Chapter 5 Hard Mode

Nursing theory purpose

Authorizing nurses to make medical diagnoses and prescriptions is NOT a purpose of nursing theory.

Common concepts in nursing theories

Person, health, environment, and nursing are the four concepts commonly shared by nursing theories.

Theorist supporting environmental improvement

Florence Nightingale would support reducing noise and improving ventilation and lighting.

Nightingale’s environmental theory assessment

Religious traditions are least associated with Nightingale’s environmental theory.

Theorist representing holistic patient care

Jean Watson represents the approach where a nurse listens without rushing, protects dignity, and treats the patient as more than a diagnosis.

Theory for promoting self-care

Dorothea Orem’s self-care deficit theory applies when a patient can physically administer insulin but does not know how.

Theorist for temporary assistance

Virginia Henderson represents the need for temporary help eating and dressing until a patient's strength returns.

Theory for establishing trust

Hildegard Peplau’s interpersonal relations theory applies when the nurse uses therapeutic communication to establish trust.

Theorist for post-amputation adjustment

Sister Callista Roy helps a patient adjust physically, emotionally, and socially after an amputation.

Theorist addressing multiple patient threats

Betty Neuman evaluates pain, anxiety, family conflict, and room noise as threats to patient stability.

Theorist focusing on cultural dietary practices

Madeleine Leininger applies when a nurse asks about religious food restrictions, traditional foods, and family practices.

Actions in Orem’s theory

Assist, support, teach, and promote independence are closely aligned with Orem’s theory.

Areas of adaptation in Roy’s model

Health, illness, physical ability, environment, psychological status, and social roles are emphasized in Roy’s model.

Concept in nursing theory

An abstract idea or mental image describing a phenomenon is a concept in nursing theory.

Proposition in nursing theory

A statement describing the relationship between two or more concepts is a proposition in nursing theory.

Conceptual model definition

A broad structure that organizes related concepts around a common theme is a conceptual model.

Narrowest level of theory

Situation-specific theory, also called practice theory, is the narrowest level of theory focusing on a particular population, problem, or clinical situation.

Order of scientific-process steps

The correct order is hypothesis, method, data collection, results, and evaluation.

Criterion demonstrated by research stimulation

Fruitfulness is the acceptance criterion a theory meets when it produces new questions and stimulates further research.

Neuman prevention level for stressor reaction

Secondary prevention applies when a patient has started reacting to a stressor, and the nurse identifies and treats the reaction.

Broadest level of nursing theory

Grand theory is the broadest and most abstract level of nursing theory.

Level broader than grand theory

Middle-range theory is narrower than grand theory but broad enough to apply across different populations and healthcare settings.

Specific focus of situation-specific theory

Situation-specific or practice theory focuses on one specific population, health problem, or clinical setting.

Grand theory explanation

A grand theory broadly explains nursing and the relationships among person, health, environment, and nursing.

Middle-range theory explanation

A middle-range theory explains symptom management across several chronic illnesses and healthcare settings.

Theory for pressure injury prevention

Situation-specific or practice theory was created specifically to prevent pressure injuries among immobile residents in long-term care.

Order of theory levels from broadest to narrowest

The order is grand theory, middle-range theory, then situation-specific or practice theory.

Non-theory level

Conceptual model is NOT one of the three theory levels.