BESTLEC
Test Bank for Lewis Medical-Surgical Nursing in Canada 5th Ed.
Assessment And Management of Clinical Problems.
All Chapters Covered|| Latest Edition|| Fully Verified Answers
C
LE
ST
BE
1
,BESTLEC
MULTIPLE CHOICE:
1. The nurse is caring for a client with a new diagnosis of pneumonia and explains to the
client that together they will plan the client’s care and set goals for discharge. The client asks,
“How is that different from what the doctor does?” Which response by the nurse is most
appropriate?
a. “The role of the nurse is to administer medications and other treatments prescribed by
your doctor.”
b. “The nurse’s job is to help the doctor by collecting data and communicating when there
are problems.”
c. “Nurses perform many of the procedures done by physicians, but nurses are here in the
C
hospital for a longer time than doctors.”
d.
LE
“In addition to caring for you while you are sick, the nurses will assist you to develop an
individualized plan to maintain your health.”
Answer: D
ST
This response is consistent with the Canadian Nurses Association (CNA) definition of nursing.
Registered nurses are self-regulated health care professionals who work autonomously and in
collaboration with others. RNs enable individuals, families, groups, communities and
BE
populations to achieve their optimal level of health. RNs coordinate health care, deliver direct
services, and support clients in their self-care decisions and actions in situations of health,
illness, injury, and disability in all stages of life. The other responses describe some of the
dependent and collaborative functions of the nursing role but do not accurately describe the
nurse’s role in the health care system.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation MSC: NCLEX:
Safe and Effective Care Environment
2. When caring for clients using evidence-informed practice, which of the following does
the nurse use? a. Clinical judgement based on experience
b. Evidence from a clinical research study
2
,BESTLEC
c. The best available evidence to guide clinical expertise
d. Evaluation of data showing that the client outcomes are met
Answer: C
Evidence-informed nursing practice is a continuous interactive process involving the explicit,
conscientious, and judicious consideration of the best available evidence to provide care. Four
primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
actions; (c) best research evidence, and (d) health care resources. Clinical judgement based on
the nurse’s clinical experience is part of EIP, but clinical decision making also should incorporate
current research and research-based guidelines. Evidence from one clinical research study does
not provide an adequate substantiation for interventions. Evaluation of client outcomes is
C
important, but interventions should be based on research from randomized control studies with a
large number of subjects. LE
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
ST
MSC: NCLEX: Safe and Effective Care Environment
BE
3. Which of the following best explains the nurses’ primary use of the nursing process when
providing care to clients?
a. To explain nursing interventions to other health care professionals
b. As a problem-solving tool to identify and treat clients’ health care needs
c. As a scientific-based process of diagnosing the client’s health care problems
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
Answer: B
3
, BESTLEC
The nursing process is an assertive problem-solving approach to the identification and treatment
of clients’ problems. Diagnosis is only one phase of the nursing process. The primary use of the
nursing process is in client care, not to establish nursing theory or explain nursing interventions
to other health care professionals.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation MSC: NCLEX:
Safe and Effective Care Environment
4. The nurse is caring for a critically ill client in the intensive care unit and plans an every-
2-hour turning schedule to prevent skin breakdown. Which type of nursing function is
C
demonstrated with this turning
schedule?
LE
a. Dependent
ST
b. Cooperative
c. Independent
d. Collaborative
BE
Answer: D
When implementing collaborative nursing actions, the nurse is responsible primarily for
monitoring for complications of acute illness or providing care to prevent or treat complications.
Independent nursing actions are focused on health promotion, illness prevention, and client
advocacy. A dependent action would require a physician order to implement. Cooperative
nursing functions are not described as one of the formal nursing functions.
4
Test Bank for Lewis Medical-Surgical Nursing in Canada 5th Ed.
Assessment And Management of Clinical Problems.
All Chapters Covered|| Latest Edition|| Fully Verified Answers
C
LE
ST
BE
1
,BESTLEC
MULTIPLE CHOICE:
1. The nurse is caring for a client with a new diagnosis of pneumonia and explains to the
client that together they will plan the client’s care and set goals for discharge. The client asks,
“How is that different from what the doctor does?” Which response by the nurse is most
appropriate?
a. “The role of the nurse is to administer medications and other treatments prescribed by
your doctor.”
b. “The nurse’s job is to help the doctor by collecting data and communicating when there
are problems.”
c. “Nurses perform many of the procedures done by physicians, but nurses are here in the
C
hospital for a longer time than doctors.”
d.
LE
“In addition to caring for you while you are sick, the nurses will assist you to develop an
individualized plan to maintain your health.”
Answer: D
ST
This response is consistent with the Canadian Nurses Association (CNA) definition of nursing.
Registered nurses are self-regulated health care professionals who work autonomously and in
collaboration with others. RNs enable individuals, families, groups, communities and
BE
populations to achieve their optimal level of health. RNs coordinate health care, deliver direct
services, and support clients in their self-care decisions and actions in situations of health,
illness, injury, and disability in all stages of life. The other responses describe some of the
dependent and collaborative functions of the nursing role but do not accurately describe the
nurse’s role in the health care system.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation MSC: NCLEX:
Safe and Effective Care Environment
2. When caring for clients using evidence-informed practice, which of the following does
the nurse use? a. Clinical judgement based on experience
b. Evidence from a clinical research study
2
,BESTLEC
c. The best available evidence to guide clinical expertise
d. Evaluation of data showing that the client outcomes are met
Answer: C
Evidence-informed nursing practice is a continuous interactive process involving the explicit,
conscientious, and judicious consideration of the best available evidence to provide care. Four
primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
actions; (c) best research evidence, and (d) health care resources. Clinical judgement based on
the nurse’s clinical experience is part of EIP, but clinical decision making also should incorporate
current research and research-based guidelines. Evidence from one clinical research study does
not provide an adequate substantiation for interventions. Evaluation of client outcomes is
C
important, but interventions should be based on research from randomized control studies with a
large number of subjects. LE
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
ST
MSC: NCLEX: Safe and Effective Care Environment
BE
3. Which of the following best explains the nurses’ primary use of the nursing process when
providing care to clients?
a. To explain nursing interventions to other health care professionals
b. As a problem-solving tool to identify and treat clients’ health care needs
c. As a scientific-based process of diagnosing the client’s health care problems
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
Answer: B
3
, BESTLEC
The nursing process is an assertive problem-solving approach to the identification and treatment
of clients’ problems. Diagnosis is only one phase of the nursing process. The primary use of the
nursing process is in client care, not to establish nursing theory or explain nursing interventions
to other health care professionals.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation MSC: NCLEX:
Safe and Effective Care Environment
4. The nurse is caring for a critically ill client in the intensive care unit and plans an every-
2-hour turning schedule to prevent skin breakdown. Which type of nursing function is
C
demonstrated with this turning
schedule?
LE
a. Dependent
ST
b. Cooperative
c. Independent
d. Collaborative
BE
Answer: D
When implementing collaborative nursing actions, the nurse is responsible primarily for
monitoring for complications of acute illness or providing care to prevent or treat complications.
Independent nursing actions are focused on health promotion, illness prevention, and client
advocacy. A dependent action would require a physician order to implement. Cooperative
nursing functions are not described as one of the formal nursing functions.
4
