TEST11BANK11FOR11MEDICAL11SURGICAL11NURSING1111T
H11EDITION11IGNATAVICIUS
TEST BANK11
,
, Lewis's Medical- 11
Surgical Nursing: Assessment and Managemen
11 11 11 11
t of Clinical Problems 11th Edition TESTBANK
11 11 11 11
11
11
Table of Contents
11 11
Chapter111.11Professional11Nursing
MULTIPLE11CHOICE
1. The11nurse11completes11an11admission11database11and11explains11that11the11plan11of11c
are11and11discharge11goals11will11be11developed11with11the11patients11input.11The11patien
t11states,11How11is11this11different11from11what11the11doctor11does?11Which11response11w
ould11be11most11appropriate11for11the11nurse11to11make?
a. The11role11of11the11nurse11is11to11administer11medications11and11other11trea
tments11prescribed11by11your11doctor.
b. The11nurses11job11is11to11help11the11doctor11by11collecting11informati
on11and11communicating11any11problems11that11occur.
c. Nurses11perform11many11of11the11same11procedures11as11the11doctor,11but1
1nurses11are11with11the11patients11for11a11longer11time11than11the11doctor.
d. In11addition11to11caring11for11you11while11you11are11sick,11the11nurses11wi
ll11assist11you11to11develop11an11individualized11plan11to11maintain11you
r11health.
ANS:11D
This11response11is11consistent11with11the11American11Nurses11Association11(ANA)11defi
nition11of11nursing,11which11describes11the11role11of11nurses11in11promoting11health.11The
11other11responses11describe11some11of11the11dependent11and11collaborative11functions11of
11the11nursing11role11but11do11not11accurately11describe11the11nurses11role11in11the11health1
1care11system.
DIF:11Cognitive11Level:11Understand11(comprehension)11REF:113
TOP:11Nursing11Process:11Implementation11MSC:11NCLEX:11Safe11and11Effective11Care11Environ
ment
, 2. The11nurse11describes11to11a11student11nurse11how11to11use11evidence-
based11practice11guidelines11when11caring11for11patients.11Which11statement,11if11made11
by11the11nurse,11would11be11the11most11accurate?
a. Inferences11from11clinical11research11studies11are11used11as11a11guide.
b. Patient11care11is11based11on11clinical11judgment,11experience,11and11traditions.
c. Data11are11evaluated11to11show11that11the11patient11outcomes11are11consi
stently11met.
d. Recommendations11are11based11on11research,11clinical11expertise,11and11p
atient11preferences.
ANS:11D
Evidence-based11practice11(EBP)11is11the11use11of11the11best11research-
based11evidence11combined11with11clinician11expertise.11Clinical11judgment11based11on1
1the11nurses11clinical11experience11is11part11of11EBP,11but11clinical11decision11making11sh
ould11also11incorporate11current11research11and11research-
based11guidelines.11Evaluation11of11patient11outcomes11is11important,11but11intervention
s11should11be11based11on11research11from11randomized11control11studies11with11a11large11n
umber11of11subjects.
DIF:11Cognitive11Level:11Remember11(knowledge)11REF:1111
TOP:11Nursing11Process:11Planning11MSC:11NCLEX:11Safe11and11Effective11Care11Environment
3. The11nurse11teaches11a11student11nurse11about11how11to11apply11the11nursing11process
11when11providing11patient11care.11Which11statement,11if11made11by11the11student11nurse
,11indicates11that11teaching11was11successful?
a. The11nursing11process11is11a11scientific-
based11method11of11diagnosing11the11patients11health11care11problem
s.
b. The11nursing11process11is11a11problem-
solving11tool11used11to11identify11and11treat11patients11health11care11needs.
c. The11nursing11process11is11based11on11nursing11theory11that11incorporat
es11the11biopsychosocial11nature11of11humans.
H11EDITION11IGNATAVICIUS
TEST BANK11
,
, Lewis's Medical- 11
Surgical Nursing: Assessment and Managemen
11 11 11 11
t of Clinical Problems 11th Edition TESTBANK
11 11 11 11
11
11
Table of Contents
11 11
Chapter111.11Professional11Nursing
MULTIPLE11CHOICE
1. The11nurse11completes11an11admission11database11and11explains11that11the11plan11of11c
are11and11discharge11goals11will11be11developed11with11the11patients11input.11The11patien
t11states,11How11is11this11different11from11what11the11doctor11does?11Which11response11w
ould11be11most11appropriate11for11the11nurse11to11make?
a. The11role11of11the11nurse11is11to11administer11medications11and11other11trea
tments11prescribed11by11your11doctor.
b. The11nurses11job11is11to11help11the11doctor11by11collecting11informati
on11and11communicating11any11problems11that11occur.
c. Nurses11perform11many11of11the11same11procedures11as11the11doctor,11but1
1nurses11are11with11the11patients11for11a11longer11time11than11the11doctor.
d. In11addition11to11caring11for11you11while11you11are11sick,11the11nurses11wi
ll11assist11you11to11develop11an11individualized11plan11to11maintain11you
r11health.
ANS:11D
This11response11is11consistent11with11the11American11Nurses11Association11(ANA)11defi
nition11of11nursing,11which11describes11the11role11of11nurses11in11promoting11health.11The
11other11responses11describe11some11of11the11dependent11and11collaborative11functions11of
11the11nursing11role11but11do11not11accurately11describe11the11nurses11role11in11the11health1
1care11system.
DIF:11Cognitive11Level:11Understand11(comprehension)11REF:113
TOP:11Nursing11Process:11Implementation11MSC:11NCLEX:11Safe11and11Effective11Care11Environ
ment
, 2. The11nurse11describes11to11a11student11nurse11how11to11use11evidence-
based11practice11guidelines11when11caring11for11patients.11Which11statement,11if11made11
by11the11nurse,11would11be11the11most11accurate?
a. Inferences11from11clinical11research11studies11are11used11as11a11guide.
b. Patient11care11is11based11on11clinical11judgment,11experience,11and11traditions.
c. Data11are11evaluated11to11show11that11the11patient11outcomes11are11consi
stently11met.
d. Recommendations11are11based11on11research,11clinical11expertise,11and11p
atient11preferences.
ANS:11D
Evidence-based11practice11(EBP)11is11the11use11of11the11best11research-
based11evidence11combined11with11clinician11expertise.11Clinical11judgment11based11on1
1the11nurses11clinical11experience11is11part11of11EBP,11but11clinical11decision11making11sh
ould11also11incorporate11current11research11and11research-
based11guidelines.11Evaluation11of11patient11outcomes11is11important,11but11intervention
s11should11be11based11on11research11from11randomized11control11studies11with11a11large11n
umber11of11subjects.
DIF:11Cognitive11Level:11Remember11(knowledge)11REF:1111
TOP:11Nursing11Process:11Planning11MSC:11NCLEX:11Safe11and11Effective11Care11Environment
3. The11nurse11teaches11a11student11nurse11about11how11to11apply11the11nursing11process
11when11providing11patient11care.11Which11statement,11if11made11by11the11student11nurse
,11indicates11that11teaching11was11successful?
a. The11nursing11process11is11a11scientific-
based11method11of11diagnosing11the11patients11health11care11problem
s.
b. The11nursing11process11is11a11problem-
solving11tool11used11to11identify11and11treat11patients11health11care11needs.
c. The11nursing11process11is11based11on11nursing11theory11that11incorporat
es11the11biopsychosocial11nature11of11humans.