Test Bank For Nursing Theories and Nursing Practice / Edition 5 by Marlaine C. Smith
@2024
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Chapter 1: Nursing Theory and the Discipline of Nursing
- The nurse is explaining to a patient how oral medications are absorbed. Which part of the
- Stomach
- Small intestine
- Large intestine
- Esophagus
gastrointestinal system primarily absorbs medications?
Answer: B
Rationale: Most oral medications are absorbed in the small intestine due to its large surface area and rich blood supply.
NCLEX Focus: Pharmacokinetics - absorption
- Which patient population is most at risk for drug toxicity due to decreased liver function?
- Adolescents
- Pregnant women
- Older adults
- Children
Answer: C
Rationale: Older adults often have decreased hepatic function, which can reduce drug metabolism, leading to an increased risk of toxicity.
NCLEX Focus: Safety and pharmacology
- A nurse is caring for a patient who has been prescribed a highly protein-bound
- Serum creatinine
- Albumin levels
- Hemoglobin
- Platelet count
medication. Which lab result should the nurse assess to prevent toxicity?
Answer: B
Rationale: Drugs that are highly protein-bound may cause toxicity if albumin levels are low because less drug will bind to proteins, leaving more free drug in circulation.
NCLEX Focus: Pharmacodynamics and safety
- Which of the following best describes the role of nursing theory in clinical practice?
- It is used solely for academic research
- It guides patient care and decision-making
- It limits the creativity of nursing interventions
- It replaces clinical guidelines
Answer: B
Rationale: Nursing theory helps guide clinical practice by providing a framework for understanding patient care and making decisions based on evidence.
NCLEX Focus: Foundations of care
- A nurse is using Orem’s Self-Care Deficit Theory to assess a patient. Which of the
- “How are you feeling today?”
- “Can you independently manage your medication?”
- “Do you have a family history of illness?”
- “Have you been taking your medications on time?” 2 / 4
following questions reflects the principles of this theory?
Answer: B
Rationale: Orem’s theory focuses on an individual’s ability to perform self-care and maintain health independently.
NCLEX Focus: Health promotion and maintenance
- A nurse is applying Roy’s Adaptation Model while caring for a patient post-surgery.
- Administering pain medication as prescribed
- Assisting the patient in adjusting to new limitations
- Documenting the patient’s vital signs every 4 hours
- Ensuring proper wound care
Which nursing action is most aligned with this theory?
Answer: B
Rationale: Roy’s Adaptation Model emphasizes helping patients adapt to changes in health and the environment.
NCLEX Focus: Psychosocial integrity
- Which nursing theorist is known for the Theory of Human Caring?
- Florence Nightingale
- Jean Watson
- Dorothea Orem
- Sister Callista Roy
Answer: B
Rationale: Jean Watson developed the Theory of Human Caring, which emphasizes
caring relationships and holistic care.
NCLEX Focus: Psychosocial integrity
- A nurse is using Jean Watson’s Theory of Human Caring when providing care to a
- Focusing on completing tasks quickly
- Administering medications as prescribed
- Creating a trusting, supportive environment
- Delegating care to a nursing assistant
terminally ill patient. Which nursing action is aligned with this theory?
Answer: C
Rationale: Watson’s Theory of Human Caring emphasizes the importance of building a caring and trusting relationship with patients.
NCLEX Focus: Psychosocial integrity
- According to Florence Nightingale’s Environmental Theory, which factor is essential to
- Administering antibiotics
- Ensuring adequate sunlight and fresh air
- Monitoring vital signs frequently
- Limiting visitors
promote healing?
Answer: B
Rationale: Nightingale believed that the environment, including fresh air and sunlight, was crucial in promoting health and recovery.
NCLEX Focus: Physiological adaptation
- A nurse is educating a patient on health maintenance based on Nightingale’s
- “Make sure you eat a balanced diet to stay healthy.” 3 / 4
Environmental Theory. Which statement by the nurse reflects this theory?
- “Keeping your home well-ventilated is important for your health.”
- “Exercising regularly will help prevent illness.”
- “Monitor your blood sugar levels daily.”
Answer: B
Rationale: Nightingale’s theory focuses on environmental factors such as ventilation, hygiene, and cleanliness to promote health.
NCLEX Focus: Health promotion and maintenance
- Which of the following concepts is NOT part of the nursing metaparadigm?
- Person
- Environment
- Health
- Technology
Answer: D
Rationale: The nursing metaparadigm consists of four primary concepts: person, environment, health, and nursing.
NCLEX Focus: Fundamentals of nursing
- A nurse is assessing a patient’s ability to perform self-care according to Orem’s Self-Care
- Asking if the patient can bathe independently
- Reviewing the patient’s lab results
- Asking if the patient needs help with wound care
- Assessing the patient’s pain level
Deficit Theory. Which of the following is a priority?
Answer: A
Rationale: Orem’s Self-Care Deficit Theory focuses on a patient’s ability to perform essential self-care tasks such as bathing, feeding, and mobility.
NCLEX Focus: Health promotion and maintenance
- Which nursing theory focuses on cultural care and diversity?
- Watson’s Theory of Human Caring
- Nightingale’s Environmental Theory
- Leininger’s Transcultural Nursing Theory
- Orem’s Self-Care Deficit Theory
Answer: C
Rationale: Madeleine Leininger developed the Transcultural Nursing Theory, which emphasizes the importance of cultural competence in nursing care.
NCLEX Focus: Cultural awareness
- A nurse is caring for a patient from a different cultural background. Which action reflects
- Providing care based on the nurse’s cultural preferences
- Ensuring that the patient’s cultural beliefs are respected
- Following hospital protocols without considering the patient’s culture
- Encouraging the patient to adopt Western medical practices
Leininger’s Transcultural Nursing Theory?
Answer: B
Rationale: Leininger’s theory emphasizes understanding and respecting the cultural beliefs and practices of patients to provide effective care.
NCLEX Focus: Cultural awareness
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