TEST BANKm9 m9
Lewis's Medical Surgical Nursing in Canada,
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4th Edition by Jane Tyerman, Shelley Cobbett
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Chapters 1 - 72 Complete
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,TABLE OF CONTENTS m9 m9
Section One – Concepts in Nursing Practice
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1 Introduction to Medical-Surgical Nursing Practice in Canada
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2 Cultural Competence and Health Equity in Care
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3 Health History and Physical Examination
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4 Patient and Caregiver Teaching
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5 Chronic Illness
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6 Community-Based Nursing and Home Care
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7 Older Adults
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8 Stress and Stress Management
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9 Sleep and Sleep Disorders
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10 Pain
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11 Substance Use
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12 Complementary and Alternative Therapies
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13 Palliative Care at the End of Life
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Section Two – Pathophysiological Mechanisms of Disease
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14 Inflammation and Wound Healing
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15 Genetics
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16 Altered Immune Response and Transplantation
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17 Infection and Human Immunodeficiency Virus Infection
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18 Cancer
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19 Fluid, Electrolyte, and Acid–Base Imbalances
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Section Three – Perioperative Care
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20 Nursing Management: Preoperative Care
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21 Nursing Management: Intraoperative Care
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22 Nursing Management: Post-operative Care
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Section Four – Problems Related to Altered Sensory Input
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23 Nursing Assessment: Visual and Auditory Systems
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24 Nursing Management: Visual and Auditory Problems
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25 Nursing Assessment: Integumentary System
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26 Nursing Management: Integumentary Problems
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27 Nursing Management: Burns
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Section Five – Problems of Oxygenation: Ventilation
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28 Nursing Assessment: Respiratory System
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29 Nursing Management: Upper Respiratory Problems
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30 Nursing Management: Lower Respiratory Problems
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31 Nursing Management: Obstructive Pulmonary Diseases
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Section Six – Problems of Oxygenation: Transport
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32 Nursing Assessment: Hematological System
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33 Nursing Management: Hematological Problems
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Section Seven – Problems of Oxygenation: Perfusion
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34 Nursing Assessment: Cardiovascular System
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35 Nursing Management: Hypertension
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36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
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,37 Nursing Management: Heart Failure
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38 Nursing Management: Dysrhythmias
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39 Nursing Management: Inflammatory and Structural Heart Diseases
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40 Nursing Management: Vascular Disorders
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Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
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41 Nursing Assessment: Gastrointestinal System
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42 Nursing Management: Nutritional Problems
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43 Nursing Management: Obesity
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44 Nursing Management: Upper Gastrointestinal Problems
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45 Nursing Management: Lower Gastrointestinal Problems
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46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
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Section Nine – Problems of Urinary Function
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47 Nursing Assessment: Urinary System
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48 Nursing Management: Renal and Urological Problems
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49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
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Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
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50 Nursing Assessment: Endocrine System
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51 Nursing Management: Endocrine Problems
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52 Nursing Management: Diabetes Mellitus
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53 Nursing Assessment: Reproductive System
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54 Nursing Management: Breast Disorders
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55 Nursing Management: Sexually Transmitted Infections
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56 Nursing Management: Female Reproductive Problems
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57 Nursing Management: Male Reproductive Problems
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Section Eleven – Problems Related to Movement and Coordination
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58 Nursing Assessment: Nervous System
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59 Nursing Management: Acute Intracranial Problems
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60 Nursing Management: Stroke
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61 Nursing Management: Chronic Neurological Problems
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62 Nursing Management: Delirium, Alzheimer‘s Disease, and Other Dementias
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63 Nursing Management: Peripheral Nerve and Spinal Cord Problems
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64 Nursing Assessment: Musculoskeletal System
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65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
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66 Nursing Management: Musculoskeletal Problems
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67 Nursing Management: Arthritis and Connective Tissue Diseases
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Section Twelve – Nursing Care in Specialized Settings
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68 Nursing Management: Critical Care Environment
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69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and
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Multiple-Organ Dysfunction Syndrome
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70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
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71 Nursing Management: Emergency Care Situations
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72 Emergency Management and Disaster Planning
m9 m9 m9 m9 m9
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
m9 m9 m9 m9 m9 m9 m9 m9
Lewis: Medical-Surgical Nursing in Canada, 4th Canadian Edition
m9 m9 m9 m9 m9 m9 m9 m9
MULTIPLE CHOICE m9
1. When caring for clients using evidence-informed practice, which of the following does
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
the nurse use?
