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TEST BANK For -Lewis Medical Surgical Nursing, 12th Edition by Mariann M. Harding , Verified Chapters 1 - 69, Complete Newest Version|complete guide | latest update2024|25.$17.99
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TEST BANK For -Lewis Medical Surgical Nursing, 12th Edition by Mariann M. Harding , Verified Chapters 1 - 69, Complete Newest Version|complete guide | latest update2024|25.
TEST BANK For -Lewis Medical Surgical Nursing, 12th Edition by Mariann M. Harding , Verified Chapters 1 - 69, Complete Newest Version|complete guide | latest update2024|25.TEST BANK For -Lewis Medical Surgical Nursing, 12th Edition by Mariann M. Harding , Verified Chapters 1 - 69, Complete Newest V...
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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MULTIPLE CHOICE ikr
1. The nurse completes an admission database and explains that the plan of care and
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discharge goals will be developed with the patient‗s input. The patient asks, ―How is this
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different fromwhat the physician does?‖ Which response would the nurse provide?
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a. ―The role of the nurse is to administer medications and other treatments
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prescribedby your physician.‖
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b. ―In addition to caring for you while you are sick, the nurses will help you plan
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tomaintain your health.‖
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c. ―The nurse‗s job is to collect information and communicate anyproblems
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thatoccur to the physician.‖
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d. ―Nurses perform many of the same procedures as the physician, but nurses are ikr ikr ikr ikr ikr ikr ikr ikr ikr ikr ikr ikr
with the patients for a longer time than the physician.‖
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ANS: B ikr
The American Nurses Association (ANA) definition of nursing describes the role of nurses
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in promoting health. The other responses describe dependent and collaborative functions
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of the nursing role but do not accurately describe the nurse‗s unique role in the health
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care system.
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DIF: i k r Cognitive Level: Analyze (Analysis) ikr ikr ikr
TOP: i k r Nursing Process: Implementation ikr ikr ikr ikr ikr ikr i k r MSC: i k r NCLEX: Safe and Effective Care Environment ikr ikr ikr ikr ikr
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
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a. ―Patient care is based on clinical judgment, experience, and traditions.‖ ikr ikr ikr ikr ikr ikr ikr ikr ikr
b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
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c. ―Research from all published articles are used as a guide for planning patient care.‖ ikr ikr ikr ikr ikr ikr ikr ikr ikr ikr ikr ikr ikr
d. ―Recommendations are based on research, clinical expertise, and patient ikr ikr ikr ikr ikr ikr ikr ikr
ikr preferences.‖
ANS: D ikr
Evidence-based practice (EBP) is the use of the best research-based evidence combined ikr ikr ikr ikr ikr ikr ikr ikr ikr ikr ikr
withclinician expertise and consideration of patient preferences. Clinical judgment based
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on the nurse‗s clinical experience is part of EBP, but clinical decision making should also
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incorporate current research and research-based guidelines. Evaluation of patient outcomes
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isimportant, but data analysis is not required to use EBP. All published articles do not
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provide research evidence; interventions should be based on credible research, preferably
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randomizedcontrolled studies with a large number of subjects.
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DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: ikr ikr ikr i k r ikr
PlanningMSC: NCLEX: Safe and Effective Care Environment
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3. Which statement by the nurse provides a clear explanation of the nursing process?
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a. ―The nursing process is a research method of diagnosing the patient‗s health
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careproblems.‖ ikr ikr
b. ―The nursing process is used primarily to explain nursing interventions to
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otherhealth care professionals.‖
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c. ―The nursing process is a problem-solving tool used to identify and manage the
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, patients‗ health care needs.‖ ikr ikr ikr
d. ―The nursing process is based on nursing theory that incorporates
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thebiopsychosocial nature of humans.‖
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ANS: C ikr
The nursing process is a problem-solving approach to the identification and treatment of
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patients‗ problems. Nursing process does not require research methods for diagnosis. The
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primary use of the nursing process is in patient care, not to establish nursing theory or
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explainnursing interventions to other health care professionals.
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DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: ikr ikr ikr i k r ikr
EvaluationMSC: NCLEX: Safe and Effective Care Environment
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4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel
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comfortableleaving my children with my parents.‖ Which action would the nurse
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take next?
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a. Reassure the patient that these feelings are common for parents. ikr ikr ikr ikr ikr ikr ikr ikr ikr
b. Have the patient call the children to ensure that they are doing well.
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c. Gather information on the patient‗s concerns about the child care arrangements.
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d. Call the patient‗s parents to determine whether adequate child care is
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beingprovided.ikr ikr
ANS: C ikr
Because a complete assessment is necessary in order to identify a problem and choose an
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appropriate intervention, the nurse‗s first action should be to obtain more information.
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The other actions may be appropriate, but more assessment is needed before the best
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TOP: Nursing Process: Assessment
i k MSC: NCLEX: Safe and Effective Care Environment
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8. When developing the plan of care, which components would the nurse include in the
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clinicalproblem statement?
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a. The problem and the suggested patient goals or outcomes
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b. The problem, its causes, and the signs and symptoms of the problem
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c. The problem with the possible etiology and the planned interventions
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d. The problem, its pathophysiology, and the expected outcome
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ANS: B ikr
When writing clinical problems or nursing diagnoses, the subjective as well as objective
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data to support the problem‗s existence should be included. Goals, outcomes, and
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interventions arenot included in the problem statement.
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DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: ikr ikr ikr i k r ikr
DiagnosisMSC: NCLEX: Safe and Effective Care Environment
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9. Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
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a. Instruct the patient about the need to alternate activity and rest. ikr ikr ikr ikr ikr ikr ikr ikr ikr ikr
b. Monitor level of shortness of breath or fatigue after ambulation. ikr ikr ikr ikr ikr ikr ikr ikr ikr
c. Obtain the patient‗s blood pressure and pulse rate after ambulation.
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d. Determine whether the patient is ready to increase the activity level. ikr ikr ikr ikr ikr ikr ikr ikr ikr ikr
ANS: C ikr
AP education includes accurate vital sign measurement. Assessment and patient
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teachingrequire registered nurse education and scope of practice and cannot be delegated.
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DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: ikr ikr ikr i k r ikr
PlanningMSC: NCLEX: Safe and Effective Care Environment
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