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

[Type here]
ml


Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank

,[Type here]
ml


Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
Chapter 01: Professional Nursing Practice Le
ml ml ml ml ml


wis: Medical-Surgical Nursing, 10th Edition
ml ml ml ml




MULTIPLE CHOICE ml




1. The nurse completes an admission database and explains that the plan of care and discharg
ml ml ml ml ml ml ml ml ml ml ml ml ml ml


e goals will be developed with the patient‘s input. The patient states, ―How is this different
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml


from what the doctor does?‖ Which response would be most appropriate for the nurse to
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml


make?
a. ―The role of the nurse is to administer medications and other treatments prescrib
ml ml ml ml ml ml ml ml ml ml ml ml


ed by your doctor.‖ ml ml ml


b. ―The nurse‘s job is to help the doctor by collecting information a
ml ml ml ml ml ml ml ml ml ml ml


nd communicating any problems that occur.‖
ml ml ml ml ml


c. ―Nurses perform many of the same procedures as the doctor, but nurses are w
ml ml ml ml ml ml ml ml ml ml ml ml ml


ith the patients for a longer time than the doctor.‖
ml ml ml ml ml ml ml ml ml


d. ―In addition to caring for you while you are sick, the nurses will assist yo
ml ml ml ml ml ml ml ml ml ml ml ml ml ml


u to develop an individualized plan to maintain your health.‖
ml ml ml ml ml ml ml ml ml



ANS: D ml


This response is consistent with the American Nurses Association (ANA) definition of nur
ml ml ml ml ml ml ml ml ml ml ml ml


sing, which describes the role of nurses in promoting health. The other responses describe s
ml ml ml ml ml ml ml ml ml ml ml ml ml ml


ome of the dependent and collaborative functions of the nursing role but do not accurately
ml ml ml ml ml ml ml ml ml ml ml ml ml ml m


describe the nurse‘s role in the health care system.
l ml ml ml ml ml ml ml ml




DIF: Cognitive Level: Understand (comprehension) REF: 3 ml ml ml m l


TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
m l ml ml m l ml ml ml ml ml




2. The nurse describes to a student nurse how to use evidence-
ml ml ml ml ml ml ml ml ml ml


based practice guidelines when caring for patients. Which statement, if made by the nur
ml ml ml ml ml ml ml ml ml ml ml ml ml


se, would be the most accurate?
ml ml ml ml ml


a. ―Inferences from clinical research studies are used as a guide.‖ ml ml ml ml ml ml ml ml ml


b. ―Patient care is based on clinical judgment, experience, and traditions.‖
ml ml ml ml ml ml ml ml ml


c. ―Data are evaluated to show that the patient outcomes are consistently met.‖
ml ml ml ml ml ml ml ml ml ml ml


d. ―Recommendations are based on research, clinical expertise, and patie ml ml ml ml ml ml ml ml


nt preferences.‖ ml




ANS: D ml


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


based evidence combined with clinician expertise. Clinical judgment based on the nurse‘s c
ml ml ml ml ml ml ml ml ml ml ml ml


linical experience is part of EBP, but clinical decision making should also incorporate curr
ml ml ml ml ml ml ml ml ml ml ml ml ml


ent research and research-
ml ml ml


based guidelines. Evaluation of patient outcomes is important, but interventions should be b
ml ml ml ml ml ml ml ml ml ml ml ml


ased on research from randomized control studies with a large number of subjects.
ml ml ml ml ml ml ml ml ml ml ml ml




DIF: Cognitive Level: Remember (knowledge) REF: 15 ml ml ml m l


TOP: Nursing Process: Planning
m l MSC: NCLEX: Safe and Effective Care Environment
ml ml m l ml ml ml ml ml




3. The nurse teaches a student nurse about how to apply the nursing process when providi
ml ml ml ml ml ml ml ml ml ml ml ml ml ml


ng patient care. Which statement, if made by the student nurse, indicates that teaching
ml ml ml ml ml ml ml ml ml ml ml ml ml


was successful?
ml ml


a. ―The nursing process is a scientific-ml ml ml ml ml


based method of diagnosing the patient‘s health care problems.‖
ml ml ml ml ml ml ml ml

