TFN Exam+Answer

1. The four major concepts in nursing theory are the

A. Person, Environment, Nurse, Health

B. Nurse, Person, Environment, Cure
C. Promotive, Preventive, Curative, Rehabilitative
D. Person, Environment, Nursing, Health
2. The act of utilizing the environment of the patient to assist him in his recovery is
theorized by

A. Nightingale
B. Benner
C. Swanson
D. King
3. For her, Nursing is a theoretical system of knowledge that prescribes a process of
analysis and action related to care of the ill person

A. King
B. Henderson
C. Roy
D. Leininger
4. According to her, Nursing is a helping or assistive profession to persons who are
wholly or partly dependent or when those who are supposedly caring for them are no
longer able to give care.

A. Henderson
B. Orem
C. Swanson
D. Neuman
5. Nursing is a unique profession, Concerned with all the variables affecting an
individual’s response to stressors, which are intra, inter and extra personal in nature.

A. Neuman
B. Johnson
C. Watson
D. Parse
6. The unique function of the nurse is to assist the individual, sick or well, in the
performance of those activities contributing to health that he would perform unaided if
he has the necessary strength, will and knowledge, and do this in such a way as to
help him gain independence as rapidly as possible.
 A. Henderson
B. Abdellah
C. Levin
D. Peplau
7. Caring is the essence and central unifying, a dominant domain that distinguishes
nursing from other health disciplines. Care is an essential human need.

A. Benner
B. Watson
C. Leininger
D. Swanson
8. Caring involves 5 processes, KNOWING, BEING WITH, DOING FOR,
ENABLING and MAINTAINING BELIEF.

A. Benner
B. Watson
C. Leininger
D. Swanson
9. Caring is healing, it is communicated through the consciousness of the nurse to the
individual being cared for. It allows access to higher human spirit.

A. Benner
B. Watson
C. Leininger
D. Swanson
10. Caring means that person, events, projects and things matter to people. It reveals
stress and coping options. Caring creates responsibility. It is an inherent feature of
nursing practice. It helps the nurse assist clients to recover in the face of the illness.

A. Benner
B. Watson
C. Leininger
D. Swanson
11. Which of the following is NOT TRUE about profession according to Marie
Jahoda?

A. A profession is an organization of an occupational group based on the application

of special knowledge
B. It serves specific interest of a group
C. It is altruistic
D. Quality of work is of greater importance than the rewards
12. Which of the following is NOT an attribute of a professional?

A. Concerned with quantity

B. Self directed
C. Committed to spirit of inquiry
D. Independent
13. The most unique characteristic of nursing as a profession is

A. Education
B. Theory
C. Caring
D. Autonomy
14. This is the distinctive individual qualities that differentiate a person to another

A. Philosophy
B. Personality
C. Charm
D. Character
15. Refers to the moral values and beliefs that are used as guides to personal behavior
and actions

A. Philosophy
B. Personality
C. Charm
D. Character
16. As a nurse manager, which of the following best describes this function?

A. Initiate modification on client’s lifestyle

B. Protect client’s right
C. Coordinates the activities of other members of the health team in managing
patient care
D. Provide in service education programs, Use accurate nursing audit, formulate
philosophy and vision of the institution
17. What best describes nurses as a care provider?

A. Determine client’s need

B. Provide direct nursing care
C. Help client recognize and cope with stressful psychological situation
D. Works in combined effort with all those involved in patient’s care
18. The nurse questions a doctors order of Morphine sulfate 50 mg, IM for a client
with pancreatitis. Which role best fit that statement?
 A. Change agent
B. Client advocate
C. Case manager
D. Collaborator
19. These are nursing intervention that requires knowledge, skills and expertise of
multiple health professionals.

A. Dependent
B. Independent
C. Interdependent
D. Intradependent
20. What type of patient care model is the most common for student nurses and
private duty nurses?

A. Total patient care

B. Team nursing
C. Primary Nursing
D. Case management
21. This is the best patient care model when there are many nurses but few patients.

A. Functional nursing
B. Team nursing
C. Primary nursing
D. Total patient care
22. This patient care model works best when there are plenty of patient but few nurses

A. Functional nursing
B. Team nursing
C. Primary nursing
D. Total patient care
23. RN assumes 24 hour responsibility for the client to maintain continuity of care
across shifts, days or visits.

A. Functional nursing
B. Team nursing
C. Primary nursing
D. Total patient care
24. Who developed the first theory of nursing?

