,Brunner .& .Suddarth's .Textbook .of .Medical-
.Surgical .Nursing .16th .Edition .Author(s): .Janice
.L .Hinkle, .Kerry .H. .Cheever .TEST .BANK
Chapter .1: .Professional .Nursing .Practice
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.”
ANS: . 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.
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 .prefer-
ences.”
ANS: . 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 .clinical
.experience .is .part .of .EBP, .but .clinical .decision .making .should .also .incorporate
.current .research .and .research-based .guidelines. .Evaluation .of .patient .outcomes .is
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.
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,.important, .but .interventions .should .be .based .on .research .from .randomized .control
.studies .with .a .large .number .of .subjects.
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
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, 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’
health .care .needs.”
c. “The .nursing .process .is .based .on .nursing .theory .that .incorporates .the
.biopsychoso-
cial .nature .of .humans.”
d. “The .nursing .process .is .used .primarily .to .explain .nursing .interventions .to
.other
health .care .professionals.”
ANS: . B
The .nursing .process .is .a .problem-solving .approach .to .the .identification .and .treatment
.of .patients’ .problems. .Diagnosis .is .only .one .phase .of .the .nursing .process. .The
.primary .use .of .the .nursing .process .is .in .patient .care, .not .to .establish .nursing .theory
.or .explain .nursing .interven- .tions .to .other .health .care .professionals.
4. A .patient .has .been .admitted .to .the .hospital .for .surgery .and .tells .the
.nurse, .“I .do .not .feel .comfortable .leaving .my .children .with .my .parents.” .Which .action
.should .the .nurse .take .next?
a. Reassure .the .patient .that .these .feelings .are .common .for .parents.
b. Have .the .patient .call .the .children .to .ensure .that .they .are .doing .well.
c. Gather .more .data .about .the .patient’s .feelings .about .the .child-care
.arrangements.
d. Call .the .patient’s .parents .to .determine .whether .adequate .child .care .is .being
.provid-
ed.
ANS: . C
Since .a .complete .assessment .is .necessary .in .order .to .identify .a .problem .and .choose
.an .appropriate .intervention, .the .nurse’s .first .action .should .be .to .obtain .more
.information. .The .other .actions .may .be .appropriate, .but .more .assessment .is .needed
.before .the .best .intervention .can .be .chosen.
5. A .patient .who .is .paralyzed .on .the .left .side .of .the .body .after .a .stroke
.develops .a .pressure .ulcer .on .the .left .hip. .Which .nursing .diagnosis .is .most
.appropriate?
a. Impaired .physical .mobility .related .to .left-sided .paralysis
b. Risk .for .impaired .tissue .integrity .related .to .left-sided .weakness
c. Impaired .skin .integrity .related .to .altered .circulation .and .pressure
d. Ineffective .tissue .perfusion .related .to .inability .to .move .independently
ANS: . C
The .patient’s .major .problem .is .the .impaired .skin .integrity .as .demonstrated .by .the
.presence .of .a .pressure .ulcer. .The .nurse .is .able .to .treat .the .cause .of .altered
Downloaded .by: .Kayyh .|
.
Distribution .of .this .document .is .illegal
.Surgical .Nursing .16th .Edition .Author(s): .Janice
.L .Hinkle, .Kerry .H. .Cheever .TEST .BANK
Chapter .1: .Professional .Nursing .Practice
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.”
ANS: . 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.
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 .prefer-
ences.”
ANS: . 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 .clinical
.experience .is .part .of .EBP, .but .clinical .decision .making .should .also .incorporate
.current .research .and .research-based .guidelines. .Evaluation .of .patient .outcomes .is
Downloaded .by: .Kayyh .|
.
Distribution .of .this .document .is .illegal
,.important, .but .interventions .should .be .based .on .research .from .randomized .control
.studies .with .a .large .number .of .subjects.
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
Downloaded .by: .Kayyh .|
.
Distribution .of .this .document .is .illegal
, 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’
health .care .needs.”
c. “The .nursing .process .is .based .on .nursing .theory .that .incorporates .the
.biopsychoso-
cial .nature .of .humans.”
d. “The .nursing .process .is .used .primarily .to .explain .nursing .interventions .to
.other
health .care .professionals.”
ANS: . B
The .nursing .process .is .a .problem-solving .approach .to .the .identification .and .treatment
.of .patients’ .problems. .Diagnosis .is .only .one .phase .of .the .nursing .process. .The
.primary .use .of .the .nursing .process .is .in .patient .care, .not .to .establish .nursing .theory
.or .explain .nursing .interven- .tions .to .other .health .care .professionals.
4. A .patient .has .been .admitted .to .the .hospital .for .surgery .and .tells .the
.nurse, .“I .do .not .feel .comfortable .leaving .my .children .with .my .parents.” .Which .action
.should .the .nurse .take .next?
a. Reassure .the .patient .that .these .feelings .are .common .for .parents.
b. Have .the .patient .call .the .children .to .ensure .that .they .are .doing .well.
c. Gather .more .data .about .the .patient’s .feelings .about .the .child-care
.arrangements.
d. Call .the .patient’s .parents .to .determine .whether .adequate .child .care .is .being
.provid-
ed.
ANS: . C
Since .a .complete .assessment .is .necessary .in .order .to .identify .a .problem .and .choose
.an .appropriate .intervention, .the .nurse’s .first .action .should .be .to .obtain .more
.information. .The .other .actions .may .be .appropriate, .but .more .assessment .is .needed
.before .the .best .intervention .can .be .chosen.
5. A .patient .who .is .paralyzed .on .the .left .side .of .the .body .after .a .stroke
.develops .a .pressure .ulcer .on .the .left .hip. .Which .nursing .diagnosis .is .most
.appropriate?
a. Impaired .physical .mobility .related .to .left-sided .paralysis
b. Risk .for .impaired .tissue .integrity .related .to .left-sided .weakness
c. Impaired .skin .integrity .related .to .altered .circulation .and .pressure
d. Ineffective .tissue .perfusion .related .to .inability .to .move .independently
ANS: . C
The .patient’s .major .problem .is .the .impaired .skin .integrity .as .demonstrated .by .the
.presence .of .a .pressure .ulcer. .The .nurse .is .able .to .treat .the .cause .of .altered
Downloaded .by: .Kayyh .|
.
Distribution .of .this .document .is .illegal
