,
, Chapter 01: Professional Nursing
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Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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MULTIPLE CHOICE BV
1. The nurse completes an admission database and explains that the plan of care and di
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scharge goals will be developed with the patient‗s input. The patient asks, ―How is
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Vthis different from what the physician does?‖ Which response would the nurse provid
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e?
a. ―The role of the nurse is to administer medications and other treatm
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ents prescribed by your physician.‖
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b. ―In addition to caring for you while you are sick, the nurses will help yo
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u plan to maintain your health.‖
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c. ―The nurse‗s job is to collect information and communicate any prob
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lems that occur to the physician.‖
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d. ―Nurses perform many of the same procedures as the physician, but nu
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rses are with the patients for a longer time than the physician.‖
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ANS: B BV
The American Nurses Association (ANA) definition of nursing describes the role of n
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urses in promoting health. The other responses describe dependent and collaborative f
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unctions of the nursing role but do not accurately describe the nurse‗s unique role in
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the health care system.
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DIF: Cognitive Level: Analyze (Analysis)
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TOP: Nursing Process: Implementation
B V BV BV B V B V 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)?
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a. ―Patient care is based on clinical judgment, experience, and traditions.‖
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b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
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c. ―Research from all published articles are used as a guide for planning patient care.‖
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d. ―Recommendations are based on research, clinical expertise, BV BV BV BV BV BV BV
and patient preferences.‖
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ANS: D BV
Evidence-based practice (EBP) is the use of the best research-
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based evidence combined with clinician expertise and consideration of patient preferen
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ces. Clinical judgment based on the nurse‗s clinical experience is part of EBP, but cl
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inical decision making should also incorporate current research and research-
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based guidelines. Evaluation of patient outcomes is important, but data analysis is not
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Vrequired to use EBP. All published articles do not provide research evidence; interve
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ntions should be based on credible research, preferably randomized controlled studies
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with a large number of subjects.
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DIF: Cognitive Level: Understand (Comprehension) BV BV BV
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care E
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nvironment