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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 /COMPLETE GUIDE $22.99
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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 /COMPLETE GUIDE
2024-2025
,Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The caregiver completes an admission database and explains that the plan of care and
discharge goals will be developed with the client‗s input. The client asks, ―How is this
different from what the physician does?‖ Which response would the caregiver provide?
a. ―The role of the caregiver is to administer medications and other treatments
prescribed by your physician.‖
b. ―In addition to caring for you while you are sick, the caregivers will help you
plan to maintain your health.‖
c. ―The caregiver‗s job is to collect information and communicate any problems
that occur to the physician.‖
d. ―Caregivers perform many of the same procedures as the physician, but
caregivers are with the clients for a longer time than the physician.‖
CORRECT ANS:-: B
RATIONALE :->>The American Nurses Association (ANA) definition of nursing describes
the role of caregivers in promoting health. The other responses describe dependent and
collaborative functions of the nursing role but do not accurately describe the caregiver‗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 caregiver accurately describes the use of evidence-based practice (EBP)?
a. ―Client care is based on clinical judgment, experience, and traditions.‖
b. ―Data are analyzed later to show that the client outcomes are consistently met.‖
c. ―Research from all published articles are used as a guide for planning client care.‖
d. ―Recommendations are based on research, clinical expertise, and client
preferences.‖
CORRECT ANS:-: D
RATIONALE :->>Evidence-based practice (EBP) is the use of the best research-based
evidence combined with clinician expertise and consideration of client preferences. Clinical
judgment based on the caregiver‗s clinical experience is part of EBP, but clinical decision
making should also incorporate current research and research-based guidelines. Evaluation
of client 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 caregiver provides a clear explanation of the nursing process?
a. ―The nursing process is a research method of diagnosing the client‗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
clients‗ health care needs.‖
d. ―The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humcorrect ans:-.‖
CORRECT ANS:-: C
RATIONALE :->>The nursing process is a problem-solving approach to the identification
and treatment of clients‗ problems. Nursing process does not require research methods for
diagnosis. The primary use of the nursing process is in client 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 client admitted to the hospital for surgery tells the caregiver, ―I do not feel
comfortable leaving my children with my parents.‖ Which action would the
caregiver take next?
a. Reassure the client that these feelings are common for parents.
b. Have the client call the children to ensure that they are doing well.
c. Gather information on the client‗s concerns about the child care arrangements.
d. Call the client‗s parents to determine whether adequate child care is being
provided.
CORRECT ANS:-: C
RATIONALE :->>Because a complete assessment is necessary in order to identify a
problem and choose an appropriate intervention, the caregiver‗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 client with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
Which expected outcome would the caregiver select for this client?
a. Client has a balanced intake and output.
b. Client‗s bedding is kept clean and free of moisture.
c. Client understands the need for increased fluid intake.
d. Client‗s skin remains cool and dry throughout hospitalization.
CORRECT ANS:-: A
RATIONALE :->>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 client outcomes
c. To decide whether the client‗s health problems have been completely resolved
d. To establish if the client agrees that the nursing care provided was satisfactory
CORRECT ANS:-: B
, RATIONALE :->>Evaluation consists of determining whether the desired client outcomes
have been met and whether the nursing interventions were appropriate. The other responses
do not describe the evaluation phase.
DIF: Cognitive Level: Understand (Comprehension) TOP: 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 client data to evaluate client care outcomes
c. To obtain data to diagnose client strengths and problems
d. To help the client identify realistic outcomes for health problems
CORRECT ANS:-: C
RATIONALE :->>During the assessment phase, the caregiver gathers information about the
client to diagnose client strengths and problems. The other responses are examples of the
planning, intervention, and evaluation phases of the nursing process.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
8. When developing the plan of care, which components would the caregiver include in the
clinical problem statement?
a. The problem and the suggested client 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
CORRECT ANS:-: B
RATIONALE :->>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.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Diagnosis
MSC: NCLEX: Safe and Effective Care Environment
9. Which client care task would the caregiver delegate to experienced assistive personnel (AP)?
a. Instruct the client about the need to alternate activity and rest.
b. Monitor level of shortness of breath or fatigue after ambulation.
c. Obtain the client‗s blood pressure and pulse rate after ambulation.
d. Determine whether the client is ready to increase the activity level.
CORRECT ANS:-: C
RATIONALE :->>AP education includes accurate vital sign measurement. Assessment and
client teaching require registered caregiver education and scope of practice and cannot be
delegated.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
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