LEWISS MEDICAL SUGRICAL NURSING, 11TH EDITION TESTBANK LATEST 2021

MULTIPLE CHOICE The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patients input. The patient states, How is this different from what the doctor does? Which response would be mostappropriate for the nurse tomake? The role of the nurse is to administer medications and othertreatments prescribed by yourdoctor. The nurses job is to help the doctor by collecting informationand communicating any problems thatoccur. Nurses perform many of the same procedures as the doctor, butnurses are with the patients for a longer time than thedoctor. In addition to caring for you while you are sick, the nurses willassist you to develop an individualized plan to maintain yourhealth. 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 nurses role in the health care system. DIF: Cognitive Level: Understand (comprehension) REF: 3 TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment 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, wouldbe the mostaccurate? Inferences from clinical research studies are used as aguide. Patient care is based on clinical judgment, experience, andtraditions. Data are evaluated to show that the patient outcomes areconsistently met. Recommendations are based on research, clinical expertise, andpatient preferences. ANS: D Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician expertise. Clinical judgment based on the nurses 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: 11 TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment 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, indicatesthat teaching wassuccessful? The nursing process is a scientific-based method of diagnosing the patients health care problems. The nursing process is a problem-solving tool used to identify and treat patients health care needs. The nursing process is based on nursing theory that incorporates the biopsychosocial nature ofhumans. The nursing process is used primarily to explain nursing interventionsto other health careprofessionals. 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 interventions to other health care professionals. DIF: Cognitive Level: Understand (comprehension) REF: 7 TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment 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 thenurse takenext? Reassure the patient that these feelings are common forparents. Have the patient call the children to ensure that they are doingwell. Gather more data about the patients feelings about the child-care arrangements. Call the patients parents to determine whether adequate child careis being provided. ANS: C Since a complete assessment is necessary in order to identify a problem and choose an appropriate intervention, the nurses 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. DIF: Cognitive Level: Apply (application) REF: 6-7 OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity LEWIS'S MED SURG NURSING ASSESSMENT AND MANAGEMENT OF CLINICAL PROBLEMS LEWIS'S MED SURG NURSING ASSESSMENT AND MANAGEMENT OF CLINICAL PROBLEMS LEWIS'S MED SURG NURSING ASSESSMENT AND MANAGEMENT OF CLINICAL PROBLEMS LEWIS'S MED SURG NURSING ASSESSMENT AND MANAGEMENT OF CLINICAL PROBLEMS