Chapter 4 Nursing Theory and Practice
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Questions and Answers

What is the primary goal of a nurse using therapeutic communication according to Peplau?

  • To promote a healthy environment for patients
  • To reduce anxiety in patients
  • To convert anxiety into constructive actions (correct)
  • To restore patients to health
  • What type of theory is Nightingale's grand theory?

  • Grand (correct)
  • Prescriptive
  • Middle-range
  • Descriptive
  • What is the primary focus of a prescriptive theory?

  • Detailing broad concepts in nursing care
  • Developing middle-range theories
  • Explaining why certain phenomena occur
  • Describing specific nursing interventions (correct)
  • A nurse researcher is testing the effect of meditation on migraine headaches. What type of theory is the nurse using?

    <p>Prescriptive</p> Signup and view all the answers

    What is the primary role of nursing theory in the nursing process?

    <p>To direct the use of the nursing process</p> Signup and view all the answers

    A nurse views a patient as an open system that needs help in coping with stressors. Which theorist is the nurse using?

    <p>Neuman</p> Signup and view all the answers

    What type of theory is focused on a concept found in a specific field of nursing?

    <p>Middle-range</p> Signup and view all the answers

    A nurse is using a prescriptive theory to test the effect of holding pressure at an injection site on bruising. What is the nurse's rationale for using this theory?

    <p>It tests a specific nursing intervention</p> Signup and view all the answers

    What is the primary difference between a grand theory and a prescriptive theory?

    <p>Scope of focus</p> Signup and view all the answers

    How does a nurse integrate theory into practice using the nursing process?

    <p>By directing the use of the nursing process</p> Signup and view all the answers

    What is the primary focus of a nurse using the developmental theory to plan care for pediatric patients?

    <p>Humans have an orderly, predictive process of growth and development</p> Signup and view all the answers

    A nurse is caring for a patient diagnosed with essential hypertension. What is the nurse evaluating when monitoring the patient's blood pressure for several days?

    <p>Output</p> Signup and view all the answers

    A patient is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA) and is placed in isolation. What level of Maslow's hierarchy of needs is the nurse promoting when encouraging family visits?

    <p>Third level</p> Signup and view all the answers

    According to Maslow's hierarchy of needs, which patient need should the nurse address first in a patient exhibiting increased respirations and cyanosis?

    <p>Physiological</p> Signup and view all the answers

    What is the primary focus of a nurse using Nightingale's theory to plan care?

    <p>Creating a healthy environment for patients</p> Signup and view all the answers

    What is the definition of output in the context of the nursing process?

    <p>The end product of nursing care</p> Signup and view all the answers

    What is the primary reason why nursing theories are essential in nursing practice?

    <p>Theories provide well-grounded rationales for nursing interventions and care measures.</p> Signup and view all the answers

    What level of Maslow's hierarchy of needs includes esteem and self-esteem needs?

    <p>Fourth level</p> Signup and view all the answers

    What is the main goal of applying Orem's theory in nursing practice?

    <p>To design interventions that promote self-care.</p> Signup and view all the answers

    What is the primary goal of a nurse using the stress/adaptation theory to plan care?

    <p>To help patients adapt to threats and maintain function and life</p> Signup and view all the answers

    What is the outcome of patients who participate in self-care activities according to Orem's theory?

    <p>Patients are more likely to improve their health outcomes.</p> Signup and view all the answers

    What is the definition of feedback in the context of the nursing process?

    <p>The response of the patient to nursing interventions</p> Signup and view all the answers

    What is the role of the nurse in Orem's self-care theory?

    <p>To continually assess a patient's ability to perform self-care and intervene as needed.</p> Signup and view all the answers

    What is the primary focus of a nurse using educational theory to plan care?

    <p>To educate patients about their condition and treatment</p> Signup and view all the answers

    Why are nursing theories essential in nursing education?

    <p>They provide a foundation for nursing practice and expand scientific knowledge.</p> Signup and view all the answers

    What is the benefit of applying nursing theories in nursing practice?

    <p>They provide a basis for predicting and prescribing nursing care measures.</p> Signup and view all the answers

    What is the primary focus of Leininger's culture care theory?

    <p>Providing culturally specific nursing care.</p> Signup and view all the answers

    What is the outcome of applying nursing theories in nursing practice?

    <p>Patients are more likely to improve their health outcomes.</p> Signup and view all the answers

    According to Maslow's hierarchy, which need comes after physiological needs?

    <p>Safety and security</p> Signup and view all the answers

    What concepts are part of the nursing metaparadigm?

    <p>Person, health, environment, and nursing</p> Signup and view all the answers

    Which of the following is NOT a concept included in the nursing metaparadigm?

    <p>Disease</p> Signup and view all the answers

    When incorporating psychosocial theories into nursing practice, which needs are NOT considered?

    <p>Cognitive needs of the patient</p> Signup and view all the answers

    Which of the following is a correct order of Maslow's hierarchy?

    <p>Physiological, safety, love, self-esteem, self-actualization</p> Signup and view all the answers

    What is the correct order of love and belonging in Maslow's hierarchy?

    <p>4</p> Signup and view all the answers

    Which nursing theory is focused on promoting and restoring health and preventing illness?

    <p>Watson’s theory</p> Signup and view all the answers

    What is the primary goal of Orem’s nursing theory?

