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nursing theories

Total questions: 49

Worksheet time: 30mins

Name
Class
Date
1.

A nurse observes that an elderly patient struggles with dressing due to arthritis but insists on doing it independently. According to the Roper–Logan–Tierney model, which principle guides the nurse’s intervention?

a)

Encourage full dependence to avoid frustration

b)

Support partial independence with adaptive tools

c)

Limit self-care to prevent injury

d)

Delegate care entirely to family members

2.

A newly hired nurse requires detailed step-by-step guidance for performing sterile dressing changes. Based on Benner’s model, what level of skill acquisition does this nurse demonstrate?

a)

Advanced beginner

b)

Novice

c)

Competent

d)

Proficient

3.

A nurse caring for a post-stroke patient develops an individualized rehabilitation plan focused on mobility and self-feeding. Which theory best aligns with this approach?

a)

Orem’s Self-Care Deficit Theory

b)

Benner’s Novice to Expert Theory

c)

Roper–Logan–Tierney Model

d)

Watson’s Caring Theory

4.

An older adult recovering from pneumonia needs help with breathing exercises and safety awareness at home. According to Roper’s framework, the nurse’s goal is to:

a)

Ensure full dependence for comfort

b)

Optimize independence within limitations

c)

Minimize all physical exertion

d)

Prioritize family over self-care

5.

A nurse identifies a diabetic patient unable to maintain self-injection due to poor vision. According to Orem, this represents:

a)

Health deviation self-care deficit

b)

Universal self-care requisites

c)

Wholly compensatory system

d)

Supportive–educative system

6.

A nurse manager notices a senior nurse accurately predicting patient complications based on subtle signs. This illustrates which concept in Benner’s theory?

a)

Intuitive expertise

b)

Analytical reasoning

c)

Cognitive bias

d)

Procedural accuracy

7.

During home care, a nurse helps a patient adapt bathing techniques after spinal injury. This demonstrates which of the 12 activities of living from the Roper–Logan–Tierney model?

a)

Maintaining safe environment

b)

Washing and dressing

c)

Communicating

d)

Expressing sexuality

8.

A student nurse struggles with prioritizing patient care but can recognize abnormal findings with supervision. According to Benner, this nurse is at what level?

a)

Competent

b)

Proficient

c)

Advanced beginner

d)

Novice

9.

A patient who is unable to ambulate post-surgery requires full assistance for toileting. Which nursing system does Orem’s theory recommend in this case?

a)

Partly compensatory

b)

Wholly compensatory

c)

Supportive–educative

d)

Independent

10.

A nurse develops a personalized teaching plan that helps a patient with COPD self-manage oxygen therapy. Which principle of the Roper–Logan–Tierney model is applied?

a)

Dependence–independence continuum

b)

Environmental adaptation

c)

Physiological compensation

d)

Passive care approach

11.

A hospital introduces mentorship programs pairing experienced and novice nurses. This initiative reflects the application of which theory?

a)

Orem’s Self-Care Deficit

b)

Benner’s Novice to Expert

c)

Roper–Logan–Tierney Model

d)

Rogers’ Science of Unitary Humans

12.

A nurse facilitates a palliative care meeting allowing a patient to express end-of-life preferences. Which ADL category does this reflect?

a)

Working and playing

b)

Death and dying

c)

Communicating

d)

Sleeping

13.

A nurse supports a patient recovering from a stroke by designing exercises to restore hand movement. This demonstrates Orem’s concept of:

a)

A. Therapeutic self-care demand

b)

B. Nursing agency

c)

C. Basic conditioning factors

d)

D. Dependent–independent continuum

14.

A nurse educator emphasizes ethical and moral reflection when handling end-of-life decisions. Which of Benner’s core components is this?

a)

Contextual knowledge

b)

Ethical practice

c)

Intuition in practice

15.

