Meleis Transition Theory/Peaceful End of Life Theory

Transition Theory

100

Which of the following best describes a key concept of Meleis’ Transition Theory?

1. Transition is a purely physical process

2. Transitions involve multiple dimensions, including physical, emotional, and social changes

3. Nursing interventions are only necessary at the beginning of a transition

4. Successful transitions do not require external support

Transitions involve multiple dimensions, including physical, emotional, and social changes

200

During the evaluation phase of a transition-based nursing intervention, which of the following would indicate a successful transition?

1. The patient continues to express significant anxiety about their new role

2. The patient demonstrate knowledge and confidence in managing self-care

3. The patient has no need for any social or emotional support

4. The patient isolates themselves from family and caregivers

The patient demonstrate knowledge and confidence in managing self-care

300

A nurse using Meleis’ Transition Theory to evaluate a patient’s adaptation to a new health condition should focus on:

1. The patient’s ability to return to their pre-transition state

2. The effectiveness of medical treatments only

3. The patient’s coping strategies, social support, and emotional well-being

4. The number of medical procedures performed during the transition

The patient’s coping strategies, social support, and emotional well-being

400

According to Meleis’ Transition Theory, what is the role of a nurse in facilitating a successful transition?

1. Providing emotional, informational, and practical support tailored to the patient’s needs

2. Allowing the patient to navigate the transition independently without interference

3. Focusing solely on physical recovery and ignoring emotional aspects

4. Ensuring the transition is completed within a fixed timeframe

Providing emotional, informational, and practical support tailored to the patient’s needs

500

Which of the following would be an appropriate evaluation question for a nurse using Meleis’ Transition theory to assess a patient’s progress?

1. How many medications is the patient currently taking?

2. Has the patient successfully adapted to their new role, health status, or environment?

3. How many hospital visits has the patient made in the past year?

4. What is the patient’s body mass index (BMI)?

Has the patient successfully adapted to their new role, health status, or environment?

Peaceful End-Of-Life

100

Which of the following is a primary goal of the Peaceful End-of-life theory?

1. Extending the patient’s life at all costs

2. Ensuring a pain-free and dignified death

3. Promoting aggressive medical interventions

4. Prioritizing family wishes over patient comfort

Ensuring a pain-free and dignified death

200

According to Ruland and Moore’s Peaceful End-of Life theory, which factor contributes most to a peaceful death?

1. Complete isolation to avoid distress

2. A sterile hospital environment

3. Emotional and physical comfort

4. Dependence on life-sustaining treatments

Emotional and physical comfort

300

Which of the following nursing interventions aligns with the Peaceful End-of-Life Theory?

1. Withholding pain medications to maintain alertness

2. Encouraging open communication about end-of-life wishes

3. Avoiding discussions about death to prevent distress

4. Restricting family visits to maintain a quiet environment

Encouraging open communication about end-of-life wishes

400

What role does the family play in the Peaceful End-of-Life Theory?

1. They should make all decisions on behalf of the patient

2. They are excluded to ensure a stress-free environment

3. They provide emotional support and help maintain dignity

4. They should persuade the patient to continue treatments

They provide emotional support and help maintain dignity

500

Which of the following best describes a peaceful end-of-life experience?

1. The patient is kept under heavy sedation to prevent any discomfort

2. The patient is respected, comfortable, and free from avoidable distress

3. The healthcare team makes all decisions without patient input

4. The focus is solely on prolonging life, regardless of suffering

The healthcare team makes all decisions without patient input