Nursing Chapter 3 Learning Outcome Describe The Major Purpose Theory

Question 17

Type: MCSA

A client is experiencing metabolic acidosis, a condition that involves the body’s pH level, carbon dioxide level,

and bicarbonate balance. According to Roy’s model, to which mode should the nurse realize that this client is

responding?

1. Physiologic

2. Self-concept

3. Role function

4. Interdependence

Question 18

Type: MCSA

A nurse has agreed to delay a client’s treatment until the matriarch of the family can be present. Understanding

that this is an important consideration for this client’s cultural practices, which of Leininger’s intervention modes

is the nurse implementing?

1. Preservation and maintenance

2. Accommodation, negotiation

3. Restructuring

4. Repatterning

Question 19

Type: MCSA

The nurse implements being authentically present to clients by supporting them in their beliefs and helping to

instill hopefulness in their recovery. Which theorist is the nurse using when performing these actions?

1. Florence Nightingale

2. Hildegard Peplau

3. Jean Watson

4. Rosemarie Parse

Question 20

Type: MCSA

The nurse struggling with a demanding client focuses on experiencing a sense of true empathy for the client’s

situation. Which assumption of Parse’s human becoming theory is the nurse using?

1. Meaning

2. Rhythmicity

3. Intersubjectivity

4. Cotranscendence

Question 21

Type: MCSA

When a client who had a stroke gives up all hope of any amount of recovery, the nurse solicits a visit from a

former stroke client who has physical limitations but has since gone back to work and, through adaptation, can

function independently at home. This nurse has fulfilled which role, according to Parse?

1. Mobilizing transcendence

2. Synchronizing rhythm

3. Illuminating meaning

4. True presence

Question 22

Type: MCSA

The pediatric nurse implements Watson’s assumption regarding a caring environment. Which action did the nurse

take to implement this assumption?

1. Providing for all needs and cares of the nurse’s clients

2. Ensuring that a zone of professionalism is present between the nurse and client

3. Allowing the clients to have choices, as appropriate, in their care

4. Selecting games and activities that are age appropriate for the clients

Question 23

Type: MCMA

Nursing students have been studying the “stability model” of nurse theorists. What phrases or terms should the

students use to describe this model?

Standard Text: Select all that apply.

1. Dominant

2. Systems framework

3. Stress/adaptation framework

4. Martha Rogers’s theory

5. Caring/complexity framework

6. Callista Roy’s theory

Question 24

Type: MCMA

Grounding nursing research in theories from other disciplines is argued to be undesirable by some scholars. What

should the nurse identify as reasons why grounding theory is not desired?

Standard Text: Select all that apply.

1. It detracts from developing nursing as a separate discipline.

2. It makes nursing less relevant.

3. It helps bring a broader perspective and insight to nursing.

4. Other disciplines are not unique to the human condition.

5. Other disciplines get the benefit of nursing’s research.

Question 25

Type: MCMA

The nurse is implementing Watson’s Assumptions of Caring philosophy. Which actions demonstrate that the

nurse is using this philosophy?

Standard Text: Select all that apply.

1. Asking the client to explain the impact that his culture and religion will have on required nursing care

2. Asking clients when they prefer to be given the opportunity to bathe

3. Feeling empathy toward the client’s loss of mobility as a result of a fractured hip

4. Always assuring that the client has an unobstructed view out his room’s window

5. Arranging to fulfill a client’s request to stay with him during a painful diagnostic test

Question 26

Type: MCMA

The nurse is using the central concepts of nursing when providing client care. What actions is this nurse

performing?

Standard Text: Select all that apply.

1. Including a client’s family in discussions regarding the client’s discharge health needs

2. Assessing a physically dependent client’s spouse for indications of caregiver stress

3. Asking clients to define what “healthy and well” means to them

4. Suggesting wound care supplies with the priority of cost

5. Advocating for a client who is not responding to current pain control treatment

Question 27

Type: MCMA

The nurse is planning client care while keeping in mind Orem’s self-care deficit theory. Which methods of

helping should the nurse include when determining the best care for the client?

Standard Text: Select all that apply.

1. Balancing rest

2. Teaching

3. Supporting

4. Guiding

5. Preventing hazards to life

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Question 28

Type: MCMA

After completing a health history the nurse reviews the content to determine metaparadigms that contribute to the

client’s health. Which metaparadigm should the nurse categorize as being a part of the client’s environment?

Standard Text: Select all that apply.

1. Diet

2. Family

3. Friends

4. Blood pressure

5. Significant others

Question 29

Type: MCMA

The nurse is planning interventions for a client based upon Henderson’s fundamental needs. Which interventions

should the nurse include in the plan of care?

Standard Text: Select all that apply.

1. Sleep 4 to 5 hours each night.

2. Attend to spiritual needs as desired.

3. Wear clothing suitable for the weather.

4. Bathe and keep the body well-groomed.

5. Restrict fluids with an elevated body temperature.