A patient with chronic renal failure learns to manage dietary restrictions independently. Which nursing theory best describes the nurse’s role?

a)

Orem’s Self-Care Deficit Theory

b)

Roper–Logan–Tierney Model

c)

Benner’s Novice to Expert Theory

d)

Roy’s Adaptation Model

16.

A student nurse records vital signs precisely but cannot yet interpret deviations. What level of Benner’s framework applies?

a)

Competent

b)

Proficient

c)

Novice

d)

Advanced beginner

17.

A patient recovering from knee surgery receives crutches training. According to Roper’s model, which aspect of living is prioritized?

a)

Mobilization

b)

Safe environment

c)

Working and playing

d)

Temperature control

18.

A nurse in ICU identifies subtle changes in heart rhythm and anticipates cardiac arrest before alarms sound. This exemplifies:

4 lines
19.

A home care nurse adjusts interventions after assessing that a patient’s social support and housing affect self-care ability. Which concept of Orem’s model does this apply?

a)

Basic conditioning factors

b)

Therapeutic self-care demand

c)

Nursing system

d)

Self-care agency

20.

A nurse caring for a patient with a spinal cord injury promotes the use of adaptive equipment for bathing to maintain dignity. According to Roper’s model, this approach emphasizes:

a)

Independence within limitation

b)

Holistic dependency

c)

Compensatory support

d)

Rehabilitation through delegation

21.

A nurse educator observes that a student can prioritize patient needs effectively but still relies on guidelines for complex cases. In Benner’s model, this represents:

a)

Competent level

b)

Proficient level

c)

Expert level

d)

Advanced beginner

22.

Orem’s theory, the nurse’s role would most likely involve:

a)

Partly compensatory nursing system

b)

Wholly compensatory system

c)

Supportive–educative system

d)

Independent care model

23.

A nurse in palliative care ensures that a dying patient is spiritually at peace and free from pain. Which of Roper’s activities of living is directly applied?

a)

Sleeping

b)

Death and dying

c)

Expressing sexuality

d)

Mobilizing

24.

A proficient nurse demonstrates early recognition of sepsis before clinical signs appear. This reflects which of Benner’s core competencies?

a)

Intuitive pattern recognition

b)

Ethical judgment

c)

Analytical thinking

d)

Technical mastery

25.

A newly graduated nurse struggles with adapting standard care plans to unique patient conditions. According to Benner, what must develop for progression toward expertise?

a)

Experience-based contextual understanding

b)

Increased theoretical reading

c)

Delegation skills

d)

Procedural memorization

26.

An elderly patient recovering from hip replacement needs help walking but insists on trying independently. Roper’s model would classify this as:

a)

Movement along the dependence–independence continuum

b)

A self-care deficit

c)

Impaired coping

d)

Complete dependence

27.

A nurse modifies a patient’s environment by ensuring adequate lighting and removing obstacles to prevent falls. Which Roper concept does this demonstrate?

a)

Maintaining a safe environment

b)

Working and playing

c)

Communicating

d)

Sleeping

28.

A 55-year-old patient with diabetes attends self-management education to learn insulin administration. Orem would categorize this under which nursing system?

a)

Supportive–educative

b)

Wholly compensatory

c)

Partly compensatory

d)

Independent care

29.

A novice nurse follows protocols precisely without understanding their broader purpose. Benner’s theory interprets this as:

a)

Dependence on rules characteristic of novices

b)

Effective time management

c)

Analytical clinical reasoning

d)

Expert-level intuition

30.

A patient recovering from surgery is taught by the nurse to perform deep-breathing exercises independently. This illustrates which Orem concept?

a)

Developmental self-care

b)

Supportive-educative system

c)

Wholly compensatory system

d)

Basic conditioning factor

31.

A nurse recognizes subtle changes in skin color before hypoxia develops. This demonstrates Benner’s concept of:

a)

Expert-level pattern recognition

b)

Competent-level performance

c)

Analytical reasoning

d)

Structured observation

32.

A nurse documents that a patient can independently eat, dress, and bathe but needs help with ambulation. According to Roper, this assessment determines:

a)

Level of dependence in ADLs

b)

Readiness for discharge

c)

Self-care agency

d)

Cognitive decline

33.

