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EDITION IGNATAVICIUS
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TEST BANK m
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, Lewis's Medical- m
Surgical Nursing: Assessment and Management m m m m m
of Clinical Problems 11th Edition TESTBANK
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Table of Contents m m
Chapterm1.mProfessionalmNursing
MULTIPLEmCHOICE
1. Themnursemcompletesmanmadmissionmdatabasemandmexplainsmthatmthemplanmofmcareman
d discharge goals will be developed with the patients input. The patient states, How
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mis this different from what the doctor does? Which response would be most approp
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riate for the nurse to make?
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a. Themrolemofmthemnursemismtomadministermmedicationsmandmothermtreatment
s prescribed by your doctor.
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b. Themnursesmjobmismtomhelpmthemdoctormbymcollectingminformationman
d communicating any problems that occur.
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c. Nursesmperformmmanymofmthemsamemproceduresmasmthemdoctor,mbutmnurse
s are with the patients for a longer time than the doctor.
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d. Inmadditionmtomcaringmformyoumwhilemyoumaremsick,mthemnursesmwillmassi
st you to develop an individualized plan to maintain your health.
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ANS:mD
This response is consistent with the American Nurses Association (ANA) definitio
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n of nursing, which describes the role of nurses in promoting health. The other resp
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onses describe some of the dependent and collaborative functions of the nursing rol
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e but do not accurately describe the nurses role in the health care system.
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DIF:mCognitivemLevel:mUnderstandm(comprehension)mREF:m3
TOP:mNursingmProcess:mImplementationmMSC:mNCLEX:mSafemandmEffectivemCaremEnvironment
, 2. Themnursemdescribesmtomamstudentmnursemhowmtomusemevidence-
based practice guidelines when caring for patients. Which statement, if made by the
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mnurse, would be the most accurate?
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a. Inferencesmfrommclinicalmresearchmstudiesmaremusedmasmamguide.
b. Patientmcaremismbasedmonmclinicalmjudgment,mexperience,mandmtraditions.
c. Datamaremevaluatedmtomshowmthatmthempatientmoutcomesmaremconsistentl
y met.
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d. Recommendationsmarembasedmonmresearch,mclinicalmexpertise,mandmpatien
t preferences.
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ANS:mD
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 th
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e nurses clinical experience is part of EBP, but clinical decision making should a
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lso incorporate current research and research-
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based guidelines. Evaluation of patient outcomes is important, but interventions
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should be based on research from randomized control studies with a large numbe
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r of subjects.
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DIF:mCognitivemLevel:mRememberm(knowledge)mREF:m11
TOP:mNursingmProcess:mPlanningmMSC:mNCLEX:mSafemandmEffectivemCaremEnvironment
3. Themnursemteachesmamstudentmnursemaboutmhowmtomapplymthemnursingmprocessmwhenm
providing patient care. Which statement, if made by the student nurse, indicates th
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at teaching was successful?
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a. Themnursingmprocessmismamscientific-
based method of diagnosing the patients health care problems.
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b. Themnursingmprocessmismamproblem-
solving tool used to identify and treat patients health care needs.
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c. Themnursingmprocessmismbasedmonmnursingmtheorymthatmincorporatesmth
e biopsychosocial nature of humans.
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