Lewis Ch.1 -Test 1 Med Surg
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
states, "How is
this different from what the doctor does?" Which response would be most
appropriate
a. "The role of the nurse is to administer medications and other treatments
for the nurse to
prescribed
by your
make?
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 for
patients the 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." correct
answers
This ANS: D
response is consistent with the American Nurses Association (ANA)
definitionwhich
nursing, of describes the role of nurses in promoting health. The other
responses
describe some of the dependent and collaborative functions of the nursing
role accurately
not but do describe the nurse's role in the health care
system.
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
d. "Recommendations
met." are based on research, clinical expertise,
and patient
preferences." correct answers
ANS: D
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
research andcurrent
research-based guidelines. Evaluation of patient outcomes is
but interventions should be based on research from randomized control
important,
studies
large with a of
number
subjects.
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,
teaching
indicates was
that
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 patients'
health care
needs."
c. "The nursing process is based on nursing theory that
incorporates thenature of
biopsychosocial
humans."
d. "The nursing process is used primarily to explain nursing interventions to
otherprofessionals."
care health correct answers
ANS:nursing
The B process is a problem-solving approach to the identification and
treatmentproblems.
patients' of Diagnosis is only one phase of the nursing process. The
primary
of use process is in patient care, not to establish nursing theory
the nursing
or explain
nursing interventions to other health care
professionals.
A patient has been admitted to the hospital for surgery and tells the nurse, "I
do not feel leaving my children with my parents." Which action should the
comfortable
nurse take
next
?
a. Reassure the patient that these feelings are common for
parents.
b. Have the patient call the children to ensure that they are
doing
c. well.more data about the patient's feelings about the child-care
Gather
arrangements.
d. Call the patient's parents to determine whether adequate child care is
being provided.
correct answers ANS:
C
Since a complete assessment is necessary in order to identify a problem and
choose an intervention, the nurse's first action should be to obtain more
appropriate
information.
The other actions may be appropriate, but more assessment is needed
before the best
intervention can be
chosen.
A patient who is paralyzed on the left side of the body after a stroke
develops ulcer
pressure a on the left hip. Which nursing diagnosis is most
appropriate?
a. Impaired physical mobility related to left-sided
paralysis
b. Risk for impaired tissue integrity related to left-sided
c. Impaired skin integrity related to altered circulation and
weakness
pressure
d. Ineffective tissue perfusion related to inability to move independently
correct answers
ANS:
C
The patient's major problem is the impaired skin integrity as
demonstrated
presence by the ulcer. The nurse is able to treat the cause of altered
of a pressure
circulation
and pressure by frequently repositioning the patient. Although left-sided
weakness
problem for is the
a patient, the nurse cannot treat the weakness. The "risk for"
diagnosis
not is
appropriate for this patient, who already has impaired tissue integrity.
The patient
does have ineffective tissue perfusion, but the impaired skin integrity
diagnosis
more indicates
clearly what the health
problem is.
A patient with a bacterial infection has a nursing diagnosis of deficient
fluid volume
related to excessive diaphoresis. Which outcome would the nurse
recognize asfor
appropriate most
this
patient?
a. Patient has a balanced intake and
output.
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
states, "How is
this different from what the doctor does?" Which response would be most
appropriate
a. "The role of the nurse is to administer medications and other treatments
for the nurse to
prescribed
by your
make?
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 for
patients the 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." correct
answers
This ANS: D
response is consistent with the American Nurses Association (ANA)
definitionwhich
nursing, of describes the role of nurses in promoting health. The other
responses
describe some of the dependent and collaborative functions of the nursing
role accurately
not but do describe the nurse's role in the health care
system.
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
d. "Recommendations
met." are based on research, clinical expertise,
and patient
preferences." correct answers
ANS: D
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
research andcurrent
research-based guidelines. Evaluation of patient outcomes is
but interventions should be based on research from randomized control
important,
studies
large with a of
number
subjects.
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,
teaching
indicates was
that
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 patients'
health care
needs."
c. "The nursing process is based on nursing theory that
incorporates thenature of
biopsychosocial
humans."
d. "The nursing process is used primarily to explain nursing interventions to
otherprofessionals."
care health correct answers
ANS:nursing
The B process is a problem-solving approach to the identification and
treatmentproblems.
patients' of Diagnosis is only one phase of the nursing process. The
primary
of use process is in patient care, not to establish nursing theory
the nursing
or explain
nursing interventions to other health care
professionals.
A patient has been admitted to the hospital for surgery and tells the nurse, "I
do not feel leaving my children with my parents." Which action should the
comfortable
nurse take
next
?
a. Reassure the patient that these feelings are common for
parents.
b. Have the patient call the children to ensure that they are
doing
c. well.more data about the patient's feelings about the child-care
Gather
arrangements.
d. Call the patient's parents to determine whether adequate child care is
being provided.
correct answers ANS:
C
Since a complete assessment is necessary in order to identify a problem and
choose an intervention, the nurse's first action should be to obtain more
appropriate
information.
The other actions may be appropriate, but more assessment is needed
before the best
intervention can be
chosen.
A patient who is paralyzed on the left side of the body after a stroke
develops ulcer
pressure a on the left hip. Which nursing diagnosis is most
appropriate?
a. Impaired physical mobility related to left-sided
paralysis
b. Risk for impaired tissue integrity related to left-sided
c. Impaired skin integrity related to altered circulation and
weakness
pressure
d. Ineffective tissue perfusion related to inability to move independently
correct answers
ANS:
C
The patient's major problem is the impaired skin integrity as
demonstrated
presence by the ulcer. The nurse is able to treat the cause of altered
of a pressure
circulation
and pressure by frequently repositioning the patient. Although left-sided
weakness
problem for is the
a patient, the nurse cannot treat the weakness. The "risk for"
diagnosis
not is
appropriate for this patient, who already has impaired tissue integrity.
The patient
does have ineffective tissue perfusion, but the impaired skin integrity
diagnosis
more indicates
clearly what the health
problem is.
A patient with a bacterial infection has a nursing diagnosis of deficient
fluid volume
related to excessive diaphoresis. Which outcome would the nurse
recognize asfor
appropriate most
this
patient?
a. Patient has a balanced intake and
output.
