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Nrsg 351:Nursing Theories And Professionalism  Question Paper

Nrsg 351:Nursing Theories And Professionalism  

Course:Nursing

Institution: Kenya Methodist University question papers

Exam Year:2015



KENYA METHODIST UNIVERSITY

END OF 1''st ''TRIMESTER 2015 (FT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 351
UNIT TITLE : NURSING THEORIES AND PROFESSIONALISM
TIME : 3 HOURS




INSTRUCTIONS:

Answer all questions

SECTION A: MCQs (20 Marks)

Question One

Imogene King’s "goal attainment theory" is

Need theories
Interaction theories
Outcome theories
Humanistic theories

Question Two

The following refers to the moral values and beliefs that are used as guides to personal behavior and actions

Philosophy
Personality
Charm
Character

Question Three

Nursing interventions that require knowledge skills and expertise of multiple health professionals are

Dependent
Independent
Interdependent
Intradependent

Question Four

The sequential phases of interpersonal relationship in peplau’s theory include all, except;

Orientation
Identification
Restoration
Exploitation

Question Five

The patient care model best used when there are plenty of patient but few nurses is

Functional nursing
Team nursing
Primary nursing
Total patient care

Question Six

"Caring consists of carative factors that result in the satisfaction of certain human needs." This explanation was stated by;

Sister Calista Roy
Jean Watson
Dorothea Orem
Florence Nightingale

Question Seven

Theory guides the professional nurse in;

Planning effective nursing interventions
Analyzing patient data
Organizing patient data
All of the above

Question Eight

The main purpose of the Nurse practice ACT is to;

Guide nursing practice
Create and empower a board to govern licenses and practice
Promote and preserve nursing profession
Discipline the nurses

Question Nine

Concept related to Betty Neumans system model of nursing is;

Pattern
Rhythmicity
Dependency
Open system

Question Ten

The theoris who developed the clinical nursing theory, -A helping art model is

Weidenbach
Neuman
Peplau
Virginia

Question Eleven

The theorist who conceptualized that man, as an open system is in constant interaction and transaction with a changing environment is;

Roy
Watson
Betty
Leininger

Question Twelve

The following is not true about the human needs;

Certain needs are common to all people
Needs should be followed exactly in accordance with their hierarchy
Needs are stimulated by internal factors
Needs are stimulated by external factors

Question Thirteen

The reference Dorothea Orem said that; "The practice of activities that individuals initiates and performs on their own behalf in maintaining life and well being is

Self-care agency
Self-care
Therapeutic self-care demand
Nursing systems

Question Fourteen

Madeleine Leininger developed a theory which addressed;

Cultural care
Interpersonal relations
Nursing process
Older adults

Question Fifteen

According to Sr. Callista Roy Cognator substem involves all of the following cognitive-emotive channels, except

Self-concept
Learning
Judgement
Emotion

Question Sixteen

State whether the following statement is True (T) or False (F) (½ mark each)

About the nursing profession and practice;

Philosophy provides a broad general view of nursing that clarifies values and answers broad disciplinary question
Imbalances in the supply and demand for nurses arise periodically because of changes in society and health care.
Certification is a requirement for nurses that is granted by a certifying body, and is therefore a credential that has a legal status
Nurse practice acts and good Samaritan laws are excellent examples of statutory laws that affect nurses
Once a nurse delegates a client care activity to a subordinate, the nurse is no longer accountable for that activity

Question Seventeen

Match the statement in Column A to the corresponding theorist in Column B.

Column A

1. The environment considered of all internal and external influences that affect human being.

2. Systems approach to meeting human needs

3. Basic human needs are met through self-care activities

4. Fourteen principles or components of nursing care

5. An interaction that involves transpersonal caring

Column B

Florence Nightngale
Sister Calista Roy
Betty Neuman
Dorothea Orem
Virginia Henderson
Jean Watson

SECTION B: SHORT ANSWER QUESTIONS (40 MARKS)

Question One
Define the following terms. (3 marks)

Paradigm
Profession
Conceptual framework

Question Two
Differentiate between the following. (4 marks)

Policy and procedures
Beneficence and Nonmaleficance

Question Three
State four strategies applied to enhance ethical decisions and practice. (4 marks)

Question Four
State three nursing interventions according to neuman’s system model. (3 marks)

Question Five
Describe the four levels of a theory (8 marks)

Question Six
Explain three components of critical thinking. (6 marks)

Question Seven
Describe four characteristics of the nursing profession. (8 marks)

Question Eight
State four phases in which the client nurse relationship evolve according to Hildegard Peplau’s interpersonal model. (4 marks)

SECTION C: LONG ANSWER QUESTIONS (40 MARKS)

Question One

Madeleine Leininger, a nurse anthropologist dealt on the aspect of transcultural nursing.

Define cultural care diversity.

(2 marks)

Describe the three interventional modes according to Leininger

(12 marks)

Explain the significance of developmental theory in health care practice.



(6 marks)

Question Two

Nurses can best maintain the patient’s optimal well-being by providing care of the highest quality and of standards

Define standard or care.

(2 marks)

Discuss the significance of standard of care to the nursing profession and practice.

(10 marks)

Explain four categories of negligence that may result in malpractice among nurses in there practice.

(8 marks)






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