[Typejhhere]
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
,[Typejhhere]
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
Chapter 01: Professional Nursing Practice Le
jh jh jh jh jh
wis: Medical-Surgical Nursing, 10th Edition
jh jh jh jh
MULTIPLEjhCHOICE
1. Thejhnursejhcompletesjhanjhadmissionjhdatabasejhandjhexplainsjhthatjhthejhplanjhofjhcarejhandjhdischargej
hgoalsjhwilljhbejhdevelopedjhwithjhthejhpatient’sjhinput.jhThejhpatientjhstates,jh“Howjhisjhthisjhdifferentjhfr
omjhwhatjhthejhdoctorjhdoes?”jhWhichjhresponsejhwouldjhbejhmostjhappropriatejhforjhthejhnursejhtojhma
ke?
a. “Thejhrolejhofjhthejhnursejhisjhtojhadministerjhmedicationsjhandjhotherjhtreatmentsjhprescribe
djhbyjhyourjhdoctor.”
b. “Thejhnurse’sjhjobjhisjhtojhhelpjhthejhdoctorjhbyjhcollectingjhinformationjhan
djhcommunicatingjhanyjhproblemsjhthatjhoccur.”
c. “Nursesjhperformjhmanyjhofjhthejhsamejhproceduresjhasjhthejhdoctor,jhbutjhnursesjharejhwi
thjhthejhpatientsjhforjhajhlongerjhtimejhthanjhthejhdoctor.”
d. “Injhadditionjhtojhcaringjhforjhyoujhwhilejhyoujharejhsick,jhthejhnursesjhwilljhassistjhyoujh
tojhdevelopjhanjhindividualizedjhplanjhtojhmaintainjhyourjhhealth.”
ANS:j h D
ThisjhresponsejhisjhconsistentjhwithjhthejhAmericanjhNursesjhAssociationjh(ANA)jhdefinitionjhofjhnurs
ing,jhwhichjhdescribesjhthejhrolejhofjhnursesjhinjhpromotingjhhealth.jhThejhotherjhresponsesjhdescribejhso
mejhofjhthejhdependentjhandjhcollaborativejhfunctionsjhofjhthejhnursingjhrolejhbutjhdojhnotjhaccuratelyjhd
escribejhthejhnurse’sjhrolejhinjhthejhhealthjhcarejhsystem.
DIF: CognitivejhLevel:jhUnderstandjh(comprehension) REF:j h 3
TOP:j h NursingjhProcess:jhImplementation MSC:j h NCLEX:jhSafejhandjhEffectivejhCarejhEnvironment
2. Thejhnursejhdescribesjhtojhajhstudentjhnursejhhowjhtojhusejhevidence-
basedjