Test Bank For Lewis's Medical-Surgical Nursing Assessment and Management of Clinical Problems, Single Volume 12th Edition by Mariann M. Harding, Jeffrey Kwong, Debra Hagler Chapter 1-69

Test Bank For Lewis's
Medical-Surgical Nursing,
12thEdition by Mariann M.
Harding, Jeffrey Kwong,
Debra Hagler Chapter 1-
69

,Chapter 01: Professional Nursing
| | |


Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
| | | | |




MULTIPLE |CHOICE

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 |asks, |“How |is |this |different |from

|what |the |physician |does?” |Which |response |would |the |nurse |provide?

a. “The |role |of |the |nurse |is |to |administer |medications |and |other |treatments |prescribed |by

, your |physician.”
|

b. “In |addition |to |caring |for |you |while |you |are |sick, |the |nurses |will |help |you |plan |to
|maintain |your |health.”

c. “The |nurse‘s |job |is |to |collect |information |and |communicate |any |problems |that |occur |to
|the |physician.”

d. “Nurses |perform |many |of |the |same |procedures |as |the |physician, |but |nurses |are |with |the
|patients |for |a |longer |time |than |the |physician.”


ANS: |B
The |American |Nurses |Association |(ANA) |definition |of |nursing |describes |the |role |of |nurses |in
|promoting |health. |The |other |responses |describe |dependent |and |collaborative |functions |of |the

|nursing |role |but |do |not |accurately |describe |the |nurse‘s |unique |role |in |the |health |care |system.




DIF: Cognitive |Level: |Analyze |(Analysis)
TOP: |Nursing |Process: |Implementation MSC: |NCLEX: |Safe |and |Effective |Care |Environment

2. Which |statement |by |the |nurse |accurately |describes |the |use |of |evidence-based |practice |(EBP)?
a. “Patient |care |is |based |on |clinical |judgment, |experience, |and |traditions.”
b. “Data |are |analyzed |later |to |show |that |the |patient |outcomes |are |consistently |met.”
c. “Research |from |all |published |articles |are |used |as |a |guide |for |planning |patient |care.”
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 |and |consideration |of |patient |preferences. |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 |data |analysis |is |not |required |to |use |EBP. |All |published |articles |do |not |provide |research

|evidence; |interventions |should |be |based |on |credible |research, |preferably |randomized |controlled

|studies |with |a |large |number |of |subjects.

, DIF: Cognitive |Level: |Understand |(Comprehension) | TOP: |Nursing |Process: |Planning |MSC:
|NCLEX: |Safe |and |Effective |Care |Environment




3. Which |statement |by |the |nurse |provides |a |clear |explanation |of |the |nursing |process?
a. “The |nursing |process |is |a |research |method |of |diagnosing |the |patient‘s |health |care
|problems.”

b. “The |nursing |process |is |used |primarily |to |explain |nursing |interventions |to |other |health
|care |professionals.”

c. “The |nursing |process |is |a |problem-solving |tool |used |to |identify |and |manage |the




patients‘ |health |care |needs.”
d. “The |nursing |process |is |based |on |nursing |theory |that |incorporates |the |biopsychosocial
nature |of |humans.”
|



ANS: |C
The |nursing |process |is |a |problem-solving |approach |to |the |identification |and |treatment |of
|patients‘ |problems. |Nursing |process |does |not |require |research |methods |for |diagnosis. |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: |Understand |(Comprehension) | TOP: |Nursing |Process: |Evaluation |MSC:
|NCLEX: |Safe |and |Effective |Care |Environment




4. A |patient |admitted |to |the |hospital |for |surgery |tells |the |nurse, |“I |do |not |feel |comfortable
|leaving |my |children |with |my |parents.” |Which |action |would |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. Gather |information |on |the |patient‘s |concerns |about |the |child |care |arrangements.
d. Call |the |patient‘s |parents |to |determine |whether |adequate |child |care |is |being
provided.
|



ANS: |C
Because |a |complete |assessment |is |necessary |in |order |to |identify |a |problem |and |choose |an
|appropriate |intervention, |the |nurse‘s |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: |Analyze |(Analysis)
TOP: |Nursing |Process: |Assessment MSC: |NCLEX: |Psychosocial |Integrity

5. A |patient |with |a |bacterial |infection |is |hypovolemic |due |to |a |fever |and |excessive |diaphoresis.
|Which |expected |outcome |would |the |nurse |select |for |this |patient? |a.

Patient |has |a |balanced |intake |and |output.
b. Patient‘s |bedding |is |kept |clean |and |free |of |moisture.
c. Patient |understands |the |need |for |increased |fluid |intake.
d. Patient‘s |skin |remains |cool |and |dry |throughout |hospitalization.