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Lewis Ch.1 -Test 1 Med Surg EXAM 2022\2023
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 states, "How is this different from what the doctor does?" Which
response would be most appropriate for the nurse to make?
a. "The role of the nurse is to administer medications and other
treatments prescribed by your doctor."
b. "The nurse's job is to help the doctor by collecting information and
communicating any problems that occur."
c. "Nurses perform many of the same procedures as the doctor, but
nurses are with the patients for a longer time than the doctor."
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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 nurse's role in the health care
system.
2. The nurse describes to a student nurse how to use evidence-based
practice guidelines when caring for patients. Which statement, if made by
the nurse, would be the most accurate?
a. "Inferences from clinical research studies are used as a guide."
b. "Patient care is based on clinical judgment, experience, and traditions."
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c. "Data are evaluated to show that the patient outcomes are consistently
met."
d. "Recommendations are based on research, clinical expertise, and
patient preferences.": ANS: D
Evidence-based practice (EBP) is the 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. Evaluation of patient outcomes
is important, but interventions should be based on research from randomized
control studies with a large number of subjects.
3. The nurse teaches a student nurse about how to apply the nursing
process when providing patient care. Which statement, if made by the
student nurse, indicates that teaching was successful?