TEST BANK Lewis's Medical Surgical
-- -- -- -- --
Nursing in Canada, 4th Edition by Jane Tyerman,
-- -- -- -- -- -- -- --
Shelley Cobbett Chapters 1 - 72 Complete
-- -- -- -- -- -- --
,TABLE OF CONTENTS -- --
Section One – Concepts in Nursing Practice
-- -- -- -- -- --
1 Introduction to Medical-Surgical Nursing Practice in Canada
-- -- -- -- -- -- --
2 Cultural Competence and Health Equity in Care
-- -- -- -- -- -- --
3 Health History and Physical Examination
-- -- -- -- --
4 Patient and Caregiver Teaching
-- -- -- --
5 Chronic Illness
-- --
6 Community-Based Nursing and Home Care
-- -- -- -- --
7 Older Adults
-- --
8 Stress and Stress Management
-- -- -- --
9 Sleep and Sleep Disorders
-- -- -- --
10 Pain
--
11 Substance Use
-- --
12 Complementary and Alternative Therapies
-- -- -- --
13 Palliative Care at the End of Life
-- -- -- -- -- -- --
Section Two – Pathophysiological Mechanisms of Disease
-- -- -- -- -- --
14 Inflammation and Wound Healing
-- -- -- --
15 Genetics
--
16 Altered Immune Response and Transplantation
-- -- -- -- --
17 Infection and Human Immunodeficiency Virus Infection
-- -- -- -- -- --
18 Cancer
--
19 Fluid, Electrolyte, and Acid–Base Imbalances
-- -- -- -- --
Section Three – Perioperative Care
-- -- -- --
20 Nursing Management: Preoperative Care
-- -- -- --
21 Nursing Management: Intraoperative Care
-- -- -- --
22 Nursing Management: Post-operative Care
-- -- -- --
Section Four – Problems Related to Altered Sensory Input
-- -- -- -- -- -- -- --
23 Nursing Assessment: Visual and Auditory Systems
-- -- -- -- -- --
24 Nursing Management: Visual and Auditory Problems
-- -- -- -- -- --
25 Nursing Assessment: Integumentary System
-- -- -- --
26 Nursing Management: Integumentary Problems
-- -- -- --
27 Nursing Management: Burns
-- -- --
Section Five – Problems of Oxygenation: Ventilation
-- -- -- -- -- --
28 Nursing Assessment: Respiratory System
-- -- -- --
29 Nursing Management: Upper Respiratory Problems
-- -- -- -- --
30 Nursing Management: Lower Respiratory Problems
-- -- -- -- --
31 Nursing Management: Obstructive Pulmonary Diseases
-- -- -- -- --
Section Six – Problems of Oxygenation: Transport
-- -- -- -- -- --
32 Nursing Assessment: Hematological System
-- -- -- --
33 Nursing Management: Hematological Problems
-- -- -- --
Section Seven – Problems of Oxygenation: Perfusion
-- -- -- -- -- --
34 Nursing Assessment: Cardiovascular System
-- -- -- --
35 Nursing Management: Hypertension
-- -- --
36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
-- -- -- -- -- -- -- -- --
,37 Nursing Management: Heart Failure
-- -- -- --
38 Nursing Management: Dysrhythmias
-- -- --
39 Nursing Management: Inflammatory and Structural Heart Diseases
-- -- -- -- -- -- --
40 Nursing Management: Vascular Disorders
-- -- -- --
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
-- -- -- -- -- -- -- -- --
41 Nursing Assessment: Gastrointestinal System
-- -- -- --
42 Nursing Management: Nutritional Problems
-- -- -- --
43 Nursing Management: Obesity
-- -- --
44 Nursing Management: Upper Gastrointestinal Problems
-- -- -- -- --
45 Nursing Management: Lower Gastrointestinal Problems
-- -- -- -- --
46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
-- -- -- -- -- -- -- --
Section Nine – Problems of Urinary Function
-- -- -- -- -- --
47 Nursing Assessment: Urinary System
-- -- -- --
48 Nursing Management: Renal and Urological Problems
-- -- -- -- -- --
49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
-- -- -- -- -- -- -- -- --
Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
-- -- -- -- -- -- -- -- --
50 Nursing Assessment: Endocrine System
-- -- -- --
51 Nursing Management: Endocrine Problems
-- -- -- --
52 Nursing Management: Diabetes Mellitus
-- -- -- --
53 Nursing Assessment: Reproductive System
-- -- -- --
54 Nursing Management: Breast Disorders
-- -- -- --
55 Nursing Management: Sexually Transmitted Infections
-- -- -- -- --
56 Nursing Management: Female Reproductive Problems
-- -- -- -- --
57 Nursing Management: Male Reproductive Problems
-- -- -- -- --
Section Eleven – Problems Related to Movement and Coordination
-- -- -- -- -- -- -- --
58 Nursing Assessment: Nervous System
-- -- -- --
59 Nursing Management: Acute Intracranial Problems
-- -- -- -- --
60 Nursing Management: Stroke
