TEST BANK FOR LEWIS MEDICAL-
SURGICAL NURSING IN CANADA 5TH
EDITION
,CHAPTER 01: Introduction to Medical Surgical Nursing
Practice in Canada Lewis: Medical-Surgical Nursing in
Canada, 5th Canadian Edition
MULTIPLE CHOICE :
1. The medical attendant is caring for a hospital client with a new
diagnosis of pneumonia and explains to the hospital client that
together they will plan the hospital client’s care and set goals
for discharge. The hospital client asks, “How is that different
from what the doctor does?” Which response by the medical
attendant is most appropriate?
a. “The role of the medical attendant is to administer medications
and other treatments prescribed
by your doctor.”
b. “The medical attendant’s job is to help the doctor by collecting
data and communicating when there are problems.”
c. “Medical attendants perform many of the procedures done by
physicians, but medical attendants are here in
the health center for a longer time than doctors.”
d. “In addition to caring for you while you are sick, the medical attendants
will assist you to
develop an individualized plan to maintain your health.”
PRECISE CHOICE:-D
Reasoning :->>>This response is consistent with the Canadian nurses Association (CNA)
definition of nursing. Registered medical attendants are self-regulated health care
professionals who work autonomously and in collaboration with others. RNs enable
individuals, families, groups, communities and populations to achieve their optimal level
of health. RNs coordinate health care, deliver direct services, and support hospital clients
in their self-care decisions and actions in situations of health, illness, injury, and disability in
all stages of life. The other responses describe some of the dependent and collaborative
functions of the nursing role but do not accurately describe the medical attendant’s role in
the health care system.
DIF: Cognitive Level: Comprehension TOPIC: Nursing Process:
Implementation MSC: NCLEX: Safe and Effective Care Environment
2. When caring for hospital clients using evidence-informed practice, which of the following
does the medical attendant 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 hospital client
outcomes are met
PRECISE CHOICE:-C
Reasoning :->>>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) hospital client preferences and actions; (c) best research evidence,
and (d) health care resources. Clinical judgement based on the medical attendant’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 hospital
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 TOPIC: Nursing Process:
Planning MSC: NCLEX: Safe and Effective Care Environment
3. Which of the following best explains the medical attendants’ primary use of the
nursing process when providing care to hospital clients?
a. To explain nursing interventions to other health care professionals
b. As a problem-solving tool to identify and treat hospital clients’ health care needs
c. As a scientific-based process of diagnosing the hospital client’s health care problems
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
PRECISE CHOICE:-B
Reasoning :->>>The nursing process is an assertive problem-solving approach to the
identification and treatment of hospital clients’ problems. Diagnosis is only one phase of
the nursing process. The primary use of the nursing process is in hospital client care, not to
establish nursing theory or explain nursing interventions to other health care professionals.
DIF: Cognitive Level: Comprehension TOPIC: Nursing Process:
Implementation MSC: NCLEX: Safe and Effective Care Environment
4. The medical attendant is caring for a critically ill hospital 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
PRECISE CHOICE:-D
Reasoning :->>>When implementing collaborative nursing actions, the medical attendant is
responsible primarily for monitoring for complications of acute illness or providing care to
prevent or treat complications.
Independent nursing actions are focused on health promotion, illness prevention, and
hospital client advocacy. A dependent action would require a physician order to
implement. Cooperative nursing functions are not described as one of the formal
nursing functions.
DIF: Cognitive Level: Application TOPIC: Nursing Process:
Implementation MSC: NCLEX: Safe and Effective Care Environment
5. The medical attendant is caring for a hospital client who has been admitted to the health
center for surgery and tells the medical attendant, “I do not feel right about leaving my
children with my neighbour.” Which action should the medical attendant take next?
a. Reassure the hospital client that these feelings are common for parents.
b. Have the hospital client call the children to ensure that they are doing well.
c. Call the neighbour to determine whether adequate childcare is being provided.
d. Gather more data about the hospital client’s feelings about the childcare arrangements.
PRECISE CHOICE:-D
Reasoning :->>>Since a complete assessment is necessary in order to identify a problem
and choose an appropriate intervention, the medical attendant’s first action should be to
obtain more information. The other actions may be appropriate, but more assessment is
needed before the best intervention can be chosen.
