CreatednBy:nTestnBank
Test Bank For Lewis\'s Medical-
n n n n
Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffr
n n n n n n n n n
ey Kwong, Debra Hagler Chapter 1-69 A+
n n n n n n
Chaptern01:nProfessionalnNursing
Harding:nLewis’snMedical-SurgicalnNursing,n12thnEdition
n
MULTIPLEnCHOICE
1.
Thennursencompletesnannadmissionndatabasenandnexplainsnthatnthenplannofncarenandndischarg
engoalsnwillnbendevelopednwithnthenpatient‘sninput.nThenpatientnasks,n“Hownisnthisndifferentnfromnwh
atnthenphysicianndoes?”nWhichnresponsenwouldnthennursenprovide?
a.
“Thenrolenofnthennursenisntonadministernmedicationsnandnotherntreatmentsnprescribednbyn your
n physician.”
b.
“Innadditionntoncaringnfornyounwhilenyounarensick,nthennursesnwillnhelpnyounplanntonmaintainn
yournhealth.”
c.
“Thennurse‘snjobnisntoncollectninformationnandncommunicatenanynproblemsnthatnoccurntonthen
physician.”
d.
“Nursesnperformnmanynofnthensamenproceduresnasnthenphysician,nbutnnursesnarenwithnthenpati
entsnfornanlongerntimenthannthenphysician.”
ANS:nB
ThenAmericannNursesnAssociationn(ANA)ndefinitionnofnnursingndescribesnthenrolenofnnursesninnpro
motingnhealth.nThenothernresponsesndescribendependentnandncollaborativenfunctionsnofnthennursingnr
olenbutndonnotnaccuratelyndescribenthennurse‘snuniquenroleninnthenhealthncarensystem.
A+ Pagen1
,CreatednBy:nTestnBank
DIF: CognitivenLevel:nAnalyzen(Analysis)
TOP:nNursingnProcess:nImplementation
MSC:nNCLEX:nSafenandnEffectivenCarenEnvironment
2. Whichnstatementnbynthennursenaccuratelyndescribesnthenusenofnevidence-
basednpracticen(EBP)?
a. “Patientncarenisnbasednonnclinicalnjudgment,nexperience,nandntraditions.”
b. “Datanarenanalyzednlaterntonshownthatnthenpatientnoutcomesnarenconsistentlynmet.”
c. “Researchnfromnallnpublishednarticlesnarenusednasnanguidenfornplanningnpatientncare.”
d. “Recommendationsnarenbasednonnresearch,nclinicalnexpertise,nandnpatientnpreferences.”
ANS:nD
Evidence-basednpracticen(EBP)nisnthenusenofnthenbestnresearch-
basednevidencencombinednwithncliniciannexpertisenandnconsiderationnofnpatientnpreferences.nClinic
alnjudgmentnbasednonnthennurse‘snclinicalnexperiencenisnpartnofnEBP,nbutnclinicalndecisionnmakingns
houldnalsonincorporatencurrentnresearchnandnresearch-
basednguidelines.nEvaluationnofnpatientnoutcomesnisnimportant,nbutndatananalysisnisnnotnrequirednton
usenEBP.nAllnpublishednarticlesndonnotnprovidenresearchnevidence;ninterventionsnshouldnbenbasednon
n crediblenresearch,npreferablynrandomizedncontrollednstudiesnwithnanlargennumbernofnsubjects.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
TOP:nNursingnProcess:nPlanningnMSC:nNCLEX:nSafenandnEffectivenCarenEnvironment
3. Whichnstatementnbynthennursenprovidesnanclearnexplanationnofnthennursingnprocess?
a.
“Thennursingnprocessnisnanresearchnmethodnofndiagnosingnthenpatient‘snhealthncarenproblems
.”
b.
“Thennursingnprocessnisnusednprimarilyntonexplainnnursingninterventionsntonothernhealthncare
n professionals.”
c. “Thennursingnprocessnisnanproblem-solvingntoolnusedntonidentifynandnmanagenthe
n
patients‘nhealthncarenneeds.”
A+ Pagen2
,CreatednBy:nTestnBank
d.
“Thennursingnprocessnisnbasednonnnursingntheorynthatnincorporatesnthenbiopsychosocialnnatu
renofnhumans.”
