During a coffee break, several nurses are engaging in a conversation about nursing. Which following statement by one nurse indicates philosophical thinking about nursing?
- A. What is the nature of nursing care?
- B. I think we should go back to working eight-hour shifts.
- C. We need one mental health day every month.
- D. I wish we were able to attend more in-services.
Correct Answer: A
Rationale: Asking 'What is the nature of nursing care?' leads to having to answer more basic questions, such as: What is care? What is included in care? What is good care? These questions are indicative of philosophical thinking about nursing practice.
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According to moderate realist tenets, philosophical thought focuses on which one of the following?
- A. Ideals
- B. That which is true
- C. Truth beyond a reasonable doubt
- D. That which is immaterial and not observable
Correct Answer: D
Rationale: According to moderate realist tenets, philosophical thought focuses on that which is immaterial and therefore not observable.
When did the quest to conceptualize nursing knowledge begin?
- A. 1950
- B. 1960
- C. 1970
- D. 1980
Correct Answer: B
Rationale: The quest to conceptualize nursing knowledge began in the 1960s when nurse educators began to identify what comprised nursing education and what could be included in the nursing curriculum.
Which of the following initiated basing the development of a body of nursing knowledge on conceptions of nursing?
- A. Nursing knowledge
- B. Nursing research
- C. Nursing education
- D. Nursing administration
Correct Answer: C
Rationale: The enterprise to base the development of a body of nursing knowledge on conceptions of the nature of nursing was initiated by nursing education.
Which of the following statements reflects 'conceptually-based' nursing practice?
- A. Concepts-based practice reflects concepts versus pure scientific evidence
- B. The patient is experiencing inflammation
- C. The procedure for wound care includes normal saline.
- D. Sterile technique is required for wound care.
Correct Answer: A
Rationale: Concepts-based practice reflects concepts versus pure scientific evidence. Evidence-informed practice and knowledge transfer are reflective of basing nursing practice on predominantly scientific evidence, such as procedures and policies.
In their study of Western Canadian nurses' perceptions, White et al. (2008) found that the practice and morale of nurses were being negatively affected by which one of the following?
- A. Working overtime
- B. Working environments
- C. Unclear intraprofessional scopes of practice
- D. Ethical dilemmas and conflicts with decision making
Correct Answer: C
Rationale: In their study of Western Canadian nurses' perceptions, White et al. (2008) found that the practice and morale of nurses were being negatively affected by unclear intraprofessional and interprofessional scopes of practice.
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