,
,
, Chapter 01: Professional Nursing
C/ C/ C/
Harding: Lewis’s Medical-Surgical Nursing, 13th Edition
C/ C/ C/ C/ C/
MULTIPLE CHOICE C/
1. The nurse completes an admission database and explains that the plan of care and dischar
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ge goals will be developed with the patient‘s input. The patient asks, “How is this different f
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rom what the physician does?” Which response would the nurse provide?
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a. “The role of the nurse is to administer medications and other treatments prescribe
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d by your physician.” C/ C/ C/
b. “In addition to caring for you while you are sick, the nurses will help you plan t
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
o maintain your health.”
C/ C/ C/
c. “The nurse‘s job is to collect information and communicate any problems tha
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
t occur to the physician.”
C/ C/ C/ C/
d. “Nurses perform many of the same procedures as the physician, but nurses ar
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e with the patients for a longer time than the physician.”
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ANS: B C/
The American Nurses Association (ANA) definition of nursing describes the role of nurses i
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n promoting health. The other responses describe dependent and collaborative functions of
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the nursing role but do not accurately describe the nurse‘s unique role in the health care s
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ystem.
DIF: Cognitive Level: Analyze (Analysis)
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TOP: Nursing Process: Implementation
C / C/ C/ C / C / C / MSC: NCLEX: Safe and Effective Care Environment
C / C/ C/ C/ C/ C/
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
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a. “Patient care is based on clinical judgment, experience, and traditions.”
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b. “Data are analyzed later to show that the patient outcomes are consistently met.”
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c. “Research from all published articles are used as a guide for planning patient care.”
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
d. “Recommendations are based on research, clinical expertise, and patient C/ C/ C/ C/ C/ C/ C/ C/
preferences.”
C/
ANS: D C/
Evidence-based practice (EBP) is the use of the best research- C/ C/ C/ C/ C/ C/ C/ C/ C/
based evidence combined with clinician expertise and consideration of patient preferences.
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
Clinical judgment based on the nurse‘s clinical experience is part of EBP, but clinical de
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
cision making should also incorporate current research and research-
C/ C/ C/ C/ C/ C/ C/ C/
based guidelines. Evaluation of patient outcomes is important, but data analysis is not requi
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red to use EBP. All published articles do not provide research evidence; interventions shoul
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d be based on credible research, preferably randomized controlled studies with a large numb
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
er of subjects.
C/ C/
DIF: Cognitive Level: Understand (Comprehension)C/ C/ C/
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
C/ C/ C/ C/ C / C/ C/ C/ C/ C/
3. Which statement by the nurse provides a clear explanation of the nursing process?
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a. “The nursing process is a research method of diagnosing the patient‘s health car
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
e problems.” C/
b. “The nursing process is used primarily to explain nursing interventions to othe
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
r health care professionals.”
C/ C/ C/
c. “The nursing process is a problem-solving tool used to identify and manage the
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
,
, Chapter 01: Professional Nursing
C/ C/ C/
Harding: Lewis’s Medical-Surgical Nursing, 13th Edition
C/ C/ C/ C/ C/
MULTIPLE CHOICE C/
1. The nurse completes an admission database and explains that the plan of care and dischar
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ge goals will be developed with the patient‘s input. The patient asks, “How is this different f
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
rom what the physician does?” Which response would the nurse provide?
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
a. “The role of the nurse is to administer medications and other treatments prescribe
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
d by your physician.” C/ C/ C/
b. “In addition to caring for you while you are sick, the nurses will help you plan t
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
o maintain your health.”
C/ C/ C/
c. “The nurse‘s job is to collect information and communicate any problems tha
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
t occur to the physician.”
C/ C/ C/ C/
d. “Nurses perform many of the same procedures as the physician, but nurses ar
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
e with the patients for a longer time than the physician.”
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ANS: B C/
The American Nurses Association (ANA) definition of nursing describes the role of nurses i
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
n promoting health. The other responses describe dependent and collaborative functions of
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C
the nursing role but do not accurately describe the nurse‘s unique role in the health care s
/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
ystem.
DIF: Cognitive Level: Analyze (Analysis)
C / C / C/ C/ C/
TOP: Nursing Process: Implementation
C / C/ C/ C / C / C / MSC: NCLEX: Safe and Effective Care Environment
C / C/ C/ C/ C/ C/
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
a. “Patient care is based on clinical judgment, experience, and traditions.”
C/ C/ C/ C/ C/ C/ C/ C/ C/
b. “Data are analyzed later to show that the patient outcomes are consistently met.”
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
c. “Research from all published articles are used as a guide for planning patient care.”
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
d. “Recommendations are based on research, clinical expertise, and patient C/ C/ C/ C/ C/ C/ C/ C/
preferences.”
C/
ANS: D C/
Evidence-based practice (EBP) is the use of the best research- C/ C/ C/ C/ C/ C/ C/ C/ C/
based evidence combined with clinician expertise and consideration of patient preferences.
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
Clinical judgment based on the nurse‘s clinical experience is part of EBP, but clinical de
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
cision making should also incorporate current research and research-
C/ C/ C/ C/ C/ C/ C/ C/
based guidelines. Evaluation of patient outcomes is important, but data analysis is not requi
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
red to use EBP. All published articles do not provide research evidence; interventions shoul
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
d be based on credible research, preferably randomized controlled studies with a large numb
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
er of subjects.
C/ C/
DIF: Cognitive Level: Understand (Comprehension)C/ C/ C/
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
C/ C/ C/ C/ C / C/ C/ C/ C/ C/
3. Which statement by the nurse provides a clear explanation of the nursing process?
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
a. “The nursing process is a research method of diagnosing the patient‘s health car
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
e problems.” C/
b. “The nursing process is used primarily to explain nursing interventions to othe
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/
r health care professionals.”
C/ C/ C/
c. “The nursing process is a problem-solving tool used to identify and manage the
C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/ C/