-- -- --
61 Nursing Management: Chronic Neurological Problems
-- -- -- -- --
62 Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias
-- -- -- -- -- -- -- --
63 Nursing Management: Peripheral Nerve and Spinal Cord Problems
-- -- -- -- -- -- -- --
64 Nursing Assessment: Musculoskeletal System
-- -- -- --
65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
-- -- -- -- -- -- --
66 Nursing Management: Musculoskeletal Problems
-- -- -- --
67 Nursing Management: Arthritis and Connective Tissue Diseases
-- -- -- -- -- -- --
Section Twelve – Nursing Care in Specialized Settings
-- -- -- -- -- -- --
68 Nursing Management: Critical Care Environment
-- -- -- -- --
69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple-
-- -- -- -- -- -- -- -- --
Organ Dysfunction Syndrome
-- --
70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
-- -- -- -- -- -- -- -- --
71 Nursing Management: Emergency Care Situations
-- -- -- -- --
72 Emergency Management and Disaster Planning
-- -- -- -- --
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis:
-- -- -- -- -- -- -- -- -- --
Medical-Surgical Nursing in Canada, 4th Canadian Edition
-- -- -- -- -- --
MULTIPLE--CHOICE
1. 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
c. The--best--available--evidence--to--guide--clinical--expertise
d. Evaluation--of--data--showing--that--the--client--outcomes--are--met
CORRECT--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--
important,--but--interventions--should--be--based--on--research--from--randomized--control--studies--with--
a--large--number--of--subjects.
DIF: Cognitive--Level:--Comprehension TOP:- - Nursing--Process:--Planning
2. Which-- of- - the- - following- - best-- e x p l a i n s t h e n u r s e s ’ - - pr imary- - use-- of- - the-- nursing- - process- - when
N R I G B. C M
providing--care--to--clients? U-S-N-T O
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
CORRECT--ANSWER:- - B
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
3. 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--demonstrated--
with--this--turning--schedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT--ANSWER:- - D
-- -- -- -- --
Nursing in Canada, 4th Edition by Jane Tyerman,
-- -- -- -- -- -- -- --
Shelley Cobbett Chapters 1 - 72 Complete
-- -- -- -- -- -- --
,TABLE OF CONTENTS -- --
Section One – Concepts in Nursing Practice
-- -- -- -- -- --
1 Introduction to Medical-Surgical Nursing Practice in Canada
-- -- -- -- -- -- --
2 Cultural Competence and Health Equity in Care
-- -- -- -- -- -- --
3 Health History and Physical Examination
-- -- -- -- --
4 Patient and Caregiver Teaching
-- -- -- --
5 Chronic Illness
-- --
6 Community-Based Nursing and Home Care
-- -- -- -- --
7 Older Adults
-- --
8 Stress and Stress Management
-- -- -- --
9 Sleep and Sleep Disorders
-- -- -- --
10 Pain
--
11 Substance Use
-- --
12 Complementary and Alternative Therapies
-- -- -- --
13 Palliative Care at the End of Life
-- -- -- -- -- -- --
Section Two – Pathophysiological Mechanisms of Disease
-- -- -- -- -- --
14 Inflammation and Wound Healing
-- -- -- --
15 Genetics
--
16 Altered Immune Response and Transplantation
-- -- -- -- --
17 Infection and Human Immunodeficiency Virus Infection
-- -- -- -- -- --
18 Cancer
--
19 Fluid, Electrolyte, and Acid–Base Imbalances
-- -- -- -- --
Section Three – Perioperative Care
-- -- -- --
20 Nursing Management: Preoperative Care
-- -- -- --
21 Nursing Management: Intraoperative Care
-- -- -- --
22 Nursing Management: Post-operative Care
-- -- -- --
Section Four – Problems Related to Altered Sensory Input
-- -- -- -- -- -- -- --
23 Nursing Assessment: Visual and Auditory Systems
-- -- -- -- -- --
24 Nursing Management: Visual and Auditory Problems
-- -- -- -- -- --
25 Nursing Assessment: Integumentary System
-- -- -- --
26 Nursing Management: Integumentary Problems
-- -- -- --
27 Nursing Management: Burns
-- -- --
Section Five – Problems of Oxygenation: Ventilation
-- -- -- -- -- --
28 Nursing Assessment: Respiratory System
-- -- -- --
29 Nursing Management: Upper Respiratory Problems
-- -- -- -- --
30 Nursing Management: Lower Respiratory Problems
-- -- -- -- --
31 Nursing Management: Obstructive Pulmonary Diseases
-- -- -- -- --
Section Six – Problems of Oxygenation: Transport
