TEST BANK FOR LEWIS MEDICAL-SURGICAL
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n7NURSING IN CANADA 5TH EDITION
n7 n7 n7 n7
,CHAPTER 01: Introduction to Medical Surgical Nursing Practice in
n7 n7 n7 n7 n7 n7 n7 n7
Canada Lewis: Medical-Surgical Nursing in Canada, 5th Canadian
n7 n7 n7 n7 n7 n7 n7 n7
Edition
n7
MULTIPLE CHOICE : n7 n7
1. The medical attendant is caring for a hospital client with a new
n7 n7 n7 n7 n 7 n7 n7 n7 n7 n 7 n7
diagnosis of pneumonia and explains to the hospital client that
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
together they will plan the hospital client‘s care and set goals for
n7 n7 n7 n7 n7 n 7 n7 n7 n7 n7 n7 n7
discharge. The hospital client asks, ―How is that different from
n7 n7 n7 n7 n7 n7 n7 n7 n 7 n 7
what the doctor does?‖ Which response by the medical
n7 n7 n 7 n 7 n 7 n 7 n 7 n7 n7
attendant is most appropriate?
n7 n7 n7 n7
a. ―The role of the medical attendant is to administer medications and
n7 n7 n7 n7 n7 n7 n7 n7 n 7 n7
other treatments prescribed
n7 n7 n7
by your doctor.‖
n7 n7
b. ―The medical attendant‘s job is to help the doctor by collecting data
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and communicating when there are problems.‖
n7 n7 n7 n7 n7 n7
c. ―Medical attendants perform many of the procedures done by physicians,
n7 n7 n7 n7 n7 n7 n7 n7 n7
but medical attendants are here in
n7 n 7 n7 n7 n7 n7
the health center for a longer time than doctors.‖
n7 n7 n7 n7 n7 n7 n7 n7
d. ―In addition to caring for you while you are sick, the medical attendants will
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
assist you to
n7 n7 n7
develop an individualized plan to maintain your health.‖
n7 n7 n7 n7 n7 n7 n7
PRECISE CHOICE:-D n7
Reasoning :->>>This response is consistent with the Canadian nurses Association (CNA)
n7 n 7 n 7 n 7 n 7 n 7 n 7 n7 n 7 n 7
definition of nursing. Registered medical attendants are self-regulated health care
n 7 n 7 n 7 n7 n 7 n7 n 7 n 7 n 7 n 7
professionals who work autonomously and in collaboration with others. RNs enable
n 7 n 7 n 7 n 7 n 7 n7 n 7 n 7 n 7 n 7 n 7
individuals, families, groups, communities and populations to achieve their optimal level
n 7 n 7 n 7 n 7 n 7 n 7 n 7 n7 n 7 n 7 n 7
n7of health. RNs coordinate health care, deliver direct services, and support hospital
n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n7
clients in their self-care decisions and actions in situations of health, illness, injury, and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n 7 n7 n7 n7 n7
disability in all stages of life. The other responses describe some of the dependent and
n7 n7 n7 n7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7
collaborative functions of the nursing role but do not accurately describe the medical
n 7 n 7 n 7 n 7 n7 n 7 n 7 n 7 n 7 n 7 n7 n 7 n 7
attendant‘s role in the health care system.
n7 n 7 n 7 n7 n 7 n7 n 7
DIF: Cognitive Level: Comprehension TOPIC: Nursing Process: n7 n7 n 7 n7
Implementation MSC: NCLEX: Safe and Effective Care Environment
n7 n 7 n7 n7 n7 n7 n7
2. When caring for hospital clients using evidence-informed practice,
n7 n 7 n7 n7 n7 n7 n7 n 7 which of the followingn7 n7 n7
does the medical attendant use?
n7 n7 n7 n7 n7
a. Clinical judgement based on experience n7 n7 n7 n7
b. Evidence from a clinical research study n7 n7 n7 n7 n7
c. The best available evidence to guide clinical expertise
n7 n7 n7 n7 n7 n7 n7
d. Evaluation of data showing that the hospital client n7 n7 n7 n7 n7 n7 n7
outcomes are met
n7 n7 n7
PRECISE CHOICE:-C n7
Reasoning :->>>Evidence-informed nursing practice is a continuous interactive process
n7 n 7 n 7 n 7 n 7 n 7 n 7 n 7
involving the explicit, conscientious, and judicious consideration of the best available
n 7 n 7 n 7 n7 n7 n 7 n 7 n 7 n7 n7 n7
evidence to provide care. Four primary elements are: (a) clinical state, setting, and
n 7 n 7 n7 n7 n 7 n 7 n7 n 7 n7 n 7 n7 n7 n 7
circumstances; (b) hospital client preferences and actions; (c) best research evidence, and
n 7 n 7 n7 n7 n 7 n 7 n7 n7 n 7 n7 n7 n 7
(d) health care resources. Clinical judgement based on the medical attendant‘s clinical
n 7 n 7 n7 n 7 n 7 n7 n 7 n 7 n 7 n 7 n7 n7
experience is part of EIP, but clinical decision making also should incorporate
n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7
,n 7 current research and research-based guidelines. Evidence from one clinical research study
n7 n7 n 7 n 7 n 7 n 7 n 7 n7 n7 n7
n7 does not provide an adequate substantiation for interventions. Evaluation of hospital client
n 7 n7 n 7 n7 n 7 n 7 n 7 n 7 n 7 n7 n7
n 7 outcomes is important, but interventions should be based on research from randomized
n 7 n 7 n 7 n 7 n7 n7 n 7 n 7 n7 n 7 n 7
n 7 control studies with a large number of
n7 n 7 n 7 n 7 n 7 n 7
, subjects.