,[Type here]
ml


Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
b. ―The nursing process is a problem-solving tool used to identify and treat patients‘
ml ml ml ml ml ml ml ml ml ml ml ml

, [Type here]
ml


Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
health care needs.‖ ml ml


c. ―The nursing process is used primarily to explain nursing interventions to oth
ml ml ml ml ml ml ml ml ml ml ml


er health care professionals.‖
ml ml ml


d. ―The nursing process is based on nursing theory that incorporates t
ml ml ml ml ml ml ml ml ml ml


he biopsychosocial nature of humans.‖
ml ml ml ml




ANS: B ml


The nursing process is a problem-
ml ml ml ml ml


solving approach to the identification and treatment of patients‘ problems. Diagnosis is onl
ml ml ml ml ml ml ml ml ml ml ml ml


y one phase of the nursing process. The primary use of the nursing process is in patient car
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml


e, not to establish nursing theory or explain nursing interventions to other health care prof
ml ml ml ml ml ml ml ml ml ml ml ml ml ml


essionals.

DIF: Cognitive Level: Understand (comprehension) REF: 5 ml ml ml m l


TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
m l ml ml m l ml ml ml ml ml




4. A patient has been admitted to the hospital for surgery and tells the nurse, ―I do not feel
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml


comfortable leaving my children with my parents.‖ Which action should the nurse take ne
ml ml ml ml ml ml ml ml ml ml ml ml ml


xt?
a. Reassure the patient that these feelings are common for parents.
ml ml ml ml ml ml ml ml ml


b. Have the patient call the children to ensure that they are doing well.
ml ml ml ml ml ml ml ml ml ml ml ml


c. Gather more data about the patient‘s feelings about the child-care arrangements.
ml ml ml ml ml ml ml ml ml ml


d. Call the patient‘s parents to determine whether adequate child care is bei
ml ml ml ml ml ml ml ml ml ml ml


ng provided. ml




ANS: C ml


Because a complete assessment is necessary in order to identify a problem and choose an
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml


appropriate intervention, the nurse‘s first action should be to obtain more information. The
ml ml ml ml ml ml ml ml ml ml ml ml m


other actions may be appropriate, but more assessment is needed before the best interventio
l ml ml ml ml ml ml ml ml ml ml ml ml ml


n can be chosen.
ml ml ml




DIF: Cognitive Level: Apply (application) REF: 6 ml ml ml


OBJ: Special Questions: Prioritization
m l ml ml


TOP: Nursing Process: Assessmen ml ml ml


t MSC: NCLEX: Psychosocial Integrity
ml m l ml ml




5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure u
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml


lcer on the left hip. Which nursing diagnosis is most appropriate?
ml ml ml ml ml ml ml ml ml ml


a. Impaired physical mobility related to left-sided paralysisml ml ml ml ml ml


b. Risk for impaired tissue integrity related to left-sided weakness
ml ml ml ml ml ml ml ml


c. Impaired skin integrity related to altered circulation and pressure
ml ml ml ml ml ml ml ml


d. Ineffective tissue perfusion related to inability to move independently
ml ml ml ml ml ml ml ml




ANS: C ml


The patient‘s major problem is the impaired skin integrity as demonstrated by the presence
ml ml ml ml ml ml ml ml ml ml ml ml ml


of a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml m


by frequently repositioning the patient. Although left-
l ml ml ml ml ml ml


sided weakness is a problem for the patient, the nurse cannot treat the weakness. The ―risk
ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml ml


for‖ diagnosis is not appropriate for this patient, who already has impaired tissue integrity.
ml ml ml ml ml ml ml ml ml ml ml ml ml ml


The patient does have ineffective tissue perfusion, but the impaired skin integrity diagnosis
ml ml ml ml ml ml ml ml ml ml ml ml


indicates more clearly what the health problem is.
ml ml ml ml ml ml ml ml




DIF: Cognitive Level: Apply (application) REF: 7 ml ml ml


TOP: Nursing Process: Diagnosis
m l MSC: NCLEX: Physiological Integrity
ml ml m l ml ml