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, Chapter01: Professional Nursing
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Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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MULTIPLE CHOICE ki
1. The nurse completes an admission database and explains that the plan of care and
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dischargegoals will be developed with the patient‘s input. The patient asks, “How is this different
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fromwhat the physician does?” Which response would the nurse provide?
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a. “Theroleofthenurseis to administer medications and othertreatments prescribedby
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your physician.”ki ki
b. “In addition to caringfor you while you aresick, the nurses will help you plan
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tomaintain your health.”
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c. “Thenurse‘sjob is to collect information and communicate anyproblems ki ki ki ki ki ki ki ki ki ki
thatoccur to the physician.”
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d. “Nurses perform manyof the same procedures as the physician, but nurses are ki ki ki ki ki ki ki ki ki ki ki ki
with the patients for a longer time than the physician.”
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ANS: B ki
The American Nurses Association (ANA) definition of nursing describes the role of nurses
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inpromoting health. The other responses describe dependent and collaborative functions of the
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nursing role but do not accurately describe the nurse‘s unique role in the health care system.
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DIF: k i CognitiveLevel: Analyze (Analysis) ki ki ki
TOP: k i NursingProcess: Implementation MSC: NCLEX: Safe and Effective Care Environment
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2. Which statement bythe nurse accurately describes the use of evidence-based practice (EBP)?
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a. “Patient care is based on clinical judgment, experience, and traditions.” ki ki ki ki ki ki ki ki ki
b. “Data areanalyzed later to showthat the patient outcomes areconsistentlymet.” ki ki ki ki ki ki ki ki ki ki ki ki
c. “Research from all published articles are used as a guide for planning patient care.” ki ki ki ki ki ki ki ki ki ki ki ki ki
d. “Recommendations arebased on research, clinical expertise, and patient ki ki ki ki ki ki ki ki
ki preferences.”
ANS: D ki
Evidence-based practice (EBP) is the use of the best research-based evidence combined ki ki ki ki ki ki ki ki ki ki ki
withclinician expertise and consideration of patient preferences. Clinical judgment based on the
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nurse‘s clinical experience is part of EBP, but clinical decision making should also incorporate
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current research and research-based guidelines. Evaluation of patient outcomes isimportant, but
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data analysis is not required to use EBP. All published articles do not provide research evidence;
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interventions should be based on credible research, preferablyrandomizedcontrolled studies with
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a large number of subjects.
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DIF: Cognitive Level: Understand (Comprehension) ki ki ki TOP: NursingProcess: k i ki
PlanningMSC: NCLEX: Safe and Effective Care Environment
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3. Which statement bythe nurse provides a clear explanation of the nursing process?
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a. “Thenursingprocess is a research method ofdiagnosingthepatient‘s healthki ki ki ki ki ki ki ki ki ki ki
careproblems.” ki i
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b. “Thenursingprocess is used primarilyto explain nursinginterventions to ki ki ki ki ki ki ki ki ki ki
otherhealth care professionals.”
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c. “Thenursingprocess is a problem-solvingtool used to identifyand manage the
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