TEST BANK FOR LEWIS'S MEDICAL-SURGICAL NURSING
ASSESSMENT ANDMANAGEMENT OF CLINICAL PROBLEMS
12TH EDITION BY HARDING & KWONG
Chapter01:.,Professional Nursing io
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. ―Theroleofthenurse.,is .,to .,administermedications .,and .,othertreatments .,prescribed
.,by ., your .,physician.‖
b. ―In .,addition .,to .,caring for .,you .,while . , you .,aresick, .,thenurses .,will .,help ., you
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.,plan .,to .,maintain ., your .,health.‖
c. ―Thenurse‗s.,job is .,to collect.,informationand communicate anyproblems .,that
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.,occur .,to .,the .,physician.‖
d. ―Nurses .,perform .,manyof .,the same procedures .,as .,the .,physician, .,but .,nurses
.,are .,with .,the .,patients ., for .,a .,longer .,time .,than .,the .,physician.‖
ANS: ., B
The .,American .,Nurses .,Association .,(ANA) .,definition .,of .,nursing .,describes .,the .,role .,of
.,nurses .,inpromoting .,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
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.,Environment
2. Which .,statement .,bythe .,nurse .,accuratelydescribes . , the .,use .,of .,evidence-based ., practice .,(EBP)?
a. ―Patient .,care .,is .,based .,on .,clinical .,judgment, .,experience, .,and .,traditions.‖
b. ―Data .,areanalyzed .,later .,to .,show that .,thepatient .,outcomes .,areconsistentlymet.‖
c. ―Research .,from .,all .,published .,articles .,are .,used .,as .,a .,guide .,forplanning patient .,care.‖
d. ―Recommendations .,arebased on research, .,clinical .,expertise,.,and patient io
.,preferences.‖
ANS: ., D
Evidence-based .,practice .,(EBP) .,is .,the .,use .,of .,the .,best .,research-based .,evidence
.,combined .,withclinician .,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 .,isimportant, .,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 .,randomizedcontrolled
.,studies .,with .,a .,large .,number .,of .,subjects.
DIF: Cognitive .,Level: .,Understand .,(Comprehension) TOP:
. , NursingProcess:.,PlanningMSC: ., ., . , NCLEX: ., Safe .,and ., Effective ., Care .,Environment
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3. Which .,statement .,bythe .,nurse .,provides .,a .,clear .,explanation .,of .,the .,nursing .,process?
a. ―Thenursingprocess .,is .,a .,research .,method .,ofdiagnosing the.,patient‗s .,health .,care
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,.,problems.‖
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,b. ―Thenursing process .,is used .,primarilyto .,explain nursing interventions .,to
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.,other .,health .,care .,professionals.‖
c. ―Thenursing process .,is .,a .,problem-solving tool .,used to .,identifyand .,manage .,the
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, patients‗ .,health .,care .,needs.‖
d. ―Thenursing process .,is based .,on .,nursingtheorythat incorporates the
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.,biopsychosocial ., nature .,of .,humans.‖
ANS: ., C
The .,nursing .,process .,is .,a .,problem-solving .,approach .,to .,the .,identification .,and .,treatment
.,of .,patients‗ .,problems. .,Nursing .,process ., does .,not .,require .,research .,methods .,for
.,diagnosis. .,The.,primaryuse .,of .,the .,nursing .,process .,is .,in .,patient .,care, .,not .,to .,establish
.,nursing .,theoryor .,explainnursing .,interventions .,to .,other .,health .,care .,professionals.
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DIF: Cognitive .,Level: .,Understand .,(Comprehension) TOP: . , Nursing
.,Process:.,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
.,comfortableleaving .,my .,children .,with .,my .,parents.‖ .,Which .,action .,would .,the
.,nurse.,take ., next?
a. Reassurethe .,patient .,that .,these .,feelings .,are .,common .,for .,parents.
b. Have .,the .,patient .,call ., the .,children .,to .,ensure .,that .,theyare .,doing .,well.
c. Gatherinformation .,on .,the .,patient‗s .,concerns .,about .,thechild .,carearrangements.
d. Call .,the .,patient‗s .,parents .,to .,determine .,whether .,adequate .,child
.,careis.,beingprovided.
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ANS: ., C
Because .,a .,complete .,assessment .,is .,necessary .,in .,order .,to .,identify .,a .,problem .,and
.,choose .,an .,appropriate .,intervention, ., the .,nurse‗s .,first .,action .,should .,be .,to .,obtain
.,more .,information. .,The.,other .,actions .,maybe .,appropriate, .,but .,more .,assessment .,is
.,needed .,before .,the .,best .,interventioncan .,be .,chosen.
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DIF: Cognitive .,Level: .,Analyze .,(Analysis)
TOP: Nursing.,Process: .,Assessment MSC: ., NCLEX: .,Psychosocial .,Integrity
5. A .,patient .,with .,a .,bacterial ., infection .,is .,hypovolemic ., due .,to .,a .,fever .,and
.,excessive.,diaphoresis.Which .,expected .,outcome .,would .,the .,nurse .,select
., for .,this .,patient?
a. Patient .,has .,abalanced .,intake .,and .,output.
b. Patient‗s .,beddingis .,kept .,clean .,and .,freeof .,moisture.
c. Patient .,understands .,the .,need .,forincreased .,fluid .,intake.
d. Patient‗s ., skin . , remains . , cool . , and . , dry .,throughout . , hospitalization.
ANS: ., A
Balanced .,intake .,and .,output .,gives .,measurable .,data .,showingresolution .,of .,the .,problem
.,ofdeficient .,fluid .,volume. .,The .,other .,statements .,would .,not .,indicate .,that .,the .,problem
.,of.,hypovolemia .,was ., resolved.
DIF: Cognitive .,Level: .,Apply .,(Application) TOP: ., .,
.,Nursing Process: .,PlanningMSC: ., ., . , NCLEX: ., Physiological ., Integrity
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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 .,meetingpatient .,outcomes
c. To .,decide .,whether .,the .,patient‗s .,health .,problems .,have .,been .,completelyresolved
d. To .,establish .,if .,the .,patient .,agrees .,that .,the .,nursing .,care .,provided .,was .,satisfactory
ANS: ., B
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