4: THEORETICAL FOUNDATIONS OF NURSING
PRACTICE QUESTIONS AND ANSWERS 2026
UPDATES
TheAnursingAinstructorAisAteachingAaAclassAonAnursingAtheory.AOneAofAtheAstudentsAasks,A"WhyAdoA
weAneedAtoAknowAthisAstuff?AItAdoesn'tAreallyAaffectApatients."AWhatAisAtheAinstructorsAbestArespo
nse?
a.AYouAareAcorrect,AbutAweAhaveAtoAlearnAitAanyway.
b.AThisAkeepsAtheAfocusAofAnursingAnarrow.
c.ATheoriesAhelpAexplainAwhyAnursesAdoAwhatAtheyAdo.
d.AExposureAtoAtherapiesAwillAhelpAyouAlaterAinAgraduateAschool.A-ACORRECTAANSWER-
c.ATheoriesAhelpAexplainAwhyAnursesAdoAwhatAtheyAdo.
Rationale:ATheoriesAofferAwell-
groundedArationalesAforAhowAandAwhyAnursesAperformAspecificAinterventionsAandAforApredictingAa
nd/orAprescribingAnursingAcareAmeasures.AAlthoughAnursingAtheoryAwillAhelpAtheAnurseAinAgraduat
eAschool,AitAisAalsoAanAimportantAbasisAforAtheAnurse'sAapproachAtoAdailyApatientAcare,AandAitAexpa
ndsAscientificAknowledgeAofAtheAprofession.
TheAnurseAisAcaringAforAaApatientAwhoAdoesAnotAfollowAtheAprescribedAregimenAforAdiabetesAmana
gement.AAsAaAprescriberAtoAOrem'sAtheory,AtheAnurseAinterviewsAtheApatientAinAanAattemptAtoAide
ntifyAtheAcauseAofAtheApatient'sAnonadherence.AWhatAisAtheArationaleAforAtheAnursesAbehavior?
a.AOrem'sAtheoryAisAusefulAinAdesigningAinterventionsAtoApromoteAselfAcare.
b.AOrem'sAtheoryAfocusesAonAculturalAissuesAthatAmayAaffectAcompliance.
c.AOrem'sAtheoryAallowsAforAreductionAofAanxietyAwithAcommunication.
, d.AOrem'sAtheoryAhelpsAnursesAmanipulateAtheApatient'sAenvironment.A-ACORRECTAANSWER-
a.AOrem'sAtheoryAisAusefulAinAdesigningAinterventionsAtoApromoteAselfAcare.
Ratonale:AWhenAapplyingAOrem'sAtheory,AaAnurseAcontinuallyAassessesAaApatient'sAabilityAtoAperfo
rmAselfcareAandAintervenesAasAneededAtoAensureAthatAtheApatientsAmeetAphysical,Apsychological,As
ociological,AandAdevelopmentalAneeds.AAccordingAtoAOrem,ApeopleAwhoAparticipateAinAselfcareAac
tivitiesAareAmoreAlikelyAtoAimproveAtheirAhealthAoutcomes.ALeininger'sAcultureAcareAtheoryAfocuse
sAonAcultureAdiversityAandAprovidesAculturallyAspecificAnursingAcare.AAccordingAtoAPeplau,AnursesAh
elpApatientsAreduceAanxietyAbyAconvertingAitAintoAconstructiveAactions,AusingAtherapeuticAcommu
nication.ANightingale'sAgrandAtheoryAisAaApatient'sAenvironmentAcanAbeAmanipulatedAbyAnursesAto
ArestoreAaApatientAtoAhealth.
AAnurseAisAtestingAmeditationAforAmigraineAheadachesAandAtheAexpectedAoutcomeAofAcareAwhenAp
erformingAthisAintervention.AWhichAtypeAofAtheoryAisAtheAnurseAusing?A
a.AGrandA
b.APrescriptiveA
c.ADescriptiveA
d.AMiddle-rangeA-ACORRECTAANSWER-b.APrescriptiveA
Rationale:AAAprescriptiveAtheoryAdetailsAnursingAinterventionsA(meditation)AforAaAspecificAphenom
enonA(migraineAheadaches)AandAtheAexpectedAoutcomeAofAtheAcare.AGrandAtheoriesAareAbroadAinA
scopeAandAcomplexAandArequireAfurtherAspecificationAthroughAresearch;AitAdoesAnotAprovideAguid
anceAforAspecificAnursingAinterventions.ADescriptiveAtheoriesAdoAnotAdirectAspecificAnursingAactivit
iesAbutAhelpAtoAexplainApatientAassessment.AAAmiddle-
rangeAtheoryAtendsAtoAfocusAonAaAconceptAfoundAinAaAspecificAfieldAofAnursing,AsuchAasAuncertaint
y,Aincontinence,AsocialAsupport,AqualityAofAlife,AandAcaring,AratherAthanAreflectAonAaAwideAvarietyAo
fAnursingAcareAsituations.
TheAnurseAresearcherAisAevaluatingAwhetherAholdingApressureAatAanAinjectionAsiteAafterAinjectingAt
heAanticoagulantAenoxaparinAwillAreduceAbruisingAatAtheAinjectionAsite.AThisAstudyAinvolvesAaApres
criptiveAtheory.AWhatAisAtheAnurse'sArationaleAforAinvolvingAaAprescriptiveAtheory?A
a.AItAexplainsAwhyAbruisingAoccurs.A