-- -- -- -- -- --
32 Nursing Assessment: Hematological System
-- -- -- --
33 Nursing Management: Hematological Problems
-- -- -- --
Section Seven – Problems of Oxygenation: Perfusion
-- -- -- -- -- --
34 Nursing Assessment: Cardiovascular System
-- -- -- --
35 Nursing Management: Hypertension
-- -- --
36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
-- -- -- -- -- -- -- -- --
,37 Nursing Management: Heart Failure
-- -- -- --
38 Nursing Management: Dysrhythmias
-- -- --
39 Nursing Management: Inflammatory and Structural Heart Diseases
-- -- -- -- -- -- --
40 Nursing Management: Vascular Disorders
-- -- -- --
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
-- -- -- -- -- -- -- -- --
41 Nursing Assessment: Gastrointestinal System
-- -- -- --
42 Nursing Management: Nutritional Problems
-- -- -- --
43 Nursing Management: Obesity
-- -- --
44 Nursing Management: Upper Gastrointestinal Problems
-- -- -- -- --
45 Nursing Management: Lower Gastrointestinal Problems
-- -- -- -- --
46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
-- -- -- -- -- -- -- --
Section Nine – Problems of Urinary Function
-- -- -- -- -- --
47 Nursing Assessment: Urinary System
-- -- -- --
48 Nursing Management: Renal and Urological Problems
-- -- -- -- -- --
49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
-- -- -- -- -- -- -- -- --
Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
-- -- -- -- -- -- -- -- --
50 Nursing Assessment: Endocrine System
-- -- -- --
51 Nursing Management: Endocrine Problems
-- -- -- --
52 Nursing Management: Diabetes Mellitus
-- -- -- --
53 Nursing Assessment: Reproductive System
-- -- -- --
54 Nursing Management: Breast Disorders
-- -- -- --
55 Nursing Management: Sexually Transmitted Infections
-- -- -- -- --
56 Nursing Management: Female Reproductive Problems
-- -- -- -- --
57 Nursing Management: Male Reproductive Problems
-- -- -- -- --
Section Eleven – Problems Related to Movement and Coordination
-- -- -- -- -- -- -- --
58 Nursing Assessment: Nervous System
-- -- -- --
59 Nursing Management: Acute Intracranial Problems
-- -- -- -- --
60 Nursing Management: Stroke
-- -- --
61 Nursing Management: Chronic Neurological Problems
-- -- -- -- --
62 Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias
-- -- -- -- -- -- -- --
63 Nursing Management: Peripheral Nerve and Spinal Cord Problems
-- -- -- -- -- -- -- --
64 Nursing Assessment: Musculoskeletal System
-- -- -- --
65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
-- -- -- -- -- -- --
66 Nursing Management: Musculoskeletal Problems
-- -- -- --
67 Nursing Management: Arthritis and Connective Tissue Diseases
-- -- -- -- -- -- --
Section Twelve – Nursing Care in Specialized Settings
-- -- -- -- -- -- --
68 Nursing Management: Critical Care Environment
-- -- -- -- --
69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple-
-- -- -- -- -- -- -- -- --
Organ Dysfunction Syndrome
-- --
70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
-- -- -- -- -- -- -- -- --
71 Nursing Management: Emergency Care Situations
-- -- -- -- --
72 Emergency Management and Disaster Planning
-- -- -- -- --
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis:
-- -- -- -- -- -- -- -- -- --
Medical-Surgical Nursing in Canada, 4th Canadian Edition
-- -- -- -- -- --
MULTIPLE--CHOICE
1. 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
c. The--best--available--evidence--to--guide--clinical--expertise
d. Evaluation--of--data--showing--that--the--client--outcomes--are--met
CORRECT--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--
important,--but--interventions--should--be--based--on--research--from--randomized--control--studies--with--
a--large--number--of--subjects.
DIF: Cognitive--Level:--Comprehension TOP:- - Nursing--Process:--Planning
2. Which-- of- - the- - following- - best-- e x p l a i n s t h e n u r s e s ’ - - pr imary- - use-- of- - the-- nursing- - process- - when
N R I G B. C M
providing--care--to--clients? U-S-N-T O
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
CORRECT--ANSWER:- - B
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
3. 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--demonstrated--
with--this--turning--schedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT--ANSWER:- - D
