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Smith, Nursing Theories and Nursing Practice, 5e

Chapter 7: Dorothy Johnson’s Behavioral System Model

Multiple-Choice Questions

1. Johnson integrated a complex knowledge set in the development of her Behavior System

Model. Johnson has noted that her theory evolved from:

A. Philosophical ideas.

B. Theory and research.

C. Her clinical background.

D. All of the above.

ANS: D

2. A number of existing theories were integrated into Johnson’s development of the Behavior
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System Model. The PRIMARY theoretical foundation(s) for the model is (are):

A. Transpersonal theory.

B. Florence Nightingale’s theory of nursing.

C. Existential theory.

D. Systems theory and developmental theory.

ANS: D

3. Johnson proposed five core principals of systems thinking. These core principals include

which set of answers?

A. Person, environment, health, nursing, nursing therapeutics

B. Being, becoming, angst, choice, actualization

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Smith, Nursing Theories and Nursing Practice, 5e

C. Wholeness and order, stabilization, reorganization, hierarchic interaction, and dialectical

contradiction

D. Peace, harmony, balance, stability, perpetuation

ANS: C

4. Johnson proposes that each subsystem is composed of at least four structural components that

interact in a specific pattern. These parts are:

A. Person, environment, health, nursing

B. Goal, set, choice, and action

C. Preparation, readiness, action, review

D. Approach. disorganization, orientation, engagement

ANS: B
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5. Johnson viewed health as efficient and effective functioning of the system and as behavioral

system balance and stability. Behavioral system balance and stability are demonstrated by

observed behavior that is:

A. Chaotic, random, and unpredictable.

B. Permeable, malleable, and flexible.

C. Purposeful, orderly, and predictable.

D. Predetermined, fixed, sequential, and static.

ANS: C

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Smith, Nursing Theories and Nursing Practice, 5e

6. From a behavioral system perspective, homeorhesis is a more-important stabilizing process

than homeostasis. In homeorhesis, the system stabilizes around:

A. A trajectory rather than a set point.

B. Self-righting tendencies that can occur over time.

C. Development or adaptation of the behavioral system.

D. All of the above.

E. None of the above.

ANS: D

7. Johnson conceptualized a nursing client as:

A. An interpersonal–integrative system.

B. Independent of the environment.

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C. A behavioral system.

D. Comprising mind–body–spirit.

ANS: C

8. According to Johnson, individuals are said to achieve efficient and effective behavioral

functioning in all of the following EXCEPT:

A. Their behavior is commensurate with social demands.

B. They are able to fit within the mainstream of society and follow the orders of the physician in

order to regain their health.

C. They are able to modify their behavior in ways that support biological imperatives.

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Smith, Nursing Theories and Nursing Practice, 5e

D. They are able to benefit to the fullest extent during illness from the physician’s knowledge

and skill.

ANS: B

9. The goal “to take in needed resources from the environment to maintain the integrity of the

organism or to achieve a state of pleasure; to internalize the external environment” is associated

with which subsystem?

A. Ingestive

B. Eliminative

C. Dependency

D. Affiliative

ANS: A
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10. Which of following functions are associated with the aggressive-protective subsystem. Select

all that apply:

A. To protect one’s achievement goals

B. To protect one’s beliefs

C. To focus on another or oneself in relation to social, psychological, and cultural needs and

desires

D. To express one’s feelings, emotions, and ideas verbally or nonverbally

E. To recognize biological, environmental, or health systems that are potential threats to self or

others

ANS: A, B, & E

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Smith, Nursing Theories and Nursing Practice, 5e

11. Each subsystem is composed of at least four structural components EXCEPT:

A. Goal.

B. Set.

C. Value.

D. Action.

ANS: C

12. Choice, according to Johnson’s model, refers to:

A. The individual’s repertoire of alternative behaviors in a situation that will best meet the goal

and attain the desired outcome.

B. The desired result or consequence of the behavior.

C. A relatively stable and habitual behavioral pattern of responses to drives or stimuli.

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D. Observable action of the individual.

ANS: A

13. A disorder originating within any one subsystem is classified as a(n):

A. Insufficiency, which exists when a subsystem is not functioning.

B. Developed to its fullest capacity due to inadequacy of functional requirements.

C. Observed behavior that is purposeful, orderly, and predictable.

D. Discrepancy, which exists when a behavior does not meet the intended conceptual goal.

ANS: A

True/False Questions

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Smith, Nursing Theories and Nursing Practice, 5e

14. The overall representation of Johnson’s model can be viewed as a behavioral system within

an environment.

ANS: T

15. Two components of each subsystem include choice and action. Johnson refers to choice as

the individual’s repertoire of alternative behaviors in a situation that will best meet the goal and

attain the desired outcome.

ANS: T

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