Medical-Surgical Nursing in Canada
Sharon Lewis Margaret McLean Heitkemper Linda Bucher
4th Edition
TEST BANK
,Table of content
l Introduction to Medical-Surgical Nursing Practice in Canada
2 Cultural Competence and Health Equity in Nursing Care
3 Health History and Physical Examination
4 Patient and Caregiver Teaching
5 Chronic Illness
6 Community-Based Nursing and Home Care
7 Older Adults
8 Stress and Stress Management
9 Sleep and Sleep
Disorders I0 Pain
11 Substance Use
12 Complementary and Alternative Therapies
13 Palliative Care at the End of Life
14 Inflammation and Wound Healing
15 Genetics
16 Altered Immune Response and Transplantation
17 Infection and Human Immunodeficiency Virus Infection
18 Cancer
19 Fluid, Electrolyte, and Acid-Base Imbalances
20: Nursing Management: Preoperative Care
21: Nursing Management: Intraoperative Care
22: Nursing Management: Postoperative Care
23: Nursing Assessment: Visual and Auditory Systems
24: Nursing Management: Visual and Auditory Problems
25: Nursing Assessment: Integumentary System
26: Nursing Management: Integumentary Problems
27: Nursing Management: Burns
28: Nursing Assessment: Respiratory System
29: Nursing Management: Upper Respiratory Problems
30: Nursing Management: Lower Respiratory Problems
31: Nursing Management: Obstructive Pulmonary Diseases
32: Nursing Assessment: Hematological System
33: Nursing Management: Hematological Problems
34: Nursing Assessment: Cardiovascular System
35: Nursing Management: Hypertension
36: Nursing Management: Coronary Artery Disease and Acute Coronary
Syndrome
37: Nursing Management: Heart Failure
38: Nursing Management: Dysrhythmias
39: Nursing Management: Inflammatory and Structural Heart Disorders
40: Nursing Management: Vascular Disorders
41: Nursing Assessment: Gastro-intestinal System
42: Nursing Management: Nutritional Problems
43: Nursing Management: Obesity
44: Nursing Management: Upper Gastro-intestinal Problems
45: Nursing Management: Lower Gastro-intestinal Problems
46: Nursing Management: Liver, Pancreas, and Biliary Tract Problems
47: Nursing Management: Urinary System
,48: Nursing Management: Renal and Urological Problems
49: Nursing Management: Acute Kidney Injury and Chronic Kidney
Disease
50: Nursing Assessment: Endocrine System
51: Nursing Management: Endocrine Problems
52: Nursing Management: Diabetes Mellitus
53: Nursing Assessment: Reproductive System
54: Nursing Management: Breast Disorders
55: Nursing Management: Sexually Transmitted Infections
56: Nursing Management: Female Reproductive Problems
57: Nursing Management: Male Reproductive Problems
58: Nursing Assessment: Nervous System
59: Nursing Management: Acute Intracranial Problems
60: Nursing Management: Stroke
61: Nursing Management: Chronic Neurological Problems
62: Nursing Management: Delirium, Alzheimer's Disease, and Other
Dementias
63: Nursing Management: Peripheral Nerve and Spinal Cord Problems
64: Nursing Assessment: Musculo-skeletal System
65: Nursing Management: Musculo-skeletal Trauma and Orthopedic
Surgery
66: Nursing Management: Musculo-Skeletal Problems
67: Nursing Management: Arthritis and Connective Tissue Diseases
68: Nursing Management: Critical Care Environment
69: Nursing Management: Shock, Systemic Inflammatory Response
Syndrome, and Multiple-Organ Dysfunction Syndrome
70: Nursing Management: Respiratory Failure and Acute Respiratory
Distress Syndrome
71: Nursing Management: Emergency Care Situations
72: Emergency Management and Disaster Planning
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
Lewis: Medical-Surgical Nursing in Canada, 4th Canadian Edition
MULTIPLE CHOICE
1. When caring for clients using evidence-informed practice, which of the following does the
nurse use?
a. Clinical judgement based on experience
b. Evidence from a clinical research study
c. The best available evidence to guide clinical expertise
d. Evaluation of data showing that the client outcomes are met
ANS: C
Evidence-informed nursing practice is a continuous interactive process involving the explicit,
conscientious, and judicious consideration of the best available evidence to provide care. Four
primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
actions; (c) best research evidence; and (d) health care resources. Clinical judgement based on
the nurse’s clinical experience is part of EIP, but clinical decision making also should
incorporate current research and research-based guidelines. Evidence from one clinical
research study does not provide an adequate substantiation for interventions. Evaluation of
client outcomes is important, but interventions should be based on research from randomized
control studies with a large number of subjects.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
2. Which aof athe afollowing abest ae xpl ai ns the nu rse s ’ pri mar y ause aof athe anursing aprocess awhen
N R I G B .C M
providing acare ato U aS aN aT O
aclients?
a. To aexplain anursing ainterventions ato aother ahealth acare aprofessionals
b. As aa aproblem-solving atool ato aidentify aand atreat aclients’ ahealth acare aneeds
c. As aa ascientific-based aprocess aof adiagnosing athe aclient’s ahealth acare aproblems
d. To aestablish anursing atheory athat aincorporates athe abiopsychosocial anature aof ahumans
ANS: a B
The anursing aprocess ais aan aassertive aproblem-solving aapproach ato athe aidentification aand
atreatment aof aclients’ aproblems. aDiagnosis ais aonly aone aphase aof athe anursing aprocess.
aThe aprimary ause aof athe anursing aprocess ais ain aclient acare, anot ato aestablish anursing atheory
aor aexplain anursing ainterventions ato aother ahealth acare aprofessionals.
DIF: Cognitive aLevel: aComprehension TOP: a Nursing aProcess: aImplementation
3. The anurse ais acaring afor aa acritically aill aclient ain athe aintensive acare aunit aand aplans aan
aevery a2-hour aturning aschedule ato aprevent askin abreakdown. aWhich atype aof anursing
afunction ais ademonstrated awith athis aturning aschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: a D