N491 Concepts
and Theories in Nursing
Module 1
Assignment
Assignment:
Case Study:
Mrs. Adams, a 68-year-old widow who was referred to case
management upon discharge from the hospital based on her physician’s
recommendation that she is not able to care for herself independently. Her
diagnosis is diabetes, hypertension, and breast cancer. She is 5 days’ post-op
from a right sided mastectomy. Mrs. Adams apartment is located in a low income
area of the city where crime is prevalent. Upon assessment by the Community Health
Nurse, Mrs. Adams apartment was in disorder with minimal airflow or light. Her
cloths appeared unchanged and she had no food in the apartment. The small
apartment also housed 3 cats and a small dog who Mrs. Adams considers family
since the death of her husband 1 year ago. Mrs. Adams complains of pain and
draining from her surgical site and a broken air conditioner.
Using Nightingales Environmental Theory, what actions would
the nurse take upon the first assessment? What are the five essential components?
What would be an appropriate plan of care be for Mrs. Adams?
How would you prioritize the care plan?
Apply Nightingale’s Environmental Theory to an area of your
nursing practice? What patient population would benefit from this approach?
Support this practice change with at least one evidenced-based article.
The assignment should be completed in APA format, as an
essay of between 1000 and 1500 words. The paper should include at least 3
outside references and the textbook. The paper should be in APA format with a
title page, level headings, and reference page.
N491 Concepts
and Theories in Nursing
Module 2
Assignment
Assignment:
This week you will create a two-part Power Point to discuss
the following:
Part one:
Peplau was the first nursing theorist to identify the
nurse–patient relationship as being central to all nursing care. Peplau valued
knowledge, believing that the nurse must possess extensive knowledge about the
potential problems that emerge during a nurse–patient interaction. Peplau's
theoretical work on the nurse–patient relationship continues to be essential to
nursing practice.
Describe the phases of the Nurse-Patient relationship as
defined by Peplau. Align your presentation regarding the use of Peplau's theory
with a current practice example.
Part two:
Provide a discussion of Orem’s Self-Care Deficit Theory.
Identify and explain the three related parts? Identify a current nursing
practice example where Orem’s theory would be relevant. Use at least one
evidenced-based research article to support your practice example. The
PowerPoint should include at least 3 outside references and the textbook. It
should include title and reference slides and be 14-20 slides.
N491 Concepts
and Theories in Nursing
Module 3
Assignment
Assignment:
Please create a Power Point to answer the following:
Case study
Ann, a community nurse, made an afternoon home visit with
Susan and her father. After the death of her mother, Susan had growing concerns
about her father living alone. "I worry about my father all the time. He
is becoming more forgetful and he has trouble seeing. Mom used to take care of
him. I am not sleeping and I am irritable around him. Yesterday I shouted at
him because he wouldn't let me help him with his laundry. I felt terrible! I am
at my wits' end! My brothers and sisters do not want to put dad in a nursing
home but they are not willing to help out. As usual, they have left me with all
the responsibility. I work part time and have two small children to care for.”
Susan's father, Sam, sat quietly with tears filling his eyes. He was well
nourished and well-groomed but would not make eye contact. Nurse Ann noticed
that the house was clean and orderly. A tray in front of the TV had the remains
of a ham sandwich and glass of ice tea. Mail was piled up, unopened on a small
table near the front door. There was only one car in the driveway and the yard
was in need of attention.
What questions does Orlando’s theory guide the nurse to
consider in caring for Susan and Sam?
Develop a family plan of care from the perspective of
Orlando.
Explore the 1950 and 60’s in the United States:
Explore was happening in the United States during this time
(culture, social, economics, struggles)
What did nursing look like during this time (what were their
jobs like, responsibilities, dress, autonomy, respect)
What is the most influential accomplishment in nursing
theory from the 1950’s and 1960’s?
Power Point should include at least 4 outside references and
the textbook. It should include title and reference slides and be 14-20 slides.
