TEST BANK FOR Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems, Single Volume 12th Edition by Mariann M. Harding, Jeffrey Kwong, Debra Hagler & Courtney Reinisch Chapter 1-69| Guide A+ latest

TEST BANK for Lewis's Medical-Surgical Nursing Assessment
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andManagement of Clinical Problems 12th Edition By Harding &
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Kwong
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Chapter01:Professional Nursing C
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Harding: Lewis’s Medical-Surgical
C Y C Y C Y Nursing, C Y 12th C Y Edition


MULTIPLECHOICE C
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1. The nurse completes an admission database and explains that the plan
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dischargegoals will be developed with the patient‗s input. The patient asks, ―How is this
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differentfrom what the physician does?‖ Which response would the nurse provide?
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a. ―Theroleofthenurseistoadministermedicationsandothertreatmentsprescribed by C
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your physician.‖
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b. ―Inadditiontocaring foryouwhile youaresick,the nurseswillhelp youplanto
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maintain your health.‖
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c. ―Thenurse‗sjob isto collectinformationand communicate anyproblemsthat C
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occur to the physician.‖
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d. ―Nursesperformmanyofthe same proceduresasthephysician,butnurses are C
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with the patients for a longer time than the physician.‖
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ANS: B C Y




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: CY CY CY CY C Y CognitiveLevel:Analyze(Analysis) C
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TOP: CY CY CY CY C Y Nursing Process: Implementation MSC: NCLEX:SafeandEffectiveCareEnvironment
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2. Whichstatement bythe nurseaccuratelydescribes the useof evidence-based practice (EBP)?
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a. ―Patientcareisbasedonclinicaljudgment,experience,andtraditions.‖ C
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b. ―Dataareanalyzedlatertoshowthatthepatientoutcomesareconsistentlymet.‖ C
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c. ―Researchfromallpublishedarticlesareused as aguideforplanningpatientcare.‖ C
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d. ―Recommendationsarebased on research,clinicalexpertise,and patient C
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CY preferences.‖
ANS: D C Y




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




withclinician expertise and consideration of patient preferences. Clinical judgment based onthe
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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,
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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 randomizedcontrolled
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studies with a large numberof subjects.
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DIF: Cognitive Level: Understand(Comprehension) TOP: CY CY C
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NursingProcess:PlanningMSC: NCLEX: Safe and Effective Care Environment
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3. Which statement bythe nurseprovides a clear explanation ofthe nursingprocess?
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a. ―Thenursingprocessisaresearchmethodofdiagnosing thepatient‗shealthcare C
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,b. ―Thenursing processis usedprimarilytoexplain nursing interventionstoother
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health care professionals.‖
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c. ―Thenursing processisaproblem-solving toolused toidentifyandmanagethe
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, patients‗healthcareneeds.‖ C
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d. ―Thenursing processis basedonnursingtheorythat incorporates the io C
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CY biopsychosocial nature of humans.‖ CY CY CY




ANS: C C Y




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.
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Theprimaryuse of the nursing process is in patient care, not to establish nursing theoryor
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explainnursinginterventions to other health care professionals.
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DIF: Cognitive Level: Understand(Comprehension) TOP: CY CY C
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NursingProcess:EvaluationMSC: 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
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comfortableleaving my children with my parents.‖ Which action would the nursetake
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next?
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a. Reassurethepatient that thesefeelings arecommon forparents. C
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b. Havethe patient call the children to ensurethat theyaredoingwell.
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c. Gatherinformationonthepatient‗sconcernsaboutthechildcarearrangements. C
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d. Callthepatient‗sparents C
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todeterminewhetheradequatechildcareisbeingprovided.
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ANS: C C Y




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.
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Theother actions maybe appropriate, but more assessment is needed before the best
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interventioncan be chosen.
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DIF: CognitiveLevel:Analyze(Analysis) C
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TOP: NursingProcess: Assessment C
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5. Apatient withabacterial infectionishypovolemic duetoafeverand
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excessivediaphoresis.Which expected outcome would the nurseselect for this
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patient?
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a. Patienthasabalanced intakeand output. C
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b. Patient‗sbeddingiskeptclean andfreeofmoisture. C
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c. Patientunderstands theneedforincreased fluidintake. C
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d. Patient‗s skin remains cool and dry throughout hospitalization. C Y C Y C Y C Y C Y CY C Y




ANS: A C Y




Balanced intake and output gives measurable data showingresolution of the problem ofdeficient
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fluid volume. The other statements would not indicate that the problem ofhypovolemia was
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resolved.
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DIF: Cognitive Level: Apply(Application) CY CY C
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PlanningMSC: NCLEX: Physiological Integrity
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6. Whichstatement describes the purposeoftheevaluation phase ofthe nursingprocess?
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a. Todocumentthe nursingcareplanin theprogress notes ofthehealth record
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b. Todetermineifinterventions havebeen effective inmeetingpatient outcomes
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c. Todecidewhetherthepatient‗shealthproblems havebeen completelyresolved
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d. Toestablish ifthepatient agrees thatthenursingcareprovided was satisfactory
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ANS: B C Y




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, Evaluation consists of determining whether the desired patient outcomes have C Y C Y C Y C Y C Y C Y C Y C Y C Y




been met and whether the nursing interventions were appropriate. The other responses do
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not describe theevaluation phase.
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DIF: Cognitive Level: Understand(Comprehension)
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Process:EvaluationMSC: NCLEX: Safe and Effective Care Environment
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7. Whichstatement describes thepurposeoftheassessment phaseofthenursingprocess?
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a. Toteachinterventionsthatrelievehealthproblems
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b. Tousepatient datato evaluatepatient careoutcomes
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c. Toobtaindatatodiagnosepatient strengths andproblems
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d. Tohelp thepatient identifyrealisticoutcomes for healthproblems
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ANS: C C Y




During theassessment phase,thenurse gathersinformation about thepatient to diagnosepatient
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strengths and problems. The other responses are examples of the planning,intervention, and
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evaluation phases of the nursing process.
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DIF: CognitiveLevel:Understand(Comprehension) C
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TOP: NursingProcess: Assessment MSC: NCLEX:SafeandEffectiveCareEnvironment C
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8. Whendevelopingtheplanofcare,which components wouldthenurseincludein
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theclinicalproblem statement?
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a. Theproblem andthesuggested patient goals oroutcomes CY C
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b. Theproblem,itscauses, andthesigns andsymptoms oftheproblem
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c. Theproblemwith thepossible etiologyand theplanned interventions
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d. Theproblem, itspathophysiology, and theexpected outcome C
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ANS: B C Y




When writing clinical problems or nursing diagnoses, the subjective as well as objective data to
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support the problem‗s existence should be included. Goals, outcomes, and interventions arenot
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included in the problem statement.
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DIF: Cognitive Level: Understand(Comprehension) TOP: Nursing Process: CY CY C
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DiagnosisMSC: NCLEX: Safe and Effective Care Environment
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9. Whichpatient caretask wouldthenursedelegate to experienced assistivepersonnel(AP)?
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a. Instruct thepatient about the need to alternate activityand rest. CY C
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b. Monitorlevel ofshortnessofbreath orfatigueafterambulation. C
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c. Obtainthepatient‗sbloodpressureandpulserate afterambulation. C
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d. Determinewhetherthe patient is readytoincrease theactivitylevel. C
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ANS: C C Y




AP education includes accurate vital sign measurement. Assessment and patient
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teachingrequireregistered nurse education and scopeof practice and cannot be delegated.
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DIF: Cognitive Level: Apply(Application) CY CY C
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PlanningMSC: NCLEX: Safe and Effective Care Environment
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