m9 m9 m9
a. Clinical judgement based on experience
m9 m9 m9 m9
b. Evidence from a clinical research studym9 m9 m9 m9 m9
c. The best available evidence to guide clinical expertise
m9 m9 m9 m9 m9 m9 m9
d. Evaluation of data showing that the client outcomes are met
m9 m9 m9 m9 m9 m9 m9 m9 m9
CORRECT ANSWER: m9
C m 9
Evidence-informed nursing practice is a continuous interactive process involving the
m9 m9 m9 m9 m9 m9 m9 m9 m9
explicit, conscientious, and judicious consideration of the best available evidence to
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
provide care. Four primary elements are: (a) clinical state, setting, and circumstances;
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
(b) client preferences and actions; (c) best research evidence; and (d) health care
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
resources. Clinical judgement based on the nurse‘s clinical experience is part of EIP,
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
but clinical decision making also should incorporate current research and research-
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
based guidelines. Evidence from one clinical research study does not provide an
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
adequate substantiation for interventions. Evaluation of client outcomes is important,
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
but interventions should be based on research from randomized control studies with a
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
large number of subjects.
m9 m9 m9 m9
DIF: Cognitive Level: Comprehension m9 m9 TOP: m 9 Nursing Process: Planning m9 m9
2. Which of the following best N
m9 e x p lRa i n sIt h eGn u B
m9 m9 r s e. sC
‘ prM
imary use of the nursing process
m9 m9 m9 m9 m9 m9 m9 m9
when
m9
providing care to USNT
m9 O m9 m9 m9 m9
clients?
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a. To explain nursing interventions to other health care professionals
m9 m9 m9 m9 m9 m9 m9 m9
b. As a problem-solving tool to identify and treat clients‘ health care needs
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c. As a scientific-based process of diagnosing the client‘s health care problems
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d. To establish nursing theory that incorporates the biopsychosocial nature of humans
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CORRECT ANSWER: m9 m 9 B
The nursing process is an assertive problem-solving approach to the identification and
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
treatment of clients‘ problems. Diagnosis is only one phase of the nursing process. The
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
primary use of the nursing process is in client care, not to establish nursing theory or
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
explain nursing interventions to other health care professionals.
m9 m9 m9 m9 m9 m9 m9 m9
DIF: Cognitive Level: Comprehension m9 m9 TOP: m 9 Nursing Process: Implementation
m9 m9
3. The nurse is caring for a critically ill client in the intensive care unit and plans an
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
every 2-hour turning schedule to prevent skin breakdown. Which type of nursing
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
function is demonstrated with this turning schedule?
