TEST BANK FOR LEWIS MEDICAL-
ll ll ll ll
SURGICAL NURSING IN CANADA 5TH
ll ll ll ll
EDITION
ll
,CHAPTER 01: Introduction to Medical Surgical Nursing Practice
ll ll ll ll ll ll ll
in Canada Lewis: Medical-Surgical Nursing in Canada, 5th
ll ll ll ll ll ll ll ll
Canadian Edition
ll ll
MULTIPLE llCHOICE ll:
1. The llmedical llattendant llis llcaring l l for lla llhospital llclient llwith l l a
llnew lldiagnosis ll of llpneumonia lland llexplains llto llthe llhospital
llclient llthat lltogether llthey llwill llplan llthe l l hospital llclient’s llcare
lland llset llgoals llfor ll discharge. llThe llhospital llclient llasks, ll“How llis
llthat l l different l l from llwhat llthe l l doctor l l does?” l l Which
l l response l l by llthe llmedical llattendant llis llmost llappropriate?
a. “The llrole llof llthe llmedical llattendant llis llto lladminister l l medications
lland llother lltreatments llprescribed
by llyour l l doctor.”
b. “The llmedical llattendant’s lljob llis llto llhelp llthe lldoctor llby llcollecting
lldata lland llcommunicating llwhen llthere llare llproblems.”
c. “Medical llattendants llperform llmany llof llthe llprocedures lldone llby
llphysicians, llbut l l medical llattendants llare llhere llin
the l l health l l center l l for ll a l l longer l l time l l than ll doctors.”
d. “In lladdition llto llcaring llfor l l you l l while llyou llare llsick, llthe llmedical
llattendants llwill llassist llyou llto
develop l l an l l individualized l l plan ll to l l maintain l l your l l health.”
PRECISE llCHOICE:-D
Reasoning ll:->>>This l l response l l is l l consistent l l with l l the l l Canadian llnurses l l Association
l l (CNA) l l definition l l of l l nursing. llRegistered l l medical llattendants l l are l l self-regulated
l l health l l care l l professionals l l who l l work l l autonomously l l and llin l l collaboration l l with
l l others. l l RNs l l enable l l individuals, l l families, l l groups, l l communities l l and l l populations
l l to llachieve l l their l l optimal l l level l l of l l health. l l RNs l l coordinate l l health l l care, l l deliver
l l direct l l services, l l and l l support llhospital llclients l l in lltheir l l self-care l l decisions lland llactions
l l in l l situations l l of l l health, l l illness, l l injury, l l and l l disability llin llall llstages l l of l l life. l l The
l l other l l responses l l describe l l some l l of l l the l l dependent l l and l l collaborative l l functions
l l of l l the llnursing l l role l l but l l do l l not l l accurately l l describe l l the l l medical llattendant’s
l l role l l in l l the l l health l l care l l system.
DIF: Cognitive llLevel: llComprehension TOPIC: l l Nursing llProcess:
Implementation llMSC: l l NCLEX: llSafe lland llEffective llCare llEnvironment
2. When llcaring l l for l l hospital llclients llusing l l evidence-informed l l practice, ll which l l of llthe
l l following l l does llthe llmedical llattendant lluse?
a. Clinical ll judgement l l based l l on l l experience
b. Evidence l l from ll a l l clinical ll research l l study
c. The l l best ll available l l evidence l l to l l guide l l clinical l l expertise
d. Evaluation llof lldata llshowing llthat llthe llhospital
llclient lloutcomes llare llmet
PRECISE llCHOICE:-C
Reasoning ll:->>>Evidence-informed l l nursing l l practice l l is l l a l l continuous l l interactive
l l process l l involving l l the l l explicit, llconscientious, l l and l l judicious l l consideration l l of llthe
,ll best llavailable l l evidence l l to l l provide l l care. l l Four l l primary llelements l l are: ll(a) l l clinical
l l state, l l setting, l l and l l circumstances; l l (b) l l hospital llclient l l preferences l l and l l actions; l l (c)
l l best llresearch l l evidence, l l and l l (d) l l health l l care l l resources. l l Clinical l l judgement
l l based l l on l l the l l medical llattendant’s llclinical l l experience l l is l l part l l of l l EIP, l l but
l l clinical l l decision l l making l l also l l should l l incorporate l l current llresearch l l and l l research-
based l l guidelines. l l Evidence l l from l l one l l clinical l l research l l study lldoes l l not l l provide
l l an lladequate l l substantiation l l for l l interventions. l l Evaluation l l of l l hospital llclient
l l outcomes l l is l l important, l l but l l interventions l l should l l be l l based l l on l l research l l from
l l randomized l l control l l studies l l with l l a l l large l l number l l of
, subjects.
