Test Bank for Lewis's Medical-Surgical Nursing in Canada, 5th Edition(Tyerman, 2023), Chapter 1-72 | All Chapters

TEST BANK FOR LEWIS MEDICAL-SURGICAL
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NURSING IN CANADA 5TH EDITION
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,CHAPTER 01: Introduction to Medical Surgical Nursing Practice in
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Canada Lewis: Medical-Surgical Nursing in Canada, 5th Canadian
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Edition
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MULTIPLE jjCHOICE jj:

1. The jjmedical jjattendant jjis jjcaring j j for jja jjhospital jjclient jjwith j j a jjnew
jjdiagnosis jjof jjpneumonia jjand jjexplains jjto jjthe jjhospital jjclient jjthat

jjtogether jjthey jjwill jjplan jjthe j j hospital jjclient’s jjcare jjand jjset jjgoals jjfor

jjdischarge. jjThe jjhospital jjclient jjasks, jj“How jjis jjthat j j different j j from

jjwhat jjthe j j doctor j j does?” j j Which j j response j j by jjthe jjmedical

jjattendant jjis jjmost jjappropriate?




a. “The jjrole jjof jjthe jjmedical jjattendant jjis jjto jjadminister j j medications jjand
jjother jjtreatments jjprescribed

by jjyour j j doctor.”
b. “The jjmedical jjattendant’s jjjob jjis jjto jjhelp jjthe jjdoctor jjby jjcollecting jjdata
jjand jjcommunicating jjwhen jjthere jjare jjproblems.”

c. “Medical jjattendants jjperform jjmany jjof jjthe jjprocedures jjdone jjby jjphysicians,
jjbut j j medical jjattendants jjare jjhere jjin

the j j health j j center j j for j j a j j longer j j time j j than j j doctors.”
d. “In jjaddition jjto jjcaring jjfor j j you j j while jjyou jjare jjsick, jjthe jjmedical jjattendants jjwill
jjassist jjyou jjto

develop j j an j j individualized j j plan j j to j j maintain j j your j j health.”
PRECISE jjCHOICE:-D
Reasoning jj:->>>This j j response j j is j j consistent j j with j j the j j Canadian jjnurses j j Association
j j (CNA) j j definition j j of j j nursing. jjRegistered j j medical jjattendants j j are j j self-regulated j j health

j j care j j professionals j j who j j work j j autonomously j j and jjin j j collaboration j j with j j others. j j RNs

j j enable j j individuals, j j families, j j groups, j j communities j j and j j populations j j to jjachieve j j their

j j optimal j j level j j of j j health. j j RNs j j coordinate j j health j j care, j j deliver j j direct j j services, j j and

j j support jjhospital jjclients j j in jjtheir j j self-care j j decisions jjand jjactions j j in j j situations j j of j j health,

j j illness, j j injury, j j and j j disability jjin jjall jjstages j j of j j life. j j The j j other j j responses j j describe j j some

j j of j j the j j dependent j j and j j collaborative j j functions j j of j j the jjnursing j j role j j but j j do j j not

j j accurately j j describe j j the j j medical jjattendant’s j j role j j in j j the j j health j j care j j system.




DIF: Cognitive jjLevel: jjComprehension TOPIC: j j Nursing jjProcess:
Implementation jjMSC: j j NCLEX: jjSafe jjand jjEffective jjCare jjEnvironment

2. When jjcaring j j for j j hospital jjclients jjusing j j evidence-informed j j practice, jj which j j of jjthe j j following
j j does jjthe jjmedical jjattendant jjuse?

a. Clinical j j judgement j j based j j on j j experience
b. Evidence j j from j j a j j clinical j j research j j study
c. The j j best j j available j j evidence j j to j j guide j j clinical j j expertise
d. Evaluation jjof jjdata jjshowing jjthat jjthe jjhospital jjclient
jjoutcomes jjare jjmet



PRECISE jjCHOICE:-C
Reasoning jj:->>>Evidence-informed j j nursing j j practice j j is j j a j j continuous j j interactive j j process
j j involving j j the j j explicit, jjconscientious, j j and j j judicious j j consideration j j of jjthe j j best jjavailable

j j evidence j j to j j provide j j care. j j Four j j primary jjelements j j are: jj(a) j j clinical j j state, j j setting, j j and

j j circumstances; j j (b) j j hospital jjclient j j preferences j j and j j actions; j j (c) j j best jjresearch j j evidence,

j j and j j (d) j j health j j care j j resources. j j Clinical j j judgement j j based j j on j j the j j medical jjattendant’s

jjclinical j j experience j j is j j part j j of j j EIP, j j but j j clinical j j decision j j making j j also j j should

,jj incorporate j j current jjresearch j j and j j research-based j j guidelines. j j Evidence j j from j j one j j clinical
jj research j j study jjdoes j j not j j provide j j an jjadequate j j substantiation j j for j j interventions. j j Evaluation
j j of j j hospital jjclient j j outcomes j j is j j important, j j but j j interventions j j should j j be j j based j j on

j j research j j from j j randomized j j control j j studies j j with j j a j j large j j number j j of

, subjects.

