Fundamentals of Nursing

Nursing

Quiz 3 :

Nursing Theories and Conceptual Frameworks

Quiz 3 :

Nursing Theories and Conceptual Frameworks

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Critical Thinking Checkpoint Tony is a 32-year-old man with HIV. His first AIDS-defining illness caused his weight to drop from 175 to 116 pounds due to intractable diarrhea. The physician thought caloric intake was of primary importance and urged Tony to eat whatever he wanted. The physician also prescribed tincture of opium for the diarrhea, but Tony hated the tincture of opium because it made him feel out of control. Because Tony was getting worse, his nurse argued that he needed intravenous nutrition and should eat only bananas, rice, applesauce, and weak tea until the diarrhea stopped. The nurse suggested adding other foods one at a time and only as tolerated. Tony's family and friends offered to take control of Tony's food preparation. The physician compared AIDS to advanced cancer and argued he would not prescribe intravenous nutrition for advanced cancer. The nurse argued that this was Tony's first AIDS infection and that his prognosis was better than someone with advanced cancer. The nurse's primary focus was on stopping the diarrhea, and supplementing nutrition with IVs. Tony's friends preferred the nurse's approach, but Tony was not as easily convinced. Which of the nursing models in this chapter best supports the nurse's plan of care?
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Cancer is defined as uncontrolled proliferation of cells, which divide continuously to form a tumor or clone cells that possess the potential to metastasize towards different sites inside the body.
Acquired immunodeficiency syndrome (AIDS) is a viral infection, which can be transmitted through sexual intercourse and direct contact with body fluids of the infected person.
This case is a classic example of king's model of nursing. Specifically this is transaction process model. It describes the nature and standard of nurse-client interactions that leads to a goal attainment.
The nurse interacts with client with a purpose and mutually sets some goals and tries to achieve them. The goals can be outcomes like better health achievement.
King's theory deals with the interaction with client and his environment including family. It explains the need of client participation in the decision making. In the example given, nurse interacted with the client to relieve him from diarrhea and discussing intensively with client and environment.

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"A group of related ideas or statements" best defines which of the following? 1) A philosophy 2) A conceptual framework 3) A theory 4) A paradigm
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All professions are founded on some sort of concepts and theories. There is a link between practices, research and education exist. Nursing is no different. Nurses identify with various concepts and theories.
A paradigm sets an example for better understanding. It has patterns to easily understand the reality. A theory is defined to explain phenomena. It involves the system of ideas to explain phenomena. Philosophy incorporates the bringing of similar ideas to a common platform.
Hence, the options 1, 3 and 4 are incorrect.
When some ideas are defined together, it is called a conceptual framework. For example, the concept of Freud's structure of mind this includes id, ego, and superego. These three concepts can be considered his conceptual framework.
Hence, the correct answer is option
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Critical Thinking Checkpoint Tony is a 32-year-old man with HIV. His first AIDS-defining illness caused his weight to drop from 175 to 116 pounds due to intractable diarrhea. The physician thought caloric intake was of primary importance and urged Tony to eat whatever he wanted. The physician also prescribed tincture of opium for the diarrhea, but Tony hated the tincture of opium because it made him feel out of control. Because Tony was getting worse, his nurse argued that he needed intravenous nutrition and should eat only bananas, rice, applesauce, and weak tea until the diarrhea stopped. The nurse suggested adding other foods one at a time and only as tolerated. Tony's family and friends offered to take control of Tony's food preparation. The physician compared AIDS to advanced cancer and argued he would not prescribe intravenous nutrition for advanced cancer. The nurse argued that this was Tony's first AIDS infection and that his prognosis was better than someone with advanced cancer. The nurse's primary focus was on stopping the diarrhea, and supplementing nutrition with IVs. Tony's friends preferred the nurse's approach, but Tony was not as easily convinced. What appear to be the perspectives or views represented by the physician and the nurse (how might you say they are defining the metaparadigm)?
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The HIV or human immunodeficiency virus as a subgroup of retrovirus causes infection of HIV as well as after some time leads to AIDS or acquired immunodeficiency syndrome. A situation affects humans as well as results in progression of failure of the human immune system.
Physician has a perspective to avoid any side effects of the intravenous nutrition in such a dangerous disease. He even compared the situation to the advanced cancer. Chances of sepsis and bubbling are additional concerns in HIV infection.
Nurse's primary concern is to treat the diarrhea and relieve the client. Client is also unable to feed properly. Therefore, she has a view that intravenous nutrition should be preferred. She also did not agree to the comparison made with the advanced cancer as the client's prognosis was better than the client of advanced cancer.
This is clear example of metaparadigm existing in the nursing. Nurse's interest in the client and discussion with the physician is in accordance with the role of nursing proposed by the various theories.

