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Exam (elaborations)

Lewis-s Medical-Surgical Nursing Assessment and Management of Clinical Problems 11th Edition Test

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June 13, 2025
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Written in
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Lewis's Medical-Surgical Nursing Assessment and Management of Clinical
Problems 11th Edition Test Bank

1. Question: What is the primary purpose of the assessment phase of the nursing
process?
o Answer: To gather comprehensive data about the patient to identify health
problems and strengths.
2. Question: During which phase of the nursing process are nursing diagnoses
made?
o Answer: Diagnosis phase.
3. Question: Which term describes the specific, measurable outcomes expected
from nursing interventions?
o Answer: Patient goals.
4. Question: What is the primary focus of the implementation phase in the nursing
process?
o Answer: To execute the planned interventions to achieve the desired patient
outcomes.
5. Question: Why is ongoing evaluation important after implementing a nursing
care plan?
o Answer: To determine if the patient’s health outcomes are being met and to
make necessary adjustments to the plan.
6. Question: What is included in a well-written nursing diagnosis?
o Answer: The problem, its etiology, and defining characteristics.
7. Question: What is the purpose of the planning phase in the nursing process?
o Answer: To develop a comprehensive care plan that includes interventions and
expected outcomes.
8. Question: How should a nurse prioritize nursing diagnoses?
o Answer: By determining which issues are most critical to the patient’s safety and
wellbeing.
9. Question: What is the difference between short-term and long-term goals in
nursing care?
o Answer: Short-term goals are expected to be achieved in a short time, while
long-term goals take longer to accomplish.
10.Question: Which step follows the implementation phase in the nursing process?
o Answer: Evaluation phase.
Delegation and Supervision

, Lewis's Medical-Surgical Nursing Assessment and Management of Clinical
Problems 11th Edition Test Bank
11.Question: What factors should a nurse consider when delegating tasks to
unlicensed assistive personnel (UAP)?
o Answer: The complexity of the task, the patient’s condition, and the UAP's
training and experience.
12.Question: Which task is appropriate to delegate to a licensed
practical/vocational nurse (LPN/VN)?
o Answer: Administering medications to stable patients.
13.Question: Can a nurse delegate the task of performing a head-to-toe assessment?
o Answer: No, that task should be performed by a registered nurse.
14.Question: What is the primary role of a nurse supervisor?
o Answer: To oversee nursing staff and ensure quality patient care delivery.
15.Question: When should a nurse intervene during a task delegated to another
nursing staff member?
o Answer: If the task is not being performed according to established protocols or
if patient safety is at risk.
Therapeutic Communication
16.Question: What communication technique involves summarizing what the
patient has said to ensure understanding?
o Answer: Reflection.
17.Question: How can a nurse create a therapeutic relationship with a patient?
o Answer: By being empathetic, respectful, and maintaining open lines of
communication.
18.Question: Why is active listening important in nursing practice?
o Answer: It helps build trust and understanding between the nurse and the
patient.
19.Question: What should a nurse do if a patient is expressing anger?
o Answer: Listen to the patient’s concerns without becoming defensive and
validate their feelings.
20.Question: In which situation should the nurse use silence during a conversation
with a patient?
o Answer: When allowing the patient time to process information or gather their
thoughts.
Cultural Competence

, Lewis's Medical-Surgical Nursing Assessment and Management of Clinical
Problems 11th Edition Test Bank
21.Question: What is cultural competence in nursing care?
o Answer: The ability to understand, respect, and effectively interact with people
from diverse backgrounds.
22.Question: How can a nurse demonstrate respect for a patient’s cultural beliefs?
o Answer: By asking the patient about their cultural practices and considering
them in the care plan.
23.Question: Why is it essential for nurses to be aware of cultural differences in
health care?
o Answer: To provide appropriate and individualized care that respects each
patient’s values and beliefs.
24.Question: What should a nurse do if a patient wants to use alternative medicine
alongside traditional treatment?
o Answer: Coordinate care and discuss how both approaches can be safely
integrated.
25.Question: What is the nurse’s responsibility when caring for a patient from a
different cultural background?
o Answer: To assess cultural needs and provide care that is sensitive to those
needs.
Evidence-Based Practice
26.Question: What is evidence-based practice (EBP) in nursing?
o Answer: A problem-solving approach to decision-making that integrates the best
available research, clinical expertise, and patient values.
27.Question: What is a key component of EBP?
o Answer: Use of standardized guidelines and protocols based on research
findings.
28.Question: Why is keeping up with current research important for nurses?
o Answer: It allows nurses to provide the most effective and safe care to their
patients.
29.Question: How can a nurse implement EBP in daily practice?
o Answer: By applying the latest research findings to clinical situations and
patient care plans.
30.Question: What might influence a nurse’s clinical decision-making besides
research evidence?
o Answer: Clinical judgment and patient preferences.

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