,Chapter 1. Professional Nursing
x x x
MULTIPLE CHOICE x
1. The nurse completes an admission database andAexplains that the plan ofAcare and
x x x x x x x x x x x
discharge goals will be developed with the patients input. The patient states, How i
x x x x x x x x x x x x x x
x s this different from what the doctor does? Which response would be most appropri
x x x x A x A x A x A x x
atefor the nurse to make?
x x x x x
a. The role ofAthe nurse is to administer medications and other treatment
x x x x x x x x x x
sprescribed by your doctor.
x x x x
b. The nurses job is to help the doctor by collecting information an
x x x x x x x x x x x
dcommunicating any problems that occur.
x x A x x
c. Nurses perform manyAofAthe same procedures as the doctor, but nurse
x x x x x x x x x
sare with the patients for a longer time than the doctor.
x x x x x x x x x x x
d. InAaddition to caring for you while youAare sick, the nurses will assis
x x x x x x x x x x x
tyou to develop an individualized plan to maintain your health.
x x x x A x x x x A
ANS: D x
This response is consistent with the American Nurses Association (ANA) definitio
x x x A x x x x A x
,nof nursing, which describes the role of nurses in promoting health. The other resp
A x x x x x A x A x x x A
xonses describe some of the dependent and collaborative functions of the nursingrol
x x x A x x x x x A x
xe but do not accurately describe the nurses role in the health care system.
x x x x x x x x x A x x x
DIF: Cognitive Level: Understand (comprehension) REF: 3
x x x x x x
TOP: NursingAProcess: Implementation MSC: NCLEX: Safe andAEffective Care Environment
x x x x x x x x
, 2. The nurse describes to a studentAnurse how to use evidence-
x x x x x x x x x
based practice guidelines when caring for patients. Which statement, if made by the
x x x x x x x A x A x x A
x nurse, would bethe most accurate?
x x x x
a. Inferences fromAclinical research studies are usedAas a guide.
x x x x x x x
b. Patient care is based on clinical judgment, experience, andAtraditions.
x x x x x x x x
c. Data are evaluated to show that the patientAoutcomes are consistentl
x x x x x x x x x
xymet.
d. Recommendations are based on research,AclinicalAexpertise, and patien x x x x x x
tpreferences.
x
ANS: D x
Evidence-based practice (EBP) is the use of the best research-
x x A x x x A x A
based evidence combined with clinician expertise. Clinical judgment based on th e
x x x x x x x x x x x
nurses clinical experience is part of EBP, but clinical decision making should al
x x x x x x A x x x x x x
so incorporate current research and research-
x x A A x x
based guidelines. Evaluation of patient outcomes is important, but interventions s
x x x A x x x x x x
hould be based on research from randomized controlstudies with a large number
x A A x x x x x x x x x
xof subjects.
A
DIF: Cognitive Level: RememberA(knowledge) REF: 11
x x x x x
x x x
MULTIPLE CHOICE x
1. The nurse completes an admission database andAexplains that the plan ofAcare and
x x x x x x x x x x x
discharge goals will be developed with the patients input. The patient states, How i
x x x x x x x x x x x x x x
x s this different from what the doctor does? Which response would be most appropri
x x x x A x A x A x A x x
atefor the nurse to make?
x x x x x
a. The role ofAthe nurse is to administer medications and other treatment
x x x x x x x x x x
sprescribed by your doctor.
x x x x
b. The nurses job is to help the doctor by collecting information an
x x x x x x x x x x x
dcommunicating any problems that occur.
x x A x x
c. Nurses perform manyAofAthe same procedures as the doctor, but nurse
x x x x x x x x x
sare with the patients for a longer time than the doctor.
x x x x x x x x x x x
d. InAaddition to caring for you while youAare sick, the nurses will assis
x x x x x x x x x x x
tyou to develop an individualized plan to maintain your health.
x x x x A x x x x A
ANS: D x
This response is consistent with the American Nurses Association (ANA) definitio
x x x A x x x x A x
,nof nursing, which describes the role of nurses in promoting health. The other resp
A x x x x x A x A x x x A
xonses describe some of the dependent and collaborative functions of the nursingrol
x x x A x x x x x A x
xe but do not accurately describe the nurses role in the health care system.
x x x x x x x x x A x x x
DIF: Cognitive Level: Understand (comprehension) REF: 3
x x x x x x
TOP: NursingAProcess: Implementation MSC: NCLEX: Safe andAEffective Care Environment
x x x x x x x x
, 2. The nurse describes to a studentAnurse how to use evidence-
x x x x x x x x x
based practice guidelines when caring for patients. Which statement, if made by the
x x x x x x x A x A x x A
x nurse, would bethe most accurate?
x x x x
a. Inferences fromAclinical research studies are usedAas a guide.
x x x x x x x
b. Patient care is based on clinical judgment, experience, andAtraditions.
x x x x x x x x
c. Data are evaluated to show that the patientAoutcomes are consistentl
x x x x x x x x x
xymet.
d. Recommendations are based on research,AclinicalAexpertise, and patien x x x x x x
tpreferences.
x
ANS: D x
Evidence-based practice (EBP) is the use of the best research-
x x A x x x A x A
based evidence combined with clinician expertise. Clinical judgment based on th e
x x x x x x x x x x x
nurses clinical experience is part of EBP, but clinical decision making should al
x x x x x x A x x x x x x
so incorporate current research and research-
x x A A x x
based guidelines. Evaluation of patient outcomes is important, but interventions s
x x x A x x x x x x
hould be based on research from randomized controlstudies with a large number
x A A x x x x x x x x x
xof subjects.
A
DIF: Cognitive Level: RememberA(knowledge) REF: 11
x x x x x
