Test Bank for Lewis Medical Surgical Nursing in Canada 5th Edition 2025,26 with complete solution-Latest Update 2025

TEST BANK FOR LEWIS MEDICAL-SURGICAL
NURSING IN CANADA 5TH EDITION

,CHAPTER 01: Introduction to Medical Surgical Nursing Practice in Canad
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a Lewis: Medical-Surgical Nursing in Canada, 5th Canadian Edition
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MULTIPLE CHOICE : JN JN




1. The medical attendant is caring for a hospital client with a new diagnosi
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s of pneumonia and explains to the hospital client that together they will p
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lan the hospital client’s care and set goals for discharge. The hospital clie
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nt asks, “How is that different from what the doctor does?” Which re
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sponse by the medical attendant is most appropriate? J N JN JN JN JN JN JN




a. “The role of the medical attendant is to administer medications and other tr
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eatments prescribed JN




by your doctor.” JN J N




b. “The medical attendant’s job is to help the doctor by collecting data and co
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mmunicating when there are problems.” JN JN JN JN




c. “Medical attendants perform many of the procedures done by physicians, but m JN JN JN JN JN JN JN JN JN JN J N




edical attendants are here in JN JN JN JN




the health center for a longer time than doctors.” J N J N J N JN J N J N J N JN




d. “In addition to caring for you while you are sick, the medical attendants will assist y
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ou to JN




develop an individualized plan to maintain your health.” J N J N J N J N J N J N J N




PRECISE CHOICE:-D JN




Reasoning :- JN




>>>This response is consistent with the Canadian nurses Association (CNA) definition of nursin
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g. Registered medical attendants are self-
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regulated health care professionals who work autonomously and in collaboration with others. RNs
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Nenable individuals, families, groups, communities and populations to achieve their optimal level of
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Nhealth. RNs coordinate health care, deliver direct services, and support hospital clients in their self
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-
care decisions and actions in situations of health, illness, injury, and disability in all stages of life. The
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J other responses describe some of the dependent and collaborative functions of the nursing role b
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ut do not accurately describe the medical attendant’s role in the health care system.
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DIF: Cognitive Level: Comprehension TOPIC: Nursing Process: JN JN J N JN




Implementation MSC: NCLEX: Safe and Effective Care Environment JN J N JN JN JN JN JN




2. When caring for hospital clients using evidence- JN J N J N JN JN J N




informed practice, which of the following does the medical attendant use? J N J N J N JN J N J N JN JN JN JN




a. Clinical judgement based on experience J N J N J N J N




b. Evidence from a clinical research study J N JN J N JN J N




c. The best available evidence to guide clinical expertise J N JN J N J N J N J N J N




d. Evaluation of data showing that the hospital client outco JN JN JN JN JN JN JN JN




mes are met JN JN




PRECISE CHOICE:-C JN




Reasoning :->>>Evidence- JN




informed nursing practice is a continuous interactive process involving the explicit, conscientious,
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and judicious consideration of the best available evidence to provide care. Four primary elements
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are: (a) clinical state, setting, and circumstances; (b) hospital client preferences and actions; (c) be
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st research evidence, and (d) health care resources. Clinical judgement based on the medical atten
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dant’s clinical experience is part of EIP, but clinical decision making also should incorporate cur
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rent research and research- JN J N J N




based guidelines. Evidence from one clinical research study does not provide an adequate substanti
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,ation for interventions. Evaluation of hospital client outcomes is important, but interventions sho
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uld be based on research from randomized control studies with a large number of
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, subjects.

DIF: Cognitive Level: Comprehension TOPIC: Nursing Process: JN JN J N JN




Planning MSC: NCLEX: Safe and Effective Care Environment JN J N JN JN JN JN JN




3. Which of the following best explains the medical attendants’ primary use of the nursing process
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when providing care to hospital clients?
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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 hospital clients’ health care needs
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c. As a scientific-based process of diagnosing the hospital 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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PRECISE CHOICE:-B JN




Reasoning :->>>The nursing process is an assertive problem- JN J N J N J N J N J N J N




solving approach to the identification and treatment of hospital clients’ problems. Diagnosis is only
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None phase of the nursing process. The primary use of the nursing process is in hospital client care, no
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t to establish nursing theory or explain nursing interventions to other health care professionals.
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DIF: Cognitive Level: Comprehension TOPIC: Nursing Process: JN JN J N JN




Implementation MSC: NCLEX: Safe and Effective Care Environment JN J N JN JN JN JN JN




4. The medical attendant is caring for a critically ill hospital client in the intensive care unit and plans
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an every- 2-
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hour turning schedule to prevent skin breakdown. Which type of nursing function is demonstr
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ated with this turning schedule?
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a. Dependent
b. Cooperative
c. Independent
d. Collaborative
PRECISE CHOICE:-D JN




Reasoning :- JN




>>>When implementing collaborative nursing actions, the medical attendant is responsible primarily
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for monitoring for complications of acute illness or providing care to prevent or treat complications
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.
Independent nursing actions are focused on health promotion, illness prevention, and hospital client
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Nadvocacy. A dependent action would require a physician order to implement. Cooperative nursin
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g functions are not described as one of the formal nursing functions.
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DIF: Cognitive Level: Application TOPIC: Nursing Process: JN JN J N JN




Implementation MSC: NCLEX: Safe and Effective Care Environment JN J N JN JN JN JN JN




5. The medical attendant is caring for a hospital client who has been admitted to the health center for sur
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gery and tells the medical attendant, “I do not feel right about leaving my children with my neighbour.”
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Which action should the medical attendant take next?
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a. Reassure the hospital client that these feelings are common for parents. J N J N JN J N J N J N J N J N J N J N




b. Have the hospital client call the children to ensure that they are doing well.
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c. Call the neighbour to determine whether adequate childcare is being provided.
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d. Gather more data about the hospital client’s feelings about the childcare arrangements.
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PRECISE CHOICE:-D JN




Reasoning :- JN




>>>Since a complete assessment is necessary in order to identify a problem and choose an appropri
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ate intervention, the medical attendant’s first action should be to obtain more information. The other acti
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ons may be appropriate, but more assessment is needed before the best intervention can be chosen.
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