DIF: Cognitive llLevel: llComprehension TOPIC: l l Nursing llProcess:
Planning llMSC: l l NCLEX: llSafe lland llEffective llCare llEnvironment
3. Which llof llthe llfollowing l l best l l explains llthe llmedical llattendants’ l l primary lluse l l of llthe
l l nursing l l process llwhen llproviding llcare llto llhospital llclients?
a. To llexplain l l nursing l l interventions l l to l l other l l health l l care l l professionals
b. As ll a l l problem-solving ll tool l l to l l identify l l and ll treat l l hospital llclients’ l l health l l care l l needs
c. As ll a l l scientific-based l l process l l of ll diagnosing l l the l l hospital llclient’s l l health l l care
l l problems
d. To llestablish l l nursing l l theory llthat l l incorporates l l the l l biopsychosocial l l nature l l of
l l humans
PRECISE llCHOICE:-B
Reasoning ll:->>>The l l nursing l l process l l is l l an l l assertive l l problem-solving l l approach l l to
l l the l l identification l l and l l treatment l l of llhospital llclients’ l l problems. l l Diagnosis l l is l l only
l l one l l phase l l of l l the l l nursing l l process. l l The l l primary l l use l l of llthe l l nursing llprocess l l is ll in
llhospital llclient l l care, l l not l l to l l establish l l nursing lltheory llor l l explain l l nursing l l interventions
l l to llother l l health llcare llprofessionals.
DIF: Cognitive llLevel: llComprehension TOPIC: l l Nursing llProcess:
Implementation llMSC: l l NCLEX: llSafe lland llEffective llCare llEnvironment
4. The l l medical llattendant l l is l l caring l l for l l a l l critically l l ill l l hospital llclient l l in l l the l l intensive
l l care llunit l l and l l plans l l an l l every- ll2-hour l l turning l l schedule l l to l l prevent l l skin
l l breakdown. l l Which l l type l l of l l nursing l l function l l is l l demonstrated llwith llthis llturning
llschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
PRECISE llCHOICE:-D
Reasoning ll:->>>When l l implementing l l collaborative l l nursing l l actions, l l the l l medical
llattendant l l is l l responsible l l primarily l l for ll monitoring l l for l l complications l l of l l acute
l l illness l l or l l providing l l care l l to l l prevent l l or l l treat l l complications.
Independent l l nursing llactions llare llfocused l l on llhealth llpromotion, llillness llprevention,
l l and llhospital llclient lladvocacy. l l A lldependent l l action l l would l l require lla l l physician
l l order llto llimplement. l l Cooperative l l nursing llfunctions l l are l l not l l described l l as l l one
l l of l l the l l formal l l nursing l l functions.
DIF: Cognitive llLevel: llApplication TOPIC: l l Nursing llProcess:
Implementation llMSC: l l NCLEX: llSafe lland llEffective llCare llEnvironment
5. The llmedical llattendant llis llcaring llfor lla llhospital llclient llwho llhas llbeen lladmitted llto llthe
llhealth llcenter llfor l l surgery lland lltells llthe llmedical llattendant, ll“I ll do llnot llfeel llright llabout
llleaving llmy llchildren llwith llmy llneighbour.” llWhich llaction llshould l l the l l medical
llattendant l l take l l next?
a. Reassure l l the l l hospital llclient l l that l l these l l feelings l l are l l common l l for l l parents.
b. Have l l the l l hospital llclient l l call l l the l l children llto l l ensure ll that ll they l l are l l doing l l well.
c. Call llthe l l neighbour l l to ll determine l l whether l l adequate l l childcare l l is l l being l l provided.
d. Gather l l more l l data l l about ll the l l hospital llclient’s l l feelings l l about l l the l l childcare
l l arrangements.
