ISBN:9780323789615
Edition: 12
,
, 3
Chapter 01: Professional Nursing
pv p v pv
Harding: Lewis’s Medical-Surgical Nursing, 12th
pv pv pv pv
MULTIPLE CHOICE p v
1. The nurse completes an admission database and explains that the plan of care and
p v p v p v p v p v p v p v p v p v p v p v p v p v
discharge goals will be developed with the patient‗s input. The patient asks, ―H
pv p v p v p v p v p v p v p v p v p v p v p v p v
ow is this different from what the physician does?‖ Which response would the n
p v p v p v p v p v p v p v p v p v p v p v p v p v
urse provide? pv
a. ―The role of the nurse is to administer medications and ot
p v p v p v p v p v p v p v p v p v p v
her treatments prescribed by your physician.‖
pv p v p v p v p v
b. ―In addition to caring for you while you are sick, the nurses will
p v p v p v p v p v p v p v p v p v p v p v p v p
help you plan to maintain your health.‖
v pv p v p v p v p v p v
c. ―The nurse‗s job is to collect information and communicate a
pv p v p v p v p v p v p v p v p v
ny problems that occur to the physician.‖
pv p v p v p v p v p v
d. ―Nurses perform many of the same procedures as the physician, p v p v pv p v p v p v p v p v p v p v
but nurses are with the patients for a longer time than the
pv p v p v p v p v p v p v p v p v p v p v p v
physician.‖
ANS: B p v
The American Nurses Association (ANA) definition of nursing describes the role of
p v p v p v p v p v p v p v p v p v p v p v
nurses in promoting health. The other responses describe dependent and coll
pv p v p v p v p v p v p v p v p v p v pv
aborative functions of the nursing role but do not accurately describe the nurse‗s u
p v p v p v p v p v p v p v p v p v pv p v p v pv
nique role in the health care system.
p v p v p v p v p v p v
DIF: p v p v Cognitive Level: Analyze (Analysis) p v p v p v
TOP: Nursing Process: Implementation MSC:
p v p v p v p v NCLEX: Safe and Effective Care Environmentp v p v p v p v p v
2. Which statement by the nurse accurately describes the use of evidence-
p v p v p v p v p v p v p v p v p v p v
based practice (EBP)? p v p v
a. ―Patient care is based on clinical judgment, experience, and traditions.‖
p v p v p v p v p v p v p v p v p v
b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
p v p v p v p v p v p v p v p v p v p v p v p v
c. ―Research from all published articles are used as a guide for planning patient care.‖
p v p v p v p v p v p v p v p v p v p v p v p v p v
d. ―Recommendations are based on research, clinical expertise pv pv pv pv pv pv
, and patient preferences.‖
pv p v p v
ANS: D p v
Evidence-based practice (EBP) is the use of the best research- p v p v p v p v p v p v p v p v p v
based evidence combined with clinician expertise and consideration of patient pre
p v pv p v p v p v p v p v p v p v p v
ferences. Clinical judgment based on the nurse‗s clinical experience is part of E
p v pv p v p v p v p v p v p v p v p v p v p v
BP, but clinical decision making should also incorporate current research and res
p v p v pv p v p v p v p v p v p v p v p v
earch-
based guidelines. Evaluation of patient outcomes is important, but data analysis i
pv p v p v p v p v p v p v p v p v p v p v
s not required to use EBP. All published articles do not provide research eviden
p v pv p v p v p v p v p v p v p v p v p v p v p v
ce; interventions should be based on credible research, preferably randomized con
pv p v p v p v p v p v p v p v p v p v
trolled studies with a large number of subjects.
pv p v p v p v p v p v p v
DIF: Cognitive Level: Understand (Comprehension) p v p v p v
TOP: Nursing Process: Planning MSC:
p v p v pv p v
NCLEX: Safe and Effective Care Environment p v p v p v p v p v
3. Which statement by the nurse provides a clear explanation of the nursing process?
p v p v p v p v p v p v p v p v p v p v p v p v
a. ―The nursing process is a research method of diagnosing the patien
p v p v p v p v p v p v p v p v pv p v
t‗s health care problems.‖ pv p v p v
b. ―The nursing process is used primarily to explain nursi
p v p v p v p v p v p v p v p v
ng interventions to other health care professionals.‖
pv p v p v p v p v p v
c. ―The nursing process is a problem-solving tool used to identify and manage the
p v p v p v p v p v p v p v p v p v p v p v p v
, 4
patients‗ health care needs.‖ p v p v p v
d. ―The nursing process is based on nursing theory th
p v p v p v p v p v p v p v p v
at incorporates the biopsychosocial nature of huma
pv p v p v p v p v p v
ns.‖
ANS: C p v
The nursing process is a problem-
p v p v p v p v p v
solving approach to the identification and treatment of patients‗ problems. Nursi
p v p v p v p v p v p v p v p v p v p v
ng process does not require research methods for diagnosis. The primary use of
p v p v p v p v p v p v p v pv p v p v p v p v p v
the nursing process is in patient care, not to establish nursing theory or explain
p v p v p v p v p v p v p v p v p v pv p v p v p v p v
nursing interventions to other health care professionals.
p v p v p v p v p v p v
DIF: Cognitive Level: Understand (Comprehension) p v p v p v
TOP: Nursing Process: Evaluation MSC:
p v p v pv p v
NCLEX: Safe and Effective Care Environment p v p v p v p v p v
4. A patient admitted to the hospital for surgery tells the nurse, ―I do
p v p v p v p v p v p v p v p v p v p v p v p v p
v not feel comfortable leaving my children with my parents.‖ Which a
pv p v p v p v p v p v p v p v p v p v
ction would the nurse take next?
pv p v p v p v p v
a. Reassure the patient that these feelings are common for parents.
p v p v p v p v p v p v p v p v p v
b. Have the patient call the children to ensure that they are doing well.
p v p v p v p v p v p v p v p v p v p v p v p v
c. Gather information on the patient‗s concerns about the child care arrangements.
p v p v p v p v p v p v p v p v p v p v
d. Call the patient‗s parents to determine whether adequate ch
p v p v p v p v p v p v p v p v
ild care is being provided. pv p v p v p v
ANS: C p v
Because a complete assessment is necessary in order to identify a problem
p v p v p v p v p v p v p v p v p v p v p v
p and choose an appropriate intervention, the nurse‗s first action should be to o
v pv p v p v p v p v p v p v p v p v p v p v p v
btain more information. The other actions may be appropriate, but more assessme
p v pv p v p v p v p v p v p v p v p v p v
nt is needed before the best intervention can be chosen.
p v p v pv p v p v p v p v p v p v
DIF: Cognitive Level: Analyze (Analysis) p v p v p v
TOP: Nursing Process: Assessment MSC: p v p v p v NCLEX: Psychosocial Integrity p v p v
5. A patient with a bacterial infection is hypovolemic due to a fever a
p v p v p v p v p v p v p v p v p v p v p v p v
nd excessive diaphoresis. Which expected outcome would the nurse s
pv p v p v p v p v p v p v p v p v
elect for this patient?pv p v p v
a. Patient has a balanced intake and output. p v p v p v p v p v p v
b. Patient‗s bedding is kept clean and free of moisture. p v p v p v p v p v p v p v p v
c. Patient understands the need for increased fluid intake.
p v p v p v p v p v p v p v
d. Patient‗s skin remains cool and dry throughout hospitalization.
p v p v p v p v p v p v p v
ANS: A p v
Balanced intake and output gives measurable data showing resolution of the probl
p v p v p v p v p v p v p v p v p v p v p v
em of deficient fluid volume. The other statements would not indicate that the pr
pv p v p v p v p v p v p v p v p v p v p v p v p v
oblem of hypovolemia was resolved.p v p v p v p v
DIF: Cognitive Level: Apply (Application) p v p v p v
TOP: Nursing Process: Planning MSC:
p v p v pv p v
NCLEX: Physiological Integrity p v p v
6. Which p v statement describes the purpose of the evaluation phase of the nursing process?
p v p v p v p v p v p v p v p v p v p v p v
a. To p v document the nursing care plan in the progress notes of the health record
p v p v p v p v p v p v p v p v p v p v p v p v
b. To p v determine if interventions have been effective in meeting patient outcomes
p v p v p v p v p v p v p v p v p v
c. To p v decide whether the patient‗s health problems have been completely resolved
p v p v p v p v p v p v p v p v p v
d. To p v establish if the patient agrees that the nursing care provided was satisfactory
p v p v p v p v p v p v p v p v p v p v p v
ANS: B p v
Edition: 12
,
, 3
Chapter 01: Professional Nursing
pv p v pv
Harding: Lewis’s Medical-Surgical Nursing, 12th
pv pv pv pv
MULTIPLE CHOICE p v
1. The nurse completes an admission database and explains that the plan of care and
p v p v p v p v p v p v p v p v p v p v p v p v p v
discharge goals will be developed with the patient‗s input. The patient asks, ―H
pv p v p v p v p v p v p v p v p v p v p v p v p v
ow is this different from what the physician does?‖ Which response would the n
p v p v p v p v p v p v p v p v p v p v p v p v p v
urse provide? pv
a. ―The role of the nurse is to administer medications and ot
p v p v p v p v p v p v p v p v p v p v
her treatments prescribed by your physician.‖
pv p v p v p v p v
b. ―In addition to caring for you while you are sick, the nurses will
p v p v p v p v p v p v p v p v p v p v p v p v p
help you plan to maintain your health.‖
v pv p v p v p v p v p v
c. ―The nurse‗s job is to collect information and communicate a
pv p v p v p v p v p v p v p v p v
ny problems that occur to the physician.‖
pv p v p v p v p v p v
d. ―Nurses perform many of the same procedures as the physician, p v p v pv p v p v p v p v p v p v p v
but nurses are with the patients for a longer time than the
pv p v p v p v p v p v p v p v p v p v p v p v
physician.‖
ANS: B p v
The American Nurses Association (ANA) definition of nursing describes the role of
p v p v p v p v p v p v p v p v p v p v p v
nurses in promoting health. The other responses describe dependent and coll
pv p v p v p v p v p v p v p v p v p v pv
aborative functions of the nursing role but do not accurately describe the nurse‗s u
p v p v p v p v p v p v p v p v p v pv p v p v pv
nique role in the health care system.
p v p v p v p v p v p v
DIF: p v p v Cognitive Level: Analyze (Analysis) p v p v p v
TOP: Nursing Process: Implementation MSC:
p v p v p v p v NCLEX: Safe and Effective Care Environmentp v p v p v p v p v
2. Which statement by the nurse accurately describes the use of evidence-
p v p v p v p v p v p v p v p v p v p v
based practice (EBP)? p v p v
a. ―Patient care is based on clinical judgment, experience, and traditions.‖
p v p v p v p v p v p v p v p v p v
b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
p v p v p v p v p v p v p v p v p v p v p v p v
c. ―Research from all published articles are used as a guide for planning patient care.‖
p v p v p v p v p v p v p v p v p v p v p v p v p v
d. ―Recommendations are based on research, clinical expertise pv pv pv pv pv pv
, and patient preferences.‖
pv p v p v
ANS: D p v
Evidence-based practice (EBP) is the use of the best research- p v p v p v p v p v p v p v p v p v
based evidence combined with clinician expertise and consideration of patient pre
p v pv p v p v p v p v p v p v p v p v
ferences. Clinical judgment based on the nurse‗s clinical experience is part of E
p v pv p v p v p v p v p v p v p v p v p v p v
BP, but clinical decision making should also incorporate current research and res
p v p v pv p v p v p v p v p v p v p v p v
earch-
based guidelines. Evaluation of patient outcomes is important, but data analysis i
pv p v p v p v p v p v p v p v p v p v p v
s not required to use EBP. All published articles do not provide research eviden
p v pv p v p v p v p v p v p v p v p v p v p v p v
ce; interventions should be based on credible research, preferably randomized con
pv p v p v p v p v p v p v p v p v p v
trolled studies with a large number of subjects.
pv p v p v p v p v p v p v
DIF: Cognitive Level: Understand (Comprehension) p v p v p v
TOP: Nursing Process: Planning MSC:
p v p v pv p v
NCLEX: Safe and Effective Care Environment p v p v p v p v p v
3. Which statement by the nurse provides a clear explanation of the nursing process?
p v p v p v p v p v p v p v p v p v p v p v p v
a. ―The nursing process is a research method of diagnosing the patien
p v p v p v p v p v p v p v p v pv p v
t‗s health care problems.‖ pv p v p v
b. ―The nursing process is used primarily to explain nursi
p v p v p v p v p v p v p v p v
ng interventions to other health care professionals.‖
pv p v p v p v p v p v
c. ―The nursing process is a problem-solving tool used to identify and manage the
p v p v p v p v p v p v p v p v p v p v p v p v
, 4
patients‗ health care needs.‖ p v p v p v
d. ―The nursing process is based on nursing theory th
p v p v p v p v p v p v p v p v
at incorporates the biopsychosocial nature of huma
pv p v p v p v p v p v
ns.‖
ANS: C p v
The nursing process is a problem-
p v p v p v p v p v
solving approach to the identification and treatment of patients‗ problems. Nursi
p v p v p v p v p v p v p v p v p v p v
ng process does not require research methods for diagnosis. The primary use of
p v p v p v p v p v p v p v pv p v p v p v p v p v
the nursing process is in patient care, not to establish nursing theory or explain
p v p v p v p v p v p v p v p v p v pv p v p v p v p v
nursing interventions to other health care professionals.
p v p v p v p v p v p v
DIF: Cognitive Level: Understand (Comprehension) p v p v p v
TOP: Nursing Process: Evaluation MSC:
p v p v pv p v
NCLEX: Safe and Effective Care Environment p v p v p v p v p v
4. A patient admitted to the hospital for surgery tells the nurse, ―I do
p v p v p v p v p v p v p v p v p v p v p v p v p
v not feel comfortable leaving my children with my parents.‖ Which a
pv p v p v p v p v p v p v p v p v p v
ction would the nurse take next?
pv p v p v p v p v
a. Reassure the patient that these feelings are common for parents.
p v p v p v p v p v p v p v p v p v
b. Have the patient call the children to ensure that they are doing well.
p v p v p v p v p v p v p v p v p v p v p v p v
c. Gather information on the patient‗s concerns about the child care arrangements.
p v p v p v p v p v p v p v p v p v p v
d. Call the patient‗s parents to determine whether adequate ch
p v p v p v p v p v p v p v p v
ild care is being provided. pv p v p v p v
ANS: C p v
Because a complete assessment is necessary in order to identify a problem
p v p v p v p v p v p v p v p v p v p v p v
p and choose an appropriate intervention, the nurse‗s first action should be to o
v pv p v p v p v p v p v p v p v p v p v p v p v
btain more information. The other actions may be appropriate, but more assessme
p v pv p v p v p v p v p v p v p v p v p v
nt is needed before the best intervention can be chosen.
p v p v pv p v p v p v p v p v p v
DIF: Cognitive Level: Analyze (Analysis) p v p v p v
TOP: Nursing Process: Assessment MSC: p v p v p v NCLEX: Psychosocial Integrity p v p v
5. A patient with a bacterial infection is hypovolemic due to a fever a
p v p v p v p v p v p v p v p v p v p v p v p v
nd excessive diaphoresis. Which expected outcome would the nurse s
pv p v p v p v p v p v p v p v p v
elect for this patient?pv p v p v
a. Patient has a balanced intake and output. p v p v p v p v p v p v
b. Patient‗s bedding is kept clean and free of moisture. p v p v p v p v p v p v p v p v
c. Patient understands the need for increased fluid intake.
p v p v p v p v p v p v p v
d. Patient‗s skin remains cool and dry throughout hospitalization.
p v p v p v p v p v p v p v
ANS: A p v
Balanced intake and output gives measurable data showing resolution of the probl
p v p v p v p v p v p v p v p v p v p v p v
em of deficient fluid volume. The other statements would not indicate that the pr
pv p v p v p v p v p v p v p v p v p v p v p v p v
oblem of hypovolemia was resolved.p v p v p v p v
DIF: Cognitive Level: Apply (Application) p v p v p v
TOP: Nursing Process: Planning MSC:
p v p v pv p v
NCLEX: Physiological Integrity p v p v
6. Which p v statement describes the purpose of the evaluation phase of the nursing process?
p v p v p v p v p v p v p v p v p v p v p v
a. To p v document the nursing care plan in the progress notes of the health record
p v p v p v p v p v p v p v p v p v p v p v p v
b. To p v determine if interventions have been effective in meeting patient outcomes
p v p v p v p v p v p v p v p v p v
c. To p v decide whether the patient‗s health problems have been completely resolved
p v p v p v p v p v p v p v p v p v
d. To p v establish if the patient agrees that the nursing care provided was satisfactory
p v p v p v p v p v p v p v p v p v p v p v
ANS: B p v