N491 Concepts
and Theories in Nursing
Module 4
Assignment
Assignment:
This week you will be writing an APA paper to include a
title page, level headings, and a reference page
Discuss and explain King’s Conceptual System Theory.
First explain the 3 systems and provide examples of each
system
Explain how the systems influence goal attainment
How could King’s theory help define a clinical quality
problem?
Apply this theory to a potential practice quality
improvement initiative within your clinical practice.
How could a quality committee align outcomes with King’s
Conceptual System Theory?
What additional nursing theory from our readings could also
align with an improved quality of practice initiative?
This paper should include 2 outside references and the
textbook. This paper should be 1250 to 1500 words in length.
N491 Concepts
and Theories in Nursing
Module 5
Assignment
Assignment:
Create a Power Point Presentation to discuss the following
Sgt. Eddie Johns leaned back against the chair in the
outpatient orthopedic clinic. His head was killing him! He wasn't sure which
was worse, the "morning after" headache or not being able to sleep at
night. At least when he had a few beers under his belt so he could catch a few
hours of sleep. It had been like this since he was air evacuated back stateside
from Afghanistan after the roadside bomb went off. He was thankful that he had
only broken his leg in a couple of places and gotten a bad bump on the head.
They called that traumatic brain injury but he didn't know what that was and
really didn't believe them anyway. He was still thinking just fine. His friend
Joe wasn't so lucky! How was Joe going to learn to walk on those artificial
legs? He was still in the hospital in Washington, DC. That was pretty far from
his home. Eddie wished he could visit Joe. They had been in the same platoon
for 9 months. But, Eddie was glad that he had been able to come back to his own
home town for outpatient treatment. It took an hour to get here but at least he
could see his girl almost every day. Sure he had moved back in with his mom but
it was easier to have someone to help him get around and cook for him. It was a
bummer that he couldn't work right now. He guessed it didn't matter much since
he really didn't have a job to go back to. He had been replaced at the plant.
They said they would find something for him to do once he could get around more
easily. Eddie sure hoped the doc would take the pins out of his leg today and
give him a clearance to work.
How would the use of the Roy Adaptation Model assist the
nurse in planning the continuation of care for Sgt. Johns?
Describe the influence of Roy's Theory in guiding the
nurse's actions in promoting Sgt. Johns adjusted self-concept.
From the perspective of the Roy Adaptation Model, why is it
important for the nurse to listen to Sgt. Johns' "story" in his own
words and not just base her interactions on information from the chart, fellow
colleagues, or his family?
Based on Neuman System’s Model, identify at least 4
stressors from the case study. Create a plan of care based on Neuman Systems
Model for Sgt. Johns.
Your PowerPoint should include at least 1 outside reference
and your book. The presentation should be 10 to 15 slides in length.
N491 Concepts
and Theories in Nursing
Module 6
Assignment
Assignment:
Your assignment this week will be an APA paper to include
title page, level headings, and a reference page.
Case study #1
Mrs. Franklin-Jones was admitted from the Emergency Room to
Cardiac Intensive Care one week ago with a diagnosis of acute myocardial
infarction. She has recovered as expected and is moving to the cardiac step
down unit today. She is talking with Nurse Julie Hernandez, as she gets settled
in her new room, "I was really surprised when I got that bad pain in my
chest! I knew I had high pressure but I just didn't think it was that bad. I
try to take my medicine like they told me to in the clinic but sometimes I forget.
I guess that I need to study those papers they gave me about what foods I
should eat and not eat. I better take care of myself! Momma had bad pressure
and it killed her! Who knows—I may even have to learn to cook different than I
was taught in Jamaica! I may have to let Tomas do the cooking. He's got more
time at home now than I do since he lost his job. There isn't too much time
between my shifts at the school cafeteria and my new housecleaning job. You
know my sister is coming up from Jamaica to see me. I think she is bringing me
some bush tea. That'll set me right!"
Using Leininger's Culture Care Model, what factors in the
story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez
when planning for the patient's discharge?
