1. The nurse completes an admission database and explains that the plan of care and discharge
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
goals will be developed with the patient‗s input. The patient asks, ―How is this different from
ll ll ll l ll l l ll ll l ll ll l l l ll
what the physician does?‖ Which response would the nurse provide?
ll ll ll ll ll ll ll ll ll ll
a. ―Theroleofthenurseistoadministermedications and othertreatments prescribed by
l l l l l l l l l l l l ll
your physician.‖
ll ll
b. ―In addition to caringfor you while you aresick, thenurses will help you plan to
l ll l l ll l ll ll l l l l ll ll l l
maintain your health.‖
ll ll ll
c. ―Thenurse‗sjobisto collectinformationand communicateanyproblems that
l l l l l l l l l l l
occur to the physician.‖
ll ll ll ll
d. ―Nursesperformmanyof thesameprocedures as the physician, but nurses are with l l l l l l l l l l l ll ll
the patients for a longer time than the physician.‖
ll ll ll ll ll ll ll ll ll
ANS: B ll
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
l ll ll ll ll ll ll ll ll ll ll ll ll
promoting health. The other responses describe dependent and collaborative functions of the
ll ll ll ll ll ll ll ll ll ll ll ll
nursing role but do not accurately describe the nurse‗s unique role in the health care system.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
DIF: l l l l Cognitive Level: Analyze (Analysis) l l l
TOP: l l NursingProcess: Implementation l ll l l l l l l MSC: NCLEX: Safe and Effective Care Environment l l ll ll ll ll ll
2. Which statement bythe nurse accurately describes the use of evidence-based practice (EBP)?
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a. ―Patientcareisbasedon clinical judgment, experience, and traditions.‖ l l l l l l l l l
b. ―Data areanalyzed later to show that the patient outcomes areconsistently met.‖
ll l ll ll l l ll l ll ll l l
c. ―Research from all published articles are used as a guide forplanning patient care.‖ l ll l l ll l ll ll l l l l l
d. ―Recommendations are based on research, clinical expertise, and patient ll ll ll ll ll ll ll ll
preferences.‖
ll
ANS: D ll
Evidence-based practice (EBP) is the use of the best research-based evidence combined with ll ll ll ll ll ll ll ll ll ll ll ll
clinician expertise and consideration of patient preferences. Clinical judgment based on the
ll ll ll ll ll ll ll ll ll ll ll ll
nurse‗s clinical experience is part of EBP, but clinical decision making should also incorporate
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
current research and research-based guidelines. Evaluation of patient outcomes is important, but
ll ll ll ll ll ll ll l ll ll ll ll
data analysis is not required to use EBP. All published articles do not provide research
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
evidence; interventions should be based on credible research, preferably randomized controlled
ll ll ll ll ll ll ll ll ll l ll
studies with a large number of subjects.
ll ll ll ll ll ll ll
DIF: Cognitive Level: Understand (Comprehension) ll ll ll TOP: NursingProcess: Planning ll l l
MSC: NCLEX: Safe and Effective Care Environment
ll l l ll ll ll ll ll
3. Which statement by the nurse provides a clear explanation of the nursing process?
ll ll l ll ll ll ll ll ll ll ll ll
a. ―Thenursingprocessisa research method ofdiagnosingthepatient‗s health care
l l l l l l l l l l l l
problems.‖
ll
b. ―Thenursingprocessisusedprimarilyto explain nursinginterventions to other
l l l l l l l l l ll l
health care professionals.‖
ll ll ll
c. ―Thenursing process is a problem-solving tool used to identifyand manage the
l l l ll ll l ll ll l l l ll
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