LewismMedical-
SurgicalmNursingminmCanadam4thmEditionmTestmBank
Chapter m01:mIntroductionmtomMedical-
SurgicalmNursing mPractice minmCanada mLewis:mMedical-
SurgicalmNursing minmCanada,m4thmCanadianmEdition
MULTIPLEmCHOICEm:
1. Themnursemismcaring mforma mclient mwith mamnew mdiagnosis mof mpneumonia man
d mexplainsmto mthemclientmthatm togetherm they m will mplan mthemclient’sm carem an
d msetmgoalsmformdischarge. mThe mclientmasks,m“Howmis mthatmdifferent mfromm
whatmthemdoctormdoes?” m Which m response mby mthe mnursem ism mostmappropri
ate?
a. “Themrolemof mthemnursemis mto madminister mmedicationsmand mothermtreatments mprescribe
d
by myourmdoctor.”
b. “Themnurse’smjob mismto mhelp mthe mdoctormby mcollectingmdata mand m communicatingmwhe
n mtheremaremproblems.”
c. “Nursesmperform mmany mof mthe mprocedures mdone mby mphysicians, mbutmnursesmare mhere m
in
themhospitalmformamlongermtimem than mdoctors.”
d. “In maddition mto mcaring mformyou mwhile myou marem sick, mthe mnurses mwillmassist myou mto
develop man mindividualized mplan mto m maintain myourmhealth.”
ANS:m D
Thismresponse mismconsistent m with mthem Canadian m Nursesm Association m(CNA) mdefinition mof mnursing. mRegis
tered mnursesmaremself-
regulated mhealth mcaremprofessionals mwho m work mautonomously mand min mcollaboration m with mothers.m RNsmen
ablemindividuals, mfamilies, m groups,mcommunities mand mpopulations mto machieve mtheir moptimalm levelmof mheal
th.mRNsmcoordinate mhealth mcare,mdeliverm direct mservices, mand m supportmclientsm in mtheir mself-
caremdecisionsmand mactionsmin msituationsmof mhealth,millness,minjury, mand mdisability min mallmstages mof mlife.mTh
emothermresponsesmdescribe m some mof mthemdependent mand mcollaborative mfunctionsm of mthemnursing mrolembutm
do mnotmaccurately mdescribe m themnurse’smrole min mthe mhealth m care msystem.
DIF: CognitivemLevel:mComprehension
TOP:m NursingmProcess:mImplementation mMSC:m NCLEX:mSafemand mEffectiv
emCaremEnvironment
2. When mcaringmformclients musing mevidence-informed mpractice,m which mof mthemfollowing mdoes mthemnurse muse?
a. Clinicalmjudgement mbased mon mexperience
b. Evidence mfrommamclinical mresearch mstudy
c. Thembestmavailable m evidence mto mguide mclinical mexpertise
d. Evaluation mof mdatamshowing mthatmthemclientmoutcomes marem m
et
ANS:m C
Evidence-
informed mnursingmpractice mis mamcontinuousm interactive mprocessm involvingm them explicit,mconscientious, ma
nd mjudiciousmconsideration mof mthembest mavailable m evidence mto mprovide mcare.m Fourmprimary m elementsmare
:m(a)mclinicalmstate, msetting,mand mcircumstances; m(b) mclientmpreferencesmand mactions;m(c)mbest mresearch me
vidence,mand m(d)mhealth mcarem resources. mClinicalm judgement mbased mon m themnurse’smclinicalmexperience m
,LewismMedical-
SurgicalmNursingminmCanadam4thmEditionmTestmBank
ismpartmof mEIP,mbutmclinicalmdecision m making malso mshould m incorporate mcurrentm research mand mresearch -
based mguidelines.m Evidence mfrom mone mclinicalm research m study mdoes mnot mprovide man madequate m substanti
ation mforminterventions.m Evaluation mof mclientmoutcomes mis mimportant,m but minterventionsmshould mbe mbased
mon mresearch mfrom mrandomized mcontrol mstudies m with ma mlarge mnumber mof msubjects.
, LewismMedical-
SurgicalmNursingminmCanadam4thmEditionmTestmBank
DIF: CognitivemLevel:mComprehension
TOP:m NursingmProcess:mPlanningmMSC:m NCLEX:mSafemandmEffectiv
emCaremEnvironment
3. Which mof mthemfollowingmbestmexplains mthe mnurses’mprimary muse mof mthem nursingmprocess mwhen mprovid
ingmcaremto mclients?
a. To mexplain mnursing minterventionsmto mothermhealth mcare mprofessionals
b. Asmamproblem-solving mtoolmto midentify mand mtreatmclients’mhealth mcaremneeds
c. Asmamscientific-based mprocess mof mdiagnosingmthe mclient’s mhealth mcare mproblems
d. To mestablish mnursing mtheory mthatm incorporates mthe mbiopsychosocial mnature mof mhuma
ns
ANS:m B
Themnursingmprocessmisman m assertive mproblem-
solvingmapproach mto m them identification mand m treatmentmof mclients’mproblems.m Diagnosism ismonly monemphase
mof mthe mnursingmprocess. m The mprimary m use mof mthe mnursing mprocess mis min m clientmcare, mnotmto mestablish mnursi
ngmtheory mormexplain mnursingm interventions mto mothermhealth mcare mprofessionals.
DIF: CognitivemLevel:mComprehension
TOP:m NursingmProcess:mImplementation mMSC:m NCLEX:mSafemand mEffectiv
emCaremEnvironment
4. Themnursemismcaringmfor mam critically millmclientmin m them intensive mcare munit mand mplansman m every-2 -
hourmturningm schedule mto mpreventmskin mbreakdown. m Which m typemof mnursingmfunction mismdemonstrated m
with mthismturning mschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS:m D
When mimplementing mcollaborative mnursing mactions, mthemnursem ism responsible mprimarily mfor mmonitorin
gmformcomplications mof macutem illnessmor mproviding mcarem to mprevent mor mtreat mcomplications. m Independe
ntmnursingmactions mare mfocused mon mhealth mpromotion, millness mprevention,mand mclient madvocacy. mA mdepe
ndentmaction mwould mrequire mamphysician morder mto mimplement.m Cooperative mnursingmfunctions maremnotm
described masmonemof mthemformalmnursing mfunctions.
DIF: CognitivemLevel:mApplication
TOP:m NursingmProcess:mImplementation mMSC:m NCLEX:mSafemand mEffectiv
emCaremEnvironment
5. Themnursemismcaringmfor mamclientm who mhasmbeen madmitted mto m themhospitalmformsurgery m and mtells mthemnurs
e,m“Imdo mnotmfeelmrightmaboutm leaving m my mchildren m with m my mneighbour.” m Which maction m should m the mnur
semtakemnext?
a. Reassure mthemclient mthatm thesemfeelings mare mcommon mformparents.
b. Havemthemclientmcallmthemchildren mto m ensurem thatmthey maremdoing mwell.
c. Callmthemneighbourm to mdetermine mwhether madequate mchildcare mis mbeingmprovide
d.
d. Gathermmoremdatamabout mthe mclient’s mfeelingsmaboutmthemchildcare marrangement
s.
ANS:m D
Sincemamcomplete massessment mismnecessary min morderm to midentify mamproblem mand mchoose man mappropriate m in
tervention,mthemnurse’s mfirstmaction mshould mbemto mobtain m more minformation. mThemothermactions mmay mb emap
, LewismMedical-
SurgicalmNursingminmCanadam4thmEditionmTestmBank
propriate,mbutmmore massessment mismneeded mbefore mthe mbestm intervention m can mbe mchosen.
SurgicalmNursingminmCanadam4thmEditionmTestmBank
Chapter m01:mIntroductionmtomMedical-
SurgicalmNursing mPractice minmCanada mLewis:mMedical-
SurgicalmNursing minmCanada,m4thmCanadianmEdition
MULTIPLEmCHOICEm:
1. Themnursemismcaring mforma mclient mwith mamnew mdiagnosis mof mpneumonia man
d mexplainsmto mthemclientmthatm togetherm they m will mplan mthemclient’sm carem an
d msetmgoalsmformdischarge. mThe mclientmasks,m“Howmis mthatmdifferent mfromm
whatmthemdoctormdoes?” m Which m response mby mthe mnursem ism mostmappropri
ate?
a. “Themrolemof mthemnursemis mto madminister mmedicationsmand mothermtreatments mprescribe
d
by myourmdoctor.”
b. “Themnurse’smjob mismto mhelp mthe mdoctormby mcollectingmdata mand m communicatingmwhe
n mtheremaremproblems.”
c. “Nursesmperform mmany mof mthe mprocedures mdone mby mphysicians, mbutmnursesmare mhere m
in
themhospitalmformamlongermtimem than mdoctors.”
d. “In maddition mto mcaring mformyou mwhile myou marem sick, mthe mnurses mwillmassist myou mto
develop man mindividualized mplan mto m maintain myourmhealth.”
ANS:m D
Thismresponse mismconsistent m with mthem Canadian m Nursesm Association m(CNA) mdefinition mof mnursing. mRegis
tered mnursesmaremself-
regulated mhealth mcaremprofessionals mwho m work mautonomously mand min mcollaboration m with mothers.m RNsmen
ablemindividuals, mfamilies, m groups,mcommunities mand mpopulations mto machieve mtheir moptimalm levelmof mheal
th.mRNsmcoordinate mhealth mcare,mdeliverm direct mservices, mand m supportmclientsm in mtheir mself-
caremdecisionsmand mactionsmin msituationsmof mhealth,millness,minjury, mand mdisability min mallmstages mof mlife.mTh
emothermresponsesmdescribe m some mof mthemdependent mand mcollaborative mfunctionsm of mthemnursing mrolembutm
do mnotmaccurately mdescribe m themnurse’smrole min mthe mhealth m care msystem.
