,
, CHAPTERP01:PPROFESSIONALPNURSING
HARDING:XLEWIS’SXMEDICAL-SURGICALXNURSING,X12THXEDITION
MULTIPLEXCHOICE
1. TheXnurseXcompletesXanXadmissionXdatabaseXandXexplainsXthatXtheXplanXofXcareXandXdi
schargeXgoalsXwillXbeXdevelopedXwithXtheXpatientsXinput.XTheXpatientXasks,X―HowXisXth
isXdifferentXfromXwhatXtheXphysicianXdoes?X‖XWhichXresponseXwouldXtheXnurseXprovide
?
a. ―TheXroleXofXtheXnurseXisXtoXadministerXmedicationsXandXotherXtreatmentsXpre
scribedXbyXyourXphysician.
b. ―InXadditionXtoXcaringXforXyouXwhileXyouXareXsick,XtheXnursesXwillXhelpXyo
uXplanXtoXmaintainXyourXhealth.
c. ―TheXnursesXjobXisXtoXcollectXinformationXandXcommunicateXanyXproble
msXthatXoccurXtoXtheXphysician.
d. ―NursesXperformXmanyXofXtheXsameXproceduresXasXtheXphysician,XbutXnur
sesXareXwithXtheXpatientsXforXaXlongerXtimeXthanXtheXphysician.
ANS:XB
TheXAmericanXNursesXAssociationX(ANA)XdefinitionXofXnursingXdescribesXtheXroleXofXn
ursesXinXpromotingXhealth.XTheXotherXresponsesXdescribeXdependentXandXcollaborativeXfu
nctionsXofXtheXnursingXroleXbutXdoXnotXaccuratelyXdescribeXtheXnursesXuniqueXroleXinXth
eXhealthXcareXsystem.
DIF:X X CognitiveXLevel:XAnalyzeX(Analysis)
TOP:X NursingXProcess:XImplementation MSC:X NCLEX:XSafeXandXEffectiveXCareXEnvironment
2. WhichXstatementXbyXtheXnurseXaccuratelyXdescribesX theXuseXofXevidence-basedXpracticeX(EBP)?
a. ―PatientXcareXisXbasedXonXclinicalXjudgment,Xexperience,XandXtraditions.
b. ―DataXareXanalyzedXlaterXtoXshowXthatXtheXpatientXoutcomesXareXconsistentlyXmet.
c. ―ResearchXfromXallXpublishedXarticlesXareXusedXasXaXguideXforXplanningXpatientXcare.
d. ―RecommendationsXareXbasedXonXresearch,XclinicalXexpertise,XandXpa
tientXpreferences.
ANS:XD
Evidence-basedXpracticeX(EBP)XisXtheXuseXofXtheXbestXresearch-
basedXevidenceXcombinedXwithXclinicianXexpertiseXandXconsiderationXofXpatientXprefere
nces.XClinicalXjudgmentXbasedXonXtheXnursesXclinicalXexperienceXisXpartXofXEBP,XbutXc
linicalXdecisionXmakingXshouldXalsoXincorporateXcurrentXresearchXandXresearch-
basedXguidelines.XEvaluationXofXpatientXoutcomesXisXimportant,XbutXdataXanalysisXisXnot
XrequiredXtoXuseXEBP.XAllXpublishedXarticlesXdoXnotXprovideXresearchXevidence;Xinterve
ntionsXshouldXbeXbasedXonXcredibleXresearch,XpreferablyXrandomizedXcontrolledXstudiesX
withXaXlargeXnumberXofXsubjects.
DIF: CognitiveXLevel:XUnderstandX(Comprehension)
TOP:XNursingXProcess:XPlanningXMSC:X NCLEX:XSafeXandXEffectiveXCareXEnvironme
nt