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EDITION IGNATAVICIUS
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TEST BANK c
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, Lewis's Medical- c
Surgical Nursing: Assessment and Management o c c c c c
f Clinical Problems 11th EditionTESTBANK
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Table of Contents c c
Chapterc1.cProfessionalcNursing
MULTIPLEcCHOICE
1. Thecnurseccompletescancadmissioncdatabasecandcexplainscthatcthecplancofccarecandcdis
charge goals will be developed with the patients input. The patient states, How is this di
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fferent from what the doctor does? Which response would be most appropriatefor the n
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urse to make?
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a. Thecrolecofcthecnursecisctocadministercmedicationscandcotherctreatmentscpr
escribed by your doctor. c c c
b. Thecnursescjobcisctochelpcthecdoctorcbyccollectingcinformationcandcco
mmunicating any problems that occur. c c c c
c. Nursescperformcmanycofcthecsamecprocedurescascthecdoctor,cbutcnursescar
e with the patients for a longer time than the doctor.
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d. Incadditionctoccaringcforcyoucwhilecyoucarecsick,cthecnursescwillcassistcyo
u to develop an individualized plan to maintain your health.
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ANS:cD
This response is consistent with the American Nurses Association (ANA) definitionof
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cnursing, which describes the role of nurses in promoting health. The other responses d
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escribe some of the dependent and collaborative functions of the nursingrole but do no
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t accurately describe the nurses role in the health care system.
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DIF:cCognitivecLevel:cUnderstandc(comprehension)cREF:c3
TOP:cNursingcProcess:cImplementationcMSC:cNCLEX:cSafecandcEffectivecCarecEnvironment
, 2. Thecnursecdescribesctocacstudentcnursechowctocusecevidence-
based practice guidelines when caring for patients. Which statement, if made by the nur
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se, would bethe most accurate?
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a. Inferencescfromcclinicalcresearchcstudiescarecusedcascacguide.
b. Patientccareciscbasedconcclinicalcjudgment,cexperience,candctraditions.
c. Datacarecevaluatedctocshowcthatcthecpatientcoutcomescarecconsistentlycm
et.
d. Recommendationscarecbasedconcresearch,cclinicalcexpertise,candcpatientcp
references.
ANS:cD
Evidence-based practice (EBP) is the use of the best research-
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based evidence combined with clinician expertise. Clinical judgment based on the n
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urses clinical experience is part of EBP, but clinical decision making should also inc
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orporate current research and research-
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based guidelines. Evaluation of patient outcomes is important, but interventions sho
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uld be based on research from randomized controlstudies with a large number of sub
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jects.
DIF:cCognitivecLevel:cRememberc(knowledge)cREF:c11
TOP:cNursingcProcess:cPlanningcMSC:cNCLEX:cSafecandcEffectivecCarecEnvironment
3. Thecnursecteachescacstudentcnursecaboutchowctocapplycthecnursingcprocesscwhencprov
iding patient care. Which statement, if made by the student nurse, indicates thatteachin
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g was successful?
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a. Thecnursingcprocessciscacscientific-
based method of diagnosing thepatients health care problems.
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b. Thecnursingcprocessciscacproblem-
solving tool used to identify and treatpatients health care needs.
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c. Thecnursingcprocessciscbasedconcnursingctheorycthatcincorporatescthecbi
opsychosocial nature of humans. c c c