A. Hammurabi
B. Alexander
 C. Fabiola
D. Nightingale
25. She introduces the NATURE OF NURSING MODEL.

A. Henderson
B. Nightingale
C. Parse
D. Orlando
26. She described the four conservation principle.

A. Levin
B. Leininger
C. Orlando
D. Parse
27. Proposed the HEALTH CARE SYSTEM MODEL.

A. Henderson
B. Orem
C. Parse
D. Neuman
28. Conceptualized the BEHAVIORAL SYSTEM MODEL

A. Orem
B. Johnson
C. Henderson
D. Parse
29. Developed the CLINICAL NURSING – A HELPING ART MODEL

A. Swanson
B. Hall
C. Weidenbach
D. Zderad
30. Developed the ROLE MODELING and MODELING theory

A. Erickson,Tomlin,Swain
B. Neuman
C. Newman
D. Benner and Wrubel
31. Proposed the GRAND THEORY OF NURSING AS CARING
A. Erickson, Tomlin, Swain
B. Peterson,Zderad
 C. Bnner,Wrubel
D. Boykin,Schoenhofer
32. Postulated the INTERPERSONAL ASPECT OF NURSING
A. Travelbee
B. Swanson
C. Zderad
D. Peplau
33. He proposed the theory of morality that is based on MUTUAL TRUST
A. Freud
B. Erikson
C. Kohlberg
D. Peters
34. He proposed the theory of morality based on PRINCIPLES
A. Freud
B. Erikson
C. Kohlberg
D. Peters
35. Freud postulated that child adopts parental standards and traits through
A. Imitation
B. Introjection
C. Identification
D. Regression
36. According to them, Morality is measured of how people treat human being and
that a moral child strives to be kind and just
A. Zderad and Peterson
B. Benner and Wrubel
C. Fowler and Westerhoff
D. Schulman and Mekler
37. Postulated that FAITH is the way of behaving. He developed four theories of faith
and development based on his experience.
A. Giligan
B. Westerhoff
C. Fowler
D. Freud
38. He described the development of faith. He suggested that faith is a spiritual
dimension that gives meaning to a persons life. Faith according to him, is a relational
phenomenon.
A. Giligan
B. Westerhoff
C. Fowler
D. Freud
39. Established in 1906 by the Baptist foreign mission society of America. Miss rose
nicolet, was it’s first superintendent.
A. St. Paul Hospital School of nursing
B. Iloilo Mission Hospital School of nursing
C. Philippine General Hospital School of nursing
D. St. Luke’s Hospital School of nursing
40. Anastacia Giron-Tupas was the first Filipino nurse to occupy the position of chief
nurse in this hospital.
A. St. Paul Hospital
B. Iloilo Mission Hospital
C. Philippine General Hospital
D. St. Luke’s Hospital
41. She was the daughter of Hungarian kings, who feed 300-900 people everyday in
their gate, builds hospitals, and care of the poor and sick herself.
A. Elizabeth
B. Catherine
C. Nightingale
D. Sairey Gamp
42. She dies of yellow fever in her search for truth to prove that yellow fever is carried
by a mosquitoes.
A. Clara louise Maas
B. Pearl Tucker
C. Isabel Hampton Robb
D. Caroline Hampton Robb
43. He was called the father of sanitation.
A. Abraham
B. Hippocrates
C. Moses
D. Willam Halstead
44. The country where SHUSHURUTU originated
A. China
B. Egypt
C. India
D. Babylonia
45. They put girls clothes on male infants to drive evil forces away
A. Chinese
B. Egyptian
C. Indian
D. Babylonian
46. In what period of nursing does people believe in TREPHINING to drive evil
forces away?
 A. Dark period
B. Intuitive period
C. Contemporary period
D. Educative period
47. This period ended when Pastor Fliedner, build Kaiserwerth institute for the
training of Deaconesses
A. Apprentice period
B. Dark period
C. Contemporary period
D. Educative period
48. Period of nursing where religious Christian orders emerged to take care of the sick
A. Apprentice period
B. Dark period
C. Contemporary period
D. Educative period
49. Founded the second order of St. Francis of Assisi
A. St. Catherine
B. St. Anne
C. St. Clare
D. St. Elizabeth
50. This period marked the religious upheaval of Luther, Who questions the Christian
faith.
A. Apprentice period
B. Dark period
C. Contemporary period
D. Educative period
51. According to the Biopsychosocial and spiritual theory of Sister Callista Roy, Man,
As a SOCIAL being is
A. Like all other men
B. Like some other men
C. Like no other men
D. Like men
52. She conceptualized that man, as an Open system is in constant interaction and
transaction with a changing environment.
A. Roy
B. Levin
C. Neuman
D. Newman
53. In a CLOSED system, which of the following is true?
A. Affected by matter
B. A sole island in vast ocean
 C. Allows input
D. Constantly affected by matter, energy, information
54. Who postulated the WHOLISTIC concept that the totality is greater than sum of
its parts?
A. Roy
B. Rogers
C. Henderson
D. Johnson
55. She theorized that man is composed of sub and supra systems. Subsystems are
cells, tissues, organs and systems while the suprasystems are family, society and
community.
A. Roy
B. Rogers
C. Henderson
D. Johnson
56. Which of the following is not true about the human needs?
A. Certain needs are common to all people
B. Needs should be followed exactly in accordance with their hierarchy
C. Needs are stimulated by internal factors
D. Needs are stimulated by external factors
57. Which of the following is TRUE about the human needs?
A. May not be deferred
B. Are not interrelated
C. Met in exact and rigid way
D. Priorities are alterable
58. According to Maslow, which of the following is NOT TRUE about a self
actualized person?
A. Understands poetry, music, philosophy, science etc.
B. Desires privacy, autonomous
C. Follows the decision of the majority, uphold justice and truth
D. Problem centered
59. According to Maslow, which of the following is TRUE about a self actualized
person?
A. Makes decision contrary to public opinion
B. Do not predict events
C. Self centered
D. Maximum degree of self conflict
