,Chapter 1: Contemporary Nursing Practice My Nursing Test Banks
Test Bank:Medical-Surgical
Test Bank:Medical-SurgicalNursing, 8th Edition
Nursing, 8th Edition by Lewis
Chapter 1:1:Contemporary
Chapter ContemporaryNursing Practice
Nursing Practice
Test Bank
MULTIPLE CHOICE
1. The nurse has admitted a patient with a new diagnosis of pneumonia and
explained to the patient that together they will plan the patients care and set
goals for discharge. The patient says, How is that different from what the
doctor does? Which response by the nurse is most appropriate?
a. The role of the nurse is to administer medications and other treatments
prescribed by your doctor.
b. The nurses job is to help the doctor by collecting data and
communicating when there are problems.
c. Nurses perform many of the procedures done by physicians, but nurses
are here in the hospital for a longer time than doctors.
d. In addition to caring for you while you are sick, the nurses will assist you
to develop an individualized plan to maintain your health.
ANS: D
This response is consistent with the American Nurses Association (ANA)
definition of nursing, which describes the role of nurses in promoting health.
The other responses describe some of the dependent and collaborative
functions of the nursing role but do not accurately describe the nurses role in
the health care system.
DIF: Cognitive Level: Comprehension REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment
2. When providing patient care using evidence-based practice, the nurse uses
a. clinical judgment based on experience.
b. evidence from a clinical research study.
c. evidence-based guidelines in addition to clinical expertise.
,d. evaluation of data showing that the patient outcomes are met.
ANS: C
Evidence-based practice (EBP) is the use of the best research-based evidence
combined with clinician expertise. Clinical judgment based on the nurses
clinical experience is part of EBP, but clinical decision making also should
incorporate current research and research-based guidelines. Evidence from
one clinical research study does not provide an adequate substantiation for
interventions. Evaluation of patient outcomes is important, but interventions
should be based on research from randomized control studies with a large
number of subjects.
DIF: Cognitive Level: Comprehension REF: 6-8 TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
3. The nurse primarily uses the nursing process in the care of patients
a. to explain nursing interventions to other health care professionals
b. as a problem-solving tool to identify and treat patients health care needs
c. as a scientific-based process of diagnosing the patients health care
problems
d. to establish nursing theory that incorporates the biopsychosocial nature
of humans
ANS: B
The nursing process is a problem-solving approach to the identification and
treatment of patients problems. Diagnosis is only one phase of the nursing
process. 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.
DIF: Cognitive Level: Comprehension REF: 10
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment
4. The nurse plans an every 2-hour turning schedule to prevent skin breakdown
for a critically ill patient in the intensive care unit. In this case, the nursing
action is considered to be
, a. dependent.
b. cooperative.
c. independent.
d. collaborative.
ANS: D
When implementing collaborative nursing actions, the nurse is responsible
primarily for monitoring for complications of acute illness or providing care to
prevent or treat complications. Independent nursing actions are focused on
health promotion, illness prevention, and patient advocacy. A dependent
action would require a physician order to implement. Cooperative nursing
functions are not described as one of the formal nursing functions.
DIF: Cognitive Level: Application REF: 10-11
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment
5. A patient who has been admitted to the hospital for surgery tells the nurse, I
do not feel right about leaving my children with my neighbor. Which action
should the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
c. Call the neighbor to determine whether adequate childcare is being
provided.
d. Gather more data about the patients feelings about the childcare
arrangements.
ANS: D
Since a complete assessment is necessary in order to identify a problem and
choose an appropriate intervention, the nurses first action should be to obtain
more information. The other actions may be appropriate, but more
assessment is needed before the best intervention can be chosen.
DIF: Cognitive Level: Application REF: 11
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
Test Bank:Medical-Surgical
Test Bank:Medical-SurgicalNursing, 8th Edition
Nursing, 8th Edition by Lewis
Chapter 1:1:Contemporary
Chapter ContemporaryNursing Practice
Nursing Practice
Test Bank
MULTIPLE CHOICE
1. The nurse has admitted a patient with a new diagnosis of pneumonia and
explained to the patient that together they will plan the patients care and set
goals for discharge. The patient says, How is that different from what the
doctor does? Which response by the nurse is most appropriate?
a. The role of the nurse is to administer medications and other treatments
prescribed by your doctor.
b. The nurses job is to help the doctor by collecting data and
communicating when there are problems.
c. Nurses perform many of the procedures done by physicians, but nurses
are here in the hospital for a longer time than doctors.
d. In addition to caring for you while you are sick, the nurses will assist you
to develop an individualized plan to maintain your health.
ANS: D
This response is consistent with the American Nurses Association (ANA)
definition of nursing, which describes the role of nurses in promoting health.
The other responses describe some of the dependent and collaborative
functions of the nursing role but do not accurately describe the nurses role in
the health care system.
DIF: Cognitive Level: Comprehension REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment
2. When providing patient care using evidence-based practice, the nurse uses
a. clinical judgment based on experience.
b. evidence from a clinical research study.
c. evidence-based guidelines in addition to clinical expertise.
,d. evaluation of data showing that the patient outcomes are met.
ANS: C
Evidence-based practice (EBP) is the use of the best research-based evidence
combined with clinician expertise. Clinical judgment based on the nurses
clinical experience is part of EBP, but clinical decision making also should
incorporate current research and research-based guidelines. Evidence from
one clinical research study does not provide an adequate substantiation for
interventions. Evaluation of patient outcomes is important, but interventions
should be based on research from randomized control studies with a large
number of subjects.
DIF: Cognitive Level: Comprehension REF: 6-8 TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
3. The nurse primarily uses the nursing process in the care of patients
a. to explain nursing interventions to other health care professionals
b. as a problem-solving tool to identify and treat patients health care needs
c. as a scientific-based process of diagnosing the patients health care
problems
d. to establish nursing theory that incorporates the biopsychosocial nature
of humans
ANS: B
The nursing process is a problem-solving approach to the identification and
treatment of patients problems. Diagnosis is only one phase of the nursing
process. 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.
DIF: Cognitive Level: Comprehension REF: 10
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment
4. The nurse plans an every 2-hour turning schedule to prevent skin breakdown
for a critically ill patient in the intensive care unit. In this case, the nursing
action is considered to be
, a. dependent.
b. cooperative.
c. independent.
d. collaborative.
ANS: D
When implementing collaborative nursing actions, the nurse is responsible
primarily for monitoring for complications of acute illness or providing care to
prevent or treat complications. Independent nursing actions are focused on
health promotion, illness prevention, and patient advocacy. A dependent
action would require a physician order to implement. Cooperative nursing
functions are not described as one of the formal nursing functions.
DIF: Cognitive Level: Application REF: 10-11
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment
5. A patient who has been admitted to the hospital for surgery tells the nurse, I
do not feel right about leaving my children with my neighbor. Which action
should the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
c. Call the neighbor to determine whether adequate childcare is being
provided.
d. Gather more data about the patients feelings about the childcare
arrangements.
ANS: D
Since a complete assessment is necessary in order to identify a problem and
choose an appropriate intervention, the nurses first action should be to obtain
more information. The other actions may be appropriate, but more
assessment is needed before the best intervention can be chosen.
DIF: Cognitive Level: Application REF: 11
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
