Theoretical Frameworks for Advanced Nursing Practice: Master Nursing Theory

Question 1

Which nursing theory posits that expert nurses rely on intuition and pattern recognition, rather than following explicit rules?

Accepted Answer

Benner's Model of Skill Acquisition

Answer

Roy's Adaptation Model

Answer

Orem's Self-Care Deficit Theory

Answer

Neuman's Systems Model

Question 2

In which nursing model is the patient viewed as an active participant in their own care, rather than a passive recipient?

Accepted Answer

Orem's Self-Care Deficit Theory

Answer

Donabedian's Model of Health Care Quality

Answer

Roy's Adaptation Model

Answer

Neuman's Systems Model

Question 3

Which ethical principle requires nurses to minimize harm to patients?

Accepted Answer

Non-maleficence

Answer

Autonomy

Answer

Beneficence

Answer

Justice

Question 4

Which of the following is a characteristic of a well-structured theoretical framework in nursing?

Accepted Answer

Concrete and testable in different settings

Answer

Abstract and difficult to apply in practice

Answer

Based on personal opinions and beliefs

Answer

Unrelated to the lived experiences of nurses

Question 5

Which of the following is a limitation of using theoretical frameworks in nursing practice?

Accepted Answer

They can be too complex and time-consuming to use

Answer

They can provide a standardized approach to care

Answer

They can help nurses to make evidence-based decisions

Answer

They are not always supported by research evidence

Question 6

Which aspect of advanced nursing practice involves the evaluation and synthesis of research findings to inform clinical decision-making?

Accepted Answer

Clinical judgment

Answer

Consultation and collaboration

Answer

Patient education

Answer

Health promotion

Question 7

Which ethical principle requires nurses to treat all patients fairly, regardless of their background or beliefs?

Accepted Answer

Justice

Answer

Autonomy

Answer

Beneficence

Answer

Non-maleficence

Question 8

Which characteristic is NOT associated with the Nurse Practitioner (NP) role, as defined by the American Nurses Association (ANA)?

Accepted Answer

Ability to perform surgery independently

Answer

Emphasis on primary care and disease prevention

Answer

Advanced knowledge and skills in a specific area of practice

Answer

Collaboration with interdisciplinary healthcare teams

Question 9

Theories of caring, like Watson's Human Caring Theory, emphasize the significance of:

Accepted Answer

Nurse-patient relationship built on empathy and compassion

Answer

Patient empowerment and shared decision-making

Answer

Technology and innovation in healthcare delivery

Answer

Cost-effectiveness and efficiency in patient care

Question 10

Which decision-making model involves a structured process of gathering evidence, assessing options, and selecting the most suitable choice?

Accepted Answer

Rational Decision-Making Model

Answer

Clinical Judgment Model

Answer

Ethical Dilemma Resolution Model

Answer

Situational Adaptation Model

Question 11

In nursing research, the concept of 'lived experience' emphasizes:

Accepted Answer

The subjective perceptions and experiences of individuals

Answer

The objective data and measurable outcomes of interventions

Answer

The theoretical interpretations of findings by researchers

Answer

The generalizability of research results to a broader population

Question 12

Which of the following is not a characteristic of theory-based advanced nursing practice?

Accepted Answer

Reliance on intuition and personal experience

Answer

Guiding clinical decisions

Answer

Promoting holistic patient care

Answer

Increasing professional autonomy

Question 13

According to Peplau's Interpersonal Relations Theory, the nurse-patient relationship emphasizes:

Accepted Answer

An equal partnership characterized by mutual respect

Answer

A hierarchy of roles

Answer

Formal boundaries and professional distance

Answer

A focus on the patient's medical diagnosis

Question 14

Which model of care focuses on the nurse's role in coordinating and managing care for patients across healthcare settings and providers?

Accepted Answer

Patient-Centered Medical Home

Answer

Chronic Care Model

Answer

Transcultural Nursing Model

Answer

King's Systems Framework

Question 15

Which ethical principle in nursing emphasizes the duty to prevent harm and protect the patient's well-being?

