Chapter 01: Introduction to Medical-
l l l l
Surgical Nursing Practice in Canada Lewis: Medical-
l l l l l l
Surgical Nursing in Canada, 5th Canadian Edition
l l l l l l
MULTIPLElCHOICE
Whenlcaringlforlclientslusinglevidence-
informedlpractice,lwhichloflthelfollowingldoeslthelnurseluse?
Clinicalljudgementlbasedlonlexperience
Evidencelfromlalclinicallresearchlstudy
Thelbestlavailablelevidenceltolguidelclinicallexpertise
Evaluationlofldatalshowinglthatlthelclientloutcomeslarelmet
CORRECTJANSWER:lC
Evidence-
informedlnursinglpracticelislalcontinuouslinteractivelprocesslinvolvinglthelexplicit,lconscientious,lalndljudici
ouslconsiderationloflthelbestlavailablelevidenceltolprovidelcare.lFourlprimarylelementslare
ЀĀ ȀĀ⸀Ā ᜀ Ā ᜀ Ā ᜀ
a)lclinicallstate,lsetting,landlcircumstances;l(b)lclientlpreferenceslandlactions;l(c)lbestlresearchlevidlence;l
andl(d)lhealthlcarelresources.lClinicalljudgementlbasedlonlthelnurse‘slclinicallexperiencelislpalrtloflEIP,lb
utlclinicalldecisionlmakinglalsolshouldlincorporatelcurrentlresearchlandlresearch-
basedlguidelines.lEvidencelfromlonelclinicallresearchlstudyldoeslnotlprovidelanladequatelsubstantilationl
forlinterventions.lEvaluationloflclientloutcomeslislimportant,lbutlinterventionslshouldlbelbaseldlonlresea
rchlfromlrandomizedlcontrollstudieslwithlallargelnumberloflsubjects.
DIF: CognitivelLevel:lComprehension TOP:llNursinglProcess:lPlanning
2.llWhichoflthelfollowinglbestlelxlplllalilnlsltlhlellnlulrlselsl‘lprlimaryluseoflthelnursinglprocesslwhen
N RlllIlllG B.ClM
providinglcareltolclients? USNT O
Tolexplainlnursinglinterventionsltolotherlhealthlcarelprofessionals
Aslalproblem-solvingltoolltolidentifylandltreatlclients‘lhealthlcarelneeds
Aslalscientific-basedlprocesslofldiagnosinglthelclient‘slhealthlcarelproblems
Tolestablishlnursingltheorylthatlincorporateslthelbiopsychosociallnatureloflhumans
CORRECTJANSWER:lB
Thelnursinglprocesslislanlassertivelproblem-
solvinglapproachltolthelidentificationlandltreatmentloflclients‘lproblems.lDiagnosislislonlylonelphasl
eloflthelnursinglprocess.lThe
primaryluseloflthelnursinglprocesslislinlclientlcare,lnotltolestablishlnursingltheorylorlexplainlnursinglil
nterventionsltolotherlhealthlcarelprofessionals.
DIF: CognitivelLevel:lComprehension TOP:llNursinglProcess:lImplementation
Thelnurselislcaringlforlalcriticallylilllclientlinlthelintensivelcarelunitlandlplanslanleveryl2-
hourlturninglscheduleltolpreventlskinlbreakdown.lWhichltypeloflnursinglfunctionlisldemonstratedl
withlthislturninglschedule?
Dependent
Cooperative
Independent
Collaborative
CORRECTJANSWER:lD
, Whenlimplementinglcollaborativelnursinglactions,lthelnurselislresponsiblelprimarilylforlmonitorinlglforl
complicationsloflacutelillnesslorlprovidinglcareltolpreventlorltreatlcomplications.lIndependentlnursingla
ctionslarelfocusedlonlhealthlpromotion,lillnesslprevention,landlclientladvocacy.lAldepenldentlactionlwou
ldlrequirelalphysicianlorderltolimplement.lCooperativelnursinglfunctionslarelnotldelscribedlasloneloflthelf
ormallnursinglfunctions.