60. This is the essence of mental health
A. Self awareness
B. Self actualization
C. Self esteem
 D. Self worth
61. Florence nightingale is born in
A. Germany
B. Britain
C. France
D. Italy
62. Which is unlikely of Florence Nightingale?
A. Born May 12, 1840
B. Built St. Thomas school of nursing when she was 40 years old
C. Notes in nursing
D. Notes in hospital
63. What country did Florence Nightingale train in nursing?
A. Belgium
B. US
C. Germany
D. England
64. Which of the following is recognized for developing the concept of HIGH LEVEL
WELLNESS?
A. Erikson
B. Madaw
C. Peplau
D. Dunn
65. One of the expectations is for nurses to join professional association primarily
because of
A. Promotes advancement and professional growth among its members
B. Works for raising funds for nurse’s benefit
C. Facilitate and establishes acquaintances
D. Assist them and securing jobs abroad
66. Founder of the PNA
A. Julita Sotejo
B. Anastacia Giron Tupas
C. Eufemia Octaviano
D. Anesia Dionisio
67. Which of the following provides that nurses must be a member of a national nurse
organization?
A. R.A 877
B. 1981 Code of ethics approved by the house of delegates and the PNA
C. Board resolution No. 1955 Promulgated by the BON
D. RA 7164
68. Which of the following best describes the action of a nurse who documents her
nursing diagnosis?
 A. She documents it and charts it whenever necessary
B. She can be accused of malpractice
C. She does it regularly as an important responsibility
D. She charts it only when the patient is acutely ill
69. Which of the following does not govern nursing practice?
A. RA 7164
B. RA 9173
C. BON Res. Code Of Ethics
D. BON Res. Scope of Nursing Practice
70. A nurse who is maintaining a private clinic in the community renders service on
maternal and child health among the neighborhood for a fee is:
A. Primary care nurse
B. Independent nurse practitioner
C. Nurse-Midwife
D. Nurse specialist
71. When was the PNA founded?
A. September 22, 1922
B. September 02, 1920
C. October 21, 1922
D. September 02, 1922
72. Who was the first president of the PNA ?
A. Anastacia Giron-Tupas
B. Loreto Tupas
C. Rosario Montenegro
D. Ricarda Mendoza
73. Defines health as the ability to maintain internal milieu. Illness according to
him/her/them is the failure to maintain internal environment.
A. Cannon
B. Bernard
C. Leddy and Pepper
D. Roy
74. Postulated that health is a state and process of being and becoming an integrated
and whole person.
A. Cannon
B. Bernard
C. Dunn
D. Roy
75. What regulates HOMEOSTASIS according to the theory of Walter Cannon?
A. Positive feedback
B. Negative feedback
C. Buffer system
 D. Various mechanisms
76. Stated that health is WELLNESS. A termed define by the culture or an individual.
A. Roy
B. Henderson
C. Rogers
D. King
77. Defined health as a dynamic state in the life cycle, and Illness as interference in
the life cycle.
A. Roy
B. Henderson
C. Rogers
D. King
78. She defined health as the soundness and wholness of developed human structure
and bodily mental functioning.
A. Orem
B. Henderson
C. Neuman
D. Clark
79. According to her, Wellness is a condition in which all parts and subparts of an
individual are in harmony with the whole system.
A. Orem
B. Henderson
C. Neuman
D. Johnson
80. Postulated that health is reflected by the organization, interaction, interdependence
and integration of the subsystem of the behavioral system.
A. Orem
B. Henderson
C. Neuman
D. Johnson
81. According to them, Well being is a subjective perception of BALANCE,
HARMONY and VITALITY
A. Leavell and Clark
B. Peterson and Zderad
C. Benner and Wruber
D. Leddy and Pepper
82. He describes the WELLNESS-ILLNESS Continuum as interaction of the
environment with well being and illness.
A. Cannon
B. Bernard
C. Dunn
 D. Clark
83. An integrated method of functioning that is oriented towards maximizing one’s
potential within the limitation of the environment.
A. Well being
B. Health
C. Low level Wellness
D. High level Wellness
84. What kind of illness precursor, according to DUNN is cigarette smoking?
A. Heredity
B. Social
C. Behavioral
D. Environmental
85. According to DUNN, Overcrowding is what type of illness precursor?
A. Heredity
B. Social
C. Behavioral
D. Environmental
86. Health belief model was formulated in 1975 by who?
A. Becker
B. Smith
C. Dunn
D. Leavell and Clark
87. In health belief model, Individual perception matters. Which of the following is
highly UNLIKELY to influence preventive behavior?
A. Perceived susceptibility to an illness
B. Perceived seriousness of an illness
C. Perceived threat of an illness
D. Perceived curability of an illness
88. Which of the following is not a PERCEIVED BARRIER in preventive action?
A. Difficulty adhering to the lifestyle
B. Economic factors
C. Accessibility of health care facilities
D. Increase adherence to medical therapies
89. Conceptualizes that health is a condition of actualization or realization of person’s
potential. Avers that the highest aspiration of people is fulfillment and complete
development actualization.
A. Clinical Model
B. Role performance Model
C. Adaptive Model
D. Eudaemonistic Model
90. Views people as physiologic system and Absence of sign and symptoms equates
health.
A. Clinical Model
B. Role performance Model
C. Adaptive Model
D. Eudaemonistic Model
91. Knowledge about the disease and prior contact with it is what type of VARIABLE
according to the health belief model?
A. Demographic
B. Sociopsychologic
C. Structural
D. Cues to action
92. It includes internal and external factors that leads the individual to seek help
A. Demographic
B. Sociopsychologic
C. Structural
