[Type here]
r
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
,[Type here]
r
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
Chapter 01: Professional Nursing Practice Lewis
r r r r r
: Medical-Surgical Nursing, 10th Edition
r r r r
MULTIPLE CHOICE r
1. The nurse completes an admission database and explains that the plan of care and discharge goals w
r r r r r r r r r r r r r r r r
ill be developed with the patient’s input. The patient states, “How is this different from what the doct
r r r r r r r r r r r r r r r r r
or does?” Which response would be most appropriate for the nurse to make?
r r r r r r r r r r r r
a. “The role of the nurse is to administer medications and other treatments prescribed by y
r r r r r r r r r r r r r r
our doctor.” r
b. “The nurse’s job is to help the doctor by collecting information and co
r r r r r r r r r r r r
mmunicating any problems that occur.” r r r r
c. “Nurses perform many of the same procedures as the doctor, but nurses are with the p
r r r r r r r r r r r r r r r
atients for a longer time than the doctor.” r r r r r r r
d. “In addition to caring for you while you are sick, the nurses will assist you to devel
r r r r r r r r r r r r r r r r
op an individualized plan to maintain your health.”
r r r r r r r
ANS: D r
This response is consistent with the American Nurses Association (ANA) definition of nursing, w
r r r r r r r r r r r r r
hich describes the role of nurses in promoting health. The other responses describe some of the depe
r r r r r r r r r r r r r r r r
ndent and collaborative functions of the nursing role but do not accurately describe the nurse’s role
r r r r r r r r r r r r r r r r
in the health care system.
r r r r
DIF: Cognitive Level: Understand (comprehension) REF: 3 r r r r
TOP: Nursing Process: Implementation
r MSC: NCLEX: Safe and Effective Care Environment
r r r r r r r r
2. The nurse describes to a student nurse how to use evidence-
r r r r r r r r r r
based practice guidelines when caring for patients. Which statement, if made by the nurse, woul
r r r r r r r r r r r r r r
d be the most accurate?
r r r r
a. “Inferences from clinical research studies are used as a guide.” r r r r r r r r r
b. “Patient care is based on clinical judgment, experience, and traditions.”
r r r r r r r r r
c. “Data are evaluated to show that the patient outcomes are consistently met.”
r r r r r r r r r r r
d. “Recommendations are based on research, clinical expertise, and patient pr r r r r r r r r r
eferences.”
ANS: D r
Evidence-based practice (EBP) is the use of the best research- r r r r r r r r r
based evidence combined with clinician expertise. Clinical judgment based on the nurse’s clinical
r r r r r r r r r r r r r
experience is part of EBP, but clinical decision making should also incorporate current research an
r r r r r r r r r r r r r r
d research-
r
based guidelines. Evaluation of patient outcomes is important, but interventions should be based o
r r r r r r r r r r r r r
n research from randomized control studies with a large number of subjects.
r r r r r r r r r r r
DIF: Cognitive Level: Remember (knowledge) REF: 15 r r r r
TOP: Nursing Process: Planning
r MSC: NCLEX: Safe and Effective Care Environment
r r r r r r r r
3. The nurse teaches a student nurse about how to apply the nursing process when providing patie
r r r r r r r r r r r r r r r
nt care. Which statement, if made by the student nurse, indicates that teaching was successful?
r r r r r r r r r r r r r r
a. “The nursing process is a scientific- r r r r r
based method of diagnosing the patient’s health care problems.”
r r r r r r r r
,[Type here]
r
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
b. “The nursing process is a problem-solving tool used to identify and treat patients’
r r r r r r r r r r r r
, [Type here]
r
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
health care needs.” r r
c. “The nursing process is used primarily to explain nursing interventions to other hea
r r r r r r r r r r r r
lth care professionals.” r r
d. “The nursing process is based on nursing theory that incorporates the bio
r r r r r r r r r r r
psychosocial nature of humans.” r r r
ANS: B r
The nursing process is a problem-
r r r r r
solving approach to the identification and treatment of patients’ problems. Diagnosis is only one p
r r r r r r r r r r r r r r
hase of the nursing process. The primary use of the nursing process is in patient care, not to establish
r r r r r r r r r r r r r r r r r r
nursing theory or explain nursing interventions to other health care professionals.
r r r r r r r r r r r
DIF: Cognitive Level: Understand (comprehension) REF: 5 r r r r
TOP: Nursing Process: Implementation
r MSC: NCLEX: Safe and Effective Care Environment r r r r r r r r
4. A patient has been admitted to the hospital for surgery and tells the nurse, “I do not feel comfortabl
r r r r r r r r r r r r r r r r r r
e leaving my children with my parents.” Which action should the nurse take next?
r r r r r r r r r r r r r
a. Reassure the patient that these feelings are common for parents. r r r r r r r r r
b. Have the patient call the children to ensure that they are doing well.
r r r r r r r r r r r r
c. Gather more data about the patient’s feelings about the child-care arrangements.
r r r r r r r r r r
d. Call the patient’s parents to determine whether adequate child care is being pro
r r r r r r r r r r r r
vided.
