,Chapter b01: bProfessional bNursing bPractice
Lewis: bMedical-Surgical bNursing, b10th
b
Edition
b
MULTIPLE
CHOICE
b
1. The bnurse bcompletes ban badmission bdatabase band bexplains bthat bthe bplan bof bcare band
discharge bgoals bwill bbe bdeveloped bwith bthe bpatient‘s binput. bThe bpatient bstates, b―How bis
b
b this bdifferent bfromwhat bthe bdoctor bdoes?‖ bWhich bresponse bwould bbe bmost bappropriate
b for bthe bnurse bto bmake?
a. ―The brole bof bthe bnurse bis bto badminister bmedications band bother
btreatments bprescribedby byour bdoctor.‖
b. ―The bnurse‘s bjob bis bto bhelp bthe bdoctor bby bcollecting binformation
band bcommunicating bany bproblems bthat boccur.‖
c. ―Nurses bperform bmany bof bthe bsame bprocedures bas bthe bdoctor, bbut bnurses
b are bwiththe bpatients bfor ba blonger btime bthan bthe bdoctor.‖
d. ―In baddition bto bcaring bfor byou bwhile byou bare bsick, bthe bnurses bwill bassist
byou bto bdevelop ban bindividualized bplan bto bmaintain byour bhealth.‖
ANS: b D
This bresponse bis bconsistent bwith bthe bAmerican bNurses bAssociation b(ANA) bdefinition bof
b nursing, bwhich bdescribes bthe brole bof bnurses bin bpromoting bhealth. bThe bother bresponses
b describesome bof bthe bdependent band bcollaborative bfunctions bof bthe bnursing brole bbut bdo bnot
b accurately bdescribe bthe bnurse‘s brole bin bthe bhealth bcare bsystem.
DIF: b b Cognitive bLevel: bUnderstand b(comprehension) REF: b 3
TOP: b Nursing bProcess: bImplementation MSC: b NCLEX: bSafe band bEffective
Care bEnvironment
b
2. The bnurse bdescribes bto ba bstudent bnurse bhow bto buse bevidence-based bpractice
b guidelines bwhencaring bfor bpatients. bWhich bstatement, bif bmade bby bthe bnurse,
b would bbe bthe bmost baccurate?
a. ―Inferences bfrom bclinical bresearch bstudies bare bused bas ba bguide.‖
b. ―Patient bcare bis bbased bon bclinical bjudgment, bexperience, band btraditions.‖
c. ―Data bare bevaluated bto bshow bthat bthe bpatient boutcomes bare bconsistently bmet.‖
d. ―Recommendations bare bbased bon bresearch, bclinical bexpertise,
band bpatientpreferences.‖
, ANS: b D
Evidence-based bpractice b(EBP) bis bthe buse bof bthe bbest bresearch-based bevidence bcombined
bwith bclinician bexpertise. bClinical bjudgment bbased bon bthe bnurse‘s bclinical bexperience bis bpart
b of bEBP, bbut bclinical bdecision bmaking bshould balso bincorporate bcurrent bresearch band
b research-based bguidelines. bEvaluation bof bpatient boutcomes bis bimportant, bbut binterventions
b should bbe bbased bonresearch bfrom brandomized bcontrol bstudies bwith ba blarge bnumber bof
b subjects.
DIF: b b Cognitive bLevel: bRemember b(knowledge) REF: b 15
TOP: b Nursing bProcess: bPlanning MSC: b NCLEX: bSafe band bEffective bCare bEnvironment
3. The bnurse bteaches ba bstudent bnurse babout bhow bto bapply bthe bnursing bprocess bwhen
b providingpatient bcare. bWhich bstatement, bif bmade bby bthe bstudent bnurse, bindicates
bthat bteaching bwas bsuccessful?
a. ―The bnursing bprocess bis ba bscientific-based bmethod bof bdiagnosing
the bpatient‘shealth bcare bproblems.‖
b
b. ―The bnursing bprocess bis ba bproblem-solving btool bused bto bidentify band btreat bpatients‘
, health bcare bneeds.‖
c. ―The bnursing bprocess bis bused bprimarily bto bexplain bnursing binterventions
bto botherhealth bcare bprofessionals.‖
d. ―The bnursing bprocess bis bbased bon bnursing btheory bthat
bincorporates bthebiopsychosocial bnature bof bhumans.‖
ANS: b B
The bnursing bprocess bis ba bproblem-solving bapproach bto bthe bidentification band btreatment bof
b patients‘ bproblems. bDiagnosis bis bonly bone bphase bof bthe bnursing bprocess. bThe bprimary buse
of bthenursing bprocess bis bin bpatient bcare, bnot bto bestablish bnursing btheory bor bexplain
b
b nursing binterventions bto bother bhealth bcare bprofessionals.
DIF: b b Cognitive bLevel: bUnderstand b(comprehension) REF: b 5
TOP: b Nursing bProcess: bImplementation MSC: b NCLEX: bSafe band bEffective
Care bEnvironment
b
b nurse btake bnext?
a. Reassure bthe bpatient bthat bthese bfeelings bare bcommon bfor bparents.
b. Have bthe bpatient bcall bthe bchildren bto bensure bthat bthey bare bdoing bwell.
c. Gather bmore bdata babout bthe bpatient‘s bfeelings babout bthe bchild-care barrangements.
d. Call bthe bpatient‘s bparents bto bdetermine bwhether badequate bchild bcare
bis bbeingprovided.
ANS: b C
Because ba bcomplete bassessment bis bnecessary bin border bto bidentify ba bproblem band bchoose ban
b appropriate bintervention, bthe bnurse‘s bfirst baction bshould bbe bto bobtain bmore binformation.
The bother bactions bmay bbe bappropriate, bbut bmore bassessment bis bneeded bbefore bthe bbest
b
b interventioncan bbe bchosen.
DIF: b b Cognitive bLevel: bApply b(application) REF: 6
OBJ: b Special bQuestions: bPrioritization b TOP: b Nursing
Process: bAssessmentMSC: b NCLEX: bPsychosocial bIntegrity
b
5. A bpatient bwho bis bparalyzed bon bthe bleft bside bof bthe bbody bafter ba bstroke bdevelops ba bpressure
ulcer bon bthe bleft bhip. bWhich bnursing bdiagnosis bis bmost bappropriate?
b
a. Impaired bphysical bmobility brelated bto bleft-sided bparalysis
b. Risk bfor bimpaired btissue bintegrity brelated bto bleft-sided bweakness
c. Impaired bskin bintegrity brelated bto baltered bcirculation band bpressure
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