DIF: CognitivelLevel:lApplication TOP:llNursinglProcess:lImplementation
Thelnurselislcaringlforlalclientlwholhaslbeenladmittedltolthelhospitallforlsurgerylandltellslthelnurse,l
―Ildolnotlfeellrightlaboutlleavinglmylchildrenlwithlmylneighbour.‖lWhichlactionlshouldlthelnurse
ltlakelnext?
ЀĀ ȀĀ⸀Ā ᜀ Ā ᜀ Ā ᜀ
eassurelthelclientlthatltheselfeelingslarelcommonlforlparents.
ЀĀ ȀĀ⸀Ā ᜀ Ā ᜀ Ā ᜀ
avelthelclientlcalllthelchildrenltolensurelthatltheylareldoinglwell.
ЀĀ ȀĀ⸀Ā ᜀ Ā ᜀ Ā ᜀ
alllthelneighbourltoldeterminelwhetherladequatelchildcarelislbeinglprovided.
ЀĀ ȀĀ⸀Ā ᜀ Ā ᜀ Ā ᜀ
atherlmoreldatalaboutlthelclient‘slfeelingslaboutlthelchildcarelarrangements.
CORRECTJANSWER:lD
Sincelalcompletelassessmentlislnecessarylinlorderltolidentifylalproblemlandlchooselanlappropriatelilnterv
ention,lthelnurse‘slfirstlactionlshouldlbeltolobtainlmorelinformation.lThelotherlactionslmaylbelappropri
ate,lbutlmorelassessmentlislneededlbeforelthelbestlinterventionlcanlbelchosen.
DIF: CognitivelLevel:lApplication TOP:llNursinglProcess:lAssessment
5.llThelnurselislcaringlforlalclientlwholhaslleft-
sidedlparalysislaslthelresultloflalstrokelandlassessesapressureinjuryolnlltlhe clllienltl‘lsllllelfltllhi
N RIGB.
pl.lWllhichlofthefollowingisthemost
CllM
appropriatelnursingldiagnosislfUolrltShilslcNllilelnTtl? O
Impairedlphysicallmobilitylrelatedltoldecreaselinlmusclelcontroll(left-
sidedlparalysis)
Risklforlimpairedltissuelintegritylaslevidencedlbylinsufficientlknowledgelaboutlprotel
ctingltissuelintegrity
Impairedlskinlintegritylrelatedltolpressureloverlbonylprominencel(impairedlcirl
culation)
Ineffectiveltissuelperfusionlrelatedltolsedentaryllifestyle
CORRECTJANSWER:lC
Thelclient‘slmajorlproblemlislthelimpairedlskinlintegritylasldemonstratedlbylthelpresenceloflalpressl
urelinjury.lThelnurselislableltoltreatlthelcauseloflalteredlcirculationlandlpressurelbylfrequentlylrepolsi
tioninglthelclient.lAlthoughlleft-sidedlweaknesslislalproblemlforlthelclient,
thelnurselcannotltreatlthelweakness.lThel―risklfor‖ldiagnosislislnotlappropriatelforlthislclient,lwholallrea
dylhaslimpairedltissuelintegrity.lThelclientldoeslhavelineffectiveltissuelperfusion,lbutlthelimpairledlskinli
ntegrityldiagnosislindicateslmorelclearlylwhatlthelhealthlproblemlis.
DIF: CognitivelLevel:lApplication TOP:llNursinglProcess:lDiagnosis
Thelnurselcaringlforlalclientlwithlanlinfectionlhaslalnursingldiagnosislofldeficientlfluidlvolum
, relatedltolexcessiveldiaphoresis.lWhichloflthelfollowinglislanlappropriatelclientloutcome?
Clientlhaslalbalancedlintakelandloutput.
Client‘slbeddinglislchangedlwhenlitlbecomesldamp.