Accepted Answer

Nonmaleficence

Answer

Autonomy

Answer

Justice

Answer

Beneficence

Question 16

According to Orem's Self-Care Deficit Theory, the primary role of the nurse is to:

Accepted Answer

Teach and empower the patient to develop self-care skills

Answer

Provide care directly to the patient

Answer

Support the patient's family and social network

Answer

Advocate for the patient's rights and autonomy

Question 17

A patient requests a treatment that the nurse practitioner believes is not medically necessary. How should the nurse practitioner address this ethical dilemma?

Accepted Answer

Discuss the risks and benefits of the treatment with the patient and encourage informed decision-making.

Answer

Prescribe the treatment to avoid conflict with the patient.

Answer

Refuse the treatment without explaining the reasons to the patient.

Answer

Consult with a physician for guidance without involving the patient.

Question 18

Within which theoretical framework is the patient's social environment considered a crucial factor in understanding their health and well-being?

Accepted Answer

Neuman Systems Model

Answer

Roy Adaptation Model

Answer

Orem Self-Care Model

Answer

Henderson's Need Theory

Question 19

In a healthcare system focused on patient-centered care, which model of care is commonly adopted?

Accepted Answer

Patient-Centered Medical Home Model

Answer

Chronic Care Model

Answer

Health Belief Model

Answer

Medical Model

Question 20

According to the Orem Self-Care Model, the nurse's primary role involves:

Accepted Answer

Educating the patient on self-care management

Answer

Assuming direct responsibility for the patient's care

Answer

Supervising the patient's progress closely

Answer

Pleading for the patient's needs

Question 21

Which component is excluded from the essential elements of the Neuman Systems Model?

Accepted Answer

Immunity

Answer

Stressors

Answer

Reactions

Answer

Resources

Question 22

When a patient exhibits emotional distress, which theoretical framework provides a foundation for understanding their psychological state?

Accepted Answer

Peplau's Interpersonal Relations Model

Answer

King's Theory of Goal Attainment

Answer

Rogers' Science of Unitary Human Beings

Answer

Leininger's Transcultural Nursing Model

Question 23

Which nursing theorist emphasized the significance of the nurse-patient relationship in promoting health?

Accepted Answer

Hildegard Peplau

Answer

Virginia Henderson

Answer

Dorothea Orem

Answer

Betty Neuman

Question 24

Which characteristic distinguishes evidence-based practice?

Accepted Answer

Integration of scientific research

Answer

Tailoring to individual patient needs

Answer

Uniform application across all patients

Answer

Reliance on traditional practices and experience

Question 25

When a nurse leads a healthcare team in developing a care plan for a patient facing complex health challenges, which decision-making model is most suitable?

Accepted Answer

Collaborative

Answer

Autocratic

Answer

Democratic

Answer

Laissez-faire

Question 26

Which theoretical framework places emphasis on the nurse's adaptability to evolving patient needs and circumstances?

Accepted Answer

Roy Adaptation Model

Answer

Peplau's Interpersonal Relations Theory

Answer

Orem's Self-Care Model

Answer

Watson's Theory of Human Caring

Question 27

Which decision-making model involves a systematic evaluation of potential risks and benefits prior to making a choice?

Accepted Answer

Rational Decision-Making

Answer

Intuitive Decision-Making

Answer

Consultative Decision-Making

Answer

Collaborative Decision-Making

Question 28

Which model of care places emphasis on the nurse's role as a patient advocate?

Accepted Answer

Patient-Centered Care Model

Answer

Primary Care Model

Answer

Acute Care Model

Answer

Long-Term Care Model

Question 29

Which decision-making tool is specifically designed for ethical dilemmas in advanced nursing practice?

Accepted Answer

Ethical Decision-Making Framework

Answer

Nursing Code of Ethics

Answer

Patient Bill of Rights

Answer

Institutional Review Board

Question 30

The Roy Adaptation Model's foundational concept emphasizes:

Accepted Answer

The individual's environment and coping mechanisms

Answer

Physiological and psychological adaptation

Answer

A holistic systems approach to healthcare

Answer

Spiritual and cultural factors

Question 31

Which decision-making framework prioritizes maximizing overall benefit and happiness?

Accepted Answer

Utilitarianism

Answer

Ethical decision-making

Answer

Evidence-based practice

Answer

Kantian ethics

Question 32

Within the Neuman Systems Model, which subsystem is primarily involved in the client's response to stressors?