m9 m9 m9 m9 m9 m9 m9
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ANSWER: m9 m 9 D
Lewis's Medical Surgical Nursing in Canada,
m9 m9 m9 m9 m9 m9
4th Edition by Jane Tyerman, Shelley Cobbett
m9 m9 m9 m9 m9 m9 m9
Chapters 1 - 72 Complete
m9 m9 m9 m9 m9
,TABLE OF CONTENTS m9 m9
Section One – Concepts in Nursing Practice
m9 m9 m9 m9 m9 m9
1 Introduction to Medical-Surgical Nursing Practice in Canada
m9 m9 m9 m9 m9 m9 m9
2 Cultural Competence and Health Equity in Care
m9 m9 m9 m9 m9 m9 m9
3 Health History and Physical Examination
m9 m9 m9 m9 m9
4 Patient and Caregiver Teaching
m9 m9 m9 m9
5 Chronic Illness
m9 m9
6 Community-Based Nursing and Home Care
m9 m9 m9 m9 m9
7 Older Adults
m9 m9
8 Stress and Stress Management
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9 Sleep and Sleep Disorders
m9 m9 m9 m9
10 Pain
m9
11 Substance Use
m9 m9
12 Complementary and Alternative Therapies
m9 m9 m9 m9
13 Palliative Care at the End of Life
m9 m9 m9 m9 m9 m9 m9
Section Two – Pathophysiological Mechanisms of Disease
m9 m9 m9 m9 m9 m9
14 Inflammation and Wound Healing
m9 m9 m9 m9
15 Genetics
m9
16 Altered Immune Response and Transplantation
m9 m9 m9 m9 m9
17 Infection and Human Immunodeficiency Virus Infection
m9 m9 m9 m9 m9 m9
18 Cancer
m9
19 Fluid, Electrolyte, and Acid–Base Imbalances
m9 m9 m9 m9 m9
Section Three – Perioperative Care
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20 Nursing Management: Preoperative Care
m9 m9 m9 m9
21 Nursing Management: Intraoperative Care
m9 m9 m9 m9
22 Nursing Management: Post-operative Care
m9 m9 m9 m9
Section Four – Problems Related to Altered Sensory Input
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23 Nursing Assessment: Visual and Auditory Systems
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24 Nursing Management: Visual and Auditory Problems
m9 m9 m9 m9 m9 m9
25 Nursing Assessment: Integumentary System
m9 m9 m9 m9
26 Nursing Management: Integumentary Problems
m9 m9 m9 m9
27 Nursing Management: Burns
m9 m9 m9
Section Five – Problems of Oxygenation: Ventilation
m9 m9 m9 m9 m9 m9
28 Nursing Assessment: Respiratory System
m9 m9 m9 m9
29 Nursing Management: Upper Respiratory Problems
m9 m9 m9 m9 m9
30 Nursing Management: Lower Respiratory Problems
m9 m9 m9 m9 m9
31 Nursing Management: Obstructive Pulmonary Diseases
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Section Six – Problems of Oxygenation: Transport
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32 Nursing Assessment: Hematological System
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33 Nursing Management: Hematological Problems
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Section Seven – Problems of Oxygenation: Perfusion
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34 Nursing Assessment: Cardiovascular System
m9 m9 m9 m9
35 Nursing Management: Hypertension
m9 m9 m9
36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
m9 m9 m9 m9 m9 m9 m9 m9 m9
,37 Nursing Management: Heart Failure
m9 m9 m9 m9
38 Nursing Management: Dysrhythmias
m9 m9 m9
39 Nursing Management: Inflammatory and Structural Heart Diseases
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40 Nursing Management: Vascular Disorders
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Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
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41 Nursing Assessment: Gastrointestinal System
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42 Nursing Management: Nutritional Problems
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43 Nursing Management: Obesity
m9 m9 m9
44 Nursing Management: Upper Gastrointestinal Problems
m9 m9 m9 m9 m9
45 Nursing Management: Lower Gastrointestinal Problems
m9 m9 m9 m9 m9
46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
m9 m9 m9 m9 m9 m9 m9 m9
Section Nine – Problems of Urinary Function
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47 Nursing Assessment: Urinary System
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48 Nursing Management: Renal and Urological Problems
m9 m9 m9 m9 m9 m9
49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
m9 m9 m9 m9 m9 m9 m9 m9 m9
Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
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50 Nursing Assessment: Endocrine System
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51 Nursing Management: Endocrine Problems
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52 Nursing Management: Diabetes Mellitus
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53 Nursing Assessment: Reproductive System
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54 Nursing Management: Breast Disorders
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55 Nursing Management: Sexually Transmitted Infections
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56 Nursing Management: Female Reproductive Problems
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57 Nursing Management: Male Reproductive Problems
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Section Eleven – Problems Related to Movement and Coordination