D. Cues to action
93. Influence from peers and social pressure is included in what variable of HBM?
A. Demographic
B. Sociopsychologic
C. Structural
D. Cues to action
94. Age, Sex, Race etc. is included in what variable of HBM?
A. Demographic
B. Sociopsychologic
C. Structural
D. Cues to action
95. According to Leavell and Clark’s ecologic model, All of this are factors that
affects health and illness except
A. Reservoir
B. Agent
C. Environment
D. Host
96. Is a multi dimensional model developed by PENDER that describes the nature of
persons as they interact within the environment to pursue health
A. Ecologic Model
B. Health Belief Model
C. Health Promotion Model
D. Health Prevention Model
97. Defined by Pender as all activities directed toward increasing the level of well
being and self actualization.
 A. Health prevention
B. Health promotion
C. Health teaching
D. Self actualization
98. Defined as an alteration in normal function resulting in reduction of capacities and
shortening of life span.
A. Illness
B. Disease
C. Health
D. Wellness
99. Personal state in which a person feels unhealthy
A. Illness
B. Disease
C. Health
D. Wellness
100. According to her, Caring is defined as a nurturant way of responding to a valued
client towards whom the nurse feels a sense of commitment and responsibility.
A. Benner
B. Watson
C. Leininger
D. Swanson
Answers and Rationales
1. D. Person, Environment, Nursing, Health. This is an actual board exam question
and is a common board question. Theorist always describes The nursing
profession by first defining what is NURSING, followed by the PERSON,
ENVIRONMENT and HEALTH CONCEPT. The most popular theory was
perhaps Nightingale’s. She defined nursing as the utilization of the persons
environment to assist him towards recovery. She defined the person as somebody
who has a reparative capabilities mediated and enhanced by factors in his
environment. She describes the environment as something that would facilitate
the person’s reparative process and identified different factors like sanitation,
noise, etc. that affects a person’s reparative state.
2. A. Nightingale. Florence nightingale do not believe in the germ theory, and
perhaps this was her biggest mistake. Yet, her theory was the first in nursing. She
believed that manipulation of environment that includes appropriate noise,
nutrition, hygiene, light, comfort, sanitation etc. could provide the client’s body
the nurturance it needs for repair and recovery.
3. C. Roy. Remember the word “ THEOROYTICAL “ For Callista Roy, Nursing is
a theoretical body of knowledge that prescribes analysis and action to care for an
ill person. She introduced the ADAPTATION MODEL and viewed person as a
 BIOSPSYCHOSOCIAL BEING. She believed that by adaptation, Man can
maintain homeostasis.
4. B. Orem. In self care deficit theory, Nursing is defined as A helping or assistive
profession to person who are wholly or partly dependent or when people who are
to give care to them are no longer available. Self care, are the activities that a
person do for himself to maintain health, life and well being.
5. A. Neuman. Neuman divided stressors as either intra, inter and extra personal in
nature. She said that NURSING is concerned with eliminating these stressors to
obtain a maximum level of wellness. The nurse helps the client through
PRIMARY, SECONDARY AND TERTIARY prevention modes. Please do not
confuse this with LEAVELL and CLARK’S level of prevention.
6. A. Henderson. This was an actual board question. Remember this definition and
associate it with Virginia Henderson. Henderson also describes the NATURE OF
NURSING theory. She identified 14 basic needs of the client. She describes
nursing roles as SUBSTITUTIVE : Doing everything for the client,
SUPPLEMENTARY : Helping the client and COMPLEMENTARY : Working
with the client. Breathing normally, Eliminating waste, Eating and drinking
adquately, Worship and Play are some of the basic needs according to her.
7. C. Leininger. There are many theorist that describes nursing as CARE. The most
popular was JEAN WATSON’S Human Caring Model. But this question pertains
to Leininger’s definition of caring. CUD I LIE IN GER? [ Could I Lie In There ]
Is the Mnemonics I am using not to get confused. C stands for CENTRAL , U
stands for UNIFYING, D stands for DOMINANT DOMAIN. I emphasize on this
matter due to feedback on the last June 2006 batch about a question about
CARING.
8. D. Swanson . Caring according to Swanson involves 5 processes. Knowing means
understanding the client. Being with emphasizes the Physical presence of the
nurse for the patient. Doing for means doing things for the patient when he is
incapable of doing it for himself. Enabling means helping client transcend
maturational and developmental stressors in life while Maintaining belief is the
ability of the Nurse to inculcate meaning to these events.
9. B. Watson. The deepest and spiritual definition of Caring came from Jean watson.
For her, Caring expands the limits of openess and allows access to higher human
spirit.
10.A. Benner. I think of CARE BEAR to facilitate retainment of BENNER. As in,
Care Benner. For her, Caring means being CONNECTED or making things
matter to people. Caring according to Benner give meaning to illness and re
establish connection.
11.B. It serves specific interest of a group.Believe it or not, you should know the
definition of profession according to Jahoda because it is asked in the Local
 boards. A profession should serve the WHOLE COMMUNITY and not just a
specific intrest of a group. Everything else, are correct.
