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2025 Comprehensive Test Bank for Lewis’s Medical-Surgical Nursing
(12th Edition, Chapters 1–69) by Mariann M. Harding, Jeffrey
Kwong, and Debra Hagler A +
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1. The nurse completes an admission database and explains that
the plan of care and discharge goals will be developed with the
patient‘s input. The patient asks, “How is this different from what
the physician does?” Which response would the nurse provide?
a. “The role of the nurse is to administer medications and other
treatments prescribed by your physician.”
b. “In addition to caring for you while you are sick, the nurses
will help you plan to maintain your health.”
c. “The nurse‘s job is to collect information and communicate any
problems that occur to the physician.”
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d. “Nurses perform many of the same procedures as the physician,
but nurses are with the patients for a longer time than the physician.”
ANS: B
The American Nurses Association (ANA) definition of nursing
describes the role of nurses in promoting health. The other responses
describe dependent and collaborative functions of the nursing role but
do not accurately describe the nurse‘s unique role in the health care
system.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe
and Effective Care Environment
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2. Which statement by the nurse accurately describes the use of
evidence-based practice (EBP)?
a. “Patient care is based on clinical judgment, experience, and
traditions.”
b. “Data are analyzed later to show that the patient outcomes are
consistently met.”
c. “Research from all published articles are used as a guide for planning
patient care.”
d. “Recommendations are based on research, clinical expertise, and
patient preferences.” ANS: D
Evidence-based practice (EBP) is the use of the best research-based
evidence combined with clinician expertise and consideration of patient
preferences. Clinical judgment based on the
nurse‘s 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 data analysis is not
required to use EBP. All published articles do not provide research
evidence; interventions should be based on credible research, preferably
randomized controlled studies with a large number of subjects.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing
Process: Planning MSC: NCLEX: Safe and Effective Care
Environment
3. Which statement by the nurse provides a clear explanation of the
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nursing process?
a. “The nursing process is a research method of diagnosing the
patient‘s health care problems.”
b. “The nursing process is used primarily to explain nursing
interventions to other health care professionals.”
c. “The nursing process is a problem-solving tool used to identify and
manage the
patients‘ health care needs.”
d. “The nursing process is based on nursing theory that
incorporates the biopsychosocial nature of humans.”
ANS: C
The nursing process is a problem-solving approach to the identification
and treatment of patients‘ problems. Nursing process does not require
research methods for diagnosis. The
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