NURSING TODAY TRANSITION AND
TRENDS EXAM STUDY GUIDE 2026 TEST
BANK WITH FULL SOLUTIONS
⩥ The nurse is caring for a patient who does not follow the 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." What is the rationale for the nurse's
behavior?
a.
Orem's theory is useful in designing interventions to promote self-care.
b.
Orem's theory focuses on cultural issues that may affect compliance.
c.
Orem's theory allows for reduction of anxiety with communication.
d.
Orem's theory helps nurses manipulate the patient's environment.
Answer: ANS: A
When applying Orem's theory, a nurse continually assesses a patient's
ability to perform self-care and intervenes as needed to ensure that the
patients meet physical, psychological, sociological, and developmental
needs. According to Orem, people who participate in self-care activities
are more likely to improve their health outcomes. Leiniger's culture care
theory focuses on culture diversity and provides culturally specific
,nursing care. According to Peplau, nurses help patients reduce anxiety
by converting it into constructive actions, using therapeutic
communication. Nightingale's grand theory is a patient's environment
can be manipulated by nurses to restore a patient to health.
⩥ A nurse is testing meditation for migraine headaches and the expected
outcome of care when performing this intervention. Which type of
theory is the nurse using?
a.
Grand
b.
Prescriptive
c.
Descriptive
d.
Middle-range. Answer: ANS: B
A prescriptive theory details nursing interventions (meditation) for a
specific phenomenon (migraine headaches) and the expected outcome of
the care. Grand theories are broad in scope and complex and require
further specification through research; it does not provide guidance for
specific nursing interventions. Descriptive theories do not direct specific
nursing activities but help to explain patient assessment. A middle-range
theory tends to focus on a concept found in a specific field of nursing,
such as uncertainty, incontinence, social support, quality of life, and
caring, rather than reflect on a wide variety of nursing care situations.
,⩥ The nurse researcher is evaluating whether holding pressure at an
injection site after injecting the anticoagulant enoxaparin will reduce
bruising at the injection site. This study involves a prescriptive theory.
What is the nurse's rationale for involving a prescriptive theory?
a.
It explains why bruising occurs.
b.
It is broad in scope and complex.
c.
It tests a specific nursing intervention.
d.
It reflects a wide variety of nursing care situations.. Answer: ANS: C
Prescriptive theories detail nursing interventions for a specific
phenomenon and the expected outcome of the care but it does not
explain why. Grand theories are broad in scope and complex and focus
on a wide variety of nursing care situations.
⩥ A nurse is using nursing theory and the nursing process
simultaneously to plan nursing care. How will the nurse use nursing
theory and the nursing process in practice?
a.
Nursing theory can direct how a nurse uses the nursing process.
b.
Nursing theory requires the nursing process to develop knowledge.
, c.
Nursing theory with the nursing process has a minor role in professional
nursing.
d.
Nursing theory combined with the nursing process is specific to certain
ill patients.. Answer: ANS: A
Nursing theory can direct how a nurse uses the nursing process.
Integration of theory into practice (nursing process) serves as the basis
for professional nursing. The nursing process provides a systematic
process for the delivery of care, not the knowledge component of the
discipline. Useful theories are adaptable to different patients and to all
care settings.
⩥ The nurse views the patient as an open system that needs help in
coping with stressors. Which theorist is the nurse using?
a.
King
b.
Levine
c.
Neuman
d.
Johnson. Answer: ANS: C
TRENDS EXAM STUDY GUIDE 2026 TEST
BANK WITH FULL SOLUTIONS
⩥ The nurse is caring for a patient who does not follow the 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." What is the rationale for the nurse's
behavior?
a.
Orem's theory is useful in designing interventions to promote self-care.
b.
Orem's theory focuses on cultural issues that may affect compliance.
c.
Orem's theory allows for reduction of anxiety with communication.
d.
Orem's theory helps nurses manipulate the patient's environment.
Answer: ANS: A
When applying Orem's theory, a nurse continually assesses a patient's
ability to perform self-care and intervenes as needed to ensure that the
patients meet physical, psychological, sociological, and developmental
needs. According to Orem, people who participate in self-care activities
are more likely to improve their health outcomes. Leiniger's culture care
theory focuses on culture diversity and provides culturally specific
,nursing care. According to Peplau, nurses help patients reduce anxiety
by converting it into constructive actions, using therapeutic
communication. Nightingale's grand theory is a patient's environment
can be manipulated by nurses to restore a patient to health.
⩥ A nurse is testing meditation for migraine headaches and the expected
outcome of care when performing this intervention. Which type of
theory is the nurse using?
a.
Grand
b.
Prescriptive
c.
Descriptive
d.
Middle-range. Answer: ANS: B
A prescriptive theory details nursing interventions (meditation) for a
specific phenomenon (migraine headaches) and the expected outcome of
the care. Grand theories are broad in scope and complex and require
further specification through research; it does not provide guidance for
specific nursing interventions. Descriptive theories do not direct specific
nursing activities but help to explain patient assessment. A middle-range
theory tends to focus on a concept found in a specific field of nursing,
such as uncertainty, incontinence, social support, quality of life, and
caring, rather than reflect on a wide variety of nursing care situations.
,⩥ The nurse researcher is evaluating whether holding pressure at an
injection site after injecting the anticoagulant enoxaparin will reduce
bruising at the injection site. This study involves a prescriptive theory.
What is the nurse's rationale for involving a prescriptive theory?
a.
It explains why bruising occurs.
b.
It is broad in scope and complex.
c.
It tests a specific nursing intervention.
d.
It reflects a wide variety of nursing care situations.. Answer: ANS: C
Prescriptive theories detail nursing interventions for a specific
phenomenon and the expected outcome of the care but it does not
explain why. Grand theories are broad in scope and complex and focus
on a wide variety of nursing care situations.
⩥ A nurse is using nursing theory and the nursing process
simultaneously to plan nursing care. How will the nurse use nursing
theory and the nursing process in practice?
a.
Nursing theory can direct how a nurse uses the nursing process.
b.
Nursing theory requires the nursing process to develop knowledge.
, c.
Nursing theory with the nursing process has a minor role in professional
nursing.
d.
Nursing theory combined with the nursing process is specific to certain
ill patients.. Answer: ANS: A
Nursing theory can direct how a nurse uses the nursing process.
Integration of theory into practice (nursing process) serves as the basis
for professional nursing. The nursing process provides a systematic
process for the delivery of care, not the knowledge component of the
discipline. Useful theories are adaptable to different patients and to all
care settings.
⩥ The nurse views the patient as an open system that needs help in
coping with stressors. Which theorist is the nurse using?
a.
King
b.
Levine
c.
Neuman
d.
Johnson. Answer: ANS: C
