LEWIS MEDICAL
SURGICAL NURSING
12TH EDITION BY
MARIANN M. HARDING
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Chapter 01: Professional Nursing Practice
TEST BANK FOR LEWIS MEDICAL
SURGICAL NURSING 12TH EDITION BY
MARIANN M. HARDING
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 states,
“How is this different from what the doctor does?” Which response would be
most appropriate for the nurse to make?
a. “The role of the nurse is to administer medications and other
treatments prescribed by your doctor.”
b. “The nurse’s job is to help the doctor by collecting
information and communicating any problems that
occur.”
c. “Nurses perform many of the same procedures as the doctor, but
nurses are with the patients for a longer time than the doctor.”
d. “In addition to caring for you while you are sick, the nurses will
assist you to develop an individualized plan to maintain your
health.”
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CORRECT
ANSWER: D
This response is consistent with the American Nurses Association (ANA)
definition of nursing, which describes the role of nurses in promoting health. The
other responses describe some of the dependent and collaborative functions of
the nursing role but do not accurately describe the nurse’s role in the health care
system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective
Care Environment
2.The nurse describes to a student nurse how to use evidence-based practice
guidelines when caring for patients. Which statement, if made by the nurse,
would be the most accurate?
a. “Inferences from clinical research studies are used as a guide.”
b. “Patient care is based on clinical judgment, experience, and traditions.”
c. “Data are evaluated to show that the patient outcomes are consistently met.”
d. “Recommendations are based on research, clinical expertise,
and patient preferences.”
CORRECT
ANSWER: D
Evidence-based practice (EBP) is the use of the best research-based evidence
combined with clinician expertise. Clinical judgment based on the nurse’s
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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 interventions should be based on research from
randomized control studies with a large number of subjects.
DIF: Cognitive Level: Remember (knowledge) REF: 15
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care
Environment
3.The nurse teaches a student nurse about how to apply the nursing process
when providing patient care. Which statement, if made by the student nurse,
indicates that teaching was successful?
a. “The nursing process is a scientific-based method of diagnosing
the patient’s health care problems.”
b. “The nursing process is a problem-solving tool used to identify and treat
patients’
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