Clientlunderstandslthelneedlforlincreasedlfluidlintake.
Client‘slskinlremainslcoollandldrylthroughoutlhospitalization.
CORRECTJANSWER:lA
Thislstatementlgiveslmeasurableldatalshowinglresolutionloflthelproblemlofldeficientlfluidlvolumelthl
atlwaslidentifiedlinlthelnursingldiagnosislstatement.lThelotherlstatementslwouldlnotlindicatelthatlthel
problemlofldeficientlfluidlvolumelwaslresolved.
DIF: CognitivelLevel:lApplication TOP:llNursinglProcess:lPlanning
Whichloflthelfollowinglrepresentslalnursinglactivitylthatlislcarriedloutlduringlthelevaluationlphasel
oflthelnursinglprocess?
Determiningliflinterventionslhavelbeenleffectivelinlmeetinglclientloutcomes
Documentinglthelnursinglcarelplanlinlthelprogresslnoteslinlthelmedicallrecord
Decidinglwhetherlthelclient‘slhealthlproblemslhavelbeenlcompletelylresolved
Askinglthelclientltolevaluatelwhetherlthelnursinglcarelprovidedlwaslsatisfactory
CORRECTJANSWER:lA
Evaluationlconsistslofldetermininglwhetherltheldesiredlclientloutcomeslhavelbeenlmetlandlwhethelrl
thelnursinglinterventionslwerelappropriate.lThelotherlresponsesldolnotldescribelthelevaluationlphla
se.
DIF: CognitivelLevel:lComprehension TOP:llNursinglProcess:lEvaluation
8.
Whichloflthelfollowinglwouldlthelnurselperformlduringlthelassessmentlphaseloflthelnursinglpro
cless?
a. Obtainsldatalwithlwhichltoldiagnoselclientlproblems
b. UsesclientldatatoldeveloNplpRriorIitylnGursBin.glCdiagMnoses
USN T
J J
J
J
J
c. Teacheslinterventionsltolrelievelclientlhealthlproblems
Assistslthelclientltolidentifylrealisticloutcomesltolhealthlproblems
CORRECTJANSWER:lA
Duringlthelassessmentlphase,lthelnurselgatherslinformationlaboutlthelclient.lThelotherlresponseslalrelex
amplesloflthelintervention,ldiagnosis,landlplanninglphasesloflthelnursinglprocess.
DIF: CognitivelLevel:lKnowledge TOP:llNursinglProcess:lAssessment
Whichloflthelfollowinglislanlexampleloflalcorrectlylwrittenlnursingldiagnosislstatement?
Alteredltissuelperfusionlrelatedltolheartlfailure
Risklforlimpairedltissuelintegritylrelatedltolsacrallredness
Ineffectivelcopinglrelatedltolinsufficientlsenseloflcontrol.
Alteredlurinaryleliminationlrelatedltolurinaryltractlinfection
CORRECTJANSWER:lC
ThisldiagnosislstatementlincludeslalNANDAlnursingldiagnosislandlanletiologylthatldescribeslalcliel
nt‘slresponseltolalhealthlproblemlthatlcanlbeltreatedlbylnursing.lTheluseloflalmedicalldiagnosisl(aslil
nlthelresponseslbeginningl―Alteredltissuelperfusion‖landl―Alteredlurinary
, elimination‖)lislnotlappropriate.lThelresponselbeginningl―Risklforlimpairedltissuelintegrity‖luse
slthleldefininglcharacteristicslasltheletiology.
DIF: CognitivelLevel:lComprehension TOP:llNursinglProcess:lDiagnosis
Whichloflthelfollowinglincludeslthelcomponentslrequiredlforlalcompletelnursingldiagnosislstatel
ment?
