12th Edition (Harding),
Chapters 1 - 69 | All Chapters Verified
,TABLE OF CONTENTS
N N
,
,ChapterN01:NProfessionalNNursing
Harding:NLewis’sNMedical-SurgicalNNursing,N12thNEdition
MULTIPLENCHOICE
1. TheNnurseNcompletesNanNadmissionNdatabaseNandNexplainsNthatNtheNplanNofNcareNandNdisch
argeNgoalsNwillNbeNdevelopedNwithNtheNpatient‗sNinput.NTheNpatientNasks,N―HowNisNthisNdiffe
rentNfromNwhatNtheNphysicianNdoes?‖NWhichNresponseNwouldNtheNnurseNprovide?
a. ―TheNroleNofNtheNnurseNisNtoNadministerNmedicationsNandNotherNtreatmentsNprescri
bedNbyNyourNphysician.‖
b. ―InNadditionNtoNcaringNforNyouNwhileNyouNareNsick,NtheNnursesNwillNhelpNyouNpla
nNtoNmaintainNyourNhealth.‖
c. ―TheNnurse‗sNjobNisNtoNcollectNinformationNandNcommunicateNanyNproblemsNt
hatNoccurNtoNtheNphysician.‖
d. ―NursesNperformNmanyNofNtheNsameNproceduresNasNtheNphysician,NbutNnursesN
areNwithNtheNpatientsNforNaNlongerNtimeNthanNtheNphysician.‖
ANSWER:N B
TheNAmericanNNursesNAssociationN(ANA)NdefinitionNofNnursingNdescribesNtheNroleNofNnursesNin
N promotingNhealth.NTheNotherNresponsesNdescribeNdependentNandNcollaborativeNfunctionsNofNthe
N nursingNroleNbutNdoNnotNaccuratelyNdescribeNtheNnurse‗sNuniqueNroleNinNtheNhealthNcareNsystem
.
DIF: CognitiveNLevel:NAnalyzeN(Analysis)
TOP:N NursingNProcess:NImplementation MSC:N NCLEX:NSafeNandNEffectiveNCareNEnvironment
2. WhichNstatementNbyNtheNnurseNaccuratelyNdescribesNtheNuseNofNevidence-basedNpracticeN(EBP)?
a. ―PatientNcareNisNbasedNonNclinicalNjudgment,Nexperience,NandNtraditions.‖
b. ―DataNareNanalyzedNlaterNtoNshowNthatNtheNpatientNoutcomesNareNconsistentlyNmet.‖
c. ―ResearchNfromNallNpublishedNarticlesNareNusedNasNaNguideNforNplanningNpatientNcare.‖
d. ―RecommendationsNareNbasedNonNresearch,NclinicalNexpertise,NandNpati
entNpreferences.‖
ANSWER:N D
Evidence-basedNpracticeN(EBP)NisNtheNuseNofNtheNbestNresearch-
basedNevidenceNcombinedNwithNclinicianNexpertiseNandNconsiderationNofNpatientNpreferences
.NClinicalNjudgmentNbasedNonNtheNnurse‗sNclinicalNexperienceNisNpartNofNEBP,NbutNclinicalNd
ecisionNmakingNshouldNalsoNincorporateNcurrentNresearchNandNresearch-
, basedNguidelines.NEvaluationNofNpatientNoutcomesNisNimportant,NbutNdataNanalysisNisNnotNreq
uiredNtoNuseNEBP.NAllNpublishedNarticlesNdoNnotNprovideNresearchNevidence;NinterventionsNs
houldNbeNbasedNonNcredibleNresearch,NpreferablyNrandomizedNcontrolledNstudiesNwithNaNlarge
NnumberNofNsubjects.
DIF: CognitiveNLevel:NUnderstandN(Comprehension)
TOP:N NursingNProcess:NPlanningNMSC:N NCLEX:NSafeNandNEffectiveNCareNEnvironment
3. WhichNstatementNbyNtheNnurseNprovidesNaNclearNexplanationNofNtheNnursingNprocess?
a. ―TheNnursingNprocessNisNaNresearchNmethodNofNdiagnosingNtheNpatient‗sNhealthNc
areNproblems.‖
b. ―TheNnursingNprocessNisNusedNprimarilyNtoNexplainNnursingNinterventionsNtoNot
herNhealthNcareNprofessionals.‖
c. ―TheNnursingNprocessNisNaNproblem-solvingNtoolNusedNtoNidentifyNandNmanageNthe
, patients‗NhealthNcareNneeds.‖
d. ―TheNnursingNprocessNisNbasedNonNnursingNtheoryNthatNincorporatesNt
heNbiopsychosocialNnatureNofNhumans.‖
ANSWER:N C
TheNnursingNprocessNisNaNproblem-
solvingNapproachNtoNtheNidentificationNandNtreatmentNofNpatients‗Nproblems.NNursingNproces
sNdoesNnotNrequireNresearchNmethodsNforNdiagnosis.NTheNprimaryNuseNofNtheNnursingNprocess
NisNinNpatientNcare,NnotNtoNestablishNnursingNtheoryNorNexplainNnursingNinterventionsNtoNother
NhealthNcareNprofessionals.
DIF: CognitiveNLevel:NUnderstandN(Comprehension)
TOP:N NursingNProcess:NEvaluationNMSC:N NCLEX:NSafeNandNEffectiveNCareNEnvironment
4. ANpatientNadmittedNtoNtheNhospitalNforNsurgeryNtellsNtheNnurse,N―INdoNnotNfeelNcomfort
ableNleavingNmyNchildrenNwithNmyNparents.‖NWhichNactionNwouldNtheNnurseNtakeNne
xt?
a. ReassureNtheNpatientNthatNtheseNfeelingsNareNcommonNforNparents.
b. HaveNtheNpatientNcallNtheNchildrenNtoNensureNthatNtheyNareNdoingNwell.
c. GatherNinformationNonNtheNpatient‗sNconcernsNaboutNtheNchildNcareNarrangements.
d. CallNtheNpatient‗sNparentsNtoNdetermineNwhetherNadequateNchildNcareNisNbe
ingNprovided.
ANSWER:N C
BecauseNaNcompleteNassessmentNisNnecessaryNinNorderNtoNidentifyNaNproblemNandNchooseNan
NappropriateNintervention,NtheNnurse‗sNfirstNactionNshouldNbeNtoNobtainNmoreNinformation.NT
heNotherNactionsNmayNbeNappropriate,NbutNmoreNassessmentNisNneededNbeforeNtheNbestNinterve
ntionNcanNbeNchosen.
DIF: CognitiveNLevel:NAnalyzeN(Analysis)
TOP:N NursingNProcess:NAssessment MSC:N NCLEX:NPsychosocialNIntegrity
5. ANpatientNwithNaNbacterialNinfectionNisNhypovolemicNdueNtoNaNfeverNandNexcessiveNdiaphor
esis.NWhichNexpectedNoutcomeNwouldNtheNnurseNselectNforNthisNpatient?
a. PatientNhasNaNbalancedNintakeNandNoutput.
b. Patient‗sNbeddingNisNkeptNcleanNandNfreeNofNmoisture.
c. PatientNunderstandsNtheNneedNforNincreasedNfluidNintake.
d. Patient‗sNskinNremainsNcoolNandNdryNthroughoutNhospitalization.
ANSWER:N A
BalancedNintakeNandNoutputNgivesNmeasurableNdataNshowingNresolutionNofNtheNproblemNofNde