Lewis's Medical-Surgical Nursing: Assessment
and Management of Clinical Problems 11th Edition
TESTBANK NEW UPDATE
Chapter 1. Professional Nursing
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and
discharge goals will be developed with the patients input. The patient states, How is
this different from what the doctor does? Which response would be most appropriate
for the nurse to make?
a. The role of the nurse is to administer medications and other treatments
prescribed by your doctor.
b. The nurses job is to help the doctor by collecting information and
communicating any problems that occur.
c. Nurses perform many of the same procedures as the doctor, but nurses
are with the patients for a longer time than the doctor.
d. In addition to caring for you while you are sick, the nurses will assist
you to develop an individualized plan to maintain your health.
ANS: D
This response is consistent with the American Nurses Association (ANA) definition
of nursing, which describes the role of nurses in promoting health. The other
,responses describe some of the dependent and collaborative functions of the nursing
role but do not accurately describe the nurses role in the health care system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse describes to a student nurse how to use evidence-based practice
guidelines when caring for patients. Which statement, if made by the nurse, would be
the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently
met.
d. Recommendations are based on research, clinical expertise, and patient
preferences.
ANS: D
Evidence-based dpractice d(EBP) dis dthe duse dof dthe dbest dresearch-based devidence
d combined dwith dclinician dexpertise. dClinical djudgment dbased don dthe dnurses
d clinical dexperience dis dpart dof dEBP, dbut dclinical ddecision dmaking dshould dalso
d incorporate dcurrent dresearch dand dresearch-based dguidelines. dEvaluation dof
d patient doutcomes dis dimportant, dbut dinterventions dshould dbe dbased don dresearch
d from drandomized dcontroldstudies dwith da dlarge dnumber dof dsubjects.
DIF: dCognitive dLevel: dRemember d(knowledge) dREF: d11
,TOP: dNursing dProcess: dPlanning dMSC: dNCLEX: dSafe dand dEffective dCare dEnvironment
3. The dnurse dteaches da dstudent dnurse dabout dhow dto dapply dthe dnursing dprocess
d when dproviding dpatient dcare. dWhich dstatement, dif dmade dby dthe dstudent dnurse,
d indicates dthatdteaching dwas dsuccessful?
a. The dnursing dprocess dis da dscientific-based dmethod dof
d diagnosing dthedpatients dhealth dcare dproblems.
b. The dnursing dprocess dis da dproblem-solving dtool dused dto didentify dand
d treatdpatients dhealth dcare dneeds.
c. The dnursing dprocess dis dbased don dnursing dtheory dthat
d incorporates dthedbiopsychosocial dnature dof dhumans.
d. The dnursing dprocess dis dused dprimarily dto dexplain dnursing
dinterventions dtodother dhealth dcare dprofessionals.
ANS: dB
The dnursing dprocess dis da dproblem-solving dapproach dto dthe didentification dand
d treatment dof dpatients dproblems. dDiagnosis dis donly done dphase dof dthe dnursing
d process. dThe dprimary duse dof dthe dnursing dprocess dis din dpatient dcare, dnot dto
d establish dnursing dtheory dor dexplain dnursing dinterventions dto dother dhealth dcare
d professionals.
DIF: dCognitive dLevel: dUnderstand d(comprehension) dREF: d7
TOP: dNursing dProcess: dImplementation dMSC: dNCLEX: dSafe dand dEffective dCare
, dEnvironment
4. A dpatient dhas dbeen dadmitted dto dthe dhospital dfor dsurgery dand dtells dthe dnurse, dI
d do dnot dfeel dcomfortable dleaving dmy dchildren dwith dmy dparents. dWhich daction
d should dthe dnursedtake dnext?
a. Reassure dthe dpatient dthat dthese dfeelings dare dcommon dfor dparents.
b. Have dthe dpatient dcall dthe dchildren dto densure dthat dthey dare ddoing dwell.
c. Gather dmore ddata dabout dthe dpatients dfeelings dabout dthe
d child-caredarrangements.
d. Call dthe dpatients dparents dto ddetermine dwhether dadequate dchild
d care disdbeing dprovided.
ANS: dC
Since da dcomplete dassessment dis dnecessary din dorder dto didentify da dproblem dand
d choose dandappropriate dintervention, dthe dnurses dfirst daction dshould dbe dto dobtain
d more dinformation. dThe dother dactions dmay dbe dappropriate, dbut dmore dassessment dis
d needed dbefore dthe dbest dintervention dcan dbe dchosen.
