Test Bank for Lewis\'s Medical-Surgical Nursing, 12th
Edition by Mariann M. Harding, Jeffrey Kwong, Debra
Hagler Chapter 1-69
,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 discharge goals will be developed with the patient‘s input. The
patient asks, “How is this different from 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 proceduresas 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 the nursing role but do not
accurately describe the nurse‘s unique role in the health care system.
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 decision making should also
incorporate current research and research-based guidelines. Evaluation of
patient outcomes is important, but data analysis is not required 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 Effective Care
(Comprehension) MSC: NCLEX: Safe and Environment
, TOP: Nursing Process: Planning
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
, patients‘ health care needs.”
d.“The nursing process is based on nursing theory that
incorporates the biopsychosocial nature of humans.”
ANS: C
The nursing process is a problem-solving approach to the identification
and treatment of patients‘ problems. Nursing process does not require
research methods for diagnosis. The primary use of the nursing process is
in patient care, not to establish nursing theory or explain nursing
interventions to other health care professionals.
DIF: Cognitive Level: Understand Effective Care
(Comprehension) MSC: NCLEX: Safe and Environment
Edition by Mariann M. Harding, Jeffrey Kwong, Debra
Hagler Chapter 1-69
,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 discharge goals will be developed with the patient‘s input. The
patient asks, “How is this different from 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 proceduresas 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 the nursing role but do not
accurately describe the nurse‘s unique role in the health care system.
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 decision making should also
incorporate current research and research-based guidelines. Evaluation of
patient outcomes is important, but data analysis is not required 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 Effective Care
(Comprehension) MSC: NCLEX: Safe and Environment
, TOP: Nursing Process: Planning
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
, patients‘ health care needs.”
d.“The nursing process is based on nursing theory that
incorporates the biopsychosocial nature of humans.”
ANS: C
The nursing process is a problem-solving approach to the identification
and treatment of patients‘ problems. Nursing process does not require
research methods for diagnosis. The primary use of the nursing process is
in patient care, not to establish nursing theory or explain nursing
interventions to other health care professionals.
DIF: Cognitive Level: Understand Effective Care
(Comprehension) MSC: NCLEX: Safe and Environment