Alproblemlandlthelsuggestedlclientlgoalslorloutcomes
Alproblem,litslcause,landlobjectiveldatalthatlsupportlthelproblem
Alproblemlwithlalllitslpossiblelcauseslandlthelplannedlinterventions
Alproblemlwithlitsletiologylandlthelsignslandlsymptomsloflthelproblem
CORRECTJANSWER:lD
ThelPESlformatlislusedlwhenlwritinglnursingldiagnoses.lThelsubjective,laslwelllaslobjective,ldatalshol
uldlbelincludedlinltheldefininglcharacteristics.lInterventionslandloutcomeslarelnotlincludedlinlthelnlu
rsingldiagnosislstatement.
DIF: CognitivelLevel:lKnowledge TOP:llNursinglProcess:lDiagnosis
Whichloflthelfollowinglrefersltolalsituationlthatlresultslinlunintendedlharmltolthelclientlandlislrelate
tolthelcarelorlserviceslprovidedlratherlthanlthelclient‘slmedicallcondition?
Negligence
Adverselevent
Incidentlreport
Nonmaleficence
CORRECTJANSWER:lB
Anladverseleventlislanleventlthatlresultslinlunintendedlharmltolthelclientlandlislrelatedltolthelcarelorls
erviceslprovidedltolthelclientlratherlthanltolthelclient‘slunderlyinglmedicallcondition.
DIF: CognitivelLevel:lKnowledge TOP:llNursinglProcess:lEvaluation
NRIGB.CM
12. U JS JN JTll
J JJ J J
O
WhenlusinglthelFivelStepslofltheJevidencel-
ilnformedJpracticel(EIP)lProcess,lwhichloflthelflowinglelementslislthelfinallsteplwhenlcons
tructinglalclinicallquestion?
Comparisonloflinterest
Populationloflinterest
Outcomeloflinterest
Timeframeloflinterest
CORRECTJANSWER:lD
Thelorderloflthelnurse‘slstatementslfollowslthelPICOTlformatlwithlthelfinallsteplbeinglthel―T‖,lor
ltilmeframeloflinterest.
DIF: CognitivelLevel:lApplication TOP:llNursinglProcess:lImplementation
l l l l
Surgical Nursing Practice in Canada Lewis: Medical-
l l l l l l
Surgical Nursing in Canada, 5th Canadian Edition
l l l l l l
MULTIPLElCHOICE
Whenlcaringlforlclientslusinglevidence-
informedlpractice,lwhichloflthelfollowingldoeslthelnurseluse?
Clinicalljudgementlbasedlonlexperience
Evidencelfromlalclinicallresearchlstudy
Thelbestlavailablelevidenceltolguidelclinicallexpertise
Evaluationlofldatalshowinglthatlthelclientloutcomeslarelmet
CORRECTJANSWER:lC
Evidence-
informedlnursinglpracticelislalcontinuouslinteractivelprocesslinvolvinglthelexplicit,lconscientious,lalndljudici
ouslconsiderationloflthelbestlavailablelevidenceltolprovidelcare.lFourlprimarylelementslare
ЀĀ ȀĀ⸀Ā ᜀ Ā ᜀ Ā ᜀ
a)lclinicallstate,lsetting,landlcircumstances;l(b)lclientlpreferenceslandlactions;l(c)lbestlresearchlevidlence;l
andl(d)lhealthlcarelresources.lClinicalljudgementlbasedlonlthelnurse‘slclinicallexperiencelislpalrtloflEIP,lb
utlclinicalldecisionlmakinglalsolshouldlincorporatelcurrentlresearchlandlresearch-
basedlguidelines.lEvidencelfromlonelclinicallresearchlstudyldoeslnotlprovidelanladequatelsubstantilationl
forlinterventions.lEvaluationloflclientloutcomeslislimportant,lbutlinterventionslshouldlbelbaseldlonlresea
rchlfromlrandomizedlcontrollstudieslwithlallargelnumberloflsubjects.
