Updated/Latest Lewis’s Medical-Surgical Nursing in Canada 5th Edition Assessment and Management of Clinical Problems Test Bank Comprehensive Examination Questions and Answers Study Guide for Adult Health Nursing Pathophysiology Clinical Reasoning Patient

Lewis's Medical-Surgical Nursing in Canada
Assessmen and Managemen of Clinical Problems
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 5th Edition - June 15, 2022
 Lates edition
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 Authors: Jane Tyerman, Shelley Cobbett,
Mariann M. Harding, Jeffrey Kwong, Dottie
Roberts, Debra Hagler, Courtney Reinisch


TES BANK
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1. A nurse explains the focus of medical-surgical nursing
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practice in Canada. Which statement best reflects the
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primary emphasis described in Chapter 1?
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A. Providingtechnical task completion forhospitalized patients
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B. Deliveringholistic, evidence-informed care to adultswith
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actual or potential health problems
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C. Managing only acute physiologic conditionsin tertiary care
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centres

,D. Implementingphysician-prescribedtreatmentswithout J J J J




independent judgment J




CorrectAnswer: B J J




Rationale:
Medical-surgical nursing in Canada emphasizes holistic, J J J J J J




evidence-informed careforadultsexperiencingactual or J J J J J J




potential health problemsacross the health–illnesscontinuum.
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Ais incorrectbecausepractice extendsbeyond task
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performance.
Cis incorrectbecausecare occursacross multiplesettings,not only
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tertiary centres. J




Dis incorrectbecausenursespractice withprofessional
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autonomy and clinical judgment. J J J




Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter
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1:Introduction toMedical-SurgicalNursing Practice in Canada
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2. Which trend in Canadian health carehas mostsignificantly
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influenced medical-surgical nursing practice? J J J




A. Decreasedlifeexpectancy J J




B. Increasedprevalenceof chronicillness J J J J




C. Elimination ofcommunity-based care J J J




D. Reduced patientacuityin hospitals J J J J




CorrectAnswer: B J J

,Rationale:
The growingprevalence ofchronic illnesshassignificantly shaped
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medical-surgical nursing, requiring ongoing management and J J J J J J




coordination of care. J J




Ais incorrectbecause lifeexpectancy hasincreased.
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Cis incorrectbecausecommunity-based care hasexpanded.
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D is incorrectbecausepatient acuityin hospitalshasincreased, not
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decreased.
Citation:Lewis’sMedical-SurgicalNursing inCanada, 5thed., Chapter
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1


3. Anurseprioritizespatient-centred care.Whichaction best
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demonstrates this principle? J J




A. Followinginstitutional routinesregardlessofpatient J J J J J J




preference
B. Encouragingpatientsto participate in decision-makingabout J J J J J J J




their care J




C. Limitingfamily involvementto protectconfidentiality
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D. Focusing only on physiologic outcomes J J J J




CorrectAnswer:B J J J




Rationale:
Patient-centred care includesinvolvingpatientsin decision- J J J J J J J




making and respecting preferences and values.
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Acontradictspatient-centred principles.
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C is incorrectbecause familyinvolvementisencouraged when
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, appropriate.
D is incorrectbecausecare includespsychosocial and cultural
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dimensions.
Citation:Lewis’sMedical-SurgicalNursing inCanada, 5thed., Chapter
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1


4. Which factorcontributesmost toincreasingpatient acuity in
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acute care settings? J J




A. Earlierhospital discharge J J




B. Increased hospital length ofstay J J J J




C. Reduction in technological advances J J J




D. Decreaseduse ofoutpatient services J J J J




CorrectAnswer:A J J J




Rationale:
Earlier dischargeresults in sickerpatients remainingin hospital,
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increasing acuity. J




Bis incorrectbecause length ofstayhas decreased.
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C is incorrect because technology hasadvanced.
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D is incorrectbecauseoutpatientserviceshaveexpanded.
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Citation:Lewis’sMedical-SurgicalNursing inCanada, 5thed., Chapter
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1


5. Anurseuses clinical reasoningwhen caringforapatient.
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Which action best illustrates this process?
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