TEST BANK
Lewis's Medical Surgical Nursing in Canada,
4th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
TEST BANK
Lewis's Medical Surgical Nursing in Canada,
4th Edition by Jane Tyerman, Shelley Cobbett
Chapters 1 - 72 Complete
TEST BANK
Lewis's Medical Surgica...
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis:
IIll IIll IIll IIll IIll IIll IIll IIll IIll
Medical-Surgical Nursing in Canada, 4th Canadian Edition
IIll IIll IIll IIll IIll IIll IIll
MULTIPLE CHOICE IIll
1. When caring for clients using evidence-informed practice, which of the following does the
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nurse use?
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a. Clinical judgement based on experience IIll IIll IIll IIll
b. Evidence from a clinical research study IIll IIll IIll IIll IIll
c. The best available evidence to guide clinical expertise
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d. Evaluation of data showing that the client outcomes are met IIll IIll IIll IIll IIll IIll IIll IIll IIll
CORRECT ANSWER: IIll
C I I l l
Evidence-informed nursing practice is a continuous interactive process involving the explicit, IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
conscientious, and judicious consideration of the best available evidence to provide care. Four
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primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
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actions; (c) best research evidence; and (d) health care resources. Clinical judgement based on
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the nurse’s clinical experience is part of EIP, but clinical decision making also should
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incorporate current research and research-based guidelines. Evidence from one clinical
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research study does not provide an adequate substantiation for interventions. Evaluation of
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client outcomes is important, but interventions should be based on research from
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randomized control studies with a large number of subjects.
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DIF: Cognitive Level: Comprehension IIll IIll TOP: I I l l Nursing Process: Planning IIll IIll
2. Which of the following best e x p l a i n s t h e n u r s e s ’ pr imary use of the nursing process
when
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N R I G B. C M
I Il l IIll IIll IIll IIl l IIll IIll I I ll IIll IIll IIll
providing care to clients? USNT O IIll IIll IIll Il Il Il
a. To explain nursing interventions to other health care professionals
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b. As a problem-solving tool to identify and treat clients’ health care needs
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c. As a scientific-based process of diagnosing the client’s health care problems
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d. To establish nursing theory that incorporates the biopsychosocial nature of humans
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CORRECT ANSWER: IIll I I l l B
The nursing process is an assertive problem-solving approach to the identification and
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treatment of clients’ problems. Diagnosis is only one phase of the nursing process. The
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primary use of the nursing process is in client care, not to establish nursing theory or explain
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nursing interventions to other health care professionals.
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DIF: Cognitive Level: Comprehension IIll IIll TOP: I I l l Nursing Process: Implementation IIll IIll
3. The nurse is caring for a critically ill client in the intensive care unit and plans an every 2-
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hour turning schedule to prevent skin breakdown. Which type of nursing function is
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demonstrated with this turning schedule?
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a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ANSWER: IIll I I l l D
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