DIF: CognitivelLevel:lComprehension TOP:llNursinglProcess:lPlanning
2.llWhichoflthelfollowinglbestlelxlplllalilnlsltlhlellnlulrlselsl‘lprlimaryluseoflthelnursinglprocesslwhen
N RlllIlllG B.ClM
providinglcareltolclients? USNT O
Tolexplainlnursinglinterventionsltolotherlhealthlcarelprofessionals
Aslalproblem-solvingltoolltolidentifylandltreatlclients‘lhealthlcarelneeds
Aslalscientific-basedlprocesslofldiagnosinglthelclient‘slhealthlcarelproblems
Tolestablishlnursingltheorylthatlincorporateslthelbiopsychosociallnatureloflhumans
CORRECTJANSWER:lB
Thelnursinglprocesslislanlassertivelproblem-
solvinglapproachltolthelidentificationlandltreatmentloflclients‘lproblems.lDiagnosislislonlylonelphasl
eloflthelnursinglprocess.lThe
primaryluseloflthelnursinglprocesslislinlclientlcare,lnotltolestablishlnursingltheorylorlexplainlnursinglil
nterventionsltolotherlhealthlcarelprofessionals.
DIF: CognitivelLevel:lComprehension TOP:llNursinglProcess:lImplementation
Thelnurselislcaringlforlalcriticallylilllclientlinlthelintensivelcarelunitlandlplanslanleveryl2-
hourlturninglscheduleltolpreventlskinlbreakdown.lWhichltypeloflnursinglfunctionlisldemonstratedl
withlthislturninglschedule?
Dependent
Cooperative
Independent
Collaborative
CORRECTJANSWER:lD
, Whenlimplementinglcollaborativelnursinglactions,lthelnurselislresponsiblelprimarilylforlmonitorinlglforl
complicationsloflacutelillnesslorlprovidinglcareltolpreventlorltreatlcomplications.lIndependentlnursingla
ctionslarelfocusedlonlhealthlpromotion,lillnesslprevention,landlclientladvocacy.lAldepenldentlactionlwou
ldlrequirelalphysicianlorderltolimplement.lCooperativelnursinglfunctionslarelnotldelscribedlasloneloflthelf
ormallnursinglfunctions.
DIF: CognitivelLevel:lApplication TOP:llNursinglProcess:lImplementation
Thelnurselislcaringlforlalclientlwholhaslbeenladmittedltolthelhospitallforlsurgerylandltellslthelnurse,l
―Ildolnotlfeellrightlaboutlleavinglmylchildrenlwithlmylneighbour.‖lWhichlactionlshouldlthelnurse
ltlakelnext?
ЀĀ ȀĀ⸀Ā ᜀ Ā ᜀ Ā ᜀ
eassurelthelclientlthatltheselfeelingslarelcommonlforlparents.
ЀĀ ȀĀ⸀Ā ᜀ Ā ᜀ Ā ᜀ
avelthelclientlcalllthelchildrenltolensurelthatltheylareldoinglwell.
ЀĀ ȀĀ⸀Ā ᜀ Ā ᜀ Ā ᜀ
alllthelneighbourltoldeterminelwhetherladequatelchildcarelislbeinglprovided.
ЀĀ ȀĀ⸀Ā ᜀ Ā ᜀ Ā ᜀ
atherlmoreldatalaboutlthelclient‘slfeelingslaboutlthelchildcarelarrangements.
CORRECTJANSWER:lD
Sincelalcompletelassessmentlislnecessarylinlorderltolidentifylalproblemlandlchooselanlappropriatelilnterv
ention,lthelnurse‘slfirstlactionlshouldlbeltolobtainlmorelinformation.lThelotherlactionslmaylbelappropri
ate,lbutlmorelassessmentlislneededlbeforelthelbestlinterventionlcanlbelchosen.
