Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems 11th Edition TESTBANK

Lewis's Medical-Surgical Nursing: Assessment
and Management of Clinical Problems 11th Edition
TESTBANK NEW UPDATE 2022
Chapter 1. Professional Nursing


MULTIPLE CHOICE



1. 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 most appropriate
for the nurse to make?


a. The role of the nurse is to administer medications and other treatments

prescribed by your doctor.

b. The nurses job is to help the doctor by collecting information and

communicating any problems that occur.

c. Nurses perform many of the same procedures as the doctor, but nurses

are with the patients for a longer time than the doctor.

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

you to develop an individualized plan to maintain your health.



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 nursin
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grole but do not accurately describe the nurses role in the health care system.
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DIF: Cognitive Level: Understand (comprehension) REF: 3
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,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
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nurse, would bethe most accurate?
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a. Inferences from clinical research studies are used as a guide.
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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 consistentl
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ymet. nm




d. Recommendations are based on research, clinical expertise, and patien nm nm nm nm nm nm nm nm




tpreferences.
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ANS: D nm




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




based evidence combined with clinician expertise. Clinical judgment based on th
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e nurses clinical experience is part of EBP, but clinical decision making should a
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lso incorporate current research and research-
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based guidelines. Evaluation of patient outcomes is important, but interventions s
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hould be based on research from randomized controlstudies with a large number
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of subjects.
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DIF: Cognitive Level: Remember (knowledge) REF: 11
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TOP: Nursing Process: Planning 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
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providing patient care. Which statement, if made by the student nurse, indicates th
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atteaching was successful?
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, a. The nursing process is a scientific-
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based method of diagnosing thepatients health care problems.
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b. The nursing process is a problem-
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solving tool used to identify and treatpatients health care needs.
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c. The nursing process is based on nursing theory that incorporates th
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ebiopsychosocial nature of humans.
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