Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 11th Edition – Harding & Kwong (Complete Test Bank with Answers and Rationales)

TEST BANK LEWISS MEDICAL SURGICALNURSING ASSESSMENT AND
MANAGEMENT




1

,SKILLFORGE STUVIA

MULTIPLE CHOICE yz




1. The nurse completes an admission database and explains that the plan of care and d
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ischarge goals will be developed with the patients input. The patient states, How is thi
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s different from what the doctor does? Which response would be most appropriatefor
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the nurse to make?
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a. The role of the nurse is to administer medications and other treatmentsp
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rescribed by your doctor. yz yz yz




b. The nurses job is to help the doctor by collecting information andc
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ommunicating any problems that occur. yz yz yz yz




c. Nurses perform many of the same procedures as the doctor, but nursesa
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re with the patients for a longer time than the doctor.
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d. In addition to caring for you while you are sick, the nurses will assisty
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ou to develop an individualized plan to maintain your health.
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ANSWER: D yzyzyz




This response is consistent with the American Nurses Association (ANA) definition
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of nursing, which describes the role of nurses in promoting health. The other respons
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es describe some of the dependent and collaborative functions of the nursingrole but
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do not accurately describe the nurses role in the health care system.
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DIF: Cognitive Level: Understand (comprehension) REF: 3
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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,2. The nurse describes to a student nurse how to use evidence-
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based practice guidelines when caring for patients. Which statement, if made by the nu
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rse, would bethe most accurate?
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a. Inferences from clinical research studies are used as a guide. yz yz yz yz yz yz yz yz yz




b. Patient care is based on clinical judgment, experience, and traditions.
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c. Data are evaluated to show that the patient outcomes are consistently
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met.
d. Recommendations are based on research, clinical expertise, and patient yz yz yz yz yz yz yz yz yz




preferences.

ANSWER: D yzyzyz




Evidence-based practice (EBP) is the use of the best research- yz yz yz yz yz yz yz yz yz




based evidence combined with clinician expertise. Clinical judgment based on the
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nurses clinical experience is part of EBP, but clinical decision making should also i
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ncorporate current research and research- yz yz yz yz




based guidelines. Evaluation of patient outcomes is important, but interventions sh
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ould be based on research from randomized controlstudies with a large number of s
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ubjects.

DIF: Cognitive Level: Remember (knowledge) REF: 11
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TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
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3. The nurse teaches a student nurse about how to apply the nursing process when pr
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oviding patient care. Which statement, if made by the student nurse, indicates thattea
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ching was successful?yz yz




a. The nursing process is a scientific-
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based method of diagnosing thepatients health care problems.
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b. The nursing process is a problem-
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solving tool used to identify and treatpatients health care needs.
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c. The nursing process is based on nursing theory that incorporates the
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biopsychosocial nature of humans. yz yz yz




3

, SKILLFORGE STUVIA


d. The nursing process is used primarily to explain nursing interventions too
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ther health care professionals.
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ANSWER: B yzyzyz




The nursing process is a problem-
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solving approach to the identification and treatmentof patients problems. Diagnosis is
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only one phase of the nursing process. The primaryuse of the nursing process is in pati
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ent care, not to establish nursing theory or explain nursing interventions to other health
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care professionals.
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DIF: Cognitive Level: Understand (comprehension) REF: 7
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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4. A patient has been admitted to the hospital for surgery and tells the nurse, I do not fe
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el comfortable leaving my children with my parents. Which action should the nursetak
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e next?
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a. Reassure the patient that these feelings are common for parents. yz yz yz yz yz yz yz yz yz




b. Have the patient call the children to ensure that they are doing well.
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c. Gather more data about the patients feelings about the child-
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carearrangements. yz




d. Call the patients parents to determine whether adequate child care isb
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eing provided. yz




ANSWER: C yzyzyz




Since a complete assessment is necessary in order to identify a problem and choose ana
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ppropriate intervention, the nurses first action should be to obtain more information. Th
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e other actions may be appropriate, but more assessment is needed before the best inter
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vention can be chosen. yz yz yz




DIF: Cognitive Level: Apply (application) REF: 6-7
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OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
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