Advanced Nursing Practice 4th Edition by
Butts & Rich | All Chapters 1-26 Complete |
Verified Q&A with Rationales | 2025/2026
Updated
,Test Bank: Philosophies and Theories for Advanced Nursing Practice, 4th Edition
Part I: Foundations of Nursing Science (Chapters 1–3)
1. Which concept refers to beliefs about the nature of reality in nursing science?
A. Epistemology
B. Ontology
C. Axiology
D. Methodology
Ontology addresses assumptions about what is real and the nature of being, which is
foundational to nursing science.
2. An advanced practice nurse questions whether pain is an objective or subjective
experience. Which philosophical domain is being examined?
A. Epistemology
B. Axiology
C. Ontology
D. Methodology
Ontology examines the nature of reality, including whether phenomena like pain are objective or
subjective experiences.
3. Which statement best reflects epistemology in nursing practice?
A. Knowledge is value-free
B. Reality exists independently of perception
C. Knowledge is derived from ways of knowing
D. Ethics guide moral action
Epistemology focuses on how knowledge is generated, validated, and understood, including
empirical and experiential knowing.
4. A nurse researcher uses grounded theory to develop a theory about how patients cope
with chronic illness. This approach is most consistent with which philosophical tradition?
A. Positivism
,B. Interpretivism
C. Postpositivism
D. Critical theory
Interpretivism emphasizes understanding meaning and lived experience, which aligns with
grounded theory methodology.
5. Which of the following best describes the purpose of nursing philosophy?
A. To prescribe specific nursing interventions
B. To examine the fundamental nature of nursing knowledge and practice
C. To establish standardized clinical protocols
D. To replace nursing theory with empirical evidence
Nursing philosophy critically examines the assumptions, values, and nature of nursing
knowledge and practice.
6. The statement "Nursing is a human science" reflects which philosophical position?
A. Logical positivism
B. Human science paradigm
C. Reductionism
D. Empiricism
The human science paradigm views nursing as a discipline concerned with human experiences,
meaning, and holistic care.
7. Which philosopher is most associated with the concept of paradigm shifts in science?
A. Karl Popper
B. Thomas Kuhn
C. Auguste Comte
D. Immanuel Kant
Thomas Kuhn introduced the concept of paradigm shifts in his work "The Structure of Scientific
Revolutions."
, 8. A nurse practitioner uses evidence-based practice guidelines developed from randomized
controlled trials. This approach is grounded in which philosophy?
A. Constructivism
B. Positivism
C. Critical theory
D. Phenomenology
Positivism emphasizes empirical observation, measurement, and objective truth, which underlies
RCTs and evidence-based practice.
9. Which type of reasoning moves from general principles to specific conclusions?
A. Inductive reasoning
B. Deductive reasoning
C. Abductive reasoning
D. Intuitive reasoning
Deductive reasoning starts with general premises and derives specific conclusions from them.
10. The evolution of nursing science has been most influenced by which of the following?
A. Medical model dominance
B. Nursing theorists and philosophers
C. Pharmaceutical advancements
D. Hospital administration
Nursing theorists and philosophers have shaped the evolution of nursing science by developing
unique frameworks and theories.
11. Which document first articulated the essential competencies for the Doctor of Nursing
Practice?
A. Nursing's Social Policy Statement
B. The Essentials of Doctoral Education for Advanced Nursing Practice
C. The Future of Nursing Report
D. Code of Ethics for Nurses