Test Bank for Lewis's Medical-Surgical Nursing in Canada, 5th Edition(Tyerman, 2023), Chapter 1-72 | All Chapters

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,Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
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, k Lewis: Medical-Surgical Nursing in Canada, 4th Canadian Edition
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MULTIPLE CHOICE k




1. When caring for clients using evidence-informed practice, which of the following does the
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k nurse use? k


a. Clinical judgement based on experience
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b. Evidence from a clinical research study k k k k k


c. The best available evidence to guide clinical expertise
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d. Evaluation of data showing that the client outcomes are met
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ANS: C k


Evidence-informed nursing practice is a continuous interactive process involving the explicit,
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conscientious, and judicious consideration of the best available evidence to provide care. Four
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primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
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actions; (c) best research evidence; and (d) health care resources. Clinical judgement based on
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the nurse’s clinical experience is part of EIP, but clinical decision making also should
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incorporate current research and research-based guidelines. Evidence from one clinical
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research study does not provide an adequate substantiation for interventions. Evaluation of
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client outcomes is important, but interventions should be based on research from randomized
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control studies with a large number of subjects.
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DIF: Cognitive Level: Comprehension k k TOP: k Nursing Process: Planning k k




2. Which of the following best e x p l a i n s t h e n u r s e s ’ primary use of the nursing process when
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N R I G B.C M
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providing care to clients? USNT Ok k k
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a. To explain nursing interventions to other health care professionals
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b. As a problem-solving tool to identify and treat clients’ health care needs
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c. As a scientific-based process of diagnosing the client’s health care problems
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d. To establish nursing theory that incorporates the biopsychosocial nature of humans
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ANS: B k


The nursing process is an assertive problem-solving approach to the identification and
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treatment of clients’ problems. Diagnosis is only one phase of the nursing process. The
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kprimary use of the nursing process is in client care, not to establish nursing theory or explain
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knursing interventions to other health care professionals.
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DIF: Cognitive Level: Comprehension k k TOP: k Nursing Process: Implementation k k




3. The nurse is caring for a critically ill client in the intensive care unit and plans an every 2-hour
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turning schedule to prevent skin breakdown. Which type of nursing function is demonstrated
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with this turning schedule?
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a. Dependent
b. Cooperative
c. Independent
d. Collaborative

ANS: D k




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