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58 Nursing Assessment: Nervous System
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59 Nursing Management: Acute Intracranial Problems
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60 Nursing Management: Stroke
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61 Nursing Management: Chronic Neurological Problems
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62 Nursing Management: Delirium, Alzheimer‘s Disease, and Other Dementias
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63 Nursing Management: Peripheral Nerve and Spinal Cord Problems
m9 m9 m9 m9 m9 m9 m9 m9
64 Nursing Assessment: Musculoskeletal System
m9 m9 m9 m9
65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
m9 m9 m9 m9 m9 m9 m9
66 Nursing Management: Musculoskeletal Problems
m9 m9 m9 m9
67 Nursing Management: Arthritis and Connective Tissue Diseases
m9 m9 m9 m9 m9 m9 m9
Section Twelve – Nursing Care in Specialized Settings
m9 m9 m9 m9 m9 m9 m9
68 Nursing Management: Critical Care Environment
m9 m9 m9 m9 m9
69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and
m9 m9 m9 m9 m9 m9 m9 m9
Multiple-Organ Dysfunction Syndrome
m9 m9 m9
70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
m9 m9 m9 m9 m9 m9 m9 m9 m9
71 Nursing Management: Emergency Care Situations
m9 m9 m9 m9 m9
72 Emergency Management and Disaster Planning
m9 m9 m9 m9 m9
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
m9 m9 m9 m9 m9 m9 m9 m9
Lewis: Medical-Surgical Nursing in Canada, 4th Canadian Edition
m9 m9 m9 m9 m9 m9 m9 m9
MULTIPLE CHOICE m9
1. When caring for clients using evidence-informed practice, which of the following does
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
the nurse use?
m9 m9 m9
a. Clinical judgement based on experience
m9 m9 m9 m9
b. Evidence from a clinical research studym9 m9 m9 m9 m9
c. The best available evidence to guide clinical expertise
m9 m9 m9 m9 m9 m9 m9
d. Evaluation of data showing that the client outcomes are met
m9 m9 m9 m9 m9 m9 m9 m9 m9
CORRECT ANSWER: m9
C m 9
Evidence-informed nursing practice is a continuous interactive process involving the
m9 m9 m9 m9 m9 m9 m9 m9 m9
explicit, conscientious, and judicious consideration of the best available evidence to
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
provide care. Four primary elements are: (a) clinical state, setting, and circumstances;
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
(b) client preferences and actions; (c) best research evidence; and (d) health care
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
resources. Clinical judgement based on the nurse‘s clinical experience is part of EIP,
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
but clinical decision making also should incorporate current research and research-
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
based guidelines. Evidence from one clinical research study does not provide an
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
adequate substantiation for interventions. Evaluation of client outcomes is important,
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
but interventions should be based on research from randomized control studies with a
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
large number of subjects.
m9 m9 m9 m9
DIF: Cognitive Level: Comprehension m9 m9 TOP: m 9 Nursing Process: Planning m9 m9
2. Which of the following best N
m9 e x p lRa i n sIt h eGn u B
m9 m9 r s e. sC
‘ prM
imary use of the nursing process
m9 m9 m9 m9 m9 m9 m9 m9
when
m9
providing care to USNT
m9 O m9 m9 m9 m9
clients?
m9
a. To explain nursing interventions to other health care professionals
m9 m9 m9 m9 m9 m9 m9 m9
b. As a problem-solving tool to identify and treat clients‘ health care needs
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
c. As a scientific-based process of diagnosing the client‘s health care problems
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
CORRECT ANSWER: m9 m 9 B
The nursing process is an assertive problem-solving approach to the identification and
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
treatment of clients‘ problems. Diagnosis is only one phase of the nursing process. The
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
primary use of the nursing process is in client care, not to establish nursing theory or
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
explain nursing interventions to other health care professionals.
m9 m9 m9 m9 m9 m9 m9 m9
DIF: Cognitive Level: Comprehension m9 m9 TOP: m 9 Nursing Process: Implementation
m9 m9
3. The nurse is caring for a critically ill client in the intensive care unit and plans an
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
every 2-hour turning schedule to prevent skin breakdown. Which type of nursing
m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9 m9
function is demonstrated with this turning schedule?
m9 m9 m9 m9 m9 m9 m9
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ANSWER: m9 m 9 D
