1
Test Bank For Lewis's Medical- Surgical
Nursing, 12th Edition by Mariann M.
Harding, Jeffrey Kwong, Debra Hagler
Chapter 1-69
, 2
Test Bank for Lewis\'s Medical-Surgical Nursing,
12th Edition by Mariann M. Harding, Jeffrey
Kwong, Debra Hagler Chapter 1-69
, 3
Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care
and discharge goals will be developed with the patient‘s input. The patient
asks, “How is this different from what the physician does?” Which
response would the nurse provide?
a. “The role of the nurse is to administer medications and other
treatments prescribed by your physician.”
b. “In addition to caring for you while you are sick, the nurses will
help you plan to maintain your health.”
c. “The nurse‘s job is to collect information and communicate
any problems that occur to the physician.”
d. “Nurses perform many of the same procedures as the physician,
but nurses are with the patients for a longer time than the
physician.”
ANS: B
The American Nurses Association (ANA) definition of nursing describes the
role of nurses in promoting health. The other responses describe dependent and
collaborative functions of the nursing role but do not accurately describe the
nurse‘s unique role in the health care system.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment
2. Which statement by the nurse accurately describes the use of evidence-based practice
(EBP)?
a. “Patient care is based on clinical judgment, experience, and traditions.”
b. “Data are analyzed later to show that the patient outcomes are consistently met.”
c. “Research from all published articles are used as a guide for planning patient
care.”
d. “Recommendations are based on research, clinical
expertise, and patient preferences.”
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence
combined with clinician expertise and consideration of patient preferences.
Clinical judgment based on the nurse‘s clinical experience is part of EBP, but
clinical decision making should also incorporate current research and research-
based guidelines. Evaluation of patient outcomes is important, but data analysis
is not required to use EBP. All published articles do not provide research
evidence; interventions should be based on credible research, preferably
randomized controlled studies with a large number of subjects.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing
Process: Planning MSC: NCLEX: Safe and Effective Care Environment
, 3. Which statement by the nurse provides a clear explanation of the nursing process?
a. “The nursing process is a research method of diagnosing the
patient‘s health care problems.”
b. “The nursing process is used primarily to explain nursing
interventions to other health care professionals.”
c. “The nursing process is a problem-solving tool used to identify and manage the
Test Bank For Lewis's Medical- Surgical
Nursing, 12th Edition by Mariann M.
Harding, Jeffrey Kwong, Debra Hagler
Chapter 1-69
, 2
Test Bank for Lewis\'s Medical-Surgical Nursing,
12th Edition by Mariann M. Harding, Jeffrey
Kwong, Debra Hagler Chapter 1-69
, 3
Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care
and discharge goals will be developed with the patient‘s input. The patient
asks, “How is this different from what the physician does?” Which
response would the nurse provide?
a. “The role of the nurse is to administer medications and other
treatments prescribed by your physician.”
b. “In addition to caring for you while you are sick, the nurses will
help you plan to maintain your health.”
c. “The nurse‘s job is to collect information and communicate
any problems that occur to the physician.”
d. “Nurses perform many of the same procedures as the physician,
but nurses are with the patients for a longer time than the
physician.”
ANS: B
The American Nurses Association (ANA) definition of nursing describes the
role of nurses in promoting health. The other responses describe dependent and
collaborative functions of the nursing role but do not accurately describe the
nurse‘s unique role in the health care system.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment
2. Which statement by the nurse accurately describes the use of evidence-based practice
(EBP)?
a. “Patient care is based on clinical judgment, experience, and traditions.”
b. “Data are analyzed later to show that the patient outcomes are consistently met.”
c. “Research from all published articles are used as a guide for planning patient
care.”
d. “Recommendations are based on research, clinical
expertise, and patient preferences.”
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence
combined with clinician expertise and consideration of patient preferences.
Clinical judgment based on the nurse‘s clinical experience is part of EBP, but
clinical decision making should also incorporate current research and research-
based guidelines. Evaluation of patient outcomes is important, but data analysis
is not required to use EBP. All published articles do not provide research
evidence; interventions should be based on credible research, preferably
randomized controlled studies with a large number of subjects.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing
Process: Planning MSC: NCLEX: Safe and Effective Care Environment
, 3. Which statement by the nurse provides a clear explanation of the nursing process?
a. “The nursing process is a research method of diagnosing the
patient‘s health care problems.”
b. “The nursing process is used primarily to explain nursing
interventions to other health care professionals.”
c. “The nursing process is a problem-solving tool used to identify and manage the
