Te
ch
TEST BANK LEWIS MEICAL SURGICAL
Gu
NURSING 11TH EDITION BY HARDING
ru
ALL CHAPTERS 1-68 with Rationales|A+ Graded
1|Page
, Te
ch
Gu
Chapter 01: Professional Nursing
MULTIPLE CHOICE
ru
1. The nurse teaches a student nurse about how to apply the nursing process when providing patient
care. Which statement, if made by the student nurse, indicates that teaching was successful?
a. The nursing process is a scientific-based method of diagnosing the patients health care problems.
b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.
c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of
humans.
d. The nursing process is used primarily to explain nursing interventions to other health care
professionals.
ANS: B
The nursing process is a problem-solving approach to the identification and treatment of patients
problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing process is in
patient care, not to establish nursing theory or explain nursing interventions to other health care
professionals.
DIF: Cognitive Level: Understand (comprehension)
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.
2|Page
, Te
ch
d. Recommendations are based on research, clinical expertise, and patient preferences.
Gu
ANS: D
ru
Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decision
making should also incorporate current research and research-based guidelines. Evaluation of patient
outcomes is important, but interventions should be based on research from randomized control studies
with a large number of subjects.
DIF: Cognitive Level: Remember (knowledge)
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. 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)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on
the left hip Which nursing diagnosis is most appropriate?
3|Page
, Te
ch
Gu
a. Impaired physical mobility related to left-sided paralysis
ru
b. Risk for impaired tissue integrity related to left-sided weakness
c. Impaired skin integrity related to altered circulation and pressure
d. Ineffective tissue perfusion related to inability to move independently
ANS: C
The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure
ulcer. The nurse is able to treat the cause of altered circulation and pressure by frequently repositioning
the patient. Although left-sided weakness is a problem for the patient, the nurse cannot treat the weakness.
The risk for diagnosis is not appropriate for this patient, who already has impaired tissue integrity. The
patient does have ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates more
clearly what the health problem is.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel
comfortable leaving my children with my parents. Which action should the nurse take next?
a. Reassuretthe patient that thesetfeelings aretcommon for parents.
b. Havetthe patient call the children to ensure that theyare doingtwell.
c. Gathertmore data about thetpatientstfeelings about the child-care arrangements.
d. Call the patientstparentstto determinetwhether adequate child caretis being provided.
ANS: C
4|Page
ch
TEST BANK LEWIS MEICAL SURGICAL
Gu
NURSING 11TH EDITION BY HARDING
ru
ALL CHAPTERS 1-68 with Rationales|A+ Graded
1|Page
, Te
ch
Gu
Chapter 01: Professional Nursing
MULTIPLE CHOICE
ru
1. The nurse teaches a student nurse about how to apply the nursing process when providing patient
care. Which statement, if made by the student nurse, indicates that teaching was successful?
a. The nursing process is a scientific-based method of diagnosing the patients health care problems.
b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.
c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of
humans.
d. The nursing process is used primarily to explain nursing interventions to other health care
professionals.
ANS: B
The nursing process is a problem-solving approach to the identification and treatment of patients
problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing process is in
patient care, not to establish nursing theory or explain nursing interventions to other health care
professionals.
DIF: Cognitive Level: Understand (comprehension)
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.
2|Page
, Te
ch
d. Recommendations are based on research, clinical expertise, and patient preferences.
Gu
ANS: D
ru
Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decision
making should also incorporate current research and research-based guidelines. Evaluation of patient
outcomes is important, but interventions should be based on research from randomized control studies
with a large number of subjects.
DIF: Cognitive Level: Remember (knowledge)
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. 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)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on
the left hip Which nursing diagnosis is most appropriate?
3|Page
, Te
ch
Gu
a. Impaired physical mobility related to left-sided paralysis
ru
b. Risk for impaired tissue integrity related to left-sided weakness
c. Impaired skin integrity related to altered circulation and pressure
d. Ineffective tissue perfusion related to inability to move independently
ANS: C
The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure
ulcer. The nurse is able to treat the cause of altered circulation and pressure by frequently repositioning
the patient. Although left-sided weakness is a problem for the patient, the nurse cannot treat the weakness.
The risk for diagnosis is not appropriate for this patient, who already has impaired tissue integrity. The
patient does have ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates more
clearly what the health problem is.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel
comfortable leaving my children with my parents. Which action should the nurse take next?
a. Reassuretthe patient that thesetfeelings aretcommon for parents.
b. Havetthe patient call the children to ensure that theyare doingtwell.
c. Gathertmore data about thetpatientstfeelings about the child-care arrangements.
d. Call the patientstparentstto determinetwhether adequate child caretis being provided.
ANS: C
4|Page
