Chapter 6: Remembering Development in Nursing

Chapter 6: Remembering Development in Nursing

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

The nurse’s research is directed toward testing a specific hypothesis deduced from a theory. Which research approach does this work represent?

1. Dynamicism
2. Positivist
3. Constructivist
4. Naturalistic

Correct Answer: 2

Rationale: The positivist approach deals with natural law and assumes that there is a body of facts and principles to be discovered and understood that is independent of the context. In this approach, hypotheses are deduced from the theory to be tested in research. The dynamic approach is also referred to as constructivist. In this approach theories are inductively constructed and give insights into social contexts and personal meanings. This approach uses naturalistic settings and observational methods.

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes.

AACN Essential Competencies: III.1. Explain the interrelationships among theory, practice, and research.

NLN Competencies: Knowledge and Science; Knowledge; Defining the relationships between research and science building, and between research and EBP.

Nursing/Integrated Concepts: Evaluation; Nursing Process

Learning Outcome: 1. Describe the nature of knowledge development.

Page Number: p. 100

Question 2

The nurse strongly believes that truth is based in experiences. Which research approach is this nurse most likely to favor?

1. Hard science model
2. Positivist
3. Cause and effect
4. Constructivist

Correct Answer: 4

Rationale: In the constructivist approach, truth is found in one’s experiences, and research uses naturalistic settings and observational methods to describe phenomena. The positivist approach represents what many people regard as hard science and attempts to look at cause and effect.

Cognitive Level: Analyzing

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes.

AACN Essential Competencies: III.1. Explain the interrelationships among theory, practice, and research.

NLN Competencies: Knowledge and Science; Knowledge; Defining the relationships between research and science building, and between research and EBP.

Nursing/Integrated Concepts: Planning; Nursing Process

Learning Outcome: 1. Describe the nature of knowledge development.

Page Number: p. 100

Question 3

Which option is the most general in the scope of nursing theories and looks at the nature of things?

1. Grand theory
2. Middle-range theory
3. A concept
4. Philosophy

Correct Answer: 4

Rationale: A philosophy looks at the nature of things and aims to provide the meaning of nursing phenomena. It is the most general in the scope of nursing theories. A grand theory is broad and complex and tends to be very general. Middle-range theory has a narrower scope and is derived from earlier works, such as philosophies and grand theories. A concept is the abstract idea or mental image of a phenomenon.

Cognitive Level: Understanding

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes.

AACN Essential Competencies: III.1. Explain the interrelationships among theory, practice, and research.

NLN Competencies: Knowledge and Science; Knowledge; Defining the relationships between research and science building, and between research and EBP.

Nursing/Integrated Concepts: Assessment; Nursing Process

Learning Outcome: 1. Describe the nature of knowledge development.

Page Number: p. 101

Question 4

Which strategy would be most useful in integrating nursing theory and nursing practice?

1. Link nursing theories to medical theories.
2. Present theories in a compelling, practice-focused manner.
3. Define theories in terms of advanced nursing education.
4. Require each nurse to identify a personal nursing theorist.

Correct Answer: 2

Rationale: There is a gap between nursing theory and practice. This gap must be bridged to achieve theory-based practice. Nursing theories must be seen as supporting and guiding practice, and must be communicated in ways that are compelling to nurses who must apply them in a clinical setting. Nursing theories do not have to be linked to medical theories and doing so may decrease their usefulness in nursing. A part of the gap between theory and practice is based upon the disconnect between academia and practice, so it would not be helpful to define theories in terms of advanced nursing education. Requiring each nurse to identify a personal nursing theorist is not a practical solution.

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Management of Care

QSEN Competencies: III.A.1. Demonstrate knowledge of basic scientific methods and processes.

AACN Essential Competencies: III.1. Explain the interrelationships among theory, practice, and research.

NLN Competencies: Knowledge and Science; Knowledge; Defining the relationships between research and science building, and between research and EBP.

Nursing/Integrated Concepts: Planning; Nursing Process

Learning Outcome: 1. Describe the nature of knowledge development.

Page Number: p. 99