DIF: CognitivelLevel:lApplication TOP:llNursinglProcess:lAssessment
5.llThelnurselislcaringlforlalclientlwholhaslleft-
sidedlparalysislaslthelresultloflalstrokelandlassessesapressureinjuryolnlltlhe clllienltl‘lsllllelfltllhi
N RIGB.
pl.lWllhichlofthefollowingisthemost
CllM
appropriatelnursingldiagnosislfUolrltShilslcNllilelnTtl? O
Impairedlphysicallmobilitylrelatedltoldecreaselinlmusclelcontroll(left-
sidedlparalysis)
Risklforlimpairedltissuelintegritylaslevidencedlbylinsufficientlknowledgelaboutlprotel
ctingltissuelintegrity
Impairedlskinlintegritylrelatedltolpressureloverlbonylprominencel(impairedlcirl
culation)
Ineffectiveltissuelperfusionlrelatedltolsedentaryllifestyle
CORRECTJANSWER:lC
Thelclient‘slmajorlproblemlislthelimpairedlskinlintegritylasldemonstratedlbylthelpresenceloflalpressl
urelinjury.lThelnurselislableltoltreatlthelcauseloflalteredlcirculationlandlpressurelbylfrequentlylrepolsi
tioninglthelclient.lAlthoughlleft-sidedlweaknesslislalproblemlforlthelclient,
thelnurselcannotltreatlthelweakness.lThel―risklfor‖ldiagnosislislnotlappropriatelforlthislclient,lwholallrea
dylhaslimpairedltissuelintegrity.lThelclientldoeslhavelineffectiveltissuelperfusion,lbutlthelimpairledlskinli
ntegrityldiagnosislindicateslmorelclearlylwhatlthelhealthlproblemlis.
DIF: CognitivelLevel:lApplication TOP:llNursinglProcess:lDiagnosis
Thelnurselcaringlforlalclientlwithlanlinfectionlhaslalnursingldiagnosislofldeficientlfluidlvolum
, relatedltolexcessiveldiaphoresis.lWhichloflthelfollowinglislanlappropriatelclientloutcome?
Clientlhaslalbalancedlintakelandloutput.
Client‘slbeddinglislchangedlwhenlitlbecomesldamp.
Clientlunderstandslthelneedlforlincreasedlfluidlintake.
Client‘slskinlremainslcoollandldrylthroughoutlhospitalization.
CORRECTJANSWER:lA
Thislstatementlgiveslmeasurableldatalshowinglresolutionloflthelproblemlofldeficientlfluidlvolumelthl
atlwaslidentifiedlinlthelnursingldiagnosislstatement.lThelotherlstatementslwouldlnotlindicatelthatlthel
problemlofldeficientlfluidlvolumelwaslresolved.
DIF: CognitivelLevel:lApplication TOP:llNursinglProcess:lPlanning
Whichloflthelfollowinglrepresentslalnursinglactivitylthatlislcarriedloutlduringlthelevaluationlphasel
oflthelnursinglprocess?
Determiningliflinterventionslhavelbeenleffectivelinlmeetinglclientloutcomes
Documentinglthelnursinglcarelplanlinlthelprogresslnoteslinlthelmedicallrecord
Decidinglwhetherlthelclient‘slhealthlproblemslhavelbeenlcompletelylresolved
Askinglthelclientltolevaluatelwhetherlthelnursinglcarelprovidedlwaslsatisfactory
CORRECTJANSWER:lA
Evaluationlconsistslofldetermininglwhetherltheldesiredlclientloutcomeslhavelbeenlmetlandlwhethelrl
thelnursinglinterventionslwerelappropriate.lThelotherlresponsesldolnotldescribelthelevaluationlphla
se.
DIF: CognitivelLevel:lComprehension TOP:llNursinglProcess:lEvaluation
8.
