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TEST BANK for Lewis's Medical-Surgical Nursing Assessment and Management of Clinical Problems 12th Edition By Harding & Kwong
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TEST BANK for Lewis's Medical-Surgical Nursing Assessment and Management of Clinical Problems 12th Edition By Harding & Kwong

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  • November 21, 2024
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Test Bank for Lewis\'s Medical-Surgical Nursing,
12thsEdition by Mariann . Harding, Jeffrey Kwong,
DebrasHagler Chapter 1-69

,Chapter ss01: ssProfessional ssNursing
Harding: s s Lewis’s s s Medical-Surgical s s Nursing, s s 12th s s Edition


MULTIPLE ssCHOICE

1. The ssnurse sscompletes ssan ssadmission ssdatabase ssand ssexplains ssthat ssthe ssplan ssof sscare
ssand ssdischarge sgoals sswill ssbe ssdeveloped sswith ssthe sspatient‗s ssinput. ssThe sspatient ssasks,
ss―How ssis ssthis ssdifferent ssfrom swhat ssthe ssphysician ssdoes?‖ ssWhich ssresponse sswould
ssthe ssnurse ssprovide?
a. ―The ssrole ssof ssthe ssnurse ssis ssto ssadminister ssmedications ssand ssother sstreatments
ssprescribedsby ssyour ssphysician.‖
b. ―In ssaddition ssto sscaring ssfor ssyou sswhile ssyou ssare sssick, ssthe ssnurses sswill sshelp
ssyou ssplan sstosmaintain ssyour sshealth.‖
c. ―The ssnurse‗s ssjob ssis ssto sscollect ssinformation ssand sscommunicate ssany
ssproblems ssthatsoccur ssto ssthe ssphysician.‖
d. ―Nurses ssperform ssmany ssof ssthe sssame ssprocedures ssas ssthe ssphysician, ssbut
ssnurses ssare sswith ssthe sspatients ssfor ssa sslonger sstime ssthan ssthe
ssphysician.‖

ANS: ss B
The ssAmerican ssNurses ssAssociation ss(ANA) ssdefinition ssof ssnursing ssdescribes ssthe ssrole
ssof ssnurses ssin spromoting sshealth. ssThe ssother ssresponses ssdescribe ssdependent ssand
sscollaborative ssfunctions ssof ssthe ssnursing ssrole ssbut ssdo ssnot ssaccurately ssdescribe ssthe
ssnurse‗s ssunique ssrole ssin ssthe sshealth sscare sssystem.


DIF: s s Cognitive ssLevel: ssAnalyze ss(Analysis)
TOP: s s Nursing ssProcess: ssImplementation ss ss ss ss s s MSC: s s NCLEX: ssSafe ssand ssEffective ssCare
ssEnvironment


2. Which ssstatement ssby ssthe ssnurse ssaccurately ssdescribes ssthe ssuse ssof ssevidence-based sspractice
ss(EBP)?
a. ―Patient sscare ssis ssbased sson ssclinical ssjudgment, ssexperience, ssand sstraditions.‖
b. ―Data ssare ssanalyzed sslater ssto ssshow ssthat ssthe sspatient ssoutcomes ssare ssconsistently ssmet.‖
c. ―Research ssfrom ssall sspublished ssarticles ssare ssused ssas ssa ssguide ssfor ssplanning sspatient
sscare.‖
d. ―Recommendations ssare ssbased sson ssresearch, ssclinical ssexpertise, ssand
sspatient sspreferences.‖

ANS: ss D
Evidence-based sspractice ss(EBP) ssis ssthe ssuse ssof ssthe ssbest ssresearch-based ssevidence
sscombined sswithsclinician ssexpertise ssand ssconsideration ssof sspatient sspreferences. ssClinical
ssjudgment ssbased sson ssthe ssnurse‗s ssclinical ssexperience ssis sspart ssof ssEBP, ssbut ssclinical
ssdecision ssmaking ssshould ssalso ssincorporate sscurrent ssresearch ssand ssresearch-based
ssguidelines. ssEvaluation ssof sspatient ssoutcomes ssissimportant, ssbut ssdata ssanalysis ssis ssnot
ssrequired ssto ssuse ssEBP. ssAll sspublished ssarticles ssdo ssnot ssprovide ssresearch ssevidence;
ssinterventions ssshould ssbe ssbased sson sscredible ssresearch, sspreferably ssrandomizedscontrolled
ssstudies sswith ssa sslarge ssnumber ssof sssubjects.