ANS:nC
Thennursingnprocessnisnanproblem-
solvingnapproachntonthenidentificationnandntreatmentnofnpatients‘nproblems.nNursingnprocessndoesnn
otnrequirenresearchnmethodsnforndiagnosis.nThenprimarynusenofnthennursingnprocessnisninnpatientncare
,nnotntonestablishnnursingntheorynornexplainnnursingninterventionsntonothernhealthncarenprofessionals.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
TOP:nNursingnProcess:nEvaluationnMSC:nNCLEX:nSafenandnEffectivenCarenEnvironment
4.
Anpatientnadmittedntonthenhospitalnfornsurgeryntellsnthennurse,n“Indonnotnfeelncomfortablenleav
ingnmynchildrennwithnmynparents.”nWhichnactionnwouldnthennursentakennext?
a. Reassurenthenpatientnthatnthesenfeelingsnarencommonnfornparents.
b. Haventhenpatientncallnthenchildrenntonensurenthatntheynarendoingnwell.
c. Gatherninformationnonnthenpatient‘snconcernsnaboutnthenchildncarenarrangements.
d. Callnthenpatient‘snparentsntondeterminenwhethernadequatenchildncarenisnbeingnprovided.
ANS:nC
Becausenancompletenassessmentnisnnecessaryninnorderntonidentifynanproblemnandnchoosenannappropri
atenintervention,nthennurse‘snfirstnactionnshouldnbentonobtainnmoreninformation.nThenothernactionsnm
aynbenappropriate,nbutnmorenassessmentnisnneedednbeforenthenbestninterventionncannbenchosen.
DIF: CognitivenLevel:nAnalyzen(Analysis)
TOP:nNursingnProcess:nAssessment MSC:nNCLEX:nPsychosocialnIntegrity
5.
Anpatientnwithnanbacterialninfectionnisnhypovolemicnduentonanfevernandnexcessivendiaphoresi
s.nWhichnexpectednoutcomenwouldnthennursenselectnfornthisnpatient?
a. Patientnhasnanbalancednintakenandnoutput.
A+ Pagen3
, CreatednBy:nTestnBank
b. Patient‘snbeddingnisnkeptncleannandnfreenofnmoisture.
c. Patientnunderstandsnthenneednfornincreasednfluidnintake.
d. Patient‘snskinnremainsncoolnandndrynthroughoutnhospitalization.
ANS:nA
Balancednintakenandnoutputngivesnmeasurablendatanshowingnresolutionnofnthenproblemnofndeficientnf
luidnvolume.nThenothernstatementsnwouldnnotnindicatenthatnthenproblemnofnhypovolemianwasnresolv
ed.
DIF: CognitivenLevel:nApplyn(Application)
TOP:nNursingnProcess:nPlanningnMSC:nNCLEX:nPhysiologicalnIntegrity
6. Whichnstatementndescribesnthenpurposenofnthenevaluationnphasenofnthennursingnprocess?
a. Tondocumentnthennursingncarenplanninnthenprogressnnotesnofnthenhealthnrecord
b. Tondeterminenifninterventionsnhavenbeenneffectiveninnmeetingnpatientnoutcomes
c. Tondecidenwhethernthenpatient‘snhealthnproblemsnhavenbeenncompletelynresolved
d. Tonestablishnifnthenpatientnagreesnthatnthennursingncarenprovidednwasnsatisfactory
ANS:nB
n
Evaluationnconsistsnofndeterminingnwhethernthendesirednpatientnoutcomesnhavenbeennmetnandnwheth
ernthennursingninterventionsnwerenappropriate.nThenothernresponsesndonnotndescribenthenevaluationnp
hase.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
TOP:nNursingnProcess:nEvaluationnMSC:nNCLEX:nSafenandnEffectivenCarenEnvironment
7. Whichnstatementndescribesnthenpurposenofnthenassessmentnphasenofnthennursingnprocess?
a. Tonteachninterventionsnthatnrelievenhealthnproblems
b. Tonusenpatientndatantonevaluatenpatientncarenoutcomes
c. Tonobtainndatantondiagnosenpatientnstrengthsnandnproblems
d. Tonhelpnthenpatientnidentifynrealisticnoutcomesnfornhealthnproblems
ANS:nC
A+ Pagen4
Test Bank For Lewis\'s Medical-
n n n n
Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffr
n n n n n n n n n
ey Kwong, Debra Hagler Chapter 1-69 A+
n n n n n n
Chaptern01:nProfessionalnNursing
Harding:nLewis’snMedical-SurgicalnNursing,n12thnEdition
n
MULTIPLEnCHOICE
1.
