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TEST BANK
, Chapter 01: Introduction to Medical-
Surgical Nursing Practice in Canada
Lewis: Medical-Surgical Nursing in
Canada, 4th Canadian Edition
MULTIPLE
CHOICE
When caring for clients using evidence-
1.
informed practice, which of the
following does the nurse use?
a.Clinical judgement based on experience
b. Evidence from a clinical research study
c.The best available evidence to guide
d.clinical expertise
Evaluation of data showing that the client
outcomes are met
ANS: C
Evidence-informed nursing practice is a
continuous interactive process involving
the explicit, conscientious, and judicious
consideration of the best available
evidence to provide care. Four primary
elements are: (a) clinical state, setting, and
circumstances; (b) client preferences and
actions; (c) best research evidence; and (d)
health care resources. Clinical judgement
, based on the nurse’s clinical experience is
part of EIP, 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 client
outcomes is important, but interventions
should be based on research from
randomized control studies with a large
number of subjects.
DIF: Cognitive Level:
Comprehension TOP: Nursing Process:
Planning
2. Which of the following best
eNxplRainsItheGnuBrse.s’CpriMmary use
of the nursing process when providing
care to clients? U S N T O
a.To explain nursing interventions to other
health care professionals
b. As a problem-solving tool to identify and
c.treat clients’ health care needs
As a scientific-based process of diagnosing
client’s health care problems
d.theTo establish nursing theory that
incorporates the biopsychosocial nature of
humans
ANS: B
The nursing process is an assertive
, problem-solving approach to the
identification and treatment of clients’
problems. Diagnosis is only one phase of
the nursing process. The primary use of the
nursing process is in client care, not to
establish nursing theory or explain nursing
interventions to other health care
professionals.
DIF: Cognitive Level:
Comprehension TOP: Nursing Process:
Implementation
3. The nurse is caring for a critically ill client
in the intensive care unit and plans an
every 2-hour turning schedule to prevent
skin breakdown. Which type of nursing
function is demonstrated with this turning
schedule?
a.Dependent
b. Cooperative
c.Independent
d. Collaborative
ANS: D
TEST BANK
, Chapter 01: Introduction to Medical-
Surgical Nursing Practice in Canada
Lewis: Medical-Surgical Nursing in
Canada, 4th Canadian Edition
MULTIPLE
CHOICE
When caring for clients using evidence-
1.
informed practice, which of the
following does the nurse use?
a.Clinical judgement based on experience
b. Evidence from a clinical research study
c.The best available evidence to guide
d.clinical expertise
Evaluation of data showing that the client
outcomes are met
ANS: C
Evidence-informed nursing practice is a
continuous interactive process involving
the explicit, conscientious, and judicious
consideration of the best available
evidence to provide care. Four primary
elements are: (a) clinical state, setting, and
circumstances; (b) client preferences and
actions; (c) best research evidence; and (d)
health care resources. Clinical judgement
, based on the nurse’s clinical experience is
part of EIP, 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 client
outcomes is important, but interventions
should be based on research from
randomized control studies with a large
number of subjects.
DIF: Cognitive Level:
Comprehension TOP: Nursing Process:
Planning
2. Which of the following best
eNxplRainsItheGnuBrse.s’CpriMmary use
of the nursing process when providing
care to clients? U S N T O
a.To explain nursing interventions to other
health care professionals
b. As a problem-solving tool to identify and
c.treat clients’ health care needs
As a scientific-based process of diagnosing
client’s health care problems
d.theTo establish nursing theory that
incorporates the biopsychosocial nature of
humans
ANS: B
The nursing process is an assertive
, problem-solving approach to the
identification and treatment of clients’
problems. Diagnosis is only one phase of
the nursing process. The primary use of the
nursing process is in client care, not to
establish nursing theory or explain nursing
interventions to other health care
professionals.
DIF: Cognitive Level:
Comprehension TOP: Nursing Process:
Implementation
3. The nurse is caring for a critically ill client
in the intensive care unit and plans an
every 2-hour turning schedule to prevent
skin breakdown. Which type of nursing
function is demonstrated with this turning
schedule?
a.Dependent
b. Cooperative
c.Independent
d. Collaborative
ANS: D