DIF: Cognitive ssLevel: ssUnderstand ss(Comprehension) TOP: s s Nursing ssProcess:
ssPlanningsMSC: s s NCLEX: ssSafe ssand ssEffective ssCare ssEnvironment


3. Which ssstatement ssby ssthe ssnurse ssprovides ssa ssclear ssexplanation ssof ssthe ssnursing ssprocess?
a. ―The ssnursing ssprocess ssis ssa ssresearch ssmethod ssof ssdiagnosing ssthe sspatient‗s
sshealth sscaresproblems.‖
b. ―The ssnursing ssprocess ssis ssused ssprimarily ssto ssexplain ssnursing ssinterventions
ssto ssothershealth sscare ssprofessionals.‖
c. ―The ssnursing ssprocess ssis ssa ssproblem-solving sstool ssused ssto ssidentify ssand ssmanage ssthe

, patients‗ sshealth sscare ssneeds.‖
d. ―The ssnursing ssprocess ssis ssbased sson ssnursing sstheory ssthat
ssincorporates ssthesbiopsychosocial ssnature ssof sshumans.‖

ANS: ss C
The ssnursing ssprocess ssis ssa ssproblem-solving ssapproach ssto ssthe ssidentification ssand
sstreatment ssof sspatients‗ ssproblems. ssNursing ssprocess ssdoes ssnot ssrequire ssresearch
ssmethods ssfor ssdiagnosis. ssThe ssprimary ssuse ssof ssthe ssnursing ssprocess ssis ssin sspatient
sscare, ssnot ssto ssestablish ssnursing sstheory ssor ssexplainsnursing ssinterventions ssto ssother
sshealth sscare ssprofessionals.


DIF: Cognitive ssLevel: ssUnderstand ss(Comprehension) TOP: s s Nursing ssProcess:
ssEvaluationsMSC: s s NCLEX: ssSafe ssand ssEffective ssCare ssEnvironment


4. A sspatient ssadmitted ssto ssthe sshospital ssfor sssurgery sstells ssthe ssnurse, ss―I ssdo ssnot ssfeel
sscomfortablesleaving ssmy sschildren sswith ssmy ssparents.‖ ssWhich ssaction sswould
ssthe ssnurse sstake ssnext?
a. Reassure ssthe sspatient ssthat ssthese ssfeelings ssare sscommon ssfor ssparents.
b. Have ssthe sspatient sscall ssthe sschildren ssto ssensure ssthat ssthey ssare ssdoing sswell.
c. Gather ssinformation sson ssthe sspatient‗s ssconcerns ssabout ssthe sschild sscare ssarrangements.
d. Call ssthe sspatient‗s ssparents ssto ssdetermine sswhether ssadequate sschild
sscare ssis ssbeingsprovided.

ANS: ss C
Because ssa sscomplete ssassessment ssis ssnecessary ssin ssorder ssto ssidentify ssa ssproblem ssand
sschoose ssan ssappropriate ssintervention, ssthe ssnurse‗s ssfirst ssaction ssshould ssbe ssto ssobtain
ssmore ssinformation. ssThe ssother ssactions ssmay ssbe ssappropriate, ssbut ssmore ssassessment ssis
ssneeded ssbefore ssthe ssbest ssinterventionscan ssbe sschosen.


DIF: Cognitive ssLevel: ssAnalyze ss(Analysis)
TOP: s s Nursing ssProcess: ssAssessment MSC: s s NCLEX: ssPsychosocial ssIntegrity


5. A sspatient sswith ssa ssbacterial ssinfection ssis sshypovolemic ssdue ssto ssa ssfever ssand
ssexcessive ssdiaphoresis.sWhich ssexpected ssoutcome sswould ssthe ssnurse ssselect ssfor ssthis
sspatient?
a. Patient sshas ssa ssbalanced ssintake ssand ssoutput.
b. Patient‗s ssbedding ssis sskept ssclean ssand ssfree ssof ssmoisture.
c. Patient ssunderstands ssthe ssneed ssfor ssincreased ssfluid ssintake.
d. Patient‗s ssskin ssremains sscool ssand ssdry ssthroughout sshospitalization.
ANS: ss A
Balanced ssintake ssand ssoutput ssgives ssmeasurable ssdata ssshowing ssresolution ssof ssthe
ssproblem ssofsdeficient ssfluid ssvolume. ssThe ssother ssstatements sswould ssnot ssindicate ssthat
ssthe ssproblem ssof sshypovolemia sswas ssresolved.