DIF: CognitivemLevel:mComprehension
TOP:m NursingmProcess:mImplementation mMSC:m NCLEX:mSafemand mEffectiv
emCaremEnvironment
2. When mcaringmformclients musing mevidence-informed mpractice,m which mof mthemfollowing mdoes mthemnurse muse?
a. Clinicalmjudgement mbased mon mexperience
b. Evidence mfrommamclinical mresearch mstudy
c. Thembestmavailable m evidence mto mguide mclinical mexpertise
d. Evaluation mof mdatamshowing mthatmthemclientmoutcomes marem m
et
ANS:m C
Evidence-
informed mnursingmpractice mis mamcontinuousm interactive mprocessm involvingm them explicit,mconscientious, ma
nd mjudiciousmconsideration mof mthembest mavailable m evidence mto mprovide mcare.m Fourmprimary m elementsmare
:m(a)mclinicalmstate, msetting,mand mcircumstances; m(b) mclientmpreferencesmand mactions;m(c)mbest mresearch me
vidence,mand m(d)mhealth mcarem resources. mClinicalm judgement mbased mon m themnurse’smclinicalmexperience m
,LewismMedical-
SurgicalmNursingminmCanadam4thmEditionmTestmBank
ismpartmof mEIP,mbutmclinicalmdecision m making malso mshould m incorporate mcurrentm research mand mresearch -
based mguidelines.m Evidence mfrom mone mclinicalm research m study mdoes mnot mprovide man madequate m substanti
ation mforminterventions.m Evaluation mof mclientmoutcomes mis mimportant,m but minterventionsmshould mbe mbased
mon mresearch mfrom mrandomized mcontrol mstudies m with ma mlarge mnumber mof msubjects.
, LewismMedical-
SurgicalmNursingminmCanadam4thmEditionmTestmBank
DIF: CognitivemLevel:mComprehension
TOP:m NursingmProcess:mPlanningmMSC:m NCLEX:mSafemandmEffectiv
emCaremEnvironment
3. Which mof mthemfollowingmbestmexplains mthe mnurses’mprimary muse mof mthem nursingmprocess mwhen mprovid
ingmcaremto mclients?
a. To mexplain mnursing minterventionsmto mothermhealth mcare mprofessionals
b. Asmamproblem-solving mtoolmto midentify mand mtreatmclients’mhealth mcaremneeds
c. Asmamscientific-based mprocess mof mdiagnosingmthe mclient’s mhealth mcare mproblems
d. To mestablish mnursing mtheory mthatm incorporates mthe mbiopsychosocial mnature mof mhuma
ns
ANS:m B
Themnursingmprocessmisman m assertive mproblem-
solvingmapproach mto m them identification mand m treatmentmof mclients’mproblems.m Diagnosism ismonly monemphase
mof mthe mnursingmprocess. m The mprimary m use mof mthe mnursing mprocess mis min m clientmcare, mnotmto mestablish mnursi
ngmtheory mormexplain mnursingm interventions mto mothermhealth mcare mprofessionals.
DIF: CognitivemLevel:mComprehension
TOP:m NursingmProcess:mImplementation mMSC:m NCLEX:mSafemand mEffectiv
emCaremEnvironment
4. Themnursemismcaringmfor mam critically millmclientmin m them intensive mcare munit mand mplansman m every-2 -
hourmturningm schedule mto mpreventmskin mbreakdown. m Which m typemof mnursingmfunction mismdemonstrated m
with mthismturning mschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS:m D
When mimplementing mcollaborative mnursing mactions, mthemnursem ism responsible mprimarily mfor mmonitorin
gmformcomplications mof macutem illnessmor mproviding mcarem to mprevent mor mtreat mcomplications. m Independe
ntmnursingmactions mare mfocused mon mhealth mpromotion, millness mprevention,mand mclient madvocacy. mA mdepe
ndentmaction mwould mrequire mamphysician morder mto mimplement.m Cooperative mnursingmfunctions maremnotm
described masmonemof mthemformalmnursing mfunctions.
DIF: CognitivemLevel:mApplication
TOP:m NursingmProcess:mImplementation mMSC:m NCLEX:mSafemand mEffectiv
emCaremEnvironment
5. Themnursemismcaringmfor mamclientm who mhasmbeen madmitted mto m themhospitalmformsurgery m and mtells mthemnurs
e,m“Imdo mnotmfeelmrightmaboutm leaving m my mchildren m with m my mneighbour.” m Which maction m should m the mnur
semtakemnext?
a. Reassure mthemclient mthatm thesemfeelings mare mcommon mformparents.
b. Havemthemclientmcallmthemchildren mto m ensurem thatmthey maremdoing mwell.
c. Callmthemneighbourm to mdetermine mwhether madequate mchildcare mis mbeingmprovide
d.
d. Gathermmoremdatamabout mthe mclient’s mfeelingsmaboutmthemchildcare marrangement
s.
ANS:m D
Sincemamcomplete massessment mismnecessary min morderm to midentify mamproblem mand mchoose man mappropriate m in
tervention,mthemnurse’s mfirstmaction mshould mbemto mobtain m more minformation. mThemothermactions mmay mb emap
, LewismMedical-
SurgicalmNursingminmCanadam4thmEditionmTestmBank
propriate,mbutmmore massessment mismneeded mbefore mthe mbestm intervention m can mbe mchosen.