Thennursencompletesnannadmissionndatabasenandnexplainsnthatnthenplannofncarenandndischarg
engoalsnwillnbendevelopednwithnthenpatient‘sninput.nThenpatientnasks,n“Hownisnthisndifferentnfromnwh
atnthenphysicianndoes?”nWhichnresponsenwouldnthennursenprovide?
a.
“Thenrolenofnthennursenisntonadministernmedicationsnandnotherntreatmentsnprescribednbyn your
n physician.”
b.
“Innadditionntoncaringnfornyounwhilenyounarensick,nthennursesnwillnhelpnyounplanntonmaintainn
yournhealth.”
c.
“Thennurse‘snjobnisntoncollectninformationnandncommunicatenanynproblemsnthatnoccurntonthen
physician.”
d.
“Nursesnperformnmanynofnthensamenproceduresnasnthenphysician,nbutnnursesnarenwithnthenpati
entsnfornanlongerntimenthannthenphysician.”
ANS:nB
ThenAmericannNursesnAssociationn(ANA)ndefinitionnofnnursingndescribesnthenrolenofnnursesninnpro
motingnhealth.nThenothernresponsesndescribendependentnandncollaborativenfunctionsnofnthennursingnr
olenbutndonnotnaccuratelyndescribenthennurse‘snuniquenroleninnthenhealthncarensystem.
A+ Pagen1
,CreatednBy:nTestnBank
DIF: CognitivenLevel:nAnalyzen(Analysis)
TOP:nNursingnProcess:nImplementation
MSC:nNCLEX:nSafenandnEffectivenCarenEnvironment
2. Whichnstatementnbynthennursenaccuratelyndescribesnthenusenofnevidence-
basednpracticen(EBP)?
a. “Patientncarenisnbasednonnclinicalnjudgment,nexperience,nandntraditions.”
b. “Datanarenanalyzednlaterntonshownthatnthenpatientnoutcomesnarenconsistentlynmet.”
c. “Researchnfromnallnpublishednarticlesnarenusednasnanguidenfornplanningnpatientncare.”
d. “Recommendationsnarenbasednonnresearch,nclinicalnexpertise,nandnpatientnpreferences.”
ANS:nD
Evidence-basednpracticen(EBP)nisnthenusenofnthenbestnresearch-
basednevidencencombinednwithncliniciannexpertisenandnconsiderationnofnpatientnpreferences.nClinic
alnjudgmentnbasednonnthennurse‘snclinicalnexperiencenisnpartnofnEBP,nbutnclinicalndecisionnmakingns
houldnalsonincorporatencurrentnresearchnandnresearch-
basednguidelines.nEvaluationnofnpatientnoutcomesnisnimportant,nbutndatananalysisnisnnotnrequirednton
usenEBP.nAllnpublishednarticlesndonnotnprovidenresearchnevidence;ninterventionsnshouldnbenbasednon
n crediblenresearch,npreferablynrandomizedncontrollednstudiesnwithnanlargennumbernofnsubjects.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
TOP:nNursingnProcess:nPlanningnMSC:nNCLEX:nSafenandnEffectivenCarenEnvironment
3. Whichnstatementnbynthennursenprovidesnanclearnexplanationnofnthennursingnprocess?
a.
“Thennursingnprocessnisnanresearchnmethodnofndiagnosingnthenpatient‘snhealthncarenproblems
.”
b.
“Thennursingnprocessnisnusednprimarilyntonexplainnnursingninterventionsntonothernhealthncare
n professionals.”
c. “Thennursingnprocessnisnanproblem-solvingntoolnusedntonidentifynandnmanagenthe
n
patients‘nhealthncarenneeds.”
A+ Pagen2
,CreatednBy:nTestnBank
d.
“Thennursingnprocessnisnbasednonnnursingntheorynthatnincorporatesnthenbiopsychosocialnnatu
renofnhumans.”