ANS: C r
Because a complete assessment is necessary in order to identify a problem and choose an appropria
r r r r r r r r r r r r r r r
te intervention, the nurse’s first action should be to obtain more information. The other actions may
r r r r r r r r r r r r r r r r
be appropriate, but more assessment is needed before the best intervention can be chosen.
r r r r r r r r r r r r r
DIF: Cognitive Level: Apply (application) r r r REF: 6
OBJ: Special Questions: Prioritization
r r r
TOP: Nursing Process: Assessment r r r r
MSC: NCLEX: Psychosocial Integrity r r r
5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the
r r r r r r r r r r r r r r r r r r r r r
left hip. Which nursing diagnosis is most appropriate?
r r r r r r r
a. Impaired physical mobility related to left-sided paralysis r r r r r r
b. Risk for impaired tissue integrity related to left-sided weakness
r r r r r r r r
c. Impaired skin integrity related to altered circulation and pressure r r r r r r r r
d. Ineffective tissue perfusion related to inability to move independently r r r r r r r r
ANS: C r
The patient’s major problem is the impaired skin integrity as demonstrated by the presence of a pre
r r r r r r r r r r r r r r r r
ssure ulcer. The nurse is able to treat the cause of altered circulation and pressure by frequently repo
r r r r r r r r r r r r r r r r r
sitioning the patient. Although left- r r r r
sided weakness is a problem for the patient, the nurse cannot treat the weakness. The “risk for” diag
r r r r r r r r r r r r r r r r r
nosis is not appropriate for this patient, who already has impaired tissue integrity. The patient does
r r r r r r r r r r r r r r r r
have ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates more clearly
r r r r r r r r r r r r r
what the health problem is. r r r r
DIF: Cognitive Level: Apply (application) REF: 7 r r r
TOP: Nursing Process: Diagnosis r MSC: NCLEX: Physiological Integrity r r r r r
r
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
,[Type here]
r
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
Chapter 01: Professional Nursing Practice Lewis
r r r r r
: Medical-Surgical Nursing, 10th Edition
r r r r
MULTIPLE CHOICE r
1. The nurse completes an admission database and explains that the plan of care and discharge goals w
r r r r r r r r r r r r r r r r
ill be developed with the patient’s input. The patient states, “How is this different from what the doct
r r r r r r r r r r r r r r r r r
or does?” Which response would be most appropriate for the nurse to make?
r r r r r r r r r r r r
a. “The role of the nurse is to administer medications and other treatments prescribed by y
r r r r r r r r r r r r r r
our doctor.” r
b. “The nurse’s job is to help the doctor by collecting information and co
r r r r r r r r r r r r
mmunicating any problems that occur.” r r r r
c. “Nurses perform many of the same procedures as the doctor, but nurses are with the p
r r r r r r r r r r r r r r r
atients for a longer time than the doctor.” r r r r r r r
d. “In addition to caring for you while you are sick, the nurses will assist you to devel
r r r r r r r r r r r r r r r r
op an individualized plan to maintain your health.”
r r r r r r r
ANS: D r
This response is consistent with the American Nurses Association (ANA) definition of nursing, w
r r r r r r r r r r r r r
hich describes the role of nurses in promoting health. The other responses describe some of the depe
r r r r r r r r r r r r r r r r
ndent and collaborative functions of the nursing role but do not accurately describe the nurse’s role
r r r r r r r r r r r r r r r r
in the health care system.
r r r r
DIF: Cognitive Level: Understand (comprehension) REF: 3 r r r r
TOP: Nursing Process: Implementation
r MSC: NCLEX: Safe and Effective Care Environment
r r r r r r r r
2. The nurse describes to a student nurse how to use evidence-
r r r r r r r r r r
based practice guidelines when caring for patients. Which statement, if made by the nurse, woul
r r r r r r r r r r r r r r
d be the most accurate?
r r r r
a. “Inferences from clinical research studies are used as a guide.” r r r r r r r r r
b. “Patient care is based on clinical judgment, experience, and traditions.”
r r r r r r r r r
c. “Data are evaluated to show that the patient outcomes are consistently met.”
r r r r r r r r r r r
d. “Recommendations are based on research, clinical expertise, and patient pr r r r r r r r r r
eferences.”