ll ll ll ll
SURGICAL NURSING IN CANADA 5TH
ll ll ll ll
EDITION
ll
,CHAPTER 01: Introduction to Medical Surgical Nursing Practice
ll ll ll ll ll ll ll
in Canada Lewis: Medical-Surgical Nursing in Canada, 5th
ll ll ll ll ll ll ll ll
Canadian Edition
ll ll
MULTIPLE llCHOICE ll:
1. The llmedical llattendant llis llcaring l l for lla llhospital llclient llwith l l a
llnew lldiagnosis ll of llpneumonia lland llexplains llto llthe llhospital
llclient llthat lltogether llthey llwill llplan llthe l l hospital llclient’s llcare
lland llset llgoals llfor ll discharge. llThe llhospital llclient llasks, ll“How llis
llthat l l different l l from llwhat llthe l l doctor l l does?” l l Which
l l response l l by llthe llmedical llattendant llis llmost llappropriate?
a. “The llrole llof llthe llmedical llattendant llis llto lladminister l l medications
lland llother lltreatments llprescribed
by llyour l l doctor.”
b. “The llmedical llattendant’s lljob llis llto llhelp llthe lldoctor llby llcollecting
lldata lland llcommunicating llwhen llthere llare llproblems.”
c. “Medical llattendants llperform llmany llof llthe llprocedures lldone llby
llphysicians, llbut l l medical llattendants llare llhere llin
the l l health l l center l l for ll a l l longer l l time l l than ll doctors.”
d. “In lladdition llto llcaring llfor l l you l l while llyou llare llsick, llthe llmedical
llattendants llwill llassist llyou llto
develop l l an l l individualized l l plan ll to l l maintain l l your l l health.”
PRECISE llCHOICE:-D
Reasoning ll:->>>This l l response l l is l l consistent l l with l l the l l Canadian llnurses l l Association
l l (CNA) l l definition l l of l l nursing. llRegistered l l medical llattendants l l are l l self-regulated
l l health l l care l l professionals l l who l l work l l autonomously l l and llin l l collaboration l l with
l l others. l l RNs l l enable l l individuals, l l families, l l groups, l l communities l l and l l populations
l l to llachieve l l their l l optimal l l level l l of l l health. l l RNs l l coordinate l l health l l care, l l deliver
l l direct l l services, l l and l l support llhospital llclients l l in lltheir l l self-care l l decisions lland llactions
l l in l l situations l l of l l health, l l illness, l l injury, l l and l l disability llin llall llstages l l of l l life. l l The
l l other l l responses l l describe l l some l l of l l the l l dependent l l and l l collaborative l l functions
l l of l l the llnursing l l role l l but l l do l l not l l accurately l l describe l l the l l medical llattendant’s
l l role l l in l l the l l health l l care l l system.
DIF: Cognitive llLevel: llComprehension TOPIC: l l Nursing llProcess:
Implementation llMSC: l l NCLEX: llSafe lland llEffective llCare llEnvironment
2. When llcaring l l for l l hospital llclients llusing l l evidence-informed l l practice, ll which l l of llthe
l l following l l does llthe llmedical llattendant lluse?
a. Clinical ll judgement l l based l l on l l experience
b. Evidence l l from ll a l l clinical ll research l l study
c. The l l best ll available l l evidence l l to l l guide l l clinical l l expertise
d. Evaluation llof lldata llshowing llthat llthe llhospital
llclient lloutcomes llare llmet
PRECISE llCHOICE:-C
Reasoning ll:->>>Evidence-informed l l nursing l l practice l l is l l a l l continuous l l interactive
l l process l l involving l l the l l explicit, llconscientious, l l and l l judicious l l consideration l l of llthe
,ll best llavailable l l evidence l l to l l provide l l care. l l Four l l primary llelements l l are: ll(a) l l clinical
l l state, l l setting, l l and l l circumstances; l l (b) l l hospital llclient l l preferences l l and l l actions; l l (c)
l l best llresearch l l evidence, l l and l l (d) l l health l l care l l resources. l l Clinical l l judgement
l l based l l on l l the l l medical llattendant’s llclinical l l experience l l is l l part l l of l l EIP, l l but
l l clinical l l decision l l making l l also l l should l l incorporate l l current llresearch l l and l l research-
based l l guidelines. l l Evidence l l from l l one l l clinical l l research l l study lldoes l l not l l provide
l l an lladequate l l substantiation l l for l l interventions. l l Evaluation l l of l l hospital llclient
l l outcomes l l is l l important, l l but l l interventions l l should l l be l l based l l on l l research l l from
l l randomized l l control l l studies l l with l l a l l large l l number l l of
, subjects.
