Exam (elaborations)

Test Bank for Medical-Surgical Nursing in Canada 3rd Edition

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University Of Toronto (U Of T )

Test Bank for Medical-Surgical Nursing in Canada 3rd Edition NCLEX (Test Bank I) Chapter 1: Contemporary Nursing Practice Test Bank MULTIPLE CHOICE 1. The nurse has admitted a patient with a new diagnosis of pneumonia and explained to the patient that together they will plan the patient’s ...

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Test Bank for Medical-Surgical Nursing in
Canada 3rd Edition Lewis

, NCLEX (Test Bank I)
Chapter 1: Contemporary Nursing Practice
Test Bank

MULTIPLE CHOICE

1. The nurse has admitted a patient with a new diagnosis of pneumonia and explained to the
patient that together they will plan the patient’s care and set goals for discharge. The patient
says, “How is that different from what the doctor does?” Which response by the nurse is most
appropriate?
a. “The role of the nurse is to administer medications and other treatments prescribed
by your doctor.”
b. “The nurse’s job is to help the doctor by collecting data and communicating when
there are problems.”
c. “Nurses perform many of the procedures done by physicians, but nurses are here in
the hospital for a longer time than doctors.”
d. “In addition to caring for you while you are sick, the nurses will assist you to
develop an individualized plan to maintain your health.”
ANS: D
This response is consistent with the American Nurses Association (ANA) definition of
nursing, which describes the role of nurses in promoting health. The other responses describe
some of the dependent and collaborative functions of the nursing role but do not accurately
describe the nurse’s role in the health care system.

DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment

2. When providing patient care using evidence-based practice, the nurse uses
a. clinical judgment based on experience.
b. evidence from a clinical research study.
c. evidence-based guidelines in addition to clinical expertise.
d. evaluation of data showing that the patient outcomes are met.
ANS: C
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise. Clinical judgment based on the nurse’s clinical experience is part of EBP,
but clinical decision making also should incorporate current research and research-based
guidelines. Evidence from one clinical research study does not provide an adequate
substantiation for interventions. Evaluation of patient outcomes is important, but interventions
should be based on research from randomized control studies with a large number of subjects.

DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment

3. The nurse primarily uses the nursing process in the care of patients
a. to explain nursing interventions to other health care professionals
b. as a problem-solving tool to identify and treat patients’ health care needs

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