DIF: Cognitive ssLevel: ssApply ss(Application) TOP: s s Nursing ssProcess:
ssPlanningsMSC: s s NCLEX: ssPhysiological ssIntegrity


6. Which ssstatement ssdescribes ssthe sspurpose ssof ssthe ssevaluation ssphase ssof ssthe ssnursing
ssprocess?
a. To ssdocument ssthe ssnursing sscare ssplan ssin ssthe ssprogress ssnotes ssof ssthe sshealth ssrecord
b. To ssdetermine ssif ssinterventions sshave ssbeen sseffective ssin ssmeeting sspatient ssoutcomes
c. To ssdecide sswhether ssthe sspatient‗s sshealth ssproblems sshave ssbeen sscompletely ssresolved
d. To ssestablish ssif ssthe sspatient ssagrees ssthat ssthe ssnursing sscare ssprovided sswas sssatisfactory
ANS: ss B

, Evaluation ssconsists ssof ssdetermining sswhether ssthe ssdesired sspatient ssoutcomes sshave
ssbeen ssmet ssand swhether ssthe ssnursing ssinterventions sswere ssappropriate. ssThe ssother
ssresponses ssdo ssnot ssdescribe ssthesevaluation ssphase.


DIF: ss ss s s Cognitive ssLevel: ssUnderstand ss(Comprehension) TOP: s s Nursing ssProcess:
ssEvaluationsMSC: s s NCLEX: ssSafe ssand ssEffective ssCare ssEnvironment


7. Which ssstatement ssdescribes ssthe sspurpose ssof ssthe ssassessment ssphase ssof ssthe ssnursing
ssprocess?
a. To ssteach ssinterventions ssthat ssrelieve sshealth ssproblems
b. To ssuse sspatient ssdata ssto ssevaluate sspatient sscare ssoutcomes
c. To ssobtain ssdata ssto ssdiagnose sspatient ssstrengths ssand ssproblems
d. To sshelp ssthe sspatient ssidentify ssrealistic ssoutcomes ssfor sshealth ssproblems
ANS: ss C
During ssthe ssassessment ssphase, ssthe ssnurse ssgathers ssinformation ssabout ssthe sspatient ssto
ssdiagnosespatient ssstrengths ssand ssproblems. ssThe ssother ssresponses ssare ssexamples ssof ssthe
ssplanning, ssintervention, ssand ssevaluation ssphases ssof ssthe ssnursing ssprocess.


DIF: Cognitive ssLevel: ssUnderstand ss(Comprehension)
TOP: s s Nursing ssProcess: ssAssessment MSC: s s NCLEX: ssSafe ssand ssEffective ssCare ssEnvironment

8. When ssdeveloping ssthe ssplan ssof sscare, sswhich sscomponents sswould ssthe ssnurse ssinclude ssin
ssthe ssclinicalsproblem ssstatement?
a. The ssproblem ssand ssthe sssuggested sspatient ssgoals ssor ssoutcomes
b. The ssproblem, ssits sscauses, ssand ssthe sssigns ssand sssymptoms ssof ssthe ssproblem
c. The ssproblem sswith ssthe sspossible ssetiology ssand ssthe ssplanned ssinterventions
d. The ssproblem, ssits sspathophysiology, ssand ssthe ssexpected ssoutcome
ANS: ss B
When sswriting ssclinical ssproblems ssor ssnursing ssdiagnoses, ssthe sssubjective ssas sswell ssas
ssobjective ssdata ssto sssupport ssthe ssproblem‗s ssexistence ssshould ssbe ssincluded. ssGoals,
ssoutcomes, ssand ssinterventions ssaresnot ssincluded ssin ssthe ssproblem ssstatement.


DIF: Cognitive ssLevel: ssUnderstand ss(Comprehension) TOP: s s Nursing ssProcess:
ssDiagnosissMSC: s s NCLEX: ssSafe ssand ssEffective ssCare ssEnvironment


9. Which sspatient sscare sstask sswould ssthe ssnurse ssdelegate ssto ssexperienced ssassistive sspersonnel
ss(AP)?
a. Instruct ssthe sspatient ssabout ssthe ssneed ssto ssalternate ssactivity ssand ssrest.
b. Monitor sslevel ssof ssshortness ssof ssbreath ssor ssfatigue ssafter ssambulation.
c. Obtain ssthe sspatient‗s ssblood sspressure ssand sspulse ssrate ssafter ssambulation.
d. Determine sswhether ssthe sspatient ssis ssready ssto ssincrease ssthe ssactivity sslevel.
ANS: ss C
AP sseducation ssincludes ssaccurate ssvital sssign ssmeasurement. ssAssessment ssand sspatient
ssteachingsrequire ssregistered ssnurse sseducation ssand ssscope ssof sspractice ssand sscannot ssbe
ssdelegated.


DIF: Cognitive ssLevel: ssApply ss(Application) TOP: s s Nursing ssProcess:
ssPlanningsMSC: s s NCLEX: ssSafe ssand ssEffective ssCare ssEnvironment

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