Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
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Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
Chapter 01: Professional Nursing Practice Lew
P P P P P
is: Medical-Surgical Nursing, 10th Edition
P P P P
MULTIPLEPCHOICE
1. ThePnursePcompletesPanPadmissionPdatabasePandPexplainsPthatPthePplanPofPcarePandPdischargePgo
alsPwillPbePdevelopedPwithPthePpatient’sPinput.PThePpatientPstates,P“HowPisPthisPdifferentPfromPwh
atPthePdoctorPdoes?”PWhichPresponsePwouldPbePmostPappropriatePforPthePnursePtoPmake?
a. “TheProlePofPthePnursePisPtoPadministerPmedicationsPandPotherPtreatmentsPprescribedP
byPyourPdoctor.”
b. “ThePnurse’sPjobPisPtoPhelpPthePdoctorPbyPcollectingPinformationPandP
communicatingPanyPproblemsPthatPoccur.”
c. “NursesPperformPmanyPofPthePsamePproceduresPasPthePdoctor,PbutPnursesParePwithP
thePpatientsPforPaPlongerPtimePthanPthePdoctor.”
d. “InPadditionPtoPcaringPforPyouPwhilePyouParePsick,PthePnursesPwillPassistPyouPtoP
developPanPindividualizedPplanPtoPmaintainPyourPhealth.”
ANS:P D
ThisPresponsePisPconsistentPwithPthePAmericanPNursesPAssociationP(ANA)PdefinitionPofPnursin
g,PwhichPdescribesPtheProlePofPnursesPinPpromotingPhealth.PThePotherPresponsesPdescribePsomeP
ofPthePdependentPandPcollaborativePfunctionsPofPthePnursingProlePbutPdoPnotPaccuratelyPdescrib
ePtheP nurse’sProlePinPtheP healthPcarePsystem.
DIF: CognitivePLevel:PUnderstandP(comprehension) REF:P 3
TOP:P NursingPProcess:PImplementation MSC:P NCLEX:PSafePandPEffectivePCarePEnvironment
2. ThePnursePdescribesPtoPaPstudentPnursePhowPtoPusePevidence-
basedPpracticePguidelinesPwhenPcaringPforPpatients.PWhichPstatement,PifPmadePbyPthePnurse,P
wouldPbePthePmostPaccurate?
a. “InferencesPfromPclinicalPresearchPstudiesParePusedPasPaPguide.”
b. “PatientPcarePisPbasedPonPclinicalPjudgment,Pexperience,PandPtraditions.”
c. “DataParePevaluatedPtoPshowPthatPthePpatientPoutcomesParePconsistentlyPmet.”
d. “RecommendationsParePbasedPonPresearch,PclinicalPexpertise,PandPpatientP
preferences.”
ANS:P D
Evidence-basedPpracticeP(EBP)PisPthePusePofPthePbestPresearch-
basedPevidencePcombinedPwithPclinicianPexpertise.PClinicalPjudgmentPbasedPonPthePnurse’sPclin
icalPexperiencePisPpartPofPEBP,PbutPclinicalPdecisionPmakingPshouldPalsoPincorporatePcurrentPres
earchPandPresearch-
basedPguidelines.PEvaluationPofPpatientPoutcomesPisPimportant,PbutPinterventionsPshouldPbePba
sedPonPresearchPfromPrandomizedPcontrolPstudiesPwithPaPlargePnumberPofPsubjects.
DIF: CognitivePLevel:PRememberP(knowledge) REF:P 15
TOP:P NursingPProcess:PPlanning MSC:P NCLEX:PSafePandPEffectivePCarePEnvironment
3. ThePnursePteachesPaPstudentPnursePaboutPhowPtoPapplyPthePnursingPprocessPwhenPprovidingP
patientPcare.PWhichPstatement,PifPmadePbyPthePstudentPnurse,PindicatesPthatPteachingPwasPsu
ccessful?
a. “ThePnursingPprocessPisPaPscientific-
basedPmethodPofPdiagnosingPthePpatient’sPhealthPcarePproblems.”