12.A. Concerned with quantity. A professional is concerned with QUALITY and not
QUANTITY. In nursing, We have methods of quality assurance and control to
evaluate the effectiveness of nursing care. Nurses, are never concerned with
QUANTITY of care provided.
13.C. Caring. Caring and caring alone, is the most unique quality of the Nursing
Profession. It is the one the delineate Nursing from other professions.
14.B. Personality. Personality are qualities that make us different from each other.
These are impressions that we made, or the footprints that we leave behind. This
is the result of the integration of one’s talents, behavior, appearance, mood,
character, morals and impulses into one harmonious whole. Philosophy is the
basic truth that fuel our soul and give our life a purpose, it shapes the facets of a
person’s character. Charm is to attract other people to be a change agent.
Character is our moral values and belief that guides our actions in life.
15.D. Character.Rationale: Refer to number 14
16.D. Provide in service education programs, Use accurate nursing audit, formulate
philosophy and vision of the institution . A refers to being a change agent. B is a
role of a patient advocate. C is a case manager while D basically summarized
functions of a nurse manager. If you haven’t read Lydia Venzon’s Book :
NURSING MANAGEMENT TOWARDS QUALITY CARE, I suggest reading it
in advance for your management subjects in the graduate school. Formulating
philosophy and vision is in PLANNING. Nursing Audit is in CONTROLLING,
In service education programs are included in DIRECTING. These are the
processes of Nursing Management, I just forgot to add ORGANIZING which
includes formulating an organizational structure and plans, Staffing and
developing qualifications and job descriptions.
17.A. Determine client’s need.You can never provide nursing care if you don’t know
what are the needs of the client. How can you provide an effective postural
drainage if you do not know where is the bulk of the client’s secretion. Therefore,
the best description of a care provider is the accurate and prompt determination of
the client’s need to be able to render an appropriate nursing care.
18.B. Client advocate. As a client’s advocate, Nurses are to protect the client’s right
and promotes what is best for the client. Knowing that Morphine causes spasm of
the sphincter of Oddi and will lead to further increase in the client’s pain, The
nurse knew that the best treatment option for the client was not provided and
intervene to provide the best possible care.
19.C. Interdependent. Interdependent functions are those that needs expertise and
skills of multiple health professionals. Example is when A child was diagnosed
with nephrotic syndrome and the doctor ordered a high protein diet, Budek then
work together with the dietician about the age appropriate high protein foods that
 can be given to the child, Including the preparation to entice the child into eating
the food. NOTE : It is still debated if the diet in NS is low, moderate or high
protein, In the U.S, Protein is never restricted and can be taken in moderate
amount. As far as the local examination is concerned, answer LOW PROTEIN
HIGH CALORIC DIET.
20.A. Total patient care. This is also known as case nursing. It is a method of nursing
care wherein, one nurse is assigned to one patient for the delivery of total care.
These are the method use by Nursing students, Private duty nurses and those in
critical or isolation units.
21.D. Total patient care .Total patient care works best if there are many nurses but
few patients.
22.A. Functional nursing. Functional nursing is task oriented, One nurse is assigned
on a particular task leading to task expertise and efficiency. The nurse will work
fast because the procedures are repetitive leading to task mastery. This care is not
recommended as this leads fragmented nursing care.
23.C. Primary nursing. Your keyword in Primary nursing is the 24 hours. This does
not necessarily means the nurse is awake for 24 hours, She can have a
SECONDARY NURSES that will take care of the patient in shifts where she is
not arround.
24.D. Nightingale . Refer to question # 2. Hammurabi is the king of babylon that
introduces the LEX TALIONES law, If you kill me, you should be killed… If you
rob me, You should be robbed, An eye for an eye and a tooth for a tooth.
Alexander the great was the son of King Philip II and is from macedonia but he
ruled Greece including Persia and Egypt. He is known to use a hammer to pierce
a dying soldier’s medulla towards speedy death when he thinks that the soldier
will die anyway, just to relieve their suffering. Fabiola was a beautiful roman
matron who converted her house into a hospital.
25.A. Henderson. Refer to question # 6.
26.A. Levin. Myra Levin described the 4 Conservation principles which are
concerned with the Unity and Integrity of an individual. These are ENERGY :
Our output to facilitate meeting of our needs. STRUCTURAL INTEGRITY : We
mus maintain the integrity of our organs, tissues and systems to be able to
function and prevent harmful agents entering our body. PERSONAL
INTEGRITY : These refers to our self esteem, self worth, self concept, identify
and personality. SOCIAL INTEGRITY : Reflects our societal roles to our society,
community, family, friends and fellow individuals.
27.D. Neuman . Betty Neuman asserted that nursing is a unique profession and is
concerned with all the variables affecting the individual’s response to stressors.
These are INTRA or within ourselves, EXTRA or outside the individual, INTER
means between two or more people. She proposed the HEALTH CARE SYSTEM
