LEWIS'S MEDICAL-SURGICAL NURSING:
ASSESSMENT AND MANAGEMENT OF
CLINICAL PROBLEMS 12TH EDITION
TESTBANK
1
,CHAPTER 1.
PROFESSIONAL NURSING
MULTIPLE CHOICES
1. A nurse asks the patient if pain was relieved after receiving medication. What is the purpose
of the evaluation phase of the nursing process?
a. To determine if interventions have been effective in meeting patient
outcomes
b. To document the nursing care plan in the progress notes of the medical record
c. To decide whether the patients health problems have been completely resolved
d. To establish if the patient agrees that the nursing care provided was
satisfactory
ANS: A
Evaluation consists of determining whether the desired patient outcomes have been met and
whether the nursing interventions were appropriate. The other responses do not describe the
evaluation phase.
DIF: Cognitive Level: Understand (comprehension) REF: 7-9
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse interviews a patient while completing the health history and physical
examination. What is the purpose of the assessment phase of the nursing process?
a. To teach interventions that relieve health problems
b. To use patient data to evaluate patient care outcomes
c. To obtain data with which to diagnose patient problems
d. To help the patient identify realistic outcomes for health problems
ANS: C
During the assessment phase, the nurse gathers information about the patient to diagnose patient
problems. The other responses are examples of the planning, intervention, and evaluation
2
,phases of the nursing process.
DIF: Cognitive Level: Understand (comprehension) REF: 7-9
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
3. 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 nursing role but do not accurately describe the
nurses role in the health care system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. The nurse describes to a student nurse how to use evidence-based practice guidelines when
caring for patients. Which statement, if made by the nurse, would be the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently met.
d. Recommendations are based on research, clinical expertise, and patient
preferences.
ANS: D
3
, Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise. Clinical judgment based on the nurses clinical experience is part of EBP,
but clinical decision making should also incorporate current research and research-based
guidelines. Evaluation of patient outcomes is important, but interventions should be based on
research from randomized control studies with a large number of subjects.
DIF: Cognitive Level: Remember (knowledge) REF: 11
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
5. The nurse teaches a student nurse about how to apply the nursing process when providing
patient care. Which statement, if made by the student nurse, indicates that teaching was
successful?
a. The nursing process is a scientific-based method of diagnosing the patients
health care problems.
b. The nursing process is a problem-solving tool used to identify and treat patients
health care needs.
c. The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans.
d. The nursing process is used primarily to explain nursing interventions to other
health care professionals.
ANS: B
The nursing process is a problem-solving approach to the identification and treatment of patients
problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing
process is in patient care, not to establish nursing theory or explain nursing interventions to
other health care professionals.
DIF: Cognitive Level: Understand (comprehension) REF: 7
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
6. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel
comfortable leaving my children with my parents. Which action should the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
4
ASSESSMENT AND MANAGEMENT OF
CLINICAL PROBLEMS 12TH EDITION
TESTBANK
1
,CHAPTER 1.
PROFESSIONAL NURSING
MULTIPLE CHOICES
1. A nurse asks the patient if pain was relieved after receiving medication. What is the purpose
of the evaluation phase of the nursing process?
a. To determine if interventions have been effective in meeting patient
outcomes
b. To document the nursing care plan in the progress notes of the medical record
c. To decide whether the patients health problems have been completely resolved
d. To establish if the patient agrees that the nursing care provided was
satisfactory
ANS: A
Evaluation consists of determining whether the desired patient outcomes have been met and
whether the nursing interventions were appropriate. The other responses do not describe the
evaluation phase.
DIF: Cognitive Level: Understand (comprehension) REF: 7-9
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse interviews a patient while completing the health history and physical
examination. What is the purpose of the assessment phase of the nursing process?
a. To teach interventions that relieve health problems
b. To use patient data to evaluate patient care outcomes
c. To obtain data with which to diagnose patient problems
d. To help the patient identify realistic outcomes for health problems
ANS: C
During the assessment phase, the nurse gathers information about the patient to diagnose patient
problems. The other responses are examples of the planning, intervention, and evaluation
2
,phases of the nursing process.
DIF: Cognitive Level: Understand (comprehension) REF: 7-9
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
3. 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 nursing role but do not accurately describe the
nurses role in the health care system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. The nurse describes to a student nurse how to use evidence-based practice guidelines when
caring for patients. Which statement, if made by the nurse, would be the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently met.
d. Recommendations are based on research, clinical expertise, and patient
preferences.
ANS: D
3
, Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise. Clinical judgment based on the nurses clinical experience is part of EBP,
but clinical decision making should also incorporate current research and research-based
guidelines. Evaluation of patient outcomes is important, but interventions should be based on
research from randomized control studies with a large number of subjects.
DIF: Cognitive Level: Remember (knowledge) REF: 11
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
5. The nurse teaches a student nurse about how to apply the nursing process when providing
patient care. Which statement, if made by the student nurse, indicates that teaching was
successful?
a. The nursing process is a scientific-based method of diagnosing the patients
health care problems.
b. The nursing process is a problem-solving tool used to identify and treat patients
health care needs.
c. The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans.
d. The nursing process is used primarily to explain nursing interventions to other
health care professionals.
ANS: B
The nursing process is a problem-solving approach to the identification and treatment of patients
problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing
process is in patient care, not to establish nursing theory or explain nursing interventions to
other health care professionals.
DIF: Cognitive Level: Understand (comprehension) REF: 7
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
6. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel
comfortable leaving my children with my parents. Which action should the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
4
