursing

    A nurse demonstrating the ability to work effectively with individuals whose culture differs from their own.

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    Value Conflict in Nursing

    A nurse experiencing internal conflict between personal values and professional responsibilities.

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    Altruism in Nursing

    Putting the patient's needs before your own, demonstrating selfless care and concern for their well-being.

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    First Step of Valuing

    The initial step in the process of valuing involves consciously choosing something you consider important.

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    Acting in Values Clarification

    The stage where you put your chosen values into action, taking concrete steps based on your priorities.

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    Respecting Human Dignity

    Treating all individuals with respect, regardless of their circumstances or choices. Nurses must uphold the inherent worth of every patient.

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    Values Clarification for Behavior Change

    A process that helps individuals understand and clarify their own values to drive positive changes in behaviors.

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    Ethics and Conduct

    Ethics are a set of principles that guide morally right conduct in a profession. They provide a framework for making sound decisions.

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    Ethics as a Code of Conduct

    While they can be defined as a code of conduct, ethics go beyond just rules. They are principles that provide a moral compass for decision-making.

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    Ethics and Young Adulthood

    The ability and understanding of ethics develop over a lifetime. While young adulthood is an important stage, ethical development starts much earlier.

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    Managed Care

    A healthcare system that controls costs by carefully planning and monitoring patient care.

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    Primary Care

    Essential healthcare services that focus on basic medical needs and prevention.

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    Gatekeeper in Managed Care

    The primary care provider responsible for coordinating a patient's care within a managed care system.

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    Delegation to Unlicensed Assistants

    Assigning tasks to assistants who aren't nurses, but under a nurse's supervision.

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    Legal Aspects of Delegation

    The nurse must ensure that tasks delegated to unlicensed assistants are allowed by law.

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    ANA's Role in Unlicensed Assistants

    The American Nurses Association sets guidelines and principles for the use of unlicensed assistants in nursing.

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    Tasks Suitable for Unlicensed Assistants

    Activities that don't require nursing judgment or assessment, like assisting with hygiene.

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    Characteristics of Mentorship

    A relationship between a more experienced nurse and a newer nurse, often focused on shared interests.

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    Quantum Age Change

    Change is seen as constantly evolving and unpredictable, like a dynamic process unfolding in an ever-changing universe.

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    Quantum Leader

    A leader who is adaptable, embraces change, and encourages collaboration and innovation. They empower team members to contribute and make decisions.

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    Organizing in Nursing Management

    The process of arranging resources - including staff, equipment, and supplies - to effectively provide patient care.

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    Functional Nursing

    A method of patient care where nurses are assigned specific tasks (e.g., medication administration, wound care) rather than being responsible for a whole patient.

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    Key Difference: Team vs. Functional Nursing

    Team nursing focuses on providing care to a group of patients by a team (e.g., nurses, CNAs) while functional nursing assigns tasks to individuals, potentially causing fragmentation of care.

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    Collaborative Management Mindset

    A leader who prioritizes teamwork, communication, and understanding different perspectives. Listening and inclusivity are highly valued.

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    Competing Conflict Resolution

    A conflict resolution strategy where one party seeks to win at the expense of the other, often resulting in unresolved issues and negative relationships.

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    Unfreezing in Lewins Change Theory

    The initial phase of change where people recognize the need for a change, creating a sense of urgency and dissatisfaction with the current state.

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