Whichloflthelfollowinglwouldlthelnurselperformlduringlthelassessmentlphaseloflthelnursinglpro
cless?
a. Obtainsldatalwithlwhichltoldiagnoselclientlproblems
b. UsesclientldatatoldeveloNplpRriorIitylnGursBin.glCdiagMnoses
USN T
J J
J
J
J
c. Teacheslinterventionsltolrelievelclientlhealthlproblems
Assistslthelclientltolidentifylrealisticloutcomesltolhealthlproblems
CORRECTJANSWER:lA
Duringlthelassessmentlphase,lthelnurselgatherslinformationlaboutlthelclient.lThelotherlresponseslalrelex
amplesloflthelintervention,ldiagnosis,landlplanninglphasesloflthelnursinglprocess.
DIF: CognitivelLevel:lKnowledge TOP:llNursinglProcess:lAssessment
Whichloflthelfollowinglislanlexampleloflalcorrectlylwrittenlnursingldiagnosislstatement?
Alteredltissuelperfusionlrelatedltolheartlfailure
Risklforlimpairedltissuelintegritylrelatedltolsacrallredness
Ineffectivelcopinglrelatedltolinsufficientlsenseloflcontrol.
Alteredlurinaryleliminationlrelatedltolurinaryltractlinfection
CORRECTJANSWER:lC
ThisldiagnosislstatementlincludeslalNANDAlnursingldiagnosislandlanletiologylthatldescribeslalcliel
nt‘slresponseltolalhealthlproblemlthatlcanlbeltreatedlbylnursing.lTheluseloflalmedicalldiagnosisl(aslil
nlthelresponseslbeginningl―Alteredltissuelperfusion‖landl―Alteredlurinary
, elimination‖)lislnotlappropriate.lThelresponselbeginningl―Risklforlimpairedltissuelintegrity‖luse
slthleldefininglcharacteristicslasltheletiology.
DIF: CognitivelLevel:lComprehension TOP:llNursinglProcess:lDiagnosis
Whichloflthelfollowinglincludeslthelcomponentslrequiredlforlalcompletelnursingldiagnosislstatel
ment?
Alproblemlandlthelsuggestedlclientlgoalslorloutcomes
Alproblem,litslcause,landlobjectiveldatalthatlsupportlthelproblem
Alproblemlwithlalllitslpossiblelcauseslandlthelplannedlinterventions
Alproblemlwithlitsletiologylandlthelsignslandlsymptomsloflthelproblem
CORRECTJANSWER:lD
ThelPESlformatlislusedlwhenlwritinglnursingldiagnoses.lThelsubjective,laslwelllaslobjective,ldatalshol
uldlbelincludedlinltheldefininglcharacteristics.lInterventionslandloutcomeslarelnotlincludedlinlthelnlu
rsingldiagnosislstatement.
DIF: CognitivelLevel:lKnowledge TOP:llNursinglProcess:lDiagnosis
Whichloflthelfollowinglrefersltolalsituationlthatlresultslinlunintendedlharmltolthelclientlandlislrelate
tolthelcarelorlserviceslprovidedlratherlthanlthelclient‘slmedicallcondition?
Negligence
Adverselevent
Incidentlreport
Nonmaleficence
CORRECTJANSWER:lB
Anladverseleventlislanleventlthatlresultslinlunintendedlharmltolthelclientlandlislrelatedltolthelcarelorls
erviceslprovidedltolthelclientlratherlthanltolthelclient‘slunderlyinglmedicallcondition.
DIF: CognitivelLevel:lKnowledge TOP:llNursinglProcess:lEvaluation
NRIGB.CM
12. U JS JN JTll
J JJ J J
O
WhenlusinglthelFivelStepslofltheJevidencel-
ilnformedJpracticel(EIP)lProcess,lwhichloflthelflowinglelementslislthelfinallsteplwhenlcons
tructinglalclinicallquestion?
Comparisonloflinterest
Populationloflinterest
Outcomeloflinterest
Timeframeloflinterest
CORRECTJANSWER:lD
Thelorderloflthelnurse‘slstatementslfollowslthelPICOTlformatlwithlthelfinallsteplbeinglthel―T‖,lor
ltilmeframeloflinterest.
DIF: CognitivelLevel:lApplication TOP:llNursinglProcess:lImplementation
