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NURS MISC Theoretical Foundations of Nursing Practice(FREE)| Nursing School Test Banks Chapter 4: Theoretical Foundations of Nursing Practice(FREE) Test Bank MULTIPLE CHOICE 1. The nursing instructor is teaching a class on nursing theory. One of the students asks, “Why do we need to k...

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Chapter 4: Theoretical Foundations of Nursing Practice(FREE) | Nursing School Test Banks




NURS MISC Theoretical Foundations of Nursing Practice(FREE)|
Nursing School Test Banks



Chapter 4: Theoretical Foundations of Nursing
Practice(FREE)
Test Bank


MULTIPLE CHOICE


1. The nursing instructor is teaching a class on nursing theory. One of the students asks, “Why do we

need to know this stuff? It doesn’t really affect patients.” The instructor’s best response would be


a. “You are correct, but we have to learn it anyway.”


b. “Exposure to theories will help you later in graduate school.”


c. “Theories help keep the focus of nursing narrow.”


d.
“Theories help explain why nurses do what they do.”



ANS: D


Theories offer well-grounded rationales or reasons for how and why nurses perform specific interven-
tions. Learning about theories is important because these theories help to describe, explain, predict,
and/or prescribe nursing care measures. Although nursing theory will help the nurse in graduate school,


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,Chapter 4: Theoretical Foundations of Nursing Practice(FREE) | Nursing School Test Banks



it is also an important basis for the nurse’s approach to daily patient care, and it expands scientific
knowledge of the profession.


DIF: Understand REF: 40


OBJ: Explain the influence of nursing theory on a nurse’s approach to practice.


TOP: Evaluation MSC: Teaching/Learning


2. The nurse is caring for a patient who is known as a “frequent flyer,” and who has been labeled as

“noncompliant” by most of the staff because she does not follow her prescribed regimen for diabetes
management. As a prescriber to Orem’s theory, the nurse interviews the patient in an attempt to identify
the cause of the patient’s “noncompliance.” This is because Orem’s theory


a. Is useful in designing interventions to promote self-care.


b. Does not allow for environmental influences on care.


c. Allows for development of a plan of care that the patient must follow.


d. Is not useful in promoting self-care regimens.



ANS: A


Orem’s theory explains the factors within a patient’s living situation that support or interfere with the pa-
tient’s self-care ability. This theory has value in helping nursing design interventions with the patient
that will help to promote the patient’s self-care in managing an illness, such as diabetes or arthritis.


DIF: Understand REF: 41


OBJ: Explain the influence of nursing theory on a nurse’s approach to practice.


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, Chapter 4: Theoretical Foundations of Nursing Practice(FREE) | Nursing School Test Banks 1/11/20, 7:48 PM



TOP: Implementation MSC: Caring


3. The type of theory that is used to develop and test specific nursing interventions is known as

theory.


a. Grand



b. Prescriptive



c. Descriptive


d. Middle-range



ANS: B


Prescriptive theories are action oriented and test the validity and predictability of a nursing intervention.
These theories guide nursing research to develop and test specific nursing interventions. Grand theories
are broad in scope and complex, and require further specification through research. Descriptive theories
do not direct specific nursing activities but help to explain patient assessment. The phenomena within
middle-range theories tend to cross different nursing fields and reflect a wide variety of nursing care
situations.


DIF: Knowledge REF: 42 OBJ: Describe types of nursing theories.


TOP: Implementation MSC: Caring


4. The nurse researcher is evaluating whether holding pressure at an injection site after injecting the anti-

coagulant enoxaparin (Lovenox) will reduce bruising at the injection site. This study involves a prescrip-
tive theory because it




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