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
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
1.
A newly hired nurse asks what primarily distinguishes medical-
surgical nursing practice in Canada from other areas of nursing.
Which response by the educator is most accurate?
,A. It focuses mainly on acute care tasks and technical skills
B. It integrates health promotion, illness management, and
interprofessional collaboration across settings
C. It is limited to hospital-based care of adults
D. It emphasizes physician-directed care planning
Correct Answer: B
Rationale:
Medical-surgical nursing in Canada emphasizes holistic care that
spans health promotion, illness management, rehabilitation,
and collaboration across multiple care settings.
• A is incorrect: practice extends beyond technical tasks.
• C is incorrect: care occurs across acute, community, and
continuing care settings.
• D is incorrect: nursing practice is collaborative and
autonomous.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
2.
Which nursing action best reflects the concept of patient-
centred care as described in Canadian medical-surgical nursing
practice?
,A. Applying standardized care plans for all patients with similar
diagnoses
B. Prioritizing efficiency over patient preferences
C. Involving the patient in decision-making based on their
values and goals
D. Limiting patient education to discharge planning
Correct Answer: C
Rationale:
Patient-centred care involves respecting patient values,
preferences, and active participation in care decisions.
• A contradicts individualized care.
• B conflicts with patient-centred principles.
• D underestimates the ongoing nature of patient education.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
Chapter 1
3.
A nurse is assessing a patient with multiple chronic conditions.
Which principle of medical-surgical nursing best guides the
nurse’s approach?
A. Disease-focused management
B. Task-oriented care delivery
C. Holistic assessment of physical, psychosocial, and cultural
, factors
D. Prioritization of acute symptoms only
Correct Answer: C
Rationale:
Medical-surgical nursing emphasizes holistic assessment,
recognizing the interaction of physical, psychosocial, and
cultural influences on health.
• A and D are too narrow.
• B does not reflect professional nursing practice.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
Chapter 1
4.
Which statement best describes evidence-informed practice in
Canadian medical-surgical nursing?
A. Reliance solely on clinical experience
B. Use of research findings combined with clinical expertise and
patient preferences
C. Application of physician-prescribed protocols only
D. Replacement of clinical judgment with guidelines
Correct Answer: B
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
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
1.
A newly hired nurse asks what primarily distinguishes medical-
surgical nursing practice in Canada from other areas of nursing.
Which response by the educator is most accurate?
,A. It focuses mainly on acute care tasks and technical skills
B. It integrates health promotion, illness management, and
interprofessional collaboration across settings
C. It is limited to hospital-based care of adults
D. It emphasizes physician-directed care planning
Correct Answer: B
Rationale:
Medical-surgical nursing in Canada emphasizes holistic care that
spans health promotion, illness management, rehabilitation,
and collaboration across multiple care settings.
• A is incorrect: practice extends beyond technical tasks.
• C is incorrect: care occurs across acute, community, and
continuing care settings.
• D is incorrect: nursing practice is collaborative and
autonomous.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
2.
Which nursing action best reflects the concept of patient-
centred care as described in Canadian medical-surgical nursing
practice?
,A. Applying standardized care plans for all patients with similar
diagnoses
B. Prioritizing efficiency over patient preferences
C. Involving the patient in decision-making based on their
values and goals
D. Limiting patient education to discharge planning
Correct Answer: C
Rationale:
Patient-centred care involves respecting patient values,
preferences, and active participation in care decisions.
• A contradicts individualized care.
• B conflicts with patient-centred principles.
• D underestimates the ongoing nature of patient education.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
Chapter 1
3.
A nurse is assessing a patient with multiple chronic conditions.
Which principle of medical-surgical nursing best guides the
nurse’s approach?
A. Disease-focused management
B. Task-oriented care delivery
C. Holistic assessment of physical, psychosocial, and cultural
, factors
D. Prioritization of acute symptoms only
Correct Answer: C
Rationale:
Medical-surgical nursing emphasizes holistic assessment,
recognizing the interaction of physical, psychosocial, and
cultural influences on health.
• A and D are too narrow.
• B does not reflect professional nursing practice.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
Chapter 1
4.
Which statement best describes evidence-informed practice in
Canadian medical-surgical nursing?
A. Reliance solely on clinical experience
B. Use of research findings combined with clinical expertise and
patient preferences
C. Application of physician-prescribed protocols only
D. Replacement of clinical judgment with guidelines
Correct Answer: B