Accepted Answer

Stress-response subsystem

Answer

Intrapersonal subsystem

Answer

Interpersonal subsystem

Answer

Extra-corporeal subsystem

Question 33

Respecting patient autonomy is a fundamental ethical principle known as:

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Justice

Answer

Non-maleficence

Question 34

The Watson Caring Science Theory's focus is primarily on:

Accepted Answer

Humanistic values and caring relationships

Answer

Scientific approaches to healthcare

Answer

Patient empowerment and self-management

Answer

Integration of evidence-based practice

Question 35

Which model of care prioritizes patient empowerment and self-management?

Accepted Answer

Chronic care model

Answer

Acute care model

Answer

Palliative care model

Answer

Population health model

Question 36

According to the Iowa Model of Evidence-Based Practice, which step entails rigorously assessing the available evidence?

Accepted Answer

Critically appraising the evidence

Answer

Formulating a clinical question

Answer

Acquiring the relevant evidence

Answer

Applying the evidence to practice

Question 37

Which theoretical framework is specifically tailored for advanced nursing practice in mental health settings?

Accepted Answer

Peplau's Interpersonal Relations Theory

Answer

Erikson's Stages of Psychosocial Development

Answer

Maslow's Hierarchy of Needs

Answer

Rogers' Client-Centered Therapy

Question 38

In the Neuman Systems Model, the component that examines external factors influencing the client's health is the:

Accepted Answer

Extra-corporeal subsystem

Answer

Intra-corporeal subsystem

Answer

Stressor subsystem

Answer

Stress-response subsystem

Question 39

A nurse is evaluating a patient's readiness to engage in shared decision-making. Which theoretical framework would best guide this assessment?

Accepted Answer

Transtheoretical Model

Answer

Diffusion of Innovations Theory

Answer

Health Belief Model

Answer

Theory of Reasoned Action

Question 40

Which ethical principle requires nurses to respect the patient's right to make autonomous decisions, even if the nurse disagrees with the patient's choice?

Accepted Answer

Autonomy

Answer

Justice

Answer

Non-maleficence

Answer

Beneficence

Question 41

A nurse is caring for a patient with a chronic condition. Which theoretical framework would provide guidance on how to promote self-management and improve patient outcomes?

Accepted Answer

Chronic Care Model

Answer

Transtheoretical Model

Answer

Health Belief Model

Answer

Roy Adaptation Model

Question 42

Which theoretical framework is based on the belief that individuals are holistic beings constantly interacting with their environment and that health is a state of balance and harmony?

Accepted Answer

Neuman Systems Model

Answer

Middle Range Theory of Self-Care Deficit

Answer

Roy Adaptation Model

Answer

Orem Self-Care Model

Question 43

A nurse is developing a care plan for a patient who has been recently diagnosed with cancer. Which theoretical framework would help the nurse understand the patient's psychological and emotional responses to the diagnosis?

Accepted Answer

Mishel Uncertainty in Illness Theory

Answer

Transtheoretical Model

Answer

Diffusion of Innovations Theory

Answer

Health Belief Model

Question 44

Which ethical principle requires nurses to maintain the confidentiality of patient information?

Accepted Answer

Confidentiality

Answer

Beneficence

Answer

Non-maleficence

Answer

Autonomy

Question 45

A nurse is caring for a patient with a terminal illness. Which theoretical framework would provide guidance on how to provide palliative care and support the patient and family during this time?

Accepted Answer

Kubler-Ross Grief Cycle Model

Answer

Transtheoretical Model

Answer

Chronic Care Model

Answer

Roy Adaptation Model

Question 46

Which theoretical framework is based on the belief that individuals make rational decisions by weighing the risks and benefits of different options?

Accepted Answer

Theory of Reasoned Action

Answer

Diffusion of Innovations Theory

Answer

Health Belief Model

Answer

Transtheoretical Model

Question 47

A nurse is creating a teaching plan for a patient with diabetes. Which theoretical framework would help the nurse understand the patient's beliefs and attitudes about diabetes management?

Accepted Answer

Health Belief Model

Answer

Roy Adaptation Model

Answer

Transtheoretical Model

Answer

Orem Self-Care Model