DIF: dCognitive dLevel: dApply d(application) dREF: d6-7
OBJ: dSpecial dQuestions: dPrioritization dTOP: dNursing dProcess: dAssessment
MSC: dNCLEX: dPsychosocial dIntegrity
5. A dpatient dwho dis dparalyzed don dthe dleft dside dof dthe dbody dafter da dstroke
d develops dadpressure dulcer don dthe dleft dhip. dWhich dnursing ddiagnosis dis dmost
and Management of Clinical Problems 11th Edition
TESTBANK NEW UPDATE
Chapter 1. Professional Nursing
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and
discharge goals will be developed with the patients input. The patient states, How is
this different from what the doctor does? Which response would be most appropriate
for the nurse to make?
a. The role of the nurse is to administer medications and other treatments
prescribed by your doctor.
b. The nurses job is to help the doctor by collecting information and
communicating any problems that occur.
c. Nurses perform many of the same procedures as the doctor, but nurses
are with the patients for a longer time than the doctor.
d. In addition to caring for you while you are sick, the nurses will assist
you to develop an individualized plan to maintain your health.
ANS: D
This response is consistent with the American Nurses Association (ANA) definition
of nursing, which describes the role of nurses in promoting health. The other
,responses describe some of the dependent and collaborative functions of the nursing
role but do not accurately describe the nurses role in the health care system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse describes to a student nurse how to use evidence-based practice
guidelines when caring for patients. Which statement, if made by the nurse, would be
the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently
met.
d. Recommendations are based on research, clinical expertise, and patient
preferences.
ANS: D
Evidence-based dpractice d(EBP) dis dthe duse dof dthe dbest dresearch-based devidence
d combined dwith dclinician dexpertise. dClinical djudgment dbased don dthe dnurses
d clinical dexperience dis dpart dof dEBP, dbut dclinical ddecision dmaking dshould dalso
d incorporate dcurrent dresearch dand dresearch-based dguidelines. dEvaluation dof
d patient doutcomes dis dimportant, dbut dinterventions dshould dbe dbased don dresearch
d from drandomized dcontroldstudies dwith da dlarge dnumber dof dsubjects.
DIF: dCognitive dLevel: dRemember d(knowledge) dREF: d11
,TOP: dNursing dProcess: dPlanning dMSC: dNCLEX: dSafe dand dEffective dCare dEnvironment
3. The dnurse dteaches da dstudent dnurse dabout dhow dto dapply dthe dnursing dprocess
d when dproviding dpatient dcare. dWhich dstatement, dif dmade dby dthe dstudent dnurse,
d indicates dthatdteaching dwas dsuccessful?
a. The dnursing dprocess dis da dscientific-based dmethod dof
d diagnosing dthedpatients dhealth dcare dproblems.
b. The dnursing dprocess dis da dproblem-solving dtool dused dto didentify dand
d treatdpatients dhealth dcare dneeds.
c. The dnursing dprocess dis dbased don dnursing dtheory dthat
d incorporates dthedbiopsychosocial dnature dof dhumans.
d. The dnursing dprocess dis dused dprimarily dto dexplain dnursing
dinterventions dtodother dhealth dcare dprofessionals.
ANS: dB
The dnursing dprocess dis da dproblem-solving dapproach dto dthe didentification dand
d treatment dof dpatients dproblems. dDiagnosis dis donly done dphase dof dthe dnursing
d process. dThe dprimary duse dof dthe dnursing dprocess dis din dpatient dcare, dnot dto
d establish dnursing dtheory dor dexplain dnursing dinterventions dto dother dhealth dcare
d professionals.
DIF: dCognitive dLevel: dUnderstand d(comprehension) dREF: d7
TOP: dNursing dProcess: dImplementation dMSC: dNCLEX: dSafe dand dEffective dCare
, dEnvironment
4. A dpatient dhas dbeen dadmitted dto dthe dhospital dfor dsurgery dand dtells dthe dnurse, dI
d do dnot dfeel dcomfortable dleaving dmy dchildren dwith dmy dparents. dWhich daction
d should dthe dnursedtake dnext?
a. Reassure dthe dpatient dthat dthese dfeelings dare dcommon dfor dparents.
b. Have dthe dpatient dcall dthe dchildren dto densure dthat dthey dare ddoing dwell.
c. Gather dmore ddata dabout dthe dpatients dfeelings dabout dthe
d child-caredarrangements.
d. Call dthe dpatients dparents dto ddetermine dwhether dadequate dchild
d care disdbeing dprovided.
ANS: dC
Since da dcomplete dassessment dis dnecessary din dorder dto didentify da dproblem dand
d choose dandappropriate dintervention, dthe dnurses dfirst daction dshould dbe dto dobtain
d more dinformation. dThe dother dactions dmay dbe dappropriate, dbut dmore dassessment dis
d needed dbefore dthe dbest dintervention dcan dbe dchosen.
DIF: dCognitive dLevel: dApply d(application) dREF: d6-7
OBJ: dSpecial dQuestions: dPrioritization dTOP: dNursing dProcess: dAssessment
MSC: dNCLEX: dPsychosocial dIntegrity
5. A dpatient dwho dis dparalyzed don dthe dleft dside dof dthe dbody dafter da dstroke
d develops dadpressure dulcer don dthe dleft dhip. dWhich dnursing ddiagnosis dis dmost