 MODEL which states that by PRIMARY, SECONDARY and TERTIARY
prevention, The nurse can help the client maintain stability against these stressors.
28.B. Johnson. According to Dorothy Johnson, Each person is a behavioral system
that is composed of 7 subsystems. Man adjust or adapt to stressors by a using a
LEARNED PATTERN OF RESPONSE. Man uses his behavior to meet the
demands of the environment, and is able to modified his behavior to support these
demands.
29.C. Weidenbach.Just remember ERNESTINE WEIDENBACHLINICAL.
30.A. Erickson,Tomlin,Swain
31.D. Boykin,Schoenhofer . This theory was called GRAND THEORY because
boykin and schoenofer thinks that ALL MAN ARE CARING, And that nursing is
a response to this unique call. According to them, CARING IS A MORAL
IMPERATIVE, meaning, ALL PEOPLE will tend to help a man who fell down
the stairs even if he is not trained to do so.
32.A. Travelbee. Travelbee’s theory was referred to as INTERPERSONAL theory
because she postulated that NURSING is to assist the individual and all people
that affects this individual to cope with illness, recover and FIND MEANING to
this experience. For her, Nursing is a HUMAN TO HUMAN relationship that is
formed during illness. To her, an individual is a UNIQUE and irreplaceable being
in continuous process of becoming, evolving and changing. PLEASE do
remember, that it is PARSE who postulated the theory of HUMAN BECOMING
and not TRAVELBEE, for I read books that say it was TRAVELBEE and not
PARSE.
33.C. Kohlberg. Kohlber states that relationships are based on mutual trust. He
postulated the levels of morality development. At the first stage called the
PREMORAL or preconventional, A child do things and label them as BAD or
GOOD depending on the PUNISHMENT or REWARD they get. They have no
concept of justice, fairness and equity, for them, If I punch this kid and mom gets
mad, thats WRONG. But if I dance and sing, mama smiles and give me a new
toy, then I am doing something good. In the Conventional level, The individual
actuates his act based on the response of the people around him. He will follow
the rules, regulations, laws and morality the society upholds. If the law states that
I should not resuscitate this man with a DNR order, then I would not. However, in
the Post conventional level or the AUTONOMOUS level, the individual still
follows the rules but can make a rule or bend part of these rules according to his
own MORALITY. He can change the rules if he thinks that it is needed to be
changed. Example is that, A nurse still continue resuscitating the client even if the
client has a DNR order because he believes that the client can still recover and his
mission is to save lives, not watch patients die.
34.D. Peters . Remember PETERS for PRINCIPLES. P is to P. He believes that
morality has 3 components : EMOTION or how one feels, JUDGEMENT or how
 one reason and BEHAVIOR or how one actuates his EMOTION and
JUDGEMENT. He believes that MORALITY evolves with the development of
PRINCPLES or the person’s vitrue and traits. He also believes in
AUTOMATICITY of virtues or he calls HABIT, like kindness, charity, honesty,
sincerity and thirft which are innate to a person and therfore, will be performed
automatically.
35.C. Identification. A child, according to Freud adopts parental standards, traits,
habits and norms through identication. A good example is the corned beef
commercial ” WALK LIKE A MAN, TALK LIKE A MAN ” Where the child
identifies with his father by wearing the same clothes and doing the same thing.
36.D. Schulman and Mekler . According to Schulman and Mekler, there are 2
components that makes an action MORAL : The intention should be good and the
Act must be just. A good example is ROBIN HOOD, His intention is GOOD but
the act is UNJUST, which makes his action IMMORAL.
37.B. Westerhoff. There are only 2 theorist of FAITH that might be asked in the
board examinations. Fowler and Westerhoff. What differs them is that, FAITH of
fowler is defined abstractly, Fowler defines faith as a FORCE that gives a
meaning to a person’s life while Westerhoff defines faith as a behavior that
continuously develops through time.
38.C. Fowler. Rationale: Refer to # 37
39.B. Iloilo Mission Hospital School of nursing
40.C. Philippine General Hospital
41.A. Elizabeth.Saint Elizabeth of Hungary was a daughter of a King and is the
patron saint of nurses. She build hospitals and feed hungry people everyday using
the kingdom’s money. She is a princess, but devoted her life in feeding the
hungry and serving the sick.
42.A. Clara louise Maas. Clara Louise Maas sacrificed her life in research of
YELLOW FEVER. People during her time do not believe that yellow fever was
brought by mosquitoes. To prove that they are wrong, She allowed herself to be
bitten by the vector and after days, She died.
43.C. Moses
44.C. India
45.A. Chinese. Chinese believes that male newborns are demon magnets. To fool
those demons, they put female clothes to their male newborn.
46.B. Intuitive period.Egyptians believe that a sick person is someone with an evil
force or demon that is inside their heads. To release these evil spirits, They would
tend to drill holes on the patient’s skull and it is called TREPHINING.
47.A. Apprentice period.What dilineates apprentice period among others is that, it
ENDED when formal schools were established. During the apprentice period,
There is no formal educational institution for nurses. Most of them receive
training inside the convent or church. Some of them are trained just for the
 purpose of nursing the wounded soldiers. But almost all of them are influenced by
