- 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) D. Curative prevention
C) C. Tertiary prevention
D) B. Secondary 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) C. Tertiary prevention
B) B. Secondary prevention
C) A. Primary prevention
D) D. Health promotion
- 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) A. Primary
B) C. Tertiary
C) D. Holistic
D) B. Secondary
- 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) C. Extrapersonal stressor
B) B. Interpersonal stressor
C) A. Intrapersonal 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) A. Lines of resistance
B) B. Normal line of defense
C) C. Flexible line of defense
D) D. Stressor invasion
- 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) B. Normal line of defense
B) C. Basic structure
C) D. Flexible line of defense
D) A. Reconstitution
- 7. 7.
When infection invades a client’s body, the immune system activates antibodies to fight it. This is an example of:
A) C. Lines of resistance
B) B. Normal line of defense
C) A. Flexible line of defense
D) D. Tertiary prevention
- 8. 8.
A nurse includes spiritual counseling in a care plan for a terminally ill patient. Which client variable is addressed?
A) D. Spiritual variable
B) A. Psychological variable
C) B. Sociocultural variable
D) C. Developmental 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) D. Psychological variable
D) A. Intrapersonal stressor
- 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) B. Tertiary prevention
D) C. Flexible line strengthening
- 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) C. Supportive–educative system
B) D. Self-regulative system
C) A. Partly compensatory system
D) B. Wholly compensatory 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) D. Independent care
B) B. Partly compensatory
C) A. Wholly compensatory
D) C. Supportive–educative
- 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) A. Wholly compensatory system
B) D. Health-deviation requisite
C) B. Supportive–educative system
D) C. Self-care deficit
- 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) A. Wholly compensatory
C) B. Partly compensatory
D) D. Preventive
- 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) D. Cognitive
C) B. Universal
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) B. Health-deviation requisite
B) A. Universal requisite
C) D. Spiritual requisite
D) C. Developmental 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) B. Developmental deficit
B) A. Universal self-care deficit
C) D. Psychological barrier
D) C. Health-deviation self-care deficit
- 18. 18.
A 60-year-old patient recovering from surgery lacks the strength to bathe independently. According to Orem, this represents:
A) C. A therapeutic self-care demand
B) B. A self-care deficit
C) A. A self-care agency
D) D. A developmental requisite
- 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) D. Evaluation
C) A. Assessment
D) C. Implementation
- 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) B. Self-care deficit
B) D. Wholly compensatory system
C) C. Therapeutic self-care demand
D) A. Self-care agency
- 21. A nurse observes that a newly admitted elderly patient frequently calls for assistance even when unnecessary. Which behavioral subsystem is being expressed?
A) D. Aggressive–protective subsystem
B) C. Achievement subsystem
C) B. Attachment subsystem
D) A. Dependency subsystem
- 22. A young mother is tearful after being separated from her baby during hospitalization. Which behavioral subsystem is affected?
A) D. Eliminative subsystem
B) C. Attachment/affiliative subsystem
C) A. Achievement subsystem
D) B. Ingestive subsystem
- 23. A nurse encourages a post-stroke patient to eat independently using adaptive utensils. Which behavioral subsystem is being supported?
A) D. Sexual/role identity subsystem
B) B. Ingestive subsystem
C) C. Dependency subsystem
D) A. Achievement subsystem
- 24. A nurse teaches a patient with colostomy proper disposal techniques and hygiene practices. Which subsystem is being addressed?
A) A. Ingestive subsystem
B) D. Aggressive–protective subsystem
C) C. Achievement subsystem
D) B. Eliminative subsystem
- 25. A student nurse feels proud after successfully inserting an IV line for the first time. Which behavioral subsystem is displayed?
A) A. Achievement subsystem
B) D. Sexual/role identity subsystem
C) C. Dependency subsystem
D) B. Aggressive–protective subsystem
- 26. A patient refuses to take prescribed medication due to distrust of the healthcare staff. Which subsystem is disturbed?
A) C. Dependency subsystem
B) B. Aggressive–protective subsystem
C) D. Achievement subsystem
D) A. Attachment 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) A. Sexual/role identity subsystem
B) D. Dependency subsystem
C) B. Attachment subsystem
D) C. Achievement subsystem
- 28. . A nurse notices a patient avoids social interaction and isolates himself after surgery. Which behavioral subsystem imbalance is indicated?
A) C. Dependency subsystem
B) D. Ingestive subsystem
C) A. Achievement subsystem
D) B. Attachment/affiliative 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) D. Ingestive subsystem
C) A. Aggressive–protective subsystem
D) B. Dependency 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) C. Nurturance
B) B. Stimulation
C) D. Regulation
D) A. Protection
- 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) D. Facilitate maintenance of oxygen supply
C) C. Promote the development of productive interpersonal relationships
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) C. Common elements of patient care
C) B. Types of interpersonal relationships
D) A. Physical, sociological, and emotional needs
- 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) D. Facilitate maintenance of regulatory mechanisms
B) B. Facilitate maintenance of elimination
C) A. Promote safety through prevention of accident or injury
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) C. Facilitate maintenance of fluid and electrolyte balance
B) D. Facilitate maintenance of sensory function
C) A. Facilitate maintenance of nutrition
D) B. Facilitate maintenance of oxygen supply to body cells
- 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) B. Facilitate maintenance of regulatory mechanisms
C) C. Facilitate awareness of self as a health team member
D) A. Identify and accept positive and negative feelings
- 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) B. Facilitate maintenance of nutrition
B) D. Facilitate progress toward spiritual goals
C) C. Facilitate maintenance of fluid and electrolyte balance
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) D. Facilitate awareness of self
C) A. Facilitate maintenance of sensory function
D) B. Promote effective communication
- 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) B. Facilitate progress toward spiritual goals
B) A. Promote the development of interpersonal relationships
C) D. Facilitate maintenance of sensory function
D) C. Facilitate awareness of self
- 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) C. Facilitate maintenance of regulatory mechanisms
B) B. Promote optimal activity
C) A. Use community resources to resolve problems
D) D. Identify interrelated emotions and illness
- 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) A. Interaction
B) C. Transaction
C) D. Evaluation
D) B. Communication
- 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) B. Perception
B) A. Stress
C) D. Interaction
D) C. Role
- 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) C. Stress
B) B. Interaction
C) D. Evaluation
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) D. Role assumption
C) C. Social system
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) A. Personal system
C) C. Social system
D) D. Psychological 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) A. Social system
B) D. Cognitive system
C) C. Personal system
D) B. Interpersonal 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) C. Transaction
B) B. Decision-making
C) A. Power and status
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) A. Perception
B) C. Stress
C) D. Organization
D) B. Communication
- 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) C. Evaluation
B) B. Implementation
C) D. Interaction
D) A. Assessment
- 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) A. Stress
B) B. Perception
C) C. Communication
D) D. Interaction
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