Lewis's Medical-Surgical Nursing in Canada
Assessment and Management of Clinical
Problems
• 5th Edition - June 15, 2022
• Latest edition
• Authors: Jane Tyerman, Shelley Cobbett,
Mariann M. Harding, Jeffrey Kwong, Dottie
Roberts, Debra Hagler, Courtney Reinisch
TEST BANK
1. A nurse explains the focus of medical-surgical nursing
practice in Canada. Which statement best reflects the
primary emphasis described in Chapter 1?
A. Providing technical task completion for hospitalized patients
B. Delivering holistic, evidence-informed care to adults with
actual or potential health problems
C. Managing only acute physiologic conditions in tertiary care
centres
,D. Implementing physician-prescribed treatments without
independent judgment
Correct Answer: B
Rationale:
Medical-surgical nursing in Canada emphasizes holistic,
evidence-informed care for adults experiencing actual or
potential health problems across the health–illness continuum.
A is incorrect because practice extends beyond task
performance.
C is incorrect because care occurs across multiple settings, not
only tertiary centres.
D is incorrect because nurses practice with professional
autonomy and clinical judgment.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
2. Which trend in Canadian health care has most significantly
influenced medical-surgical nursing practice?
A. Decreased life expectancy
B. Increased prevalence of chronic illness
C. Elimination of community-based care
D. Reduced patient acuity in hospitals
Correct Answer: B
,Rationale:
The growing prevalence of chronic illness has significantly
shaped medical-surgical nursing, requiring ongoing
management and coordination of care.
A is incorrect because life expectancy has increased.
C is incorrect because community-based care has expanded.
D is incorrect because patient acuity in hospitals has increased,
not decreased.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
3. A nurse prioritizes patient-centred care. Which action best
demonstrates this principle?
A. Following institutional routines regardless of patient
preference
B. Encouraging patients to participate in decision-making about
their care
C. Limiting family involvement to protect confidentiality
D. Focusing only on physiologic outcomes
Correct Answer: B
Rationale:
Patient-centred care includes involving patients in decision-
making and respecting preferences and values.
A contradicts patient-centred principles.
C is incorrect because family involvement is encouraged when
, appropriate.
D is incorrect because care includes psychosocial and cultural
dimensions.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
4. Which factor contributes most to increasing patient acuity
in acute care settings?
A. Earlier hospital discharge
B. Increased hospital length of stay
C. Reduction in technological advances
D. Decreased use of outpatient services
Correct Answer: A
Rationale:
Earlier discharge results in sicker patients remaining in hospital,
increasing acuity.
B is incorrect because length of stay has decreased.
C is incorrect because technology has advanced.
D is incorrect because outpatient services have expanded.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
5. A nurse uses clinical reasoning when caring for a patient.
Which action best illustrates this process?
Assessment and Management of Clinical
Problems
• 5th Edition - June 15, 2022
• Latest edition
• Authors: Jane Tyerman, Shelley Cobbett,
Mariann M. Harding, Jeffrey Kwong, Dottie
Roberts, Debra Hagler, Courtney Reinisch
TEST BANK
1. A nurse explains the focus of medical-surgical nursing
practice in Canada. Which statement best reflects the
primary emphasis described in Chapter 1?
A. Providing technical task completion for hospitalized patients
B. Delivering holistic, evidence-informed care to adults with
actual or potential health problems
C. Managing only acute physiologic conditions in tertiary care
centres
,D. Implementing physician-prescribed treatments without
independent judgment
Correct Answer: B
Rationale:
Medical-surgical nursing in Canada emphasizes holistic,
evidence-informed care for adults experiencing actual or
potential health problems across the health–illness continuum.
A is incorrect because practice extends beyond task
performance.
C is incorrect because care occurs across multiple settings, not
only tertiary centres.
D is incorrect because nurses practice with professional
autonomy and clinical judgment.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
2. Which trend in Canadian health care has most significantly
influenced medical-surgical nursing practice?
A. Decreased life expectancy
B. Increased prevalence of chronic illness
C. Elimination of community-based care
D. Reduced patient acuity in hospitals
Correct Answer: B
,Rationale:
The growing prevalence of chronic illness has significantly
shaped medical-surgical nursing, requiring ongoing
management and coordination of care.
A is incorrect because life expectancy has increased.
C is incorrect because community-based care has expanded.
D is incorrect because patient acuity in hospitals has increased,
not decreased.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
3. A nurse prioritizes patient-centred care. Which action best
demonstrates this principle?
A. Following institutional routines regardless of patient
preference
B. Encouraging patients to participate in decision-making about
their care
C. Limiting family involvement to protect confidentiality
D. Focusing only on physiologic outcomes
Correct Answer: B
Rationale:
Patient-centred care includes involving patients in decision-
making and respecting preferences and values.
A contradicts patient-centred principles.
C is incorrect because family involvement is encouraged when
, appropriate.
D is incorrect because care includes psychosocial and cultural
dimensions.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
4. Which factor contributes most to increasing patient acuity
in acute care settings?
A. Earlier hospital discharge
B. Increased hospital length of stay
C. Reduction in technological advances
D. Decreased use of outpatient services
Correct Answer: A
Rationale:
Earlier discharge results in sicker patients remaining in hospital,
increasing acuity.
B is incorrect because length of stay has decreased.
C is incorrect because technology has advanced.
D is incorrect because outpatient services have expanded.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
5. A nurse uses clinical reasoning when caring for a patient.
Which action best illustrates this process?