DIF: Cognitive Level: Comprehension TOPIC: Nursing Process:
n7 n7 n 7 n7
Planning MSC: NCLEX: Safe and Effective Care Environment
n7 n 7 n7 n7 n7 n7 n7
3. Which of the following best explains the medical attendants‘ primary use of the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 nursing
process when providing care to hospital clients?
n7 n7 n7 n7 n7 n7 n7
a. To explain nursing interventions to other health care professionals
n7 n7 n7 n7 n7 n7 n7 n7
b. As a problem-solving tool to identify and treat hospital clients‘ health care
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 needs
c. As a scientific-based process of diagnosing the hospital client‘s health care
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 problems
d. To establish nursing theory that incorporates the biopsychosocial nature of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 humans
PRECISE CHOICE:-B n7
Reasoning :->>>The nursing process is an assertive problem-solving approach to the
n7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7
identification and treatment of hospital clients‘ problems. Diagnosis is only one phase of
n 7 n 7 n 7 n 7 n7 n7 n7 n7 n7 n7 n7 n7 n7
the nursing process. The primary use of the nursing process is in hospital client care, not
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
to establish nursing theory or explain nursing interventions to other health care professionals.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF: Cognitive Level: Comprehension TOPIC: Nursing Process:
n7 n7 n 7 n7
Implementation MSC: NCLEX: Safe and Effective Care Environment
n7 n 7 n7 n7 n7 n7 n7
4. The medical attendant is caring for a critically ill hospital client in the intensive care unit
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and plans an every- 2-hour turning schedule to prevent skin breakdown. Which type
n7 n7 n7 n 7 n7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7
of nursing function is demonstrated with this turning schedule?
n 7 n 7 n 7 n 7 n 7 n7 n7 n7 n7
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
PRECISE CHOICE:-D n7
Reasoning :->>>When implementing collaborative nursing actions, the medical attendant is
n7 n 7 n 7 n 7 n 7 n 7 n 7 n7 n 7
responsible primarily for monitoring for complications of acute illness or providing care
n 7 n 7 n7 n7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7
to prevent or treat complications.
n 7 n 7 n 7 n 7 n 7
Independent nursing actions are focused on health promotion, illness prevention, and hospital
n 7 n7 n7 n7 n 7 n7 n7 n7 n7 n 7 n7
client advocacy. A dependent action would require a physician order to implement.
n7 n7 n 7 n7 n7 n7 n 7 n7 n7 n7 n7 n7
n7Cooperative nursing functions are not described as one of the formal nursing
n 7 n7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7
functions.
n 7
DIF: Cognitive Level: Application TOPIC: Nursing Process:
n7 n7 n 7 n7
Implementation MSC: NCLEX: Safe and Effective Care Environment
n7 n 7 n7 n7 n7 n7 n7
5. The medical attendant is caring for a hospital client who has been admitted to the health center
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
for surgery and tells the medical attendant, ―I do not feel right about leaving my children with
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
my neighbour.‖ Which action should the medical attendant take next?
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a. Reassure the hospital client that these feelings are common for parents.
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b. Have the hospital client call the children to ensure that they are doing well.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
c. Call the neighbour to determine whether adequate childcare is being provided.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. Gather more data about the hospital client‘s feelings about the childcare arrangements.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
PRECISE CHOICE:-D n7
Reasoning :->>>Since a complete assessment is necessary in order to identify a problem
n7 n7 n 7 n7 n 7 n 7 n7 n 7 n 7 n 7 n7 n 7
and choose an appropriate intervention, the medical attendant‘s first action should be to obtain
n 7 n 7 n 7 n 7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
more information. The other actions may be appropriate, but more assessment is needed
n7 n7 n7 n7 n7 n7 n7 n 7 n 7 n 7 n 7 n 7 n 7
before the best intervention can be chosen.