ANS: D r
Evidence-based practice (EBP) is the use of the best research- r r r r r r r r r
based evidence combined with clinician expertise. Clinical judgment based on the nurse’s clinical
r r r r r r r r r r r r r
experience is part of EBP, but clinical decision making should also incorporate current research an
r r r r r r r r r r r r r r
d research-
r
based guidelines. Evaluation of patient outcomes is important, but interventions should be based o
r r r r r r r r r r r r r
n research from randomized control studies with a large number of subjects.
r r r r r r r r r r r
DIF: Cognitive Level: Remember (knowledge) REF: 15 r r r r
TOP: Nursing Process: Planning
r MSC: NCLEX: Safe and Effective Care Environment
r r r r r r r r
3. The nurse teaches a student nurse about how to apply the nursing process when providing patie
r r r r r r r r r r r r r r r
nt care. Which statement, if made by the student nurse, indicates that teaching was successful?
r r r r r r r r r r r r r r
a. “The nursing process is a scientific- r r r r r
based method of diagnosing the patient’s health care problems.”
r r r r r r r r
,[Type here]
r
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
b. “The nursing process is a problem-solving tool used to identify and treat patients’
r r r r r r r r r r r r
, [Type here]
r
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
health care needs.” r r
c. “The nursing process is used primarily to explain nursing interventions to other hea
r r r r r r r r r r r r
lth care professionals.” r r
d. “The nursing process is based on nursing theory that incorporates the bio
r r r r r r r r r r r
psychosocial nature of humans.” r r r
ANS: B r
The nursing process is a problem-
r r r r r
solving approach to the identification and treatment of patients’ problems. Diagnosis is only one p
r r r r r r r r r r r r r r
hase of the nursing process. The primary use of the nursing process is in patient care, not to establish
r r r r r r r r r r r r r r r r r r
nursing theory or explain nursing interventions to other health care professionals.
r r r r r r r r r r r
DIF: Cognitive Level: Understand (comprehension) REF: 5 r r r r
TOP: Nursing Process: Implementation
r MSC: NCLEX: Safe and Effective Care Environment r r r r r r r r
4. A patient has been admitted to the hospital for surgery and tells the nurse, “I do not feel comfortabl
r r r r r r r r r r r r r r r r r r
e leaving my children with my parents.” Which action should the nurse take next?
r r r r r r r r r r r r r
a. Reassure the patient that these feelings are common for parents. r r r r r r r r r
b. Have the patient call the children to ensure that they are doing well.
r r r r r r r r r r r r
c. Gather more data about the patient’s feelings about the child-care arrangements.
r r r r r r r r r r
d. Call the patient’s parents to determine whether adequate child care is being pro
r r r r r r r r r r r r
vided.
ANS: C r
Because a complete assessment is necessary in order to identify a problem and choose an appropria
r r r r r r r r r r r r r r r
te intervention, the nurse’s first action should be to obtain more information. The other actions may
r r r r r r r r r r r r r r r r
be appropriate, but more assessment is needed before the best intervention can be chosen.
r r r r r r r r r r r r r
DIF: Cognitive Level: Apply (application) r r r REF: 6
OBJ: Special Questions: Prioritization
r r r
TOP: Nursing Process: Assessment r r r r
MSC: NCLEX: Psychosocial Integrity r r r
5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the
r r r r r r r r r r r r r r r r r r r r r
left hip. Which nursing diagnosis is most appropriate?
r r r r r r r
a. Impaired physical mobility related to left-sided paralysis r r r r r r
b. Risk for impaired tissue integrity related to left-sided weakness
r r r r r r r r
c. Impaired skin integrity related to altered circulation and pressure r r r r r r r r
d. Ineffective tissue perfusion related to inability to move independently r r r r r r r r
ANS: C r
The patient’s major problem is the impaired skin integrity as demonstrated by the presence of a pre
r r r r r r r r r r r r r r r r
ssure ulcer. The nurse is able to treat the cause of altered circulation and pressure by frequently repo
r r r r r r r r r r r r r r r r r
sitioning the patient. Although left- r r r r
sided weakness is a problem for the patient, the nurse cannot treat the weakness. The “risk for” diag
r r r r r r r r r r r r r r r r r
nosis is not appropriate for this patient, who already has impaired tissue integrity. The patient does
r r r r r r r r r r r r r r r r
have ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates more clearly
r r r r r r r r r r r r r
what the health problem is. r r r r
DIF: Cognitive Level: Apply (application) REF: 7 r r r
TOP: Nursing Process: Diagnosis r MSC: NCLEX: Physiological Integrity r r r r r
