Test Bank - Lewis Medical Surgical Nursing, 10th Edition (Lewis, 2017), Chapter 1-68 | All Chapters

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Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
Chapter 01: Professional Nursing Practice Lewi
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s: Medical-Surgical Nursing, 10th Edition
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MULTIPLE CHOICE vi




1. The nurse completes an admission database and explains that the plan of care and discharge g
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oals will be developed with the patient‘s input. The patient states, ―How is this different from
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what the doctor does?‖ Which response would be most appropriate for the nurse to make?
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a. ―The role of the nurse is to administer medications and other treatments prescribed
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by your doctor.‖ vi vi


b. ―The nurse‘s job is to help the doctor by collecting information and
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communicating any problems that occur.‖ vi vi vi vi


c. ―Nurses perform many of the same procedures as the doctor, but nurses are with
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the patients for a longer time than the doctor.‖
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d. ―In addition to caring for you while you are sick, the nurses will assist you to
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develop an individualized plan to maintain your health.‖
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ANS: D vi


This response is consistent with the American Nurses Association (ANA) definition of nursin
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g, which describes the role of nurses in promoting health. The other responses describe some o
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f the dependent and collaborative functions of the nursing role but do not accurately describe
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the nurse‘s role in the health care system.
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DIF: Cognitive Level: Understand (comprehension) REF: 3 vi vi vi v i


TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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2. The nurse describes to a student nurse how to use evidence-
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based practice guidelines when caring for patients. Which statement, if made by the nurse,
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would be the most accurate?
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a. ―Inferences from clinical research studies are used as a guide.‖ vi vi vi vi vi vi vi vi vi


b. ―Patient care is based on clinical judgment, experience, and traditions.‖
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c. ―Data are evaluated to show that the patient outcomes are consistently met.‖
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d. ―Recommendations are based on research, clinical expertise, and patient vi vi vi vi vi vi vi vi vi


preferences.‖
ANS: D vi


Evidence-based practice (EBP) is the use of the best research- vi vi vi vi vi vi vi vi vi


based evidence combined with clinician expertise. Clinical judgment based on the nurse‘s clin
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ical experience is part of EBP, but clinical decision making should also incorporate current res
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earch and research- vi vi


based guidelines. Evaluation of patient outcomes is important, but interventions should be bas
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ed on research from randomized control studies with a large number of subjects.
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DIF: Cognitive Level: Remember (knowledge) REF: 15 vi vi vi v i


TOP: Nursing Process: Planning
v i MSC: NCLEX: Safe and Effective Care Environment
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3. The nurse teaches a student nurse about how to apply the nursing process when providing
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patient care. Which statement, if made by the student nurse, indicates that teaching was s
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uccessful?
a. ―The nursing process is a scientific- vi vi vi vi vi


based method of diagnosing the patient‘s health care problems.‖
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b. ―The nursing process is a problem-solving tool used to identify and treat patients‘
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health care needs.‖ vi vi


c. ―The nursing process is used primarily to explain nursing interventions to other
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health care professionals.‖ vi vi


d. ―The nursing process is based on nursing theory that incorporates the
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biopsychosocial nature of humans.‖ vi vi vi




ANS: B vi


The nursing process is a problem-
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solving approach to the identification and treatment of patients‘ problems. Diagnosis is only o
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ne phase of the nursing process. The primary use of the nursing process is in patient care, not t
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o establish nursing theory or explain nursing interventions to other health care professionals.
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DIF: Cognitive Level: Understand (comprehension) REF: 5 vi vi vi v i


TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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4. A patient has been admitted to the hospital for surgery and tells the nurse, ―I do not feel com
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fortable leaving my children with my parents.‖ Which action should the nurse take next?
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a. Reassure the patient that these feelings are common for parents. vi vi vi vi vi vi vi vi vi


b. Have the patient call the children to ensure that they are doing well.
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c. Gather more data about the patient‘s feelings about the child-care arrangements.
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d. Call the patient‘s parents to determine whether adequate child care is being
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provided. i




ANS: C vi


Because a complete assessment is necessary in order to identify a problem and choose an app
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ropriate intervention, the nurse‘s first action should be to obtain more information. The other
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actions may be appropriate, but more assessment is needed before the best intervention can be
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chosen.

DIF: Cognitive Level: Apply (application) vi vi vi REF: 6
OBJ: Special Questions: Prioritization
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TOP: Nursing Process: Assessment
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vi MSC: NCLEX: Psychosocial Integrity
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5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer
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on the left hip. Which nursing diagnosis is most appropriate?
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a. Impaired physical mobility related to left-sided paralysis vi vi vi vi vi vi


b. Risk for impaired tissue integrity related to left-sided weakness
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c. Impaired skin integrity related to altered circulation and pressure
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d. Ineffective tissue perfusion related to inability to move independently vi vi vi vi vi vi vi vi




ANS: C vi


The patient‘s major problem is the impaired skin integrity as demonstrated by the presence of
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a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by freq
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uently repositioning the patient. Although left-
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sided weakness is a problem for the patient, the nurse cannot treat the weakness. The ―risk for‖
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diagnosis is not appropriate for this patient, who already has impaired tissue integrity. The pat
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ient does have ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates
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more clearly what the health problem is.
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DIF: Cognitive Level: Apply (application) REF: 7 vi vi vi


TOP: Nursing Process: Diagnosis
v i MSC: NCLEX: Physiological Integrity vi vi v i vi vi