DIF: Cognitive jjLevel: jjComprehension TOPIC: j j Nursing jjProcess:
Planning jjMSC: j j NCLEX: jjSafe jjand jjEffective jjCare jjEnvironment

3. Which jjof jjthe jjfollowing j j best j j explains jjthe jjmedical jjattendants’ j j primary jjuse j j of jjthe
j j nursing j j process jjwhen jjproviding jjcare jjto jjhospital jjclients?

a. To jjexplain j j nursing j j interventions j j to j j other j j health j j care j j professionals
b. As j j a j j problem-solving j j tool j j to j j identify j j and j j treat j j hospital jjclients’ j j health j j care j j needs
c. As j j a j j scientific-based j j process j j of j j diagnosing j j the j j hospital jjclient’s j j health j j care j j problems
d. To jjestablish j j nursing j j theory jjthat j j incorporates j j the j j biopsychosocial j j nature j j of j j humans
PRECISE jjCHOICE:-B
Reasoning jj:->>>The j j nursing j j process j j is j j an j j assertive j j problem-solving j j approach j j to j j the
j j identification j j and j j treatment j j of jjhospital jjclients’ j j problems. j j Diagnosis j j is j j only j j one j j phase

j j of j j the j j nursing j j process. j j The j j primary j j use j j of jjthe j j nursing jjprocess j j is jjin jjhospital jjclient j j care,

j j not j j to j j establish j j nursing jjtheory jjor j j explain j j nursing j j interventions j j to jjother j j health jjcare

jjprofessionals.




DIF: Cognitive jjLevel: jjComprehension TOPIC: j j Nursing jjProcess:
Implementation jjMSC: j j NCLEX: jjSafe jjand jjEffective jjCare jjEnvironment

4. The j j medical jjattendant j j is j j caring j j for j j a j j critically j j ill j j hospital jjclient j j in j j the j j intensive j j care
jjunit j j and j j plans j j an j j every- jj2-hour j j turning j j schedule j j to j j prevent j j skin j j breakdown. j j Which

j j type j j of j j nursing j j function j j is j j demonstrated jjwith jjthis jjturning jjschedule?

a. Dependent
b. Cooperative
c. Independent
d. Collaborative

PRECISE jjCHOICE:-D
Reasoning jj:->>>When j j implementing j j collaborative j j nursing j j actions, j j the j j medical jjattendant j j is
j j responsible j j primarily j j for jjmonitoring j j for j j complications j j of j j acute j j illness j j or j j providing

j j care j j to j j prevent j j or j j treat j j complications.

Independent j j nursing jjactions jjare jjfocused j j on jjhealth jjpromotion, jjillness jjprevention, j j and
jjhospital jjclient jjadvocacy. j j A jjdependent j j action j j would j j require jja j j physician j j order jjto

jjimplement. j j Cooperative j j nursing jjfunctions j j are j j not j j described j j as j j one j j of j j the j j formal

j j nursing j j functions.




DIF: Cognitive jjLevel: jjApplication TOPIC: j j Nursing jjProcess:
Implementation jjMSC: j j NCLEX: jjSafe jjand jjEffective jjCare jjEnvironment

5. The jjmedical jjattendant jjis jjcaring jjfor jja jjhospital jjclient jjwho jjhas jjbeen jjadmitted jjto jjthe jjhealth jjcenter
jjfor j j surgery jjand jjtells jjthe jjmedical jjattendant, jj“I jjdo jjnot jjfeel jjright jjabout jjleaving jjmy jjchildren

jjwith jjmy jjneighbour.” jjWhich jjaction jjshould j j the j j medical jjattendant j j take j j next?

a. Reassure j j the j j hospital jjclient j j that j j these j j feelings j j are j j common j j for j j parents.
b. Have j j the j j hospital jjclient j j call j j the j j children jjto j j ensure j j that j j they j j are j j doing j j well.
c. Call jjthe j j neighbour j j to j j determine j j whether j j adequate j j childcare j j is j j being j j provided.
d. Gather j j more j j data j j about j j the j j hospital jjclient’s j j feelings j j about j j the j j childcare j j arrangements.
PRECISE jjCHOICE:-D
Reasoning jj:->>>Since j j a j j complete j j assessment j j is j j necessary j j in j j order j j to j j identify j j a
j j problem j j and j j choose j j an j j appropriate jjintervention, j j the j j medical jjattendant’s jjfirst jjaction j j should

j j be jjto j j obtain j j more jjinformation. j j The j j other j j actions jjmay j j be j j appropriate, j j but j j more

j j assessment j j is j j needed j j before j j the j j best j j intervention j j can j j be j j chosen.