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Test Bank for Lewis's Medical-Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffrey Kwong, Debra Hagler chapter 1 69 A+

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Test Bank for Lewis's Medical-Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffrey Kwong, Debra Hagler chapter 1 69

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  • May 18, 2024
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  • Test bank for Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems 12th Edition by Marianne M. Harding, Jeffrey Kwong, Debra Hagler 9780323789615 Chapter 1-69 Complete Guid...
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Test Bank

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,Test Bank




Test Bank for Lewis's Medical-Surgical Nursing,
12th Edition by Mariann M. Harding, Jeffrey
Kwong, Debra Hagler

## 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**

,Test Bank

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?

, Test Bank

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 patients’ health care
needs.”

d. “The nursing process is based on nursing theory that incorporates the biopsychosocial nature of
humans.”



**ANS: C**



The nursing process is a problem-solving approach to the identification and treatment of patients’
problems. The nursing process does not require research methods for diagnosis. The primary use of the
nursing process is in patient care, not to establish nursing theory or explain nursing interventions to
other health care professionals.



**DIF:** Cognitive Level: Understand (Comprehension)

**TOP:** Nursing Process: Evaluation

**MSC:** NCLEX: Safe and Effective Care Environment



4. A patient admitted to the hospital for surgery tells the nurse, “I do not feel comfortable leaving my
children with my parents.” Which action would the nurse take next?

a. Reassure the patient that these feelings are common for parents.

b. Have the patient call the children to ensure that they are doing well.

c. Gather information on the patient’s concerns about the childcare arrangements.

d. Call the patient’s parents to determine whether adequate childcare is being provided.



**ANS: C**

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