NURS8002 Exam Questions And Verified Detailed
Answers 2024-2025
Orem -Concepts of self-care has stood the test of time, specially in health-promotion and
illness prevention
Patients are given the chance to be active participants in their care
Participation in decision-making re: treatment compliance, etc
Seeking and securing appropriate medical assistance
Neuman-Used to facilitate nurses to practice with a goal setting and holistic approach to
care
model affects decision making pertaining to the patient's perception and the role of the
patients normal and flexible lines of defense
Peplau - Answer Nursing is a healing art requiring mutual respect between nurse and
patient as part of the therapeutic process
Focus is to assist the patient to understand the need for care and facilitate his or her
learning
Focus is on the patient's needs rather than that of the nurse
Long-term relationship is central in this situation
Key Factors influencing choice of a theory to direct nursing practice- Response Puts
demand for knowledge of concepts and principles related to the specific needs of the
clients, groups of clients, and/or community plus awareness of when and how utilize
these concepts and principles when planning and providing care
Are the theory objectives and also the exercise objectives consistent?
Is the theory's context similar to your practice situation?
Are the variables of the theory similar to your practice variables?
Are the theory explanations adequate to serve as a foundation for nursing action?
,Does research evidence support the theory?
How can this theory be used to drive a change in nursing practice in your setting?
Graham (2006) article and what can be learned in terms of nursing theories affecting a
specific practice situation - Answer How three different theories can be used to drive
practice
How did Orem contribute to Graham (2006) article? - Answer Concept of self-care has
stood the test of time especially as it focuses on health promotion and illness prevention
Advanced kidney disease affects various aspects of the patient's life Nutritional Energy
levels Complex medication regimen
Patients are encouraged to take an active role in their care
Being involved in decision-making related to treatment and compliance
Getting and receiving appropriate medical care
How Neuman's System Model assist with Graham 2006 article? - Answer Was able to
assist the nurses to practice in a way that goal setting was established and also a
holistic approach was developed to treat
Model influences decision-making regarding the patient's perceptions and role of the
patient's normal and flexible lines of defence
Also to be addressed are the patient's central core characteristics and assets
CKD can impact almost every aspect of a person's life
Need to identify what type of renal replacement therapy to start and continue and how
the assets/resources, eg. self, economic resources etc. will affect choice and
continuation
Peplau's Interpersonal Relations- How does this relate to Graham 2006 article? Answer
Nursing is seen as an art of healing that requires mutual respect from the professional
nurse and the patient as part of the therapeutic process
Attention is meant to help patient gain insight into the need for care and facilitate his/her
learning process
Attention is focused on the patient's needs, not on that of the nurse
, Long-term relationship is core in this instance
He describes a need for nurses to understand their own reactions to situations and
recognize the risk of becoming either over-involved on a personal level or underinvolved
through a focus on the clinical/technical aspect of their work.
Major barriers affecting selection of theories to guide practice - Answer Requires
understanding of concepts and principles associated with the particular needs of the
client, groups of clients, and/or community and recognition of when and how to use
these concepts and principles when planning and implementing care
Are the theory goals and practice goals congruent?
Is the context of the theory compatible with your practice situation?
Is there a relationship between the theory variables and your practice variables?
Are the descriptions in the theory adequate to provide a framework for nursing care?
Does research validate the theory?
How may this theory be used to impact nursing practice where you work?
Clinical reasoning - An answer higher level than the critical thinking and it represents an
understanding and ability to translate the information into effective nursing practices
Pattern recognition - Answer Discipline specific knowledge; nursing has information
that is unique and valuable (VS changes, 24-hr urine output, response to medications,
lab values, pain level)
Moving from novice to expert as you become more immersed in the knowledge, skills,
values, meanings, and experience
Deductive reasoning - Answer Start with broad, established facts, principles, laws or
theories, and bring it down to more specific situations.
A decrease in pain in the post-operative patient will improve his ventilation and the
patient will ambulate more frequently
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