TEST BANK for Lewis

,Test Bank for Lewis\'s Medical-Surgical Nursing, 12th
Edition by Mariann M. Harding, Jeffrey Kwong, Debra
Hagler Chapter 1-69

Chapter 01: Professional Nursing
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Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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MULTIPLE CHOICE N




1. The nurse completes an admission database and explains that the plan of care and
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discharge goals will be developed with the patient‘s input. The patient asks, “How is this
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different from what the physician does?” Which response would the nurse provide?
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a. “The role of the nurse is to administer medications and other treatments prescribed
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by your physician.”
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b. “In addition to caring for you while you are sick, the nurses will help you plan to
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maintain your health.”
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c. “The nurse‘s job is to collect information and communicate anyproblems that
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occur to the physician.”
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d. “Nurses perform many of the same procedures as the physician, but nurses are
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with the patients for a longer time than the physician.”
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ANS: B N




The American Nurses Association (ANA) definition of nursing describes the role of nurses in
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promoting health. The other responses describe dependent and collaborative functions of
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the nursing role but do not accurately describe the nurse‘s unique role in the health care
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system.
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DIF: N N Cognitive Level: Analyze (Analysis) N N N




TOP: N Nursing Process: Implementation N N N N N MSC: NCLEX: Safe and Effective Care Environment N N N N N N




2. Which statement by the 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.” N N N N N N N N N




b. “Data are analyzed later to show that the patient outcomes are consistently met.”
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c. “Research from all published articles are used as a guide for planning patient care.” N N N N N N N N N N N N N




d. “Recommendations are based on research, clinical expertise, and patient N N N N N N N N




preferences.”
N




ANS: D N




Evidence-based practice (EBP) is the use of the best research-based evidence combined with N N N N N N N N N N N N




clinician 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 is important,
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but data analysis is not required to use EBP. All published articles do not provide research
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evidence; interventions should be based on credible research, preferably randomized
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controlled studies with a large number of subjects.
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DIF: Cognitive Level: Understand (Comprehension) N N N TOP: Nursing Process: Planning N N N




MSC: NCLEX: Safe and Effective Care Environment
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3. Which statement by the nurse provides a clear explanation of the nursing process?
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a. “The nursing process is a research method of diagnosing the patient‘s health care
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N problems.”

,b. “The nursing process is used primarily to explain nursing interventions to other
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N health care professionals.”
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c. “The nursing process is a problem-solving tool used to identify and manage the
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, patients‘ health care needs.” N N N




d. “The nursing process is based on nursing theory that incorporates the
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biopsychosocial nature of humans.”
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ANS: C N




The nursing process is a problem-solving approach to the identification and treatment of
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patients‘ problems. Nursing process does not require research methods for diagnosis. The
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primary use of the nursing process is in patient care, not to establish nursing theory or explain
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nursing interventions to other health care professionals.
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DIF: Cognitive Level: Understand (Comprehension) N N N TOP: Nursing Process: Evaluation N N N




MSC: NCLEX: Safe and Effective Care Environment
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4. A patient admitted to the hospital for surgery tells the nurse, “I do not feel comfortable
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N leaving my children with my parents.” Which action would the nurse take next?
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a. Reassure the patient that these feelings are common for parents. N N N N N N N N N




b. Have the patient call the children to ensure that they are doing well.
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c. Gather information on the patient‘s concerns about the child care arrangements.
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d. Call the patient‘s parents to determine whether adequate child care is being
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provided.
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ANS: C N




Because a complete assessment is necessary in order to identify a problem and choose an
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appropriate intervention, the nurse‘s first action should be to obtain more information. The
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other actions may be appropriate, but more assessment is needed before the best intervention
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can be chosen.
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DIF: Cognitive Level: Analyze (Analysis) N N N




TOP: Nursing Process: Assessment
N N N MSC: NCLEX: Psychosocial Integrity N N N




5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
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Which expected outcome would the nurse select for this patient?
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a. Patient has a balanced intake and output. N N N N N N




b. Patient‘s bedding is kept clean and free of moisture. N N N N N N N N




c. Patient understands the need for increased fluid intake. N N N N N N N




d. Patient‘s skin remains cool and dry throughout hospitalization. N N N N N N N




ANS: A N




Balanced intake and output gives measurable data showing resolution of the problem of
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deficient fluid volume. The other statements would not indicate that the problem of
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hypovolemia was resolved.
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DIF: Cognitive Level: Apply (Application) N N N TOP: Nursing Process: Planning N N N




MSC: NCLEX: Physiological Integrity
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6. Which statement describes the purpose of the evaluation phase of the nursing process?
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a. To document the nursing care plan in the progress notes of the health record
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b. To determine if interventions have been effective in meeting patient outcomes
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c. To decide whether the patient‘s health problems have been completely resolved
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d. To establish if the patient agrees that the nursing care provided was satisfactory
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ANS: B N