the christian faith to serve and nurse the sick. When Fliedner build the first formal
school for nurses, It marked the end of the APPRENTICESHIP period.
48.A. Apprentice period. Apprentice period is marked by the emergence of religious
orders the are devoted to religious life and the practice of nursing.
49.C. St. Clare. The poor clares, is the second order of St. Francis of assisi. The first
order was founded by St. Francis himself. St. Catherine of Siena was the first lady
with the lamp. St. Anne is the mother of mama mary. St. Elizabeth is the patron
saint of Nursing.
50.B. Dark period. Protestantism emerged with Martin Luther questions the Pope and
Christianity. This started the Dark period of nursing when the christian faith was
smeared by controversies. These leads to closure of some hospital and schools run
by the church. Nursing became the work of prostitutes, slaves, mother and least
desirable of women.
51.B. Like some other men.According to ROY, Man as a social being is like some
other man. As a spiritual being and Biologic being, Man are all alike. As a
psychologic being, No man thinks alike. This basically summarized her
BIOPSYHOSOCIAL theory which is included in our licensure exam coverage.
52.A. Roy. OPEN system theory is ROY. As an open system, man continuously
allows input from the environment. Example is when you tell me Im good
looking, I will be happy the entire day, Because I am an open system and
continuously interact and transact with my environment. A close system is best
exemplified by a CANDLE. When you cover the candle with a glass, it will die
because it will eventually use all the oxygen it needs inside the glass for
combustion. A closed system do not allow inputs and output in its environment.
53.B. A sole island in vast ocean
54.B. Rogers. The wholistic theory by Martha Rogers states that MAN is greater than
the sum of all its parts and that his dignity and worth will not be lessen even if
one of this part is missing. A good example is ANNE BOLEYN, The mother of
Queen Elizabeth and the wife of King Henry VIII. She was beheaded because
Henry wants to mary another wife and that his divorce was not approved by the
pope. Outraged, He insisted on the separation of the Church and State and divorce
Anne himself by making everyone believe that Anne is having an affair to another
man. Anne was beheaded while her lips is still saying a prayer. Even without her
head, People still gave respect to her diseased body and a separate head. She was
still remembered as Anne boleyn, Mother of Elizabeth who lead england to their
GOLDEN AGE.
55.B. Rogers. According to Martha Rogers, Man is composed of 2 systems : SUB
which includes cells, tissues, organs and system and SUPRA which includes our
famly, community and society. She stated that when any of these systems are
affected, it will affect the entire individual.
56.B. Needs should be followed exactly in accordance with their hierarchy.Needs
can be deferred. I can urinate later as not to miss the part of the movie’s climax. I
can save my money that are supposedly for my lunch to watch my idols in
concert. The physiologic needs can be meet later for some other needs and need
not be strictly followed according to their hierarchy.
57.D. Priorities are alterable. Refer to question # 56.
58.C. Follows the decision of the majority, uphold justice and truth. A,B and D are
all qualities of a self actualized person. A self actualized person do not follow the
decision of majority but is self directed and can make decisions contrary to a
popular opinion.
59.A. Makes decision contrary to public opinion. Refer to question # 58.
60.B. Self actualization. The peak of maslow’s hierarchy is the essence of mental
health.
61.D. Italy. Florence Nightingale was born in Florence, Italy, May 12, 1820. Studied
in Germany and Practiced in England.
62.A. Born May 12, 1840
63.C. Germany
64.D. Dunn. According to Dunn, High level wellness is the ability of an individual to
maximize his full potential with the limitations imposed by his environment.
According to him, An individual can be healthy or ill in both favorable and
unfavorable environment.
65.A. Promotes advancement and professional growth among its members
66.B. Anastacia Giron Tupas
67.C. Board resolution No. 1955 Promulgated by the BON. This is an old board
resolution. The new Board resolution is No. 220 series of 2004 also known as the
Nursing Code Of ethics which states that [ SECTION 17, A ] A nurse should be a
member of an accredited professional organization which is the PNA.
68.C. She does it regularly as an important responsibility
69.A. RA 7164. 7164 is an old law. This is the 1991 Nursing Law which was
repealed by the newer 9173.
70.B. Independent nurse practitioner
71.D. September 02, 1922. According to the official PNA website, they are founded
September 02, 1922.
72.C. Rosario Montenegro. Anastacia Giron Tupas founded the FNA, the former
name of the PNA but the first President was Rosario Montenegro.
73.B. Bernard. According to Bernard, Health is the ability to maintain and Internal
Milieu and Illness is the failure to maintain the internal environment.
74.D. Roy. According to ROY, Health is a state and process of becoming a WHOLE
AND INTEGRATED Person.
75.B. Negative feedback. The theory of Health as the ability to maintain homeostasis
was postulated by Walter Cannon. According to him, There are certain
 FEEDBACK Mechanism that regulates our Homeostasis. A good example is that
when we overuse our arm, it will produce pain. PAIN is a negative feedback that
signals us that our arm needs a rest.
