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Test Bank for Medical Surgical Nursing Care 3rd Edition by Burke

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Chapter 01. Nursing in the 21st Century MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) The nurse is preparing to conduct an assessment on a client in the clinic setting. The client asks the nurse why nurses assess when the physician will as well. The nurse responds with which of the following? A) The physician will treat with procedures. B) The physician does not really assess. C) The nurse treats the clientʹs response to illness. D) The nurse assesses to determine needed medications. Answer: C Explanation: A) The physician does treat with procedures, but this does not answer the clientʹs question. B) The physician assesses the client based on the clientʹs need. C) The nurse assesses in order to provide nursing care based on the client response to illness. D) The physician, not the nurse, orders medications. Cognitive Level: Knowledge Client Need: Physiological Integrity Nursing Process: Assessment Learning Outcome: 1-1 2) The nurse is conducting an assessment of a 65-year-old client who has come for an annual assessment. The nurse expects to give the client immunizations as a part of: (Select all that apply.) A) Promoting client health. B) Caring for the clientʹs illness. C) Maintaining the clientʹs health. D) Alleviating the clientʹs suffering. E) Caring for the clientʹs family. Answer: A, C

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Chapter 01. Nursing in the 21st Century
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or
answers the question.

1) The nurse is preparing to conduct an assessment on a client in the clinic setting. The client
asks the nurse why

nurses assess when the physician will as well. The nurse responds with which of the following?

A) The physician will treat with procedures.

B) The physician does not really assess.

C) The nurse treats the clientʹs response to illness.

D) The nurse assesses to determine needed medications.

Answer: C

Explanation: A) The physician does treat with procedures, but this does not answer the clientʹs
question.

B) The physician assesses the client based on the clientʹs need.

C) The nurse assesses in order to provide nursing care based on the client response to illness.

D) The physician, not the nurse, orders medications.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

Learning Outcome: 1-1

,2) The nurse is conducting an assessment of a 65-year-old client who has come for an annual
assessment. The

nurse expects to give the client immunizations as a part of:

(Select all that apply.)

A) Promoting client health.

B) Caring for the clientʹs illness.

C) Maintaining the clientʹs health.

D) Alleviating the clientʹs suffering.

E) Caring for the clientʹs family.

Answer: A, C

Explanation: A) Providing immunizations is an example of promoting health.

B) The client receiving immunizations is not generally ill.

C) Immunizations help to maintain the clientʹs health status.

D) The client having an annual assessment is usually not suffering.

E) Immunizing a client is not an example of care of the family.

Cognitive Level: Comprehension

Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 1-1

3) The nurse performs daily, routine equipment checks to detect possible malfunction. Which
core competency is

the nurse demonstrating with this action?

A) Providing agency-centered care B) Working on an interdisciplinary team

C) Using information technology D) Applying quality improvement principles

, Answer: D

Explanation: A) Nurses provide patient-centered care.

B) The nurse is functioning alone when inspecting equipment.

C) Information technology is the use of computers during health care.

D) Part of the responsibility of the nurse is to ensure the clientʹs safety by inspecting equipment

used during care. This is a quality improvement principle.

Cognitive Level: Knowledge

Client Need: Safe, Effective Care Environment

Nursing Process: Implementation

Learning Outcome: 1-1

1

4) A client who is experiencing abdominal pain is being assessed by the Emergency Department
nurse. The nurse

asks the client to describe the pain and the clientʹs usual means of relieving pain. The nurse is
providing:

A) A nursing diagnosis. B) Client-centered care.

C) Health promotion. D) Health maintenance.

Answer: B

Explanation: A) A nursing diagnosis is made after the assessment is completed.

B) The nurse is providing client-centered care by asking the client about the perception of pain

and the clientʹs usual methods of relief.

C) Health promotion might include assisting the client to alter risk factors for a disease.

D) Immunization is an example of health maintenance.

Cognitive Level: Comprehension

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