Surgical Nursing 12th Edition By
Harding, Graded A+ Passing
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,Chapter 01: Professional Nursing
MULTIPLE CHOICE QUESTIONS
Question 1
The nurse completes an admission database and explains that the plan of care and
discharge goals will be developed with the patient's input. The patient asks, "How is this
different from what the physician does?" Which response would the nurse provide?
A) "The role of the nurse is to administer medications and other treatments prescribed
by your physician."
B) "In addition to caring for you while you are sick, the nurses will help you plan to
maintain your health."
C) "The nurse's job is to collect information and communicate any problems that occur
to the physician."
D) "Nurses perform many of the same procedures as the physician, but nurses are with
the patients for a longer time than the physician."
Answer: B) "In addition to caring for you while you are sick, the nurses will help you
plan to maintain your health."
Client Needs: Safe and Effective Care Environment | Cognitive Level: Analyze (Analysis)
| Integrated Process: Caring | Page Reference: Ch. 1, p. 2
Rationale: The American Nurses Association (ANA) definition of nursing describes the
role of nurses in promoting health. This response accurately captures the unique nursing
role—caring for patients during illness AND helping them plan to maintain health.
Option A describes only dependent functions. Option C describes only collaborative
,functions. Option D focuses on task performance and duration rather than the unique
contribution of nursing.
Clinical Pearl: The ANA defines nursing as "the protection, promotion, and optimization
of health and abilities, prevention of illness and injury, alleviation of suffering through
the diagnosis and treatment of human response, and advocacy in the care of individuals,
families, communities, and populations."
Question 2
Which statement by the nurse accurately describes the use of evidence-based practice
(EBP)?
A) "Patient care is based on clinical judgment, experience, and traditions."
B) "Data are analyzed later to show that the patient outcomes are consistently met."
C) "Research from all published articles are used as a guide for planning patient care."
D) "Recommendations are based on research, clinical expertise, and patient
preferences."
Answer: D) "Recommendations are based on research, clinical expertise, and patient
preferences."
Client Needs: Safe and Effective Care Environment | Cognitive Level: Understand
(Comprehension) | Integrated Process: Teaching/Learning | Page Reference: Ch. 1, p. 3
Rationale: Evidence-based practice (EBP) is the use of the best research-based evidence
combined with clinician expertise and consideration of patient preferences. Clinical
judgment based on the nurse's clinical experience is part of EBP, but clinical decision
making should also incorporate current research and research-based guidelines.
Evaluation of patient outcomes is important, but data analysis is not required to use
EBP. All published articles do not provide research evidence; interventions should be
, based on credible research, preferably randomized controlled studies with a large
number of subjects.
Clinical Pearl: EBP integrates three components: (1) best available research evidence, (2)
clinician expertise and experience, and (3) patient preferences and values.
Question 3
Which statement by the nurse provides a clear explanation of the nursing process?
A) "The nursing process is a research method of diagnosing the patient's health care
problems."
B) "The nursing process is used primarily to explain nursing interventions to other health
care professionals."
C) "The nursing process is a problem-solving tool used to identify and manage the
patients' health care needs."
D) "The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans."
Answer: C) "The nursing process is a problem-solving tool used to identify and manage
the patients' health care needs."
Client Needs: Safe and Effective Care Environment | Cognitive Level: Understand
(Comprehension) | Integrated Process: Nursing Process | Page Reference: Ch. 1, p. 4
Rationale: The nursing process is a problem-solving approach to the identification and
treatment of patients' problems. Nursing process does not require research methods for
diagnosis. The primary use of the nursing process is in patient care, not to establish
nursing theory or explain nursing interventions to other health care professionals.