SURGICAL NURSING IN CANADA 5TH
EDITION
,CHAPTER 01: Introduction to Medical Surgical Nursing
Practice in Canada Lewis: Medical-Surgical Nursing in
Canada, 5th Canadian Edition
MULTIPLE CHOICE :
1. The medical attendant is caring for a hospital client with a new
diagnosis of pneumonia and explains to the hospital client that
together they will plan the hospital client’s care and set goals
for discharge. The hospital client asks, “How is that different
from what the doctor does?” Which response by the medical
attendant is most appropriate?
a. “The role of the medical attendant is to administer medications
and other treatments prescribed
by your doctor.”
b. “The medical attendant’s job is to help the doctor by collecting
data and communicating when there are problems.”
c. “Medical attendants perform many of the procedures done by
physicians, but medical attendants are here in
the health center for a longer time than doctors.”
d. “In addition to caring for you while you are sick, the medical attendants
will assist you to
develop an individualized plan to maintain your health.”
PRECISE CHOICE:-D
Reasoning :->>>This response is consistent with the Canadian nurses Association (CNA)
definition of nursing. Registered medical attendants are self-regulated health care
professionals who work autonomously and in collaboration with others. RNs enable
individuals, families, groups, communities and populations to achieve their optimal level
of health. RNs coordinate health care, deliver direct services, and support hospital clients
in their self-care decisions and actions in situations of health, illness, injury, and disability in
all stages of life. The other responses describe some of the dependent and collaborative
functions of the nursing role but do not accurately describe the medical attendant’s role in
the health care system.
DIF: Cognitive Level: Comprehension TOPIC: Nursing Process:
Implementation MSC: NCLEX: Safe and Effective Care Environment
2. When caring for hospital clients using evidence-informed practice, which of the following
does the medical attendant 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 hospital client
outcomes are met
PRECISE CHOICE:-C
Reasoning :->>>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) hospital client preferences and actions; (c) best research evidence,
and (d) health care resources. Clinical judgement based on the medical attendant’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 hospital
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 TOPIC: Nursing Process:
Planning MSC: NCLEX: Safe and Effective Care Environment
3. Which of the following best explains the medical attendants’ primary use of the
nursing process when providing care to hospital clients?
a. To explain nursing interventions to other health care professionals
b. As a problem-solving tool to identify and treat hospital clients’ health care needs
c. As a scientific-based process of diagnosing the hospital client’s health care problems
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
PRECISE CHOICE:-B
Reasoning :->>>The nursing process is an assertive problem-solving approach to the
identification and treatment of hospital clients’ problems. Diagnosis is only one phase of
the nursing process. The primary use of the nursing process is in hospital client care, not to
establish nursing theory or explain nursing interventions to other health care professionals.
DIF: Cognitive Level: Comprehension TOPIC: Nursing Process:
Implementation MSC: NCLEX: Safe and Effective Care Environment
4. The medical attendant is caring for a critically ill hospital 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
PRECISE CHOICE:-D
Reasoning :->>>When implementing collaborative nursing actions, the medical attendant is
responsible primarily for monitoring for complications of acute illness or providing care to
prevent or treat complications.
Independent nursing actions are focused on health promotion, illness prevention, and
hospital client advocacy. A dependent action would require a physician order to
implement. Cooperative nursing functions are not described as one of the formal
nursing functions.
DIF: Cognitive Level: Application TOPIC: Nursing Process:
Implementation MSC: NCLEX: Safe and Effective Care Environment
5. The medical attendant is caring for a hospital client who has been admitted to the health
center for surgery and tells the medical attendant, “I do not feel right about leaving my
children with my neighbour.” Which action should the medical attendant take next?
a. Reassure the hospital client that these feelings are common for parents.
b. Have the hospital client call the children to ensure that they are doing well.
c. Call the neighbour to determine whether adequate childcare is being provided.
d. Gather more data about the hospital client’s feelings about the childcare arrangements.
PRECISE CHOICE:-D
Reasoning :->>>Since a complete assessment is necessary in order to identify a problem
and choose an appropriate intervention, the medical attendant’s first action should be to
obtain more information. The other actions may be appropriate, but more assessment is
needed before the best intervention can be chosen.