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Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
b. “ThePnursingPprocessPisPaPproblem-solvingPtoolPusedPtoPidentifyPandPtreatPpatients’
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Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
healthPcarePneeds.”
c. “ThePnursingPprocessPisPusedPprimarilyPtoPexplainPnursingPinterventionsPtoPotherP
healthPcarePprofessionals.”
d. “ThePnursingPprocessPisPbasedPonPnursingPtheoryPthatPincorporatesPtheP
biopsychosocialPnaturePofPhumans.”
ANS:P B
ThePnursingPprocessPisPaPproblem-
solvingPapproachPtoPthePidentificationPandPtreatmentPofPpatients’Pproblems.PDiagnosisPisPonlyPon
ePphasePofPthePnursingPprocess.PThePprimaryPusePofPthePnursingPprocessPisPinPpatientPcare,PnotPtoPe
stablishPnursingPtheoryPorPexplainPnursingPinterventionsPtoPotherPhealthPcarePprofessionals.
DIF: CognitivePLevel:PUnderstandP(comprehension) REF:P 5
TOP:P NursingPProcess:PImplementation MSC:P NCLEX:PSafePandPEffectivePCarePEnvironment
4. APpatientPhasPbeenPadmittedPtoPthePhospitalPforPsurgeryPandPtellsPthePnurse,P“IPdoPnotPfeelPcomf
ortablePleavingPmyPchildrenPwithPmyPparents.”PWhichPactionPshouldPthePnursePtakePnext?
a. ReassurePthePpatientPthatPthesePfeelingsParePcommonPforPparents.
b. HavePthePpatientPcallPthePchildrenPtoPensurePthatPtheyParePdoingPwell.
c. GatherPmorePdataPaboutPthePpatient’sPfeelingsPaboutPthePchild-careParrangements.
d. CallPthePpatient’sPparentsPtoPdeterminePwhetherPadequatePchildPcarePisPbeingP
provided.
ANS:P C
BecausePaPcompletePassessmentPisPnecessaryPinPorderPtoPidentifyPaPproblemPandPchoosePanPapp
ropriatePintervention,PthePnurse’sPfirstPactionPshouldPbePtoPobtainPmorePinformation.PThePotherP
actionsPmayPbePappropriate,PbutPmorePassessmentPisPneededPbeforePthePbestPinterventionPcanPbe
Pchosen.
DIF: CognitivePLevel:PApplyP(application) REF: 6
OBJ:PPPSpecialPQuestions:PPrioritization
TOP:P NursingPProcess:PAssessmentP
MSC:P NCLEX:PPsychosocialPIntegrity
5. APpatientPwhoPisPparalyzedPonPthePleftPsidePofPthePbodyPafterPaPstrokePdevelopsPaPpressurePulcerP
onPthePleftPhip.PWhichPnursingPdiagnosisPisP mostPappropriate?
a. ImpairedPphysicalPmobilityPrelatedPtoPleft-sidedPparalysis
b. RiskPforPimpairedPtissuePintegrityPrelatedPtoPleft-sidedPweakness
c. ImpairedPskinPintegrityPrelatedPtoPalteredPcirculationPandPpressure
d. IneffectivePtissuePperfusionPrelatedPtoPinabilityPtoPmovePindependently
ANS:P C
ThePpatient’sPmajorPproblemPisPthePimpairedPskinPintegrityPasPdemonstratedPbyPthePpresencePofP
aPpressurePulcer.PThePnursePisPablePtoPtreatPthePcausePofPalteredPcirculationPandPpressurePbyPfrequ
entlyPrepositioningPthePpatient.PAlthoughPleft-
sidedPweaknessPisPaPproblemPforPthePpatient,PthePnursePcannotPtreatPthePweakness.PTheP“riskPfor”P
diagnosisPisPnotPappropriatePforPthisPpatient,PwhoPalreadyPhasPimpairedPtissuePintegrity.PThePpatie
ntPdoesPhavePineffectivePtissuePperfusion,PbutPthePimpairedPskinPintegrityPdiagnosisPindicatesPmo
rePclearlyPwhatPthePhealthPproblemPis.
DIF: CognitivePLevel:PApplyP(application) REF: 7
TOP:P NursingPProcess:PDiagnosis MSC:P NCLEX:PPhysiologicalPIntegrity