A nurse assesses a patient’s family dynamics, financial status, and cultural background before planning care. In Orem’s model, these are:

a)

Basic conditioning factors

b)

Universal self-care requisites

c)

Developmental factors

34.

A 40-year-old patient recovering from a stroke is unable to perform oral hygiene. The nurse performs mouth care daily. Which Orem nursing system applies?

a)

Wholly compensatory

b)

Partly compensatory

c)

Supportive-educative

d)

Developmental

35.

A nurse identifies that a patient’s inability to communicate effectively leads to poor cooperation with treatment. Which of Roper’s activities of living is impaired?

a)

Communicating

b)

Working and playing

c)

Sleeping

d)

Eating and drinking

36.

A nurse manager pairs experienced staff with new hires to transfer practical wisdom and intuitive judgment. This mentoring system reflects:

a)

Benner’s Novice to Expert transition

b)

Orem’s Self-care agency

c)

Roper’s holistic adaptation

d)

Rogers’ unitary theory

37.

A nurse teaches a patient with chronic hypertension to monitor blood pressure at home. According to Orem, this intervention supports:

4 lines
38.

A competent nurse provides individualized diabetic education, adjusting for literacy and age. This represents Benner’s focus on:

a)

Clinical contextualization

b)

Task delegation

c)

Rigid procedural adherence

d)

Analytical reasoning

39.

A nurse guides a patient with COPD to balance rest and activity. According to Roper’s model, this supports:

a)

Maintaining body temperature

b)

Mobilizing and working balance

c)

Controlling environment

d)

Rest–work equilibrium

40.

A nurse provides complete feeding care for a patient in a coma. This action fits into which Orem system?

a)

Wholly compensatory

b)

Partly compensatory

c)

Supportive–educative

d)

Restorative

41.

A nurse educator describes the ability to synthesize experience and theory in real-time patient care as:

a)

Clinical reasoning

b)

Patient advocacy

c)

Technical proficiency

d)

Documentation skills

42.

A nurse plans care to restore a patient’s ability to feed themselves post-stroke. This represents which stage in Orem’s care focus?

a)

Transition from wholly to partly compensatory

b)

Developmental self-care deficit

c)

Wholly compensatory care

d)

Universal self-care requisite

43.

A student nurse observes that expert nurses often “just know” when a patient is deteriorating. This experiential insight reflects Benner’s concept of:

a)

Clinical intuition

b)

Analytical assessment

c)

Skill memorization

d)

Procedural training

44.

A patient who was previously dependent now performs personal hygiene with minimal help. According to Roper’s model, this shows:

a)

Movement toward independence

b)

Supportive–educative care

c)

Developmental deficit

d)

Adaptive dissonance

45.

A nurse recognizes that a patient’s smoking habits worsen their asthma. In Orem’s theory, this affects:

a)

Basic conditioning factors

b)

Universal self-care requisites

c)

Therapeutic self-care demand

d)

Nursing agency

46.

A nurse’s ability to mentor others and make complex decisions effortlessly is typical of Benner’s:

a)

Expert stage

b)

Competent stage

c)

Advanced beginner

d)

Proficient stage

47.

A nurse evaluates that an elderly patient’s poor nutrition affects wound healing. Which Roper activity is most relevant?

a)

Eating and drinking

b)

Maintaining environment

c)

Sleeping

d)

Mobilizing

48.

A patient learns to self-administer insulin accurately after multiple sessions. According to Orem, this demonstrates:

a)

Achievement of self-care agency

b)

Health deviation deficit

c)

Therapeutic demand reduction

d)

Developmental adaptation

49.

An ICU nurse detects a sudden change in a patient’s breathing pattern and acts before monitors show distress. According to Benner, this demonstrates:

a)

Expert intuition grounded in experience

b)

Competent-level analysis

c)

Proficient-stage adaptability

d)

Procedural execution