,
,
, Chapter 01: Professional Nursing
]+ ]+ ]+
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
]+ ]+ ]+ ]+ ]+
MULTIPLE CHOICE ]+
1. The nurse completes an admission database and explains that the plan of care and discharg
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
e goals will be developed with the patient‘s input. The patient asks, “How is this different fro
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
m what the physician does?” Which response would the nurse provide?
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
a. “The role of the nurse is to administer medications and other treatments prescribed
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
by your physician.”
]+ ]+ ]+
b. “In addition to caring for you while you are sick, the nurses will help you plan to
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
maintain your health.”
]+ ]+ ]+
c. “The nurse‘s job is to collect information and communicate any problems that
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
occur to the physician.”
]+ ]+ ]+ ]+
d. “Nurses perform many of the same procedures as the physician, but nurses are
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]
with the patients for a longer time than the physician.”
+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ANS: B ]+
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
promoting health. The other responses describe dependent and collaborative functions of t
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
he nursing role but do not accurately describe the nurse‘s unique role in the health care sys
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
tem.
DIF: Cognitive Level: Analyze (Analysis)
] + ] + ]+ ]+ ]+
TOP: Nursing Process: Implementation
] + ]+ ]+ ] + ] + ] + MSC: NCLEX: Safe and Effective Care Environment
] + ]+ ]+ ]+ ]+ ]+
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
a. “Patient care is based on clinical judgment, experience, and traditions.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
b. “Data are analyzed later to show that the patient outcomes are consistently met.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. “Research from all published articles are used as a guide for planning patient care.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
d. “Recommendations are based on research, clinical expertise, and patient ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]
preferences.” +
ANS: D ]+
Evidence-based practice (EBP) is the use of the best research- ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
based evidence combined with clinician expertise and consideration of patient preferences.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
Clinical judgment based on the nurse‘s clinical experience is part of EBP, but clinical deci
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
sion making should also incorporate current research and research-
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
based guidelines. Evaluation of patient outcomes is important, but data analysis is not requir
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ed to use EBP. All published articles do not provide research evidence; interventions should
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]
be based on credible research, preferably randomized controlled studies with a large number
+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
of subjects.
]+ ]+
DIF: Cognitive Level: Understand (Comprehension) ]+ ]+ ]+
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
]+ ]+ ]+ ]+ ] + ]+ ]+ ]+ ]+ ]+
3. Which statement by the nurse provides a clear explanation of the nursing process?
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
a. “The nursing process is a research method of diagnosing the patient‘s health care
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]
problems.” +
b. “The nursing process is used primarily to explain nursing interventions to other
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]
health care professionals.”
+ ]+ ]+
c. “The nursing process is a problem-solving tool used to identify and manage the
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
,
, Chapter 01: Professional Nursing
]+ ]+ ]+
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
]+ ]+ ]+ ]+ ]+
MULTIPLE CHOICE ]+
1. The nurse completes an admission database and explains that the plan of care and discharg
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
e goals will be developed with the patient‘s input. The patient asks, “How is this different fro
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
m what the physician does?” Which response would the nurse provide?
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
a. “The role of the nurse is to administer medications and other treatments prescribed
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
by your physician.”
]+ ]+ ]+
b. “In addition to caring for you while you are sick, the nurses will help you plan to
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
maintain your health.”
]+ ]+ ]+
c. “The nurse‘s job is to collect information and communicate any problems that
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
occur to the physician.”
]+ ]+ ]+ ]+
d. “Nurses perform many of the same procedures as the physician, but nurses are
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]
with the patients for a longer time than the physician.”
+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ANS: B ]+
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
promoting health. The other responses describe dependent and collaborative functions of t
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
he nursing role but do not accurately describe the nurse‘s unique role in the health care sys
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
tem.
DIF: Cognitive Level: Analyze (Analysis)
] + ] + ]+ ]+ ]+
TOP: Nursing Process: Implementation
] + ]+ ]+ ] + ] + ] + MSC: NCLEX: Safe and Effective Care Environment
] + ]+ ]+ ]+ ]+ ]+
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
a. “Patient care is based on clinical judgment, experience, and traditions.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
b. “Data are analyzed later to show that the patient outcomes are consistently met.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. “Research from all published articles are used as a guide for planning patient care.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
d. “Recommendations are based on research, clinical expertise, and patient ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]
preferences.” +
ANS: D ]+
Evidence-based practice (EBP) is the use of the best research- ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
based evidence combined with clinician expertise and consideration of patient preferences.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
Clinical judgment based on the nurse‘s clinical experience is part of EBP, but clinical deci
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
sion making should also incorporate current research and research-
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
based guidelines. Evaluation of patient outcomes is important, but data analysis is not requir
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ed to use EBP. All published articles do not provide research evidence; interventions should
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]
be based on credible research, preferably randomized controlled studies with a large number
+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
of subjects.
]+ ]+
DIF: Cognitive Level: Understand (Comprehension) ]+ ]+ ]+
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
]+ ]+ ]+ ]+ ] + ]+ ]+ ]+ ]+ ]+
3. Which statement by the nurse provides a clear explanation of the nursing process?
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
a. “The nursing process is a research method of diagnosing the patient‘s health care
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]
problems.” +
b. “The nursing process is used primarily to explain nursing interventions to other
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]
health care professionals.”
+ ]+ ]+
c. “The nursing process is a problem-solving tool used to identify and manage the
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
