Chapter1101:11Professional11Nursing
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Harding:11Lewis’s11Medical-Surgical11Nursing,1111th11Edition
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E
1. The11nurse11completes11an11admission11database11and11explains11that11the11plan11of11care11and1
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discharge11goals11will11be11developed11with11the11patient’s11input.11The11patient11asks,11“How1
1is11this11different11from11what11the11doctor11does?”11Which11response11would11be11most11appr
opriate11for11the11nurse11to11make?
a. “The11role11of11the11nurse11is11to11administer11medications11and11other11treatments11p
rescribed11by11your11doctor.”
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b. “In11addition11to11caring11for11you11while11you11are11sick,11the11nurses11will11help11
you11plan11to11maintain11your11health.”
c. “The11nurse’s11job11is11to11help11the11doctor11by11collecting11informa
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tion11and11communicating11any11problems11that11occur.”
d. “Nurses11perform11many11of11the11same11procedures11as11the11doctor,11but11nurses
are11with11the11patients11for11a11longer11time11than11the11doctor.”
11
ANS:1 1
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B
The11American11Nurses11Association11(ANA)11definition11of11nursing11describes11the11role11of1
1nurses11in11promoting11health.11The11other11responses11describe11dependent11and11collaborativ
e11functions11of11the11nursing11role11but11do11not11accurately11describe11the11nurse’s11unique11r
ole11in11the11health11care11system.11DIF:
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Cognitive11Level:11Analyz e 11( an a ly sis )
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TOP:1 1 Nursing11Process:11Implementation MSC:11NCLEX:11Safe11and11Effective11Care11Environment
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2. The11nurse11describes11to11a11s t u d e n t n u r s e 11how to11u s e ev id ence-
based11practice11(EBP)11when11caring11for11patients.11Which11statement11by11the11nurse11accurately11
describes11the11use11of11EBP?
a. “Inferences11from11all11published11articles11are11used11as11a11guide.”
b. “Patient11care11is11based11on11clinical11judgment,11experience,11and11traditions.”
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c. “Data11are11analyzed11later11to11show11that11the11patient11outcomes11are11consistently11met.”
d. “Recommendations11are11based11on11research,11clinical11expertise,11and11
patient11preferences.”
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D
Evidence-based11practice11(EBP)11is11the11use11of11the11best11research-
based11evidence11combined11with
clinician11expertise11and11consideration11of11patient11preferences.11Clinical11judgment11based11
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on11the11nurse’s11clinical11experience11i s p a r t 11of EBP, but11clinical11 decision11making11should
also11incorporate11current11research11and11research-
11
based11guidelines.11Evaluation11of11patient11outcomes11is
important,11but11data11analysis11is11not11required11to11use11EBP.11All11published11articles11do11not11p
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rovide11research11evidence;11interventions11should11be11based11on11credible11research,11preferably11r
andomized11controlled11studies11with11a11large11number11of11subjects.
DIF: Cognitive11Level:11Remember11(knowledge)
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TOP:11Nursing11Process:11Planning11MSC:11NCLEX:11Safe11and11Effective Care Environme
t est
nt11
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3. The11nurse11teaches11a11student11nurse11about11how11to11apply11the11nursing11process11when
11
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providing11patient11care.11Which11statement11by11the11student11nurse11indicates11that11teac
hing11was11successful?
a. “The11nursing11process11is11a11research11method11of11diagnosing11the11patient’s11he
alth11care11problems.”
b. “The11nursing11process11is11used11primarily11to11explain11nursing11interventions11to11other
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health11care11professionals.”
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c. “The11nursing11process11is11a11problem-
solving11tool11used11to11identify11and11treat11the11patients’11health11care11need
s.”
d. “The11nursing11process11is11based11on11nursing11theory11that11incorpor
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ates11the11biopsychosocial11 nature1 1 of hu m a n s. ”
ANS:11C
The11nursing11process11is11a11problem-
solving11approach11to11the11identification11and11treatment11of11patients’11problems.11Nursing11proc ab
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ess does11not11re q u i re r es ea r c h 11methods11for11diagnosis.11The
primary11use11of11the11nursing11process11is11in11patient11care,11not11to11establish11nursing11theory11or
11 explain
nursing11interventions11to11other11health11care11professionals.
DIF: TOP:11Nursing11Process:11Evaluation
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Cognitive11Level:11U n der s t a n d 11(comprehension)
st MSC:
11 11NCLEX:11Safe11and11Effective11Care11Environ
ment
4. A11patient11admitted11to11the11hospital11for11surgery11tells11the11nurse,11“I11do11not11feel11
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comfortable11leaving11my11children11with11my11parents.”11Which11action11should11the11
nurse11take11next?
a. Reassure11the11patient11that11these11feelings11are11common11for11parents.
b. Have11the11patient11call11the11children11to11ensure11that11they11are11doing11well.
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