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Lewis: Medical-Surgical Nursing, 7th Edition
Test Bank
Chapter 1: Nursing Practice Today
MULTIPLE CHOICE
1. When the nurse explains to the patient that together they will plan the patient’s care
and set goals to achieve by 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 provide prescribed patient care.”
b. “The nurse helps the doctor to diagnose and treat patients.”
c. “Nurses perform many of the procedures done by physicians.”
d. “Nursing is focused on the human response to health problems.”
Correct Answer: D
Rationale: This response is consistent with the American Nursing Association (ANA)
definition of nursing, which states that nursing is focused on the human response to
health problems. The other responses describe some of the dependent and collaborative
functions of the nursing role but do not accurately describe the nurse’s role in the health
care system.
Cognitive Level: Comprehension Text Reference: p. 3
Nursing Process: Implementation
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 coupled with clinical expertise.
d. evaluation of data showing that the patient outcomes are met.
Correct Answer: C
Rationale: Evidence-based practice (EBP) is use of the best research-based evidence
combined with clinician expertise. 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. 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.
This study source was downloaded by 100000832361371 from CourseHero.com on 02-07-2022 09:19:43 GMT -06:00
https://www.coursehero.com/file/20105213/Medical-Surgical-Nursing-7th-Edition/
, Cognitive Level: Comprehension Text Reference: p. 5
Nursing Process: Planning
NCLEX: Safe and Effective Care Environment
3. The nurse uses the nursing process in the care of patients primarily
a. as a scientific-based process of diagnosing the patient’s health care problems.
b. to establish nursing theory that incorporates the biopsychosocial nature of
humans.
c. to explain nursing interventions to other health care professionals.
d. as a problem-solving tool to identify and treat patients’ health care needs.
Correct Answer: D
Rationale: 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.
Cognitive Level: Comprehension Text Reference: p. 9
Nursing Process: Implementation
NCLEX: Safe and Effective Care Environment
4. An elderly, emaciated patient is admitted to the intensive care unit (ICU). The nurse
plans an every-2-hours turning schedule to prevent skin breakdown. In this case, the
nursing action is considered to be
a. dependent.
b. cooperative.
c. independent.
d. collaborative.
Correct Answer: D
Rationale: When implementing collaborative nursing actions, the nurse is responsible
primarily for monitoring for complications or providing care to prevent or treat complica-
tions. 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.
Cognitive Level: Application Text Reference: p. 10
Nursing Process: Implementation
NCLEX: Safe and Effective Care Environment
This study source was downloaded by 100000832361371 from CourseHero.com on 02-07-2022 09:19:43 GMT -06:00
https://www.coursehero.com/file/20105213/Medical-Surgical-Nursing-7th-Edition/
Lewis: Medical-Surgical Nursing, 7th Edition
Test Bank
Chapter 1: Nursing Practice Today
MULTIPLE CHOICE
1. When the nurse explains to the patient that together they will plan the patient’s care
and set goals to achieve by 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 provide prescribed patient care.”
b. “The nurse helps the doctor to diagnose and treat patients.”
c. “Nurses perform many of the procedures done by physicians.”
d. “Nursing is focused on the human response to health problems.”
Correct Answer: D
Rationale: This response is consistent with the American Nursing Association (ANA)
definition of nursing, which states that nursing is focused on the human response to
health problems. The other responses describe some of the dependent and collaborative
functions of the nursing role but do not accurately describe the nurse’s role in the health
care system.
Cognitive Level: Comprehension Text Reference: p. 3
Nursing Process: Implementation
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 coupled with clinical expertise.
d. evaluation of data showing that the patient outcomes are met.
Correct Answer: C
Rationale: Evidence-based practice (EBP) is use of the best research-based evidence
combined with clinician expertise. 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. 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.
This study source was downloaded by 100000832361371 from CourseHero.com on 02-07-2022 09:19:43 GMT -06:00
https://www.coursehero.com/file/20105213/Medical-Surgical-Nursing-7th-Edition/
, Cognitive Level: Comprehension Text Reference: p. 5
Nursing Process: Planning
NCLEX: Safe and Effective Care Environment
3. The nurse uses the nursing process in the care of patients primarily
a. as a scientific-based process of diagnosing the patient’s health care problems.
b. to establish nursing theory that incorporates the biopsychosocial nature of
humans.
c. to explain nursing interventions to other health care professionals.
d. as a problem-solving tool to identify and treat patients’ health care needs.
Correct Answer: D
Rationale: 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.
Cognitive Level: Comprehension Text Reference: p. 9
Nursing Process: Implementation
NCLEX: Safe and Effective Care Environment
4. An elderly, emaciated patient is admitted to the intensive care unit (ICU). The nurse
plans an every-2-hours turning schedule to prevent skin breakdown. In this case, the
nursing action is considered to be
a. dependent.
b. cooperative.
c. independent.
d. collaborative.
Correct Answer: D
Rationale: When implementing collaborative nursing actions, the nurse is responsible
primarily for monitoring for complications or providing care to prevent or treat complica-
tions. 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.
Cognitive Level: Application Text Reference: p. 10
Nursing Process: Implementation
NCLEX: Safe and Effective Care Environment
This study source was downloaded by 100000832361371 from CourseHero.com on 02-07-2022 09:19:43 GMT -06:00
https://www.coursehero.com/file/20105213/Medical-Surgical-Nursing-7th-Edition/