Why is the theory of Culture Care Diversity important in the
delivery of nursing care for all patients?
Using Leininger's Theory of Culture Care Diversity and
Universality, develop a plan of care for Mrs. Franklin-Jones.
Discuss the strengths and limits to Leininger’s Theory.
Case Study #2
Claude Jean-Baptiste is recovering from post-hip replacement
surgery and has been transferred to the Rehabilitation Institute adjacent to
the hospital. When he enters the unit, he sees welcoming signs written in
several languages including his own, Creole. Since there are no nurses on that
shift that speak Creole, they use a language line to ask for translation
services. During this initial nursing assessment, the translator informs Mr.
Jean-Baptiste that the nurses invite him to have a relative at his side so that
they can be sure to understand and meet his needs. He is asked about Haitian
customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to
bring food and spiritual care items, and to share the warmth of his culture
with the nursing staff.
Discuss assumptions of the Transpersonal Caring
relationship. What is the nurse's role?
How is love, as defined by Watson, evident in this caring
moment?
How can the nurse creatively use self to create a healing
environment?
Discuss the strengths and limits to Watson’s Theory.
This paper should include 2 outside references and your
book. The essay should be between 1500 and 1750 words in length.
N491 Concepts
and Theories in Nursing
Module 7
Assignment
Assignment:
Your assignment this week will be an APA paper to include
title page, level headings, and a reference page.
Case Study
The hospice nurse sat with Ann's husband, Ben. Ann was
resting quietly as the increased dosage of IV pain medication gradually reached
its therapeutic level. Ben turned his head and slowly turned, looking out the
room's only window. As he glanced up, a small flicker of light caught his
breath. It was a shooting star. A tear fell from the corner of his eye and he
turned to Ann. The nurse sensed that something significant to Ann and Ben was
unfolding. Shuffling to Ann's bedside, he took her small fragile hand in his.
These hands had rocked cradles, burped babies, and groomed the horses she loved
to ride. Gently holding her hand, he turned to the nurse. "She would ride
like the wind was chasing her." Looking back to Ann his voice broke;
choking back tears "Ann, Ann I saw Jessie…Jessie is calling." Ben
turned "Jessie was our daughter. She died having a baby that was too big.
When she died it was a pitch-black night. Cold, so cold, the baby died too, a
little boy, named him Abe, Jr. after Jessie's husband. I took Ann outside so
she could cry to God above and there in this dark sky we saw two falling
stars…together…just falling. We knew it had to be Jessie and Abe…two angels to
light up the night." Ben turned back as a deep sigh escaped from Ann's
lips. A soft smile remained as she joined Jessie and Abe.
Based on this case study how would the nurse actualize
Parse's theory of Human Becoming?
What are characteristics of a human becoming nurse? What are
strengths and weaknesses to this theory of nursing?
What challenges exist for healthcare institutions to switch
to this nursing approach?
How might Parse's understanding of transcendence guide the
nurse, as Ann's death became a reality to Ben?
From the nursing theories we have discussed, what additional
theory would you apply to this case study? Develop a plan of care to include
both nursing theories (be specific and provide reasons)
The APA formatted paper should include 2 outside references
and your book. The essay should be between 1250 and 1500 words in length.
N491 Concepts
and Theories in Nursing
Module 8
Assignment
This week, you will develop a PowerPoint presentation
reviewing the theories from each module. Please select one theory from each
module (1-8) and answer the following questions. You should have two slides per
theory:
Describe the theory
Provide 3 examples of how the theory applies to current
practice
Provide 3 positive patient outcomes resulting from utilizing
the theory
Explain 3 benefits to nursing satisfaction when utilizing
the theory
Describe two barriers to using the theory in practice and at
least one method for overcoming each barrier (support methods with sources)
Support from literature clearly noted throughout
The PowerPoint presentation should include at least two
outside references and the textbook. The presentation should contain 2 to 4
slides per theory, for a total of 16 to 32 slides.