TFN SAS#13-23

P2

The Health Promotion Model was designed to be a "complementary counterpart to models of health protection." How does Pender's Health Promotion Model describe nurses?

As part of a client's interpersonal environment

Pender's Health Promotion Model examines the multi-dimensional nature of persons as they interact within their environment to pursue health. Which of the following is/are NOT a behavior-specific cognition and affect variable?

Prior related behavior

Individual's likelihood of taking action- results from a person's perception of benefits and barriers to taking action. Which of the following major concepts of Pender's health model pertains to the frequency of the same or similar behavior in the past?

Prior related behavior

The end result directed toward accomplishing beneficial health outcome such as optimal well-being, personal fulfillment, and personal living

health promoting behaviors

Pender's health promotion model defines health as "a positive dynamic state not merely the absence of disease." Which of the following include variables such as self-esteem, self-motivation, personal competence, perceived health status, and definition of health:

Personal psychological factors

Describes subjective positive or negative feelings that occur before, during and after behavior.

Activity related affect

Health promotion is directed at increasing a client's level of well-being. Which of the following variables pertains to age, gender, race, basal metabolic rate?

Biological factors

The health promotion model (HPM) proposed by Nola J Pender (1982; revised, 1996) was designed to be a "complementary counterpart to models of health protection." Which of the following personal factors include race, ethnicity, and acculturation?

Socio-cultural factors

Which of the following personal factors include self-esteem and self-motivation?

Psychological factors

The Health Promotion Model is similar in construction to the health belief model, which explains disease prevention behavior. Which of the following involves anticipated, imagined or real barriers preventing the change?

Perceived benefit of action

According to Leininger, the true essence of nursing is caring. Which of the following pertains to commonalities of care?

Universality

What are the dominant, distinctive, and unifying features of nursing that are essential for a person's survival, development, and ability to deal with life events?

Caring

Which of the following is/ are NOT true about culture?

Refers to the outlook of a person or group on the world or their universe to form a picture or a value perception about their life or world around them.

What are the three types of nursing actions according to Madeleine Leininger, except?

Culture Care Assimilation

Pepper, a 79-year old diabetic patient is conscious about what she eats by eating foods rich in fiber. She also makes it a point to take her insulin shots on time. Which of the following types of nursing actions demonstrates Martha's behavior?

Cultural Care Preservation or Maintenance

Encouraging direct care such as bathing, feeding, and other activities of daily living by family members who may be interested in actively contributing in the care of a loved one is referring to

Cultural Care Preservation or Maintenance

Nurse Pepper teaches Arnold, a 67-year-old Filipino-American patient that although garlic may lower his blood pressure; he still needs to take the prescribed antihypertensive medications. Which of the following explains Nurse Pepper's nursing action?

Cultural Care Accommodation or Negotiation

Orah is an 89-year-old patient who does not believe that she needs an advance directive because "death is up to God." Nurse Pepper, who is taking care of her, can educate her about having her wishes followed when she can no longer make decisions or speak for herself. Explaining that by creating advance directives, her wishes will be followed. Which of the following explains Nurse Pepper's nursing action?

Cultural Care Repatterning or Restructuring

Refers to cultural variability or differences in care beliefs, meanings, patterns, values, symbols, and lifeways within and between cultures and human beings.

Culture Care Universality

Past facts, events and experiences of individuals, groups, and various cultures and institutions that are mainly people-centered (ethnic) and that explains, and interprets human lifeways within particular cultural trends refers to:

Ethnohistory

The theory explains that health and illness are synthesized as health. In this model, nursing is regarded as "caring in the human health experience." Which of the following choices is true regarding this statement?

Nursing is seen as a partnership between the nurse and patient

Newman's Health as Expanding Consciousness Theory is beneficial because it can be applied in any setting and "generates caring interventions." Which of the following is the reason why it is considered as a grand nursing theory?