n 7 n 7 n 7 n 7 n 7 n 7 n 7
n7 n7 n7 n7
n7NURSING IN CANADA 5TH EDITION
n7 n7 n7 n7
,CHAPTER 01: Introduction to Medical Surgical Nursing Practice in
n7 n7 n7 n7 n7 n7 n7 n7
Canada Lewis: Medical-Surgical Nursing in Canada, 5th Canadian
n7 n7 n7 n7 n7 n7 n7 n7
Edition
n7
MULTIPLE CHOICE : n7 n7
1. The medical attendant is caring for a hospital client with a new
n7 n7 n7 n7 n 7 n7 n7 n7 n7 n 7 n7
diagnosis of pneumonia and explains to the hospital client that
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
together they will plan the hospital client‘s care and set goals for
n7 n7 n7 n7 n7 n 7 n7 n7 n7 n7 n7 n7
discharge. The hospital client asks, ―How is that different from
n7 n7 n7 n7 n7 n7 n7 n7 n 7 n 7
what the doctor does?‖ Which response by the medical
n7 n7 n 7 n 7 n 7 n 7 n 7 n7 n7
attendant is most appropriate?
n7 n7 n7 n7
a. ―The role of the medical attendant is to administer medications and
n7 n7 n7 n7 n7 n7 n7 n7 n 7 n7
other treatments prescribed
n7 n7 n7
by your doctor.‖
n7 n7
b. ―The medical attendant‘s job is to help the doctor by collecting data
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and communicating when there are problems.‖
n7 n7 n7 n7 n7 n7
c. ―Medical attendants perform many of the procedures done by physicians,
n7 n7 n7 n7 n7 n7 n7 n7 n7
but medical attendants are here in
n7 n 7 n7 n7 n7 n7
the health center for a longer time than doctors.‖
n7 n7 n7 n7 n7 n7 n7 n7
d. ―In addition to caring for you while you are sick, the medical attendants will
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
assist you to
n7 n7 n7
develop an individualized plan to maintain your health.‖
n7 n7 n7 n7 n7 n7 n7
PRECISE CHOICE:-D n7
Reasoning :->>>This response is consistent with the Canadian nurses Association (CNA)
n7 n 7 n 7 n 7 n 7 n 7 n 7 n7 n 7 n 7
definition of nursing. Registered medical attendants are self-regulated health care
n 7 n 7 n 7 n7 n 7 n7 n 7 n 7 n 7 n 7
professionals who work autonomously and in collaboration with others. RNs enable
n 7 n 7 n 7 n 7 n 7 n7 n 7 n 7 n 7 n 7 n 7
individuals, families, groups, communities and populations to achieve their optimal level
n 7 n 7 n 7 n 7 n 7 n 7 n 7 n7 n 7 n 7 n 7
n7of health. RNs coordinate health care, deliver direct services, and support hospital
n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n7
clients in their self-care decisions and actions in situations of health, illness, injury, and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n 7 n7 n7 n7 n7
disability in all stages of life. The other responses describe some of the dependent and
n7 n7 n7 n7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7
collaborative functions of the nursing role but do not accurately describe the medical
n 7 n 7 n 7 n 7 n7 n 7 n 7 n 7 n 7 n 7 n7 n 7 n 7
attendant‘s role in the health care system.
n7 n 7 n 7 n7 n 7 n7 n 7
DIF: Cognitive Level: Comprehension TOPIC: Nursing Process: n7 n7 n 7 n7
Implementation MSC: NCLEX: Safe and Effective Care Environment
n7 n 7 n7 n7 n7 n7 n7
2. When caring for hospital clients using evidence-informed practice,
n7 n 7 n7 n7 n7 n7 n7 n 7 which of the followingn7 n7 n7
does the medical attendant use?
n7 n7 n7 n7 n7
a. Clinical judgement based on experience n7 n7 n7 n7
b. Evidence from a clinical research study n7 n7 n7 n7 n7
c. The best available evidence to guide clinical expertise
n7 n7 n7 n7 n7 n7 n7
d. Evaluation of data showing that the hospital client n7 n7 n7 n7 n7 n7 n7
outcomes are met
n7 n7 n7
PRECISE CHOICE:-C n7
Reasoning :->>>Evidence-informed nursing practice is a continuous interactive process
n7 n 7 n 7 n 7 n 7 n 7 n 7 n 7
involving the explicit, conscientious, and judicious consideration of the best available
n 7 n 7 n 7 n7 n7 n 7 n 7 n 7 n7 n7 n7
evidence to provide care. Four primary elements are: (a) clinical state, setting, and
n 7 n 7 n7 n7 n 7 n 7 n7 n 7 n7 n 7 n7 n7 n 7
circumstances; (b) hospital client preferences and actions; (c) best research evidence, and
n 7 n 7 n7 n7 n 7 n 7 n7 n7 n 7 n7 n7 n 7
(d) health care resources. Clinical judgement based on the medical attendant‘s clinical
n 7 n 7 n7 n 7 n 7 n7 n 7 n 7 n 7 n 7 n7 n7
experience is part of EIP, but clinical decision making also should incorporate
n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7
,n 7 current research and research-based guidelines. Evidence from one clinical research study
n7 n7 n 7 n 7 n 7 n 7 n 7 n7 n7 n7
n7 does not provide an adequate substantiation for interventions. Evaluation of hospital client
n 7 n7 n 7 n7 n 7 n 7 n 7 n 7 n 7 n7 n7
n 7 outcomes is important, but interventions should be based on research from randomized
n 7 n 7 n 7 n 7 n7 n7 n 7 n 7 n7 n 7 n 7
n 7 control studies with a large number of
n7 n 7 n 7 n 7 n 7 n 7
, subjects.
