- 1. 1.
A nurse is caring for a 45-year-old woman experiencing severe work stress. The nurse provides health teaching on stress management before any symptoms appear. This intervention reflects which level of prevention in Neuman’s model?
A) A. Primary prevention
B) B. Secondary prevention
C) D. Curative prevention
D) C. Tertiary prevention
- 2. 2.
A diabetic client is admitted with hyperglycemia and dehydration. The nurse starts insulin therapy and provides fluid replacement. Which prevention level is this?
A) A. Primary prevention
B) D. Health promotion
C) B. Secondary prevention
D) C. Tertiary prevention
- 3. 3.
A nurse encourages a post-stroke patient to attend rehabilitation therapy and join a stroke support group. What level of prevention does this demonstrate?
A) D. Holistic
B) C. Tertiary
C) B. Secondary
D) A. Primary
- 4. 4.
A 60-year-old hypertensive man loses his job, leading to anxiety and elevated blood pressure. The stressor that triggered his instability is:
A) A. Intrapersonal stressor
B) B. Interpersonal stressor
C) C. Extrapersonal stressor
D) D. Psychosocial variable
- 5. 5.
A nurse observes that a patient’s coping skills and family support are helping prevent the worsening of his illness despite financial problems. This is an example of:
A) C. Flexible line of defense
B) A. Lines of resistance
C) D. Stressor invasion
D) B. Normal line of defense
- 6. 6.
A client who has long-term hypertension now experiences chronic kidney disease. His “usual state of wellness” has shifted over time. Which concept explains this?
A) C. Basic structure
B) D. Flexible line of defense
C) A. Reconstitution
D) B. Normal line of defense
- 7. 7.
When infection invades a client’s body, the immune system activates antibodies to fight it. This is an example of:
A) B. Normal line of defense
B) D. Tertiary prevention
C) C. Lines of resistance
D) A. Flexible line of defense
- 8. 8.
A nurse includes spiritual counseling in a care plan for a terminally ill patient. Which client variable is addressed?
A) C. Developmental variable
B) B. Sociocultural variable
C) D. Spiritual variable
D) A. Psychological variable
- 9. 9.
A 30-year-old nurse experiences burnout due to workload and lack of rest. She feels irritable and anxious. Which type of stressor best describes her situation?
A) B. Interpersonal stressor
B) C. Extrapersonal stressor
C) A. Intrapersonal stressor
D) D. Psychological variable
- 10. 10.
After recovering from pneumonia, a client adopts a healthier diet and regular exercise to avoid recurrence. According to Neuman’s model, this represents:
A) D. Normal line of defense
B) A. Secondary prevention
C) C. Flexible line strengthening
D) B. Tertiary prevention
- 11. 11. A 70-year-old woman who recently suffered a stroke is unable to bathe, dress, or feed herself. Which nursing system is most appropriate according to Orem’s theory?
A) B. Wholly compensatory system
B) A. Partly compensatory system
C) D. Self-regulative system
D) C. Supportive–educative system
- 12. 12.
A post-operative patient begins to assist in walking and feeding himself with the nurse’s help. This situation represents which nursing system?
A) B. Partly compensatory
B) C. Supportive–educative
C) D. Independent care
D) A. Wholly compensatory
- 13. 13.
A newly diagnosed diabetic client is being taught by the nurse how to self-administer insulin. According to Orem, this intervention is an example of:
A) C. Self-care deficit
B) D. Health-deviation requisite
C) B. Supportive–educative system
D) A. Wholly compensatory system
- 14. 14.
A patient recovering from pneumonia still experiences weakness and needs help bathing but can feed himself. What type of nursing system applies?
A) C. Supportive–educative
B) D. Preventive
C) A. Wholly compensatory
D) B. Partly compensatory
- 15. 15.
An elderly patient is admitted with dehydration due to neglecting to drink enough fluids. Which self-care requisite is affected?
A) A. Developmental
B) B. Universal
C) D. Cognitive
D) C. Health-deviation
- 16. 16.
A nurse helps a teenager adjust to the emotional and physical changes of puberty. Which self-care requisite does this address?
A) D. Spiritual requisite
B) B. Health-deviation requisite
C) C. Developmental requisite
D) A. Universal requisite
- 17. 17.
A patient with hypertension refuses to take medication due to lack of understanding of its importance. The nurse identifies this as:
A) C. Health-deviation self-care deficit
B) D. Psychological barrier
C) A. Universal self-care deficit
D) B. Developmental deficit
- 18. 18.
