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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.$16.49
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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.
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
u u u u u
MULTIPLE CHOICE u
1. The nurse completes an admission database and explains that the plan of care and discharge go
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als will be developed with the patient‗s input. The patient asks, ―How is this different from what
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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 prescribed by
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your physician.‖ u
b. ―In addition to caring for you while you are sick, the nurses will help you plan to ma
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intain your health.‖ u u
c. ―The nurse‗s job is to collect information and communicate any problems that oc
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cur to the physician.‖ u u u
d. ―Nurses perform many of the same procedures as the physician, but nurses are wit
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h the patients for a longer time than the physician.‖
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ANS: B u
The American Nurses Association (ANA) definition of nursing describes the role of nurses in pr
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omoting health. The other responses describe dependent and collaborative functions of the nur
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sing role but do not accurately describe the nurse‗s unique role in the health care system.
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DIF: Cognitive Level: Analyze (Analysis)
u u u u u
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
u u u u u u u u u u u u
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.‖
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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.‖
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d. ―Recommendations are based on research, clinical expertise, and patient pr u u u u u u u u u
eferences.‖
ANS: D u
Evidence-based practice (EBP) is the use of the best research- u u u u u u u u u
based evidence combined with clinician expertise and consideration of patient preferences. Cli
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nical judgment based on the nurse‗s clinical experience is part of EBP, but clinical decision ma
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king should also incorporate current research and research-
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based guidelines. Evaluation of patient outcomes is important, but data analysis is not required t
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o use EBP. All published articles do not provide research evidence; interventions should be base
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d on credible research, preferably randomized controlled studies with a large number of subject
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s.
DIF: Cognitive Level: Understand (Comprehension) u u u
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
u u u u u u u u u u
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 care pro
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blems.‖
b. ―The nursing process is used primarily to explain nursing interventions to other hea
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lth care professionals.‖
u u
c. ―The nursing process is a problem-solving tool used to identify and manage the
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, patients‗ health care needs.‖ u u u
d. ―The nursing process is based on nursing theory that incorporates the bi
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opsychosocial nature of humans.‖ u u u
ANS: C u
The nursing process is a problem-
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solving approach to the identification and treatment of patients‗ problems. Nursing process doe
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s not require research methods for diagnosis. The primary use of the nursing process is in patient
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care, not to establish nursing theory or explain nursing interventions to other health care profess
u u u u u u u u u u u u u u
ionals.
DIF: Cognitive Level: Understand (Comprehension) u u u
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
u u u u u u u u u u
4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel comfortable le
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aving my children with my parents.‖ Which action would the nurse take next?
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a. Reassure the patient that these feelings are common for parents. u u u u u u u u u
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 being pr
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ovided.
ANS: C u
Because a complete assessment is necessary in order to identify a problem and choose an appro
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priate intervention, the nurse‗s first action should be to obtain more information. The other acti
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ons may be appropriate, but more assessment is needed before the best intervention can be chose
u u u u u u u u u u u u u u u
n.
DIF: Cognitive Level: Analyze (Analysis) u u u
TOP: Nursing Process: Assessment
u MSC: NCLEX: Psychosocial Integrity u u u u u
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis. W
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hich expected outcome would the nurse select for this patient?
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a. Patient has a balanced intake and output. u u u u u u
b. Patient‗s bedding is kept clean and free of moisture. u u u u u u u u
c. Patient understands the need for increased fluid intake.
u u u u u u u
d. Patient‗s skin remains cool and dry throughout hospitalization.u u u u u u u
ANS: A u
Balanced intake and output gives measurable data showing resolution of the problem of deficien
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t fluid volume. The other statements would not indicate that the problem of hypovolemia was re
u u u u u u u u u u u u u u u
solved.
DIF: Cognitive Level: Apply (Application) u u u
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
u u u u u u u
6. Which statement describes the purpose of the evaluation phase of the nursing process?
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a. To document the nursing care plan in the progress notes of the health record
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b. To determine if interventions have been effective in meeting patient outcomes
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c. To decide whether the patient‗s health problems have been completely resolved
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d. To establish if the patient agrees that the nursing care provided was satisfactory
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ANS: B u
, Evaluation consists of determining whether the desired patient outcomes have been met and w
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hether the nursing interventions were appropriate. The other responses do not describe the eva
u u u u u u u u u u u u u
luation phase. u
DIF: Cognitive Level: Understand (Comprehension) u u u
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
u u u u u u u u u u
7. Which statement describes the purpose of the assessment phase of the nursing process?
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a. To teach interventions that relieve health problems
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b. To use patient data to evaluate patient care outcomes
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c. To obtain data to diagnose patient strengths and problems
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d. To help the patient identify realistic outcomes for health problems
u u u u u u u u u
ANS: C u
During the assessment phase, the nurse gathers information about the patient to diagnose patient
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strengths and problems. The other responses are examples of the planning, intervention, and ev
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aluation phases of the nursing process.
u u u u u
DIF: Cognitive Level: Understand (Comprehension) u u u
TOP: Nursing Process: Assessment
u MSC: NCLEX: Safe and Effective Care Environment
u u u u u u u u
8. When developing the plan of care, which components would the nurse include in the clinical pr
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oblem statement?
u
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 u
When writing clinical problems or nursing diagnoses, the subjective as well as objective data to
u u u u u u u u u u u u u u u
support the problem‗s existence should be included. Goals, outcomes, and interventions are not i
u u u u u u u u u u u u u
ncluded in the problem statement.
u u u u
DIF: Cognitive Level: Understand (Comprehension) u u u
TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care Environment
u u u u u u u u u u
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.
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b. Monitor level of shortness of breath or fatigue after ambulation.
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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.
u u u u u u u u u u
ANS: C u
AP education includes accurate vital sign measurement. Assessment and patient teaching requir
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e registered nurse education and scope of practice and cannot be delegated.
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DIF: Cognitive Level: Apply (Application) u u u
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
u u u u u u u u u u
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