76.C. Rogers. Martha Rogers states that HEALTH is synonymous with WELLNESS
and that HEALTH and WELLNESS is subjective depending on the definition of
one’s culture.
77.D. King .Emogene King states that health is a state in the life cycle and Illness is
any interference on this cycle. I enjoyed the Movie LION KING and like what
Mufasa said that they are all part of the CIRCLE OF LIFE, or the Life cycle.
78.A. Orem. Orem defined health as the SOUNDNESS and WHOLENESS of
developed human structure and of bodily and mental functioning.
79.C. Neuman. Neuman believe that man is composed of subparts and when this
subparts are in harmony with the whole system, Wellness results. Please do not
confuse this with the SUB and SUPRA systems of martha rogers.
80.D. Johnson . Once you see the phrase BEHAVIORAL SYSTEM, answer Dorothy
Johnson.
81.D. Leddy and Pepper .According to Leddy and Pepper, Wellness is subjective and
depends on an individuals perception of balance, harmony and vitality. Leavell
and Clark postulared the ecologic model of health and illness or the AGENT-
HOST-ENVIRONMENT model. Peterson and Zderad developed the
HUMANISTIC NURSING PRACTICE theory while Benner and Wruber
postulate the PRIMACY OF CARING MODEL.
82.C. Dunn
83.D. High level Wellness
84.C. Behavioral. Behavioral precursors includes smoking, alcoholism, high fat
intake and other lifestyle choices. Environmental factors involved poor sanitation
and over crowding. Heridity includes congenital and diseases acquired through
the genes. There are no social precursors according to DUNN.
85.D. Environmental
86.A. Becker. According to Becker, The belief of an individual greatly affects his
behavior. If a man believes that he is susceptible to an illness, He will alter his
behavior in order to prevent its occurence. For example, If a man thinks that
diabetes is acquired through high intake of sugar and simple carbohydrates, then
he will limit the intake of foods rich in these components.
87.D. Perceived curability of an illness . If a man think he is susceptibe to a certain
disease, thinks that the disease is serious and it is a threat to his life and functions,
he will use preventive behaviors to avoid the occurence of this threat.
88.A. Difficulty adhering to the lifestyle and B. Economic factors. Perceived barriers
are those factors that affects the individual’s health preventive actions. Both A
and B can affect the individual’s ability to prevent the occurence of diseases. C
 and D are called Preventive Health Behaviors which enhances the individual’s
preventive capabilities.
89.D. Eudaemonistic Model . Smith formulated 5 models of health. Clinical model
simply states that when people experience sign and symptoms, they would think
that they are unhealthy therefore, Health is the absence of clinical sign and
symptoms of a disease. Role performance model states that when a person does
his role and activities without deficits, he is healthy and the inability to perform
usual roles means that the person is ill. Adaptive Model states that if a person
adapts well with his environment, he is healthy and maladaptation equates illness.
Eudaemonistic Model of health according to smith is the actualization of a
person’s fullest potential. If a person functions optimally and develop self
actualization, then, no doubt that person is healthy.
90.A. Clinical Model. Rationale: Refer to question # 89.
91.C. Structural. Modifying variables in Becker’s health belief model includes
DEMOGRAPHIC : Age, sex, race etc. SOCIOPSYCHOLOGIC : Social and Peer
influence. STRUCTURAL : Knowledge about the disease and prior contact with
it and CUES TO ACTION : Which are the sign and symptoms of the disease or
advice from friends, mass media and others that forces or makes the individual
seek help.
92.D. Cues to action . Refer to question # 91.
93.B. Sociopsychologic. Refer to question # 91.
94.A. Demographic. Refer to question # 91.
95.A. Reservoir. According to L&C’s Ecologic model, there are 3 factors that affect
health and illness. These are the AGENT or the factor the leads to illness, either a
bacteria or an event in life. HOST are persons that may or may not be affected by
these agents. ENVIRONMENT are factors external to the host that may or may
not predispose him to the AGENT.
96.C. Health Promotion Model. Pender developed the concept of HEALTH
PROMOTION MODEL which postulated that an individual engages in health
promotion activities to increase well being and attain self actualization. These
includes exercise, immunization, healthy lifestyle, good food, self responsibility
and all other factors that minimize if not totally eradicate risks and threats of
health.
97.B. Health promotion. Refer to question # 96.
98.B. Disease. Disease are alteration in body functions resulting in reduction of
capabilities or shortening of life span.
99.A. Illness. Illness is something PERSONAL. Unlike disease, Illness are personal
state in which person feels unhealthy. An old person might think he is ILL but in
fact, he is not due, to diminishing functions and capabilities, people might think
they are ILL. Disease however, is something with tangible basis like lab results, X
ray films or clinical sign and symptoms.
100. B. Watson. This is Jean Watson’s definition of Nursing as caring. This was
asked word per word last June 06′ NLE. Benner defines caring as something that
matters to people. She postulated the responsibility created by Caring in nursing.
She was also responsible for the PRIMACY OF CARING MODEL. Leininger
defind the 4 conservation principle while Swanson introduced the 5 processes of
caring.