    <p>To help patients perform self-care</p> Signup and view all the answers

    What type of definition states how concepts are measured?

    <p>Operational definition</p> Signup and view all the answers

    What is the primary purpose of the nursing process?

    <p>To deliver nursing care using a systematic approach</p> Signup and view all the answers

    Which of the following is an example of theoretical knowledge?

    <p>Reading about different concepts</p> Signup and view all the answers

    Which level of Maslow’s hierarchy of needs is the most basic priority?

    <p>Physiological</p> Signup and view all the answers

    Which of the following is a characteristic of Watson’s theory?

    <p>Concern with promoting and restoring health and preventing illness</p> Signup and view all the answers

    What is the primary purpose of a nursing theory?

    <p>To conceptualize an aspect of nursing to describe, explain, predict, or prescribe nursing care</p> Signup and view all the answers

    Which of the following is an example of experiential knowledge?

    <p>Reflecting on clinical experiences</p> Signup and view all the answers

    What is the primary goal of a nurse using theoretical knowledge in practice?

    <p>To stimulate thinking and create a broad understanding of nursing science and practices</p> Signup and view all the answers

    Which of the following statements is NOT true about Nightingale's theory?

    <p>Nightingale views nursing as limited to the administration of medications and treatments.</p> Signup and view all the answers

    Which nursing theory is most concerned with the nurse-patient relationship?

    <p>Peplau's theory</p> Signup and view all the answers

    Which nursing theory is most concerned with cultural sensitivity and providing culturally specific nursing care?

    <p>Leininger's theory</p> Signup and view all the answers

    Which nursing theory is most concerned with helping the patient perform self-care?

    <p>Orem's self-care deficit theory</p> Signup and view all the answers

    Which nursing theory is most concerned with adapting to changes in physiological needs, self-concept, role function, and interdependence domains?

    <p>Roy's theory</p> Signup and view all the answers

    Which nursing theory is most concerned with understanding the interrelationship between health, illness, and human behavior?

    <p>Watson's theory</p> Signup and view all the answers

    Which nursing theory is most concerned with assisting the patient with 14 activities until patients can meet these needs for themselves?

    <p>Henderson's theory</p> Signup and view all the answers

    Which of the following nursing theories is most concerned with the environment?

    <p>Nightingale's theory</p> Signup and view all the answers

    Which nursing theory is most concerned with providing holistic care to patients?

    <p>Watson's theory</p> Signup and view all the answers

    Which of the following nursing theories is most concerned with the nurse-patient relationship and the interactive process?

    <p>Peplau's theory</p> Signup and view all the answers

    Study Notes

    Nursing Theory and Practice

    • Theories help explain why nurses do what they do, and they are an important basis for the nurse's approach to daily patient care, expanding scientific knowledge of the profession.
    • Theories can direct how a nurse uses the nursing process, which is a systematic approach for the delivery of nursing care.

    Types of Nursing Theories

    • Grand theories: broad in scope and complex, require further specification through research, and do not provide guidance for specific nursing interventions.
    • Prescriptive theories: detail nursing interventions for a specific phenomenon and the expected outcome of the care, but do not explain why.
    • Descriptive theories: help to explain patient assessment, but do not direct specific nursing activities.
    • Middle-range theories: tend to focus on a concept found in a specific field of nursing, rather than reflecting on a wide variety of nursing care situations.

    Applying Nursing Theories

    • Orem's self-care deficit theory: focuses on helping patients perform self-care, assessing a patient's ability to perform self-care, and intervening as needed.
    • Nightingale's theory: views nursing not as limited to the administration of medications and treatments, but rather as oriented toward providing fresh air, light, warmth, cleanliness, quiet, and adequate nutrition.
    • Peplau's theory: focuses on the individual, the nurse, and the interactive process or nurse-patient relationship, serving as a resource person, counselor, and surrogate.

    Maslow's Hierarchy of Needs

    • Physiological needs: basic priority, includes needs such as food, water, and shelter.
    • Safety and security needs: second priority, includes needs such as protection and stability.
    • Love and belonging needs: third priority, includes needs such as relationships and social connections.
    • Self-esteem needs: fourth priority, includes needs such as recognition and respect.
    • Self-actualization needs: highest priority, includes needs such as personal growth and fulfillment.

    Other Theories

    • Leininger's culture care theory: focuses on cultural diversity and provides culturally specific nursing care.
    • Henderson's theory: defines nursing as assisting the patient with 14 activities until patients can meet these needs for themselves, or assisting patients to have a peaceful death.
    • Watson's theory: believes that the purpose of nursing action is to understand the interrelationship between health, illness, and human behavior.
    • Roger's theory: considers caring as a fundamental component of professional nursing practice, based on 10 curative factors.

    Nursing Process

    • Provides a systematic approach for the delivery of nursing care.
    • Involves assessment, planning, implementation, and evaluation.

    Theories in Nursing Research

    • Operational definitions: state how concepts are measured.
    • Conceptual definitions: define a particular concept based on the theorist's perspective.
    • Paradigm: a pattern of beliefs used to describe a discipline's domain.

    Theoretical Knowledge

    • Acquired through reading, observing, or discussing concepts.
    • Combines with experiential knowledge to provide safe, comprehensive nursing care.

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    Description

    This quiz assesses the importance of nursing theory in understanding nursing practices and decision-making. It explores the role of theories in explaining why nurses do what they do.

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