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Critical Thinking Checkpoint Tony is a 32-year-old man with HIV. His first AIDS-defining illness caused his weight to drop from 175 to 116 pounds due to intractable diarrhea. The physician thought caloric intake was of primary importance and urged Tony to eat whatever he wanted. The physician also prescribed tincture of opium for the diarrhea, but Tony hated the tincture of opium because it made him feel out of control. Because Tony was getting worse, his nurse argued that he needed intravenous nutrition and should eat only bananas, rice, applesauce, and weak tea until the diarrhea stopped. The nurse suggested adding other foods one at a time and only as tolerated. Tony's family and friends offered to take control of Tony's food preparation. The physician compared AIDS to advanced cancer and argued he would not prescribe intravenous nutrition for advanced cancer. The nurse argued that this was Tony's first AIDS infection and that his prognosis was better than someone with advanced cancer. The nurse's primary focus was on stopping the diarrhea, and supplementing nutrition with IVs. Tony's friends preferred the nurse's approach, but Tony was not as easily convinced. How might Florence Nightingale analyze this situation?
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"A set of shared understandings and assumptions about reality and the world" is a definition for which of the following? 1) A concept 2) A conceptual framework 3) A practice discipline 4) A paradigm
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Critical Thinking Checkpoint Tony is a 32-year-old man with HIV. His first AIDS-defining illness caused his weight to drop from 175 to 116 pounds due to intractable diarrhea. The physician thought caloric intake was of primary importance and urged Tony to eat whatever he wanted. The physician also prescribed tincture of opium for the diarrhea, but Tony hated the tincture of opium because it made him feel out of control. Because Tony was getting worse, his nurse argued that he needed intravenous nutrition and should eat only bananas, rice, applesauce, and weak tea until the diarrhea stopped. The nurse suggested adding other foods one at a time and only as tolerated. Tony's family and friends offered to take control of Tony's food preparation. The physician compared AIDS to advanced cancer and argued he would not prescribe intravenous nutrition for advanced cancer. The nurse argued that this was Tony's first AIDS infection and that his prognosis was better than someone with advanced cancer. The nurse's primary focus was on stopping the diarrhea, and supplementing nutrition with IVs. Tony's friends preferred the nurse's approach, but Tony was not as easily convinced. What concepts are present In this case?
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Which provides the best explanation for describing nursing as a practice discipline? 1) Nursing focuses on performing the professional role. 2) It takes time and experience to become a competent nurse. 3) Research and theory development is a central focus. 4) Nurses function as members of a team who form a practice group.
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Which is an accurate statement about the role of nursing theory? 1) Practice theories assist nurses to reflect on the effectiveness of what they do. 2) Midlevel theories, describing the interrelationships among a broad range of concepts within nursing, have been well tested through nursing research. 3) All schools of nursing in the United States are organized around one of the conceptual models described in this chapter. 4) Nursing theory guides the direction of research but not that of education or practice.
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"A supposition or system of ideas that is proposed to explain a 3. given phenomenon" best defines which of the following? 1) A concept 2) A conceptual framework 3) A theory 4) A paradigm
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The purpose of theory in science is to 1) Build a rationale for programs of research. 2) Explain why scientists do what they do. 3) Help scientists interpret phenomena. 4) Distinguish science from art.
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Person, environment, health, and nursing constitute the metaparadigm for nursing because they do which of the following? 1) Provide a framework for implementing the nursing process. 2) Can be utilized in any setting when caring for a client. 3) Can be utilized to determine applicability of a research study. 4) Focus on the needs of a group of clients.
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