CONCEPTS FOR NURSING PRACTICE 4TH
EDITION EXAM PAPER 2026 FULL QUESTIONS
AND VERIFIED ANSWERS LATEST UPDATE
◉ 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.
EDITION EXAM PAPER 2026 FULL QUESTIONS
AND VERIFIED ANSWERS LATEST UPDATE
◉ 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.
