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Test Bank for Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems 12th Edition by Harding, Kwong, Hagler, and Reinisch$17.99
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Test Bank for Lewis's Medical-Surgical Nursing: Assessment and
Management of Clinical Problems 12th Edition
by Harding, Kwong, Hagler, and Reinisch)
,Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The registered nurse completes an admission database and explains that the plan of care and
discharge goals will be developed with the hospital patient‘s input. The hospital patient asks,
―How is this different from what the physician does?‖ Which response would the registered
nurse provide?
a. ―The role of the registered nurse is to administer medications and other treatments
prescribed by your physician.‖
b. ―In addition to caring for you while you are sick, the registered nurses will help
you plan to maintain your health.‖
c. ―The registered nurse‘s job is to collect information and communicate any
problems that occur to the physician.‖
d. ―Registered nurses perform many of the same procedures as the physician, but
registered nurses are with the hospital patients for a longer time than the
physician.‖
RIGHT CHOICE✔✔ B
The American Nurses Association (ANA) definition of nursing describes the role of
registered nursein promoting health. The other responses describe dependent and
collaborative functions of the nursing role but do not accurately describe the registered
nurse‘s unique role in the health care system.
COMPLEXITY: N/A CL: Analyze (Analysis)
SUBJECT: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. Which statement by the registered nurse accurately describes the use of evidence-based practice
(EBP)?
a. ―Hospital patient care is based on clinical judgment, experience, and traditions.‖
b. ―Data are analyzed later to show that the hospital patient outcomes are consistently met.‖
c. ―Research from all published articles are used as a guide for planning hospital patient care.‖
d. ―Recommendations are based on research, clinical expertise, and
hospital patient preferences.‖
RIGHT CHOICE✔✔ D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of hospital patient preferences. Clinical judgment based
on the registered nurse‘s clinical experience is part of EBP, but clinical decision making
should also incorporate current research and research-based guidelines. Evaluation of hospital
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.
COMPLEXITY: N/A CL: Understand
(Comprehension) SUBJECT: Nursing Process:
Planning MSC: NCLEX: Safe and Effective Care Environment
3. Which statement by the registered nurse provides a clear explanation of the nursing process?
a. ―The nursing process is a research method of diagnosing the hospital 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
hospital patients‘ health care needs.‖
d. ―The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans.‖
RIGHT CHOICE✔✔ C
The nursing process is a problem-solving approach to the identification and treatment of
hospital patients‘ problems. Nursing process does not require research methods for diagnosis.
The primary use of the nursing process is in hospital patient care, not to establish nursing theory
or explain nursing interventions to other health care professionals.
COMPLEXITY: N/A CL: Understand (Comprehension)
SUBJECT: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care
Environment
4. A hospital patient admitted to the hospital for surgery tells the registered nurse, ―I do
not feel comfortable leaving my children with my parents.‖ Which action would the
registered nurse take next?
a. Reassure the hospital patient that these feelings are common for parents.
b. Have the hospital patient call the children to ensure that they are doing well.
c. Gather information on the hospital patient‘s concerns about the child care arrangements.
d. Call the hospital patient‘s parents to determine whether adequate child care
is being provided.
RIGHT CHOICE✔✔ C
Because a complete assessment is necessary in order to identify a problem and choose an
appropriate intervention, the registered nurse‘s first action should be to obtain more
information. The other actions may be appropriate, but more assessment is needed before the
best intervention can be chosen.
5. A hospital patient with a bacterial infection is hypovolemic due to a fever and excessive
diaphoresis. Which expected outcome would the registered nurse select for this hospital
patient?
a. Hospital patient has a balanced intake and output.
b. Hospital patient‘s bedding is kept clean and free of moisture.
c. Hospital patient understands the need for increased fluid intake.
d. Hospital patient‘s skin remains cool and dry throughout hospitalization.
RIGHT CHOICE✔✔ A
Balanced intake and output gives measurable data showing resolution of the problem of
deficient fluid volume. The other statements would not indicate that the problem of
hypovolemia was resolved.
6. Which statement describes the purpose of the evaluation phase of the nursing process?
a. To document the nursing care plan in the progress notes of the health record
b. To determine if interventions have been effective in meeting hospital patient outcomes
c. To decide whether the hospital patient‘s health problems have been completely resolved
d. To establish if the hospital patient agrees that the nursing care provided was satisfactory
, RIGHT CHOICE✔✔ B
Evaluation consists of determining whether the desired hospital patient outcomes have been
met and whether the nursing interventions were appropriate. The other responses do not
describe the evaluation phase.
COMPLEXITY: N/A CL: Understand (Comprehension)
SUBJECT: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care
Environment
7. Which statement describes the purpose of the assessment phase of the nursing process?
a. To teach interventions that relieve health problems
b. To use hospital patient data to evaluate hospital patient care outcomes
c. To obtain data to diagnose hospital patient strengths and problems
d. To help the hospital patient identify realistic outcomes for health problems
RIGHT CHOICE✔✔ C
During the assessment phase, the registered nurse gathers information about the hospital
patient to diagnose hospital patient strengths and problems. The other responses are examples
of the planning, intervention, and evaluation phases of the nursing process.
COMPLEXITY: N/A CL: Understand (Comprehension)
SUBJECT: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
8. When developing the plan of care, which components would the registered nurse include in
the clinical problem statement?
a. The problem and the suggested hospital patient goals or outcomes
b. The problem, its causes, and the signs and symptoms of the problem
c. The problem with the possible etiology and the planned interventions
d. The problem, its pathophysiology, and the expected outcome
RIGHT CHOICE✔✔ B
When writing clinical problems or nursing diagnoses, the subjective as well as objective data
to support the problem‘s existence should be included. Goals, outcomes, and interventions are
not included in the problem statement.
COMPLEXITY: N/A CL: Understand (Comprehension)
SUBJECT: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care
Environment
9. Which hospital patient care task would the registered nurse delegate to experienced assistive
personnel (AP)?
a. Instruct the hospital patient about the need to alternate activity and rest.
b. Monitor level of shortness of breath or fatigue after ambulation.
c. Obtain the hospital patient‘s blood pressure and pulse rate after ambulation.
d. Determine whether the hospital patient is ready to increase the activity level.
RIGHT CHOICE✔✔ C
AP education includes accurate vital sign measurement. Assessment and hospital patient
teaching require registered registered nurse education and scope of practice and cannot be
delegated.
COMPLEXITY: N/A CL: Apply (Application)
SUBJECT: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care
Environment
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