It is broader and provides an overall framework for structuring ideas.

The theory asserts that every person in every situation, no matter how disordered and hopeless it may seem, is part of the universal process of expanding consciousness. Which among the following is NOT among the three correlates of consciousness?

Motion

A concept of Newman's theory which refers to the depicts the whole and is characterized by movement, diversity, and rhythm.

Pattern

Newman emphasizes the importance of examining \___________ together as dimensions of emerging patterns of consciousness rather than as separate concepts of the theory.

Movement-Space-Time

The theory, Health as Expanding Consciousness, stems from Rogers' (1970) science of unitary human beings and other theories. Which among the following theorists implicates order and supports Newman's postulate that disease is a manifestation of the pattern of health?

David Bohm

Persons are centers of consciousness. Which among the following theory and theorists provided impetus for Newman to integrate the basic concepts of her new theory, movement, space, time, and consciousness, into a dynamic portrayal of life and health?

Arthur Young; Theory of Process

Which among the following nursing paradigms under Newman's theory is the key process that creates unique configurations for each individual?

Environment

Newman suggested the use of nine patterns of interaction in the health assessment framework of NANDA. Which of the following is/are NOT one of them?

Assumption

This pertains to the manifestations of the rhythmic fluctuations of the life process. (Select all that apply)

Consciousness & Disease

Parse synthesized the original nine assumptions about humans and into four assumptions about human becoming. All of these are included EXCEPT:

Human becoming is contradicting illimitably with emerging possibilities.

Which of the following statements is NOT TRUE about the Human Becoming Theory?

he theory presents a broad, holistic and system-based method to nursing that maintains a factor of flexibility. It focuses on the response of the patient system to actual or potential environmental stressors and the maintenance of the client system's stability through primary, secondary, and tertiary nursing prevention intervention to reduce stressors.

Based on Parse's Symbol of Human Becoming Theory, what does the intertwining of the green and black swirls signify?

Human-Universe co- creation as an ongoing process of becoming

A concept of Newman's theory which depicts the whole and is characterized by movement, diversity, and rhythm.

Pattern

Parse's model rates quality of life from each person's own perspective as the goal of the practice of nursing. Which of the following is an example of a paradox?

Marga is very shy and loves public speaking

One of the purposes of the theory is to assist with critical thinking and problem solving. What are the three major themes of the Human Becoming Theory?

Meaning, rhythmicity, transcendence

The Neuman Systems Model views the client as an open system that responds to stressors in the environment. The client variables are physiological, psychological, sociocultural, developmental, and spiritual. Three principles constitute the human becoming theory. Each principle contains three concepts that require thoughtful exploration. People are always engaging with and choosing from infinite possibilities about how to be, what attitudes and approach to have, who to relate to. What principle is exemplified in the given statement?

Con-transcending with possibilities

This principle means that human beings create patterns in day-to-day life and these patterns tell about personal meanings and values.

Co-creating rhythmical patterns of relating

It is the indivisible unbounded knowing extended to infinity, the all at once remembering and prospecting with the moment.

Illimitability

It is being with and apart from others, ideas, objects and situations all at once.

originating

Which of the following is considered as the focus of nursing in the theory of Locsin?

A human being whose hopes, dreams, and aspirations are to live fully as a caring person.

All of the following are purposes in creation of Technological Competency as Caring and the Practice of Knowing Persons in Nursing by Rozanno Locsin: (Select all that apply)

\-Acknowledge wholeness of persons as a focus of nursing

\-Technological means are used to know wholeness more fully

\-Technology used to know person as unique individual

In Locsin's theory, this provides a framework for the practice of its application.

An expression of caring

All are considered to be intentions of nursing in the theory Technological Competency as Caring and the Practice of Knowing Persons in Nursing: (Select all that apply)

* Through competent use of nursing technologies
* By affirming personhood
* By appreciating personhood

This refers to the nurse and nursed becoming susceptible as they enter each other's world and move toward continuous knowing of one another.

