I understand the concept of a computer being Turing complete ( having a MOV or command or a SUBNEG command and being able to therefore "synthesize" other instructions such as ). If that is true what is the purpose of having 100s of instructions like x86 has for example? Is to increase efficiency?
Yes.
Equally, any logical circuit can be made using just NANDs. But that doesn't make other components redundant. Crafting a CPU from NAND gates would be monumentally inefficient, even if that CPU performed only one instruction.
An OS or application has a similar level of complexity to a CPU.
You COULD compile it so it just used a single instruction. But you would just end up with the world's most bloated OS.
So, when designing a CPU's instruction set, the choice is a tradeoff between reducing CPU size/expense, which allows more instructions per second as they are simpler, and smaller size means easier cooling (RISC); and increasing the capabilities of the CPU, including instructions that take multiple clock-cycles to complete, but making it larger and more cumbersome to cool (CISC).
This tradeoff is why math co-processors were a thing back in the 486 days. Floating point math could be emulated without the instructions. But it was much, much faster if it had a co-processor designed to do the heavy lifting on those floating point things.