DIF: Cognitive Level: Comprehension TOPIC: Nursing Process:
n7 n7 n 7 n7
Planning MSC: NCLEX: Safe and Effective Care Environment
n7 n 7 n7 n7 n7 n7 n7
3. Which of the following best explains the medical attendants‘ primary use of the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 nursing
process when providing care to hospital clients?
n7 n7 n7 n7 n7 n7 n7
a. To explain nursing interventions to other health care professionals
n7 n7 n7 n7 n7 n7 n7 n7
b. As a problem-solving tool to identify and treat hospital clients‘ health care
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 needs
c. As a scientific-based process of diagnosing the hospital client‘s health care
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 problems
d. To establish nursing theory that incorporates the biopsychosocial nature of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 humans
PRECISE CHOICE:-B n7
Reasoning :->>>The nursing process is an assertive problem-solving approach to the
n7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7
identification and treatment of hospital clients‘ problems. Diagnosis is only one phase of
n 7 n 7 n 7 n 7 n7 n7 n7 n7 n7 n7 n7 n7 n7
the nursing process. The primary use of the nursing process is in hospital client care, not
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
to establish nursing theory or explain nursing interventions to other health care professionals.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF: Cognitive Level: Comprehension TOPIC: Nursing Process:
n7 n7 n 7 n7
Implementation MSC: NCLEX: Safe and Effective Care Environment
n7 n 7 n7 n7 n7 n7 n7
4. The medical attendant is caring for a critically ill hospital client in the intensive care unit
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and plans an every- 2-hour turning schedule to prevent skin breakdown. Which type
n7 n7 n7 n 7 n7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7
of nursing function is demonstrated with this turning schedule?
n 7 n 7 n 7 n 7 n 7 n7 n7 n7 n7
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
PRECISE CHOICE:-D n7
Reasoning :->>>When implementing collaborative nursing actions, the medical attendant is
n7 n 7 n 7 n 7 n 7 n 7 n 7 n7 n 7
responsible primarily for monitoring for complications of acute illness or providing care
n 7 n 7 n7 n7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7
to prevent or treat complications.
n 7 n 7 n 7 n 7 n 7
Independent nursing actions are focused on health promotion, illness prevention, and hospital
n 7 n7 n7 n7 n 7 n7 n7 n7 n7 n 7 n7
client advocacy. A dependent action would require a physician order to implement.
n7 n7 n 7 n7 n7 n7 n 7 n7 n7 n7 n7 n7
n7Cooperative nursing functions are not described as one of the formal nursing
n 7 n7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7 n 7
functions.
n 7
DIF: Cognitive Level: Application TOPIC: Nursing Process:
n7 n7 n 7 n7
Implementation MSC: NCLEX: Safe and Effective Care Environment
n7 n 7 n7 n7 n7 n7 n7
5. The medical attendant is caring for a hospital client who has been admitted to the health center
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
for surgery and tells the medical attendant, ―I do not feel right about leaving my children with
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
my neighbour.‖ Which action should the medical attendant take next?
n7 n7 n7 n7 n7 n 7 n 7 n7 n 7 n 7
a. Reassure the hospital client that these feelings are common for parents.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
b. Have the hospital client call the children to ensure that they are doing well.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
c. Call the neighbour to determine whether adequate childcare is being provided.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. Gather more data about the hospital client‘s feelings about the childcare arrangements.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
PRECISE CHOICE:-D n7
Reasoning :->>>Since a complete assessment is necessary in order to identify a problem
n7 n7 n 7 n7 n 7 n 7 n7 n 7 n 7 n 7 n7 n 7
and choose an appropriate intervention, the medical attendant‘s first action should be to obtain
n 7 n 7 n 7 n 7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
more information. The other actions may be appropriate, but more assessment is needed
n7 n7 n7 n7 n7 n7 n7 n 7 n 7 n 7 n 7 n 7 n 7
before the best intervention can be chosen.
n 7 n 7 n 7 n 7 n 7 n 7 n 7
