Study Guide and Answer Key - Lewis Medical-Surgical Nursing, 12th Edition - Harding & Kwong - (Chapters 1-69)

,
,Chapter 01: Professional Nursing
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, Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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MULTIPLE CHOICE aa




1. The nurse completes an admission database and explains that the plan of care and
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discharge goals will be developed with the patient‗s input. The patient asks, ―How is this
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different from what the physician does?‖ Which response would the nurse provide?
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a. ―Therole of thenurse is to administermedications and othertreatments prescribed
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by your physician.‖
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b. ―In addition to caringfor you while you aresick, thenurseswill help you planto
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maintain your health.‖
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c. ―The nurse‗s job is to collect information and communicate anyproblems that
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occur to the physician.‖
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d. ―Nursesperform manyof thesameprocedures as thephysician, butnursesare aa aa aa aa aa


with the patients for a longer time than the physician.‖
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ANS: B aa


The American Nurses Association (ANA) definition of nursing describes the role of nurses
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in promoting health. The other responses describe dependent and collaborative functions
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of the nursing role but do not accurately describe the nurse‗s unique role in the health
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care system.
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DIF: Cognitive Level: Analyze (Analysis)
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TOP: Nursing Process: Implementation
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Environment
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2. Which statement bythe nurse accuratelydescribes the use of evidence-based practice (EBP)?
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a. ―Patient care is based on clinical judgment, experience, and traditions.‖
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b. ―Dataareanalyzed later toshow that the patient outcomes areconsistentlymet.‖ aa aa aa aa aa aa aa


c. ―Research from all publishedarticles areused as a guide for planning patient care.‖ aa aa aa aa aa aa aa aa aa


d. ―Recommendations are based on research, clinical expertise, and patient aa aa aa aa aa aa aa aa


preferences.‖
ANS: D aa


Evidence-based practice (EBP) is the use of the best research-based evidence combined
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with clinician expertise and consideration of patient preferences. Clinical judgment
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based on the nurse‗s clinical experience is part of EBP, but clinical decision making
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should also incorporate current research and research-based guidelines. Evaluation of patient
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outcomes is important, but data analysis is not required to use EBP. All published articles
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do not provide research evidence; interventions should be based on credible research,
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preferablyrandomized controlled studies with a large number of subjects.
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DIF: Cognitive Level: Understand (Comprehension) aa aa aa TOP: Nursing Process: Planning
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MSC: NCLEX: Safe and Effective Care Environment
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3. Which statement bythe nurse provides a clear explanation of the nursing process?
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a. ―The nursing process is a research method of diagnosing the patient‗s health care
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problems.‖
b. ―Thenursing process is usedprimarilyto explain nursinginterventions to other c aa aa aa aa aa aa


health care professionals.‖
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c. ―Thenursingprocess is a problem-solving tool used to identifyand manage the a a aa aa c aa aa aa aa aa