and Management of Clinical Problems 12th Edition
By Harding & Kwong Chapter 1-69
Test Bank Lewis Medical-Surgical Nursing Assessment
and Management of Clinical Problems 12th Edition
By Harding & Kwong Chapter 1-69
Chapter 01: Professional Nursing
Harding: Lewis‟s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the
plan of care and discharge goals will be developed with the patient„s input.
The patient asks, “How is this different from what the physician does?”
Which response would the nurse provide?
a. “The role of the nurse is to administer medications and other
treatments prescribed by your physician.”
b. “In addition to caring for you while you are sick, the nurses will
help you plan to maintain your health.”
c. “The nurse„s job is to collect information and communicate any
problems that occur to the physician.”
d. “Nurses perform many of the same procedures as the physician, but
nurses are with the patients for a longer time than the physician.”
ANS: B
The American Nurses Association (ANA) definition of nursing describes the role
of nurses in promoting health. The other responses describe dependent and
collaborative functions of the nursing role but do not accurately describe the
nurse„s unique role in the health care system.
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,Test Bank Lewis Medical-Surgical Nursing Assessment
and Management of Clinical Problems 12th Edition
By Harding & Kwong Chapter 1-69
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and
Effective Care Environment
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,Test Bank Lewis Medical-Surgical Nursing Assessment
and Management of Clinical Problems 12th Edition
By Harding & Kwong Chapter 1-69
2. Which statement by the nurse accurately describes the use of
evidence-based practice (EBP)?
a. “Patient care is based on clinical judgment, experience, and traditions.”
b. “Data are analyzed later to show that the patient outcomes are
consistently met.”
c. “Research from all published articles are used as a guide for planning
patient care.”
d. “Recommendations are based on research, clinical expertise, and
patient preferences.” ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence
combined with clinician expertise and consideration of patient preferences.
Clinical judgment based on the
nurse„s clinical experience is part of EBP, but clinical decision making should
also incorporate current research and research-based guidelines. Evaluation of
patient outcomes is important, but data analysis is not required to use EBP.
All published articles do not provide research evidence; interventions should be
based on credible research, preferably randomized controlled studies with a
large number of subjects.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing
Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. Which statement by the nurse provides a clear explanation of the nursing
process?
a. “The nursing process is a research method of diagnosing the
patient„s health care problems.”
b. “The nursing process is used primarily to explain nursing
interventions to other health care professionals.”
c. “The nursing process is a problem-solving tool used to identify and
manage the
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, Test Bank Lewis Medical-Surgical Nursing Assessment
and Management of Clinical Problems 12th Edition
By Harding & Kwong Chapter 1-69
patients„ health care needs.”
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