Vulnerability

In CASAGRA transformative leadership theory, this is referred to as the level of competence in the particular nursing area that the professional nurse is engaged in?

Special expertise

This is known to be the force within the nursing profession that sets the vision for its practitioners, lays down the roles and functions, and influences the direction toward which the profession should go.

Nursing leadership

Which of the following is NOT included in the three-fold transformation leadership concepts of CASAGRA model?

Care complex

CASAGRA transformative leadership models have concepts of leadership from a psycho-spiritual point of view, designed to lead to radical change from apathy or indifference to a spiritual person. Its main propositions are as follow: (Select all that apply)

\-Care complex is a structure in the personality of the caregiver that is significantly related to the leadership behavior.

\-The CASAGRA servant-leadership formula is an effective modality in enhancing the nursing faculty's servant-leadership behavior.

Which of the following is true about the CASAGRA paradigm of care complex theory?

The framework explains and predicts the continuous formation of nursing leadership behavior in nursing faculty that will eventually affect their teaching function.

Who were the subjects of Divinagracia's theory?

31 adult cardiac patients at the Philippine Heart Center, Coronary Care Unit

Which of the following is the definition of Nursing in the Advance Nurse Practitioners' Composure Behavior and Patients' Wellness Outcome by Carmelita Divinagracia?

\-Profession that surpasses time and aspects of the individual as one of its clients

\-Dynamic discipline, art, and science of caring

What organization was Divinagracia a former president of?

The Association of Deans of Philippine Colleges of Nursing (ADPCN)

Being receptive/open to new ideas or reason is a way of considering the patient's preferences and opinions related to his or her current health condition. The following are ways in which a nurse may be able to show therapeutic use of self EXCEPT:

Turning a blind eye to the patient's concerns

Which of the following is an example of showing positive regard to elderly patients?

The use of "po" and "opo" when talking to them

This "Retirement and role discontinuities theory" states that \__________ is another phase in a person's life that would require some adjustments

Retirement

These are sets of shared expectations focused upon a particular position?

Change of life

These are interruptions that may be an accident, emergency and change of position:

Role discontinuity

\________recognized as fulfillment of every individual birth right and must be lived meaningfully.

Retirement

This refers to the interventions or measures applied to solve a problematic situation or state in order to restore or maintain equilibrium and normal functioning

Coping approaches

The goal of nursing care, according to Carmencita Abaquin's theory is the improvement of quality of life for advanced stage cancer patients despite their current situation. Which of the following are the prepare me components?

All of the above:

• Presence

• Prayer

• Reminisce Therapy

• Relaxation-Breathing

• Meditation

• Values Clarification

A therapeutic intervention which is being with another person during the times of need is \_______________.

Presence

A therapeutic intervention which is the action of the recalling of past experiences, feelings and thoughts to facilitate adaptation to present circumstances is _____

Reminisce Therapy

What is developed in the patient when the patient clarifies her/his values?

An open mind that will facilitate acceptance of the disease state or may help deepen or enhance values

Which of the following can elicit a form of relaxation for the purpose of altering patients level of awareness by focusing on an image?

Meditation

The following statements are TRUE about the Prepare Me Holistic Nursing Interventions, EXCEPT:

There are five components of the theory

Multifaceted construct that encompasses the individual's capacities and abilities with an aim of enriching life when it cannot longer be prolonged. Which of the following is/are not manifestations of a good quality of life?

Inability to cope up with changes

\_________it is the state of being when there is no further medical treatment that can stabilize a patient.

Terminally ill

Which of the following is the goal of Cecilia Laurente's Theory?

For the patient to accept death and die peacefully

The Theory of Nursing Practice and Career proposes that the nurse is not afraid to give hope and company to a patient until his or her final hour if in terminal condition. Which of the following mental states where an individual experiences fear or nervousness about what might happen?