DIF: Cognitive llLevel: llComprehension TOPIC: l l Nursing llProcess:
Planning llMSC: l l NCLEX: llSafe lland llEffective llCare llEnvironment
3. Which llof llthe llfollowing l l best l l explains llthe llmedical llattendants’ l l primary lluse l l of llthe
l l nursing l l process llwhen llproviding llcare llto llhospital llclients?
a. To llexplain l l nursing l l interventions l l to l l other l l health l l care l l professionals
b. As ll a l l problem-solving ll tool l l to l l identify l l and ll treat l l hospital llclients’ l l health l l care l l needs
c. As ll a l l scientific-based l l process l l of ll diagnosing l l the l l hospital llclient’s l l health l l care
l l problems
d. To llestablish l l nursing l l theory llthat l l incorporates l l the l l biopsychosocial l l nature l l of
l l humans
PRECISE llCHOICE:-B
Reasoning ll:->>>The l l nursing l l process l l is l l an l l assertive l l problem-solving l l approach l l to
l l the l l identification l l and l l treatment l l of llhospital llclients’ l l problems. l l Diagnosis l l is l l only
l l one l l phase l l of l l the l l nursing l l process. l l The l l primary l l use l l of llthe l l nursing llprocess l l is ll in
llhospital llclient l l care, l l not l l to l l establish l l nursing lltheory llor l l explain l l nursing l l interventions
l l to llother l l health llcare llprofessionals.
DIF: Cognitive llLevel: llComprehension TOPIC: l l Nursing llProcess:
Implementation llMSC: l l NCLEX: llSafe lland llEffective llCare llEnvironment
4. The l l medical llattendant l l is l l caring l l for l l a l l critically l l ill l l hospital llclient l l in l l the l l intensive
l l care llunit l l and l l plans l l an l l every- ll2-hour l l turning l l schedule l l to l l prevent l l skin
l l breakdown. l l Which l l type l l of l l nursing l l function l l is l l demonstrated llwith llthis llturning
llschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
PRECISE llCHOICE:-D
Reasoning ll:->>>When l l implementing l l collaborative l l nursing l l actions, l l the l l medical
llattendant l l is l l responsible l l primarily l l for ll monitoring l l for l l complications l l of l l acute
l l illness l l or l l providing l l care l l to l l prevent l l or l l treat l l complications.
Independent l l nursing llactions llare llfocused l l on llhealth llpromotion, llillness llprevention,
l l and llhospital llclient lladvocacy. l l A lldependent l l action l l would l l require lla l l physician
l l order llto llimplement. l l Cooperative l l nursing llfunctions l l are l l not l l described l l as l l one
l l of l l the l l formal l l nursing l l functions.
DIF: Cognitive llLevel: llApplication TOPIC: l l Nursing llProcess:
Implementation llMSC: l l NCLEX: llSafe lland llEffective llCare llEnvironment
5. The llmedical llattendant llis llcaring llfor lla llhospital llclient llwho llhas llbeen lladmitted llto llthe
llhealth llcenter llfor l l surgery lland lltells llthe llmedical llattendant, ll“I ll do llnot llfeel llright llabout
llleaving llmy llchildren llwith llmy llneighbour.” llWhich llaction llshould l l the l l medical
llattendant l l take l l next?
a. Reassure l l the l l hospital llclient l l that l l these l l feelings l l are l l common l l for l l parents.
b. Have l l the l l hospital llclient l l call l l the l l children llto l l ensure ll that ll they l l are l l doing l l well.
c. Call llthe l l neighbour l l to ll determine l l whether l l adequate l l childcare l l is l l being l l provided.
d. Gather l l more l l data l l about ll the l l hospital llclient’s l l feelings l l about l l the l l childcare
l l arrangements.
