LEWIS'S MEDICAL SURGICAL NURSING TEST BANK 11TH EDITION HARDING Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)

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TEST BANK LEWISS MEDICAL SURGICALNURSING ASSESSMENT AND

MANAGEMENT




1

,MULTIPLE CHOICE lf




1. The nurse completes an admission database and explains that the plan of care and disc
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harge goals will be developed with the patients input. The patient states, How is this diff
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erent from what the doctor does? Which response would be most appropriatefor the nurs
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e to make?
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a. The role of the nurse is to administer medications and other treatmentspre
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scribed by your doctor. lf lf lf




b. The nurses job is to help the doctor by collecting information andco
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mmunicating any problems that occur. lf lf lf lf




c. Nurses perform many of the same procedures as the doctor, but nursesare
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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 assistyou
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to develop an individualized plan to maintain your health.
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ANSWER: D lflflf




This response is consistent with the American Nurses Association (ANA) definitionof
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nursing, which describes the role of nurses in promoting health. The other responses de
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scribe some of the dependent and collaborative functions of the nursingrole but do not a
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ccurately 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

,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 nurs
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e, would bethe most accurate?
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a. Inferences from clinical research studies are used as a guide. lf lf lf lf lf lf lf lf lf




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 consistentlyme
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t.
d. Recommendations are based on research, clinical expertise, and patientpr lf lf lf lf lf lf lf lf lf




eferences.

ANSWER: D lflflf




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




based evidence combined with clinician expertise. Clinical judgment based on the nu
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rses clinical experience is part of EBP, but clinical decision making should also incor
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porate current research and research-
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based guidelines. Evaluation of patient outcomes is important, but interventions shou
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ld be based on research from randomized controlstudies with a large number of subje
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cts.

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 provi
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ding patient care. Which statement, if made by the student nurse, indicates thatteaching
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was successful?
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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 thebi
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opsychosocial nature of humans. lf lf lf




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, d. The nursing process is used primarily to explain nursing interventions toot
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her health care professionals.
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ANSWER: B lflflf




The nursing process is a problem-
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solving approach to the identification and treatmentof patients problems. Diagnosis is on
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ly one phase of the nursing process. The primaryuse of the nursing process is in patient ca
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re, not to establish nursing theory or explain nursing interventions to other health care pro
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fessionals.

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 feel c
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omfortable leaving my children with my parents. Which action should the nursetake next
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?

a. Reassure the patient that these feelings are common for parents. lf lf lf lf lf lf lf lf lf




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- lf lf lf lf lf lf lf lf lf




carearrangements. lf




d. Call the patients parents to determine whether adequate child care isbei
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ng provided. lf




ANSWER: C lflflf




Since a complete assessment is necessary in order to identify a problem and choose anapp
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ropriate intervention, the nurses first action should be to obtain more information. The oth
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er actions may be appropriate, but more assessment is needed before the best intervention
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can be chosen. lf lf




DIF: Cognitive Level: Apply (application) REF: 6-7
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OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
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4