Anxiety

Maslow's hierarchy of needs is a motivational theory in psychology comprising a five-tier model of humanneeds, often depicted as hierarchical levels within a pyramid. A clinical instructor is seen asking her student in the care of her acutely ill patient. Which of the following physiologic needs is essential?

Oxygen

Pepper is a 90-year-old widow from Vancouver. She just lost her husband Cay a week ago after being admitted at the ICU due to heart failure. Which of the following is the developmental tasks of an older adult in the family?

Adjust to loss of spouse

Surgical hand washing should reduce the release of skin bacteria from the hands of the surgical team for the duration of the procedure in case of a puncture of the surgical glove releasing bacteria to the surgical wound. Careful hand-washing and using sterile techniques are ways in which nurses meet which basic human need?

Safety & Security

Nurse Pepper is assigned to care for patients at the COVID ward. Maslow's Hierarchy of basic human needs is essential when formulating a plan and management of nursing care as it provides a basis for?

Establishing priorities of care

Maslow's pyramid of human needs, beginning at the base with physiological needs that must first be satisfied before higher-level safety needs and then psychological needs become active. You are asked to use the Abraham Maslow's theory to prioritize the following health needs from most important priority to the least important priority:

Altered Breathing Pattern

Nutrition: Less Than Body Requirements

Disturbed Body Image

Spiritual Distress

It is the condition of being honored, to regard highly such as a highly favorable opinion or judgment.

Esteem

Includes the need to grow, to feel fulfilled, to realize one's potential.

Self-Actualization Needs

It grows from experiences of punishment.

Bad me

Anxiety provoking experiences may create dissociation from self to form the \__________, experiences that are denied.

Not me

Any behavior that is rewarded, suppress parts that you don't like, display good parts?

Good me

The system is independent of specific elements and variables. Systems Theory is _

Holistic

This theory provides recognition of interplay between \____________ factors in determining individual behavior.

Biological and psychological

Systems theory is useful as a perspective for understanding small groups because this theory:

Provides a framework for thinking about the complex processes of groups of human beings.

Ludwig von Bertalanffy theory is a systems theory. Which of the following is referred to as a structural limitation that separates a system from other systems?

Boundary

It is the state of disorganization system.

Entropy

Kurt Lewin is considered as the father of social psychology. His theory has three components. Which component causes a nurse to recognize the problem and need to change to address the prpblem?

Unfreezing

This stage involves a process of change in thoughts, feeling, behavior, or all three, that is in some way more liberating or more productive.

Moving to a new change

t involves establishing the change as a new habit so that it now becomes the "standard operating procedure".

Refreezing

Which of the following may contribute to unfreezing resistance?

Lack of information

He is the founder of social psychology.

Kurt Lewin

The source of all instincts, drives, reflexes, needs, genetic inheritance, and capacity to respond and motivation.

Id

It differentiates subjective experiences, memory images, and objective reality and attempts to negotiate a solution.

Ego

It is the second stage of Freud's theory. This is manifested by moving of the bowels and the fecal retention. Symptoms of fixation include anal-expulsive personality/anal-retentive personality.

Anal Stage

Is the last to develop and represents the moral component of personality. Helps to choose right from wrong.

Superego

Freud's term for middle childhood, during which children's emotional drives is quieter, the psychosexual needs are repressed, and their unconscious conflicts are submerged.

Latency stage

Pepper is a 17-year-old child and is hospitalized because of asthma, according to the psychosocial theory, which of the following is an appropriate intervention?

Tell the child's girlfriend to visit the child.

It involves learning basic skills and working with others.

industry vs. inferiority

This is where the self "ego" appears and is striving for independence. Toddlers usually are fond of saying "No".

autonomy vs. shame

Which of the following is TRUE about the Industry vs. Inferiority stage?

Peers foster inferiority, say exactly what they think.

What stage happens in adolescence?

Identity vs role confusion