ANS:nC
Thennursingnprocessnisnanproblem-
solvingnapproachntonthenidentificationnandntreatmentnofnpatients‘nproblems.nNursingnprocessndoesnn
otnrequirenresearchnmethodsnforndiagnosis.nThenprimarynusenofnthennursingnprocessnisninnpatientncare
,nnotntonestablishnnursingntheorynornexplainnnursingninterventionsntonothernhealthncarenprofessionals.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
TOP:nNursingnProcess:nEvaluationnMSC:nNCLEX:nSafenandnEffectivenCarenEnvironment
4.
Anpatientnadmittedntonthenhospitalnfornsurgeryntellsnthennurse,n“Indonnotnfeelncomfortablenleav
ingnmynchildrennwithnmynparents.”nWhichnactionnwouldnthennursentakennext?
a. Reassurenthenpatientnthatnthesenfeelingsnarencommonnfornparents.
b. Haventhenpatientncallnthenchildrenntonensurenthatntheynarendoingnwell.
c. Gatherninformationnonnthenpatient‘snconcernsnaboutnthenchildncarenarrangements.
d. Callnthenpatient‘snparentsntondeterminenwhethernadequatenchildncarenisnbeingnprovided.
ANS:nC
Becausenancompletenassessmentnisnnecessaryninnorderntonidentifynanproblemnandnchoosenannappropri
atenintervention,nthennurse‘snfirstnactionnshouldnbentonobtainnmoreninformation.nThenothernactionsnm
aynbenappropriate,nbutnmorenassessmentnisnneedednbeforenthenbestninterventionncannbenchosen.
DIF: CognitivenLevel:nAnalyzen(Analysis)
TOP:nNursingnProcess:nAssessment MSC:nNCLEX:nPsychosocialnIntegrity
5.
Anpatientnwithnanbacterialninfectionnisnhypovolemicnduentonanfevernandnexcessivendiaphoresi
s.nWhichnexpectednoutcomenwouldnthennursenselectnfornthisnpatient?
a. Patientnhasnanbalancednintakenandnoutput.
A+ Pagen3
, CreatednBy:nTestnBank
b. Patient‘snbeddingnisnkeptncleannandnfreenofnmoisture.
c. Patientnunderstandsnthenneednfornincreasednfluidnintake.
d. Patient‘snskinnremainsncoolnandndrynthroughoutnhospitalization.
ANS:nA
Balancednintakenandnoutputngivesnmeasurablendatanshowingnresolutionnofnthenproblemnofndeficientnf
luidnvolume.nThenothernstatementsnwouldnnotnindicatenthatnthenproblemnofnhypovolemianwasnresolv
ed.
DIF: CognitivenLevel:nApplyn(Application)
TOP:nNursingnProcess:nPlanningnMSC:nNCLEX:nPhysiologicalnIntegrity
6. Whichnstatementndescribesnthenpurposenofnthenevaluationnphasenofnthennursingnprocess?
a. Tondocumentnthennursingncarenplanninnthenprogressnnotesnofnthenhealthnrecord
b. Tondeterminenifninterventionsnhavenbeenneffectiveninnmeetingnpatientnoutcomes
c. Tondecidenwhethernthenpatient‘snhealthnproblemsnhavenbeenncompletelynresolved
d. Tonestablishnifnthenpatientnagreesnthatnthennursingncarenprovidednwasnsatisfactory
ANS:nB
n
Evaluationnconsistsnofndeterminingnwhethernthendesirednpatientnoutcomesnhavenbeennmetnandnwheth
ernthennursingninterventionsnwerenappropriate.nThenothernresponsesndonnotndescribenthenevaluationnp
hase.
DIF: CognitivenLevel:nUnderstandn(Comprehension)
TOP:nNursingnProcess:nEvaluationnMSC:nNCLEX:nSafenandnEffectivenCarenEnvironment
7. Whichnstatementndescribesnthenpurposenofnthenassessmentnphasenofnthennursingnprocess?
a. Tonteachninterventionsnthatnrelievenhealthnproblems
b. Tonusenpatientndatantonevaluatenpatientncarenoutcomes
c. Tonobtainndatantondiagnosenpatientnstrengthsnandnproblems
d. Tonhelpnthenpatientnidentifynrealisticnoutcomesnfornhealthnproblems
ANS:nC
A+ Pagen4
