TEST BANK FOR
LEWIS’S MEDICAL-
SURGICAL NURSING
TH
11 EDITION LATEST
UPDATE WITH ALL
CHAPTERS
,Chapter 01: Professional Nursing
MULTIPLE CHOICE QUESTIONS
Question 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 doctor does?" Which response would be most appropriate for
the nurse to make?
A) "The role of the nurse is to administer medications and other treatments prescribed
by your doctor."
B) "The nurse's job is to help the doctor by collecting information and communicating
any problems that occur."
C) "Nurses perform many of the same procedures as the doctor, but nurses are with the
patients for a longer time than the doctor."
D) "In addition to caring for you while you are sick, the nurses will assist you to develop
an individualized plan to maintain your health."
Answer: D) "In addition to caring for you while you are sick, the nurses will assist you to
develop an individualized plan to maintain your health."
Client Needs: Safe and Effective Care Environment | Cognitive Level: Understand
(Comprehension) | Integrated Process: Nursing Process (Implementation) | Page
Reference: Ch. 1, p. 3
Rationale: This response is consistent with the American Nurses Association (ANA)
definition of nursing, which describes the role of nurses in promoting health. The other
,responses describe some of the dependent and collaborative functions of the nursing
role but do not accurately describe the nurse's role in the health care system.
Clinical Pearl: The ANA defines nursing as "the protection, promotion, and optimization
of health and abilities, prevention of illness and injury, alleviation of suffering through
the diagnosis and treatment of human response, and advocacy in the care of individuals,
families, communities, and populations."
Question 2
The nurse describes to a student nurse how to use evidence-based practice guidelines
when caring for patients. Which statement, if made by the nurse, would be the most
accurate?
A) "Inferences from clinical research studies are used as a guide."
B) "Patient care is based on clinical judgment, experience, and traditions."
C) "Data are evaluated to show that the patient outcomes are consistently met."
D) "Recommendations are based on research, clinical expertise, and patient
preferences."
Answer: D) "Recommendations are based on research, clinical expertise, and patient
preferences."
Client Needs: Safe and Effective Care Environment | Cognitive Level: Remember
(Knowledge) | Integrated Process: Nursing Process (Planning) | Page Reference: Ch. 1,
p. 11
Rationale: Evidence-based practice (EBP) is the use of the best research-based evidence
combined with clinician expertise. 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 interventions should be based on research from randomized control studies with a
large number of subjects.
Clinical Pearl: EBP integrates three components: (1) best available research evidence, (2)
clinician expertise and experience, and (3) patient preferences and values.
Question 3
The nurse teaches a student nurse about how to apply the nursing process when
providing patient care. Which statement, if made by the student nurse, indicates that
teaching was successful?
A) "The nursing process is a scientific-based method of diagnosing the patient's health
care problems."
B) "The nursing process is a problem-solving tool used to identify and treat patient's
health care needs."
C) "The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans."
D) "The nursing process is used primarily to explain nursing interventions to other health
care professionals."
Answer: B) "The nursing process is a problem-solving tool used to identify and treat
patient's health care needs."
Client Needs: Safe and Effective Care Environment | Cognitive Level: Understand
(Comprehension) | Integrated Process: Nursing Process (Implementation) | Page
Reference: Ch. 1, p. 7
LEWIS’S MEDICAL-
SURGICAL NURSING
TH
11 EDITION LATEST
UPDATE WITH ALL
CHAPTERS
,Chapter 01: Professional Nursing
MULTIPLE CHOICE QUESTIONS
Question 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 doctor does?" Which response would be most appropriate for
the nurse to make?
A) "The role of the nurse is to administer medications and other treatments prescribed
by your doctor."
B) "The nurse's job is to help the doctor by collecting information and communicating
any problems that occur."
C) "Nurses perform many of the same procedures as the doctor, but nurses are with the
patients for a longer time than the doctor."
D) "In addition to caring for you while you are sick, the nurses will assist you to develop
an individualized plan to maintain your health."
Answer: D) "In addition to caring for you while you are sick, the nurses will assist you to
develop an individualized plan to maintain your health."
Client Needs: Safe and Effective Care Environment | Cognitive Level: Understand
(Comprehension) | Integrated Process: Nursing Process (Implementation) | Page
Reference: Ch. 1, p. 3
Rationale: This response is consistent with the American Nurses Association (ANA)
definition of nursing, which describes the role of nurses in promoting health. The other
,responses describe some of the dependent and collaborative functions of the nursing
role but do not accurately describe the nurse's role in the health care system.
Clinical Pearl: The ANA defines nursing as "the protection, promotion, and optimization
of health and abilities, prevention of illness and injury, alleviation of suffering through
the diagnosis and treatment of human response, and advocacy in the care of individuals,
families, communities, and populations."
Question 2
The nurse describes to a student nurse how to use evidence-based practice guidelines
when caring for patients. Which statement, if made by the nurse, would be the most
accurate?
A) "Inferences from clinical research studies are used as a guide."
B) "Patient care is based on clinical judgment, experience, and traditions."
C) "Data are evaluated to show that the patient outcomes are consistently met."
D) "Recommendations are based on research, clinical expertise, and patient
preferences."
Answer: D) "Recommendations are based on research, clinical expertise, and patient
preferences."
Client Needs: Safe and Effective Care Environment | Cognitive Level: Remember
(Knowledge) | Integrated Process: Nursing Process (Planning) | Page Reference: Ch. 1,
p. 11
Rationale: Evidence-based practice (EBP) is the use of the best research-based evidence
combined with clinician expertise. 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 interventions should be based on research from randomized control studies with a
large number of subjects.
Clinical Pearl: EBP integrates three components: (1) best available research evidence, (2)
clinician expertise and experience, and (3) patient preferences and values.
Question 3
The nurse teaches a student nurse about how to apply the nursing process when
providing patient care. Which statement, if made by the student nurse, indicates that
teaching was successful?
A) "The nursing process is a scientific-based method of diagnosing the patient's health
care problems."
B) "The nursing process is a problem-solving tool used to identify and treat patient's
health care needs."
C) "The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans."
D) "The nursing process is used primarily to explain nursing interventions to other health
care professionals."
Answer: B) "The nursing process is a problem-solving tool used to identify and treat
patient's health care needs."
Client Needs: Safe and Effective Care Environment | Cognitive Level: Understand
(Comprehension) | Integrated Process: Nursing Process (Implementation) | Page
Reference: Ch. 1, p. 7