A 60-year-old patient recovering from surgery lacks the strength to bathe independently. According to Orem, this represents:
A) A. A self-care agency
B) B. A self-care deficit
C) D. A developmental requisite
D) C. A therapeutic self-care demand
- 19. 19.
A nurse evaluates whether a patient can now independently perform insulin injections after teaching sessions. Which phase of the nursing process is this?
A) B. Planning
B) A. Assessment
C) C. Implementation
D) D. Evaluation
- 20. 20.
A patient recovering from surgery states, “I want to learn how to care for my wound by myself.” Which concept of Orem’s theory is demonstrated here?
A) A. Self-care agency
B) D. Wholly compensatory system
C) C. Therapeutic self-care demand
D) B. Self-care deficit
- 21. A nurse observes that a newly admitted elderly patient frequently calls for assistance even when unnecessary. Which behavioral subsystem is being expressed?
A) C. Achievement subsystem
B) D. Aggressive–protective subsystem
C) A. Dependency subsystem
D) B. Attachment subsystem
- 22. A young mother is tearful after being separated from her baby during hospitalization. Which behavioral subsystem is affected?
A) A. Achievement subsystem
B) B. Ingestive subsystem
C) D. Eliminative subsystem
D) C. Attachment/affiliative subsystem
- 23. A nurse encourages a post-stroke patient to eat independently using adaptive utensils. Which behavioral subsystem is being supported?
A) B. Ingestive subsystem
B) A. Achievement subsystem
C) D. Sexual/role identity subsystem
D) C. Dependency subsystem
- 24. A nurse teaches a patient with colostomy proper disposal techniques and hygiene practices. Which subsystem is being addressed?
A) D. Aggressive–protective subsystem
B) C. Achievement subsystem
C) B. Eliminative subsystem
D) A. Ingestive subsystem
- 25. A student nurse feels proud after successfully inserting an IV line for the first time. Which behavioral subsystem is displayed?
A) B. Aggressive–protective subsystem
B) D. Sexual/role identity subsystem
C) A. Achievement subsystem
D) C. Dependency subsystem
- 26. A patient refuses to take prescribed medication due to distrust of the healthcare staff. Which subsystem is disturbed?
A) B. Aggressive–protective subsystem
B) A. Attachment subsystem
C) C. Dependency subsystem
D) D. Achievement subsystem
- 27. 27. A nurse assists an adolescent who feels confused about sexual orientation and body image. Which subsystem should the nurse primarily assess?
A) B. Attachment subsystem
B) D. Dependency subsystem
C) C. Achievement subsystem
D) A. Sexual/role identity subsystem
- 28. . A nurse notices a patient avoids social interaction and isolates himself after surgery. Which behavioral subsystem imbalance is indicated?
A) B. Attachment/affiliative subsystem
B) C. Dependency subsystem
C) A. Achievement subsystem
D) D. Ingestive subsystem
- 29. A child becomes aggressive when a stranger approaches him. According to Johnson’s model, this is a manifestation of which subsystem?
A) C. Achievement subsystem
B) A. Aggressive–protective subsystem
C) B. Dependency subsystem
D) D. Ingestive subsystem
- 30. 30.
A nurse provides a stimulating environment for a depressed patient by encouraging participation in recreational therapy. Which functional requirement is the nurse providing?
A) D. Regulation
B) A. Protection
C) B. Stimulation
D) C. Nurturance
- 31. 31.
A postoperative patient is unable to bathe independently due to surgical pain. The nurse assists with hygiene and ensures comfort. Which of Abdellah’s 21 nursing problems is addressed?
A) B. Maintain good hygiene and physical comfort
B) C. Promote the development of productive interpersonal relationships
C) D. Facilitate maintenance of oxygen supply
D) A. Facilitate maintenance of nutrition
- 32. 32.
A nurse educates a hypertensive patient about following a low-sodium diet and medication compliance. Which category of Abdellah’s nursing problems does this fall under?
A) D. Environmental adjustments
B) A. Physical, sociological, and emotional needs
C) C. Common elements of patient care
D) B. Types of interpersonal relationships
- 33. 33.
During assessment, a nurse observes that an elderly client is at risk of falling due to weak gait and poor vision. Which nursing problem should be prioritized?
A) A. Promote safety through prevention of accident or injury
B) D. Facilitate maintenance of regulatory mechanisms
C) B. Facilitate maintenance of elimination
D) C. Facilitate maintenance of sensory function
- 34. 34.
A patient recovering from pneumonia has difficulty breathing and decreased oxygen saturation. Which nursing problem is the focus?
A) B. Facilitate maintenance of oxygen supply to body cells
B) D. Facilitate maintenance of sensory function
C) C. Facilitate maintenance of fluid and electrolyte balance
D) A. Facilitate maintenance of nutrition
- 35. 35.
A nurse helps a patient adjust emotionally after being diagnosed with a chronic illness. Which nursing problem applies?
A) D. Facilitate maintenance of sensory function
B) A. Identify and accept positive and negative feelings
C) C. Facilitate awareness of self as a health team member
D) B. Facilitate maintenance of regulatory mechanisms
- 36. 36.
A nurse refers a malnourished family to a community feeding program and teaches budget-friendly meal planning. Which nursing problem is being addressed?
A) D. Facilitate progress toward spiritual goals
B) C. Facilitate maintenance of fluid and electrolyte balance
C) B. Facilitate maintenance of nutrition
D) A. Facilitate maintenance of elimination
- 37. 37.
A nurse arranges a calm, well-lit hospital environment to promote patient rest and recovery. Which of Abdellah’s 21 problems is demonstrated?
A) C. Facilitate maintenance of oxygen
B) B. Promote optimal activity and rest
C) A. Create and maintain a therapeutic environment
D) D. Promote safety and infection prevention
- 38. 38.
A patient expresses anger and frustration about being hospitalized. The nurse listens actively and validates the patient’s emotions. Which nursing problem is being addressed?
A) C. Facilitate maintenance of regulatory functions
B) B. Promote effective communication
C) D. Facilitate awareness of self
D) A. Facilitate maintenance of sensory function
- 39. 39.
A nurse helps a terminally ill patient explore personal beliefs and find peace through prayer and reflection. Which nursing problem is demonstrated?
A) C. Facilitate awareness of self
B) D. Facilitate maintenance of sensory function
C) A. Promote the development of interpersonal relationships
D) B. Facilitate progress toward spiritual goals
- 40. 40.
A nurse conducts home visits to ensure a discharged patient continues rehabilitation and uses available community health services. Which nursing problem applies?
A) D. Identify interrelated emotions and illness
B) B. Promote optimal activity
C) C. Facilitate maintenance of regulatory mechanisms
D) A. Use community resources to resolve problems
- 41. 41.
A nurse and patient discuss the patient’s desire to manage blood pressure through diet and exercise. Together, they agree on a weekly plan and evaluation schedule. According to King, this is an example of:
A) B. Communication
B) D. Evaluation
C) A. Interaction
D) C. Transaction
- 42. 42.
During the initial assessment, the nurse asks the patient, “How do you feel about your condition?” Which concept of King’s theory does this demonstrate?
A) C. Role
B) D. Interaction
C) B. Perception
D) A. Stress
- 43. 43.
A nurse educates a patient with diabetes on the importance of daily glucose monitoring. The patient responds with questions and clarifications. This process represents:
A) B. Interaction
B) D. Evaluation
C) C. Stress
D) A. Communication
- 44. 44.
A nurse notices that a patient feels anxious after surgery. She sits with the patient and allows them to express their fears before setting recovery goals. Which concept of King’s theory is primarily applied?
A) B. Interpersonal system
B) C. Social system
C) D. Role assumption
D) A. Stress management
- 45. 45.
A nurse collaborates with a rehabilitation team to create a discharge plan for a stroke patient. Which system in King’s conceptual framework is being demonstrated?
A) B. Interpersonal system
B) D. Psychological system
C) A. Personal system
D) C. Social system
- 46. 46.
A nurse helps a teenage patient struggling with body image after an accident. Which of King’s systems does this scenario involve?
A) C. Personal system
B) A. Social system
C) B. Interpersonal system
D) D. Cognitive system
- 47. 47.
A patient refuses treatment due to personal beliefs. The nurse respects the decision and explores alternative care options. This demonstrates the nurse’s understanding of which key concept in King’s theory?
A) B. Decision-making
B) A. Power and status
C) C. Transaction
D) D. Role
- 48. 48.
A patient expresses frustration about delayed results, and the nurse calmly explains the process and expected timeline. What concept is being demonstrated?
A) B. Communication
B) D. Organization
C) A. Perception
D) C. Stress
- 49. After several days of care, the nurse and patient review progress and confirm that blood sugar levels are within normal range. According to King’s process, this represents:
A) A. Assessment
B) D. Interaction
C) C. Evaluation
D) B. Implementation
- 50. 50.
A nurse caring for a patient under high stress teaches relaxation techniques to promote adaptation. Which key concept from King’s theory is addressed?
A) C. Communication
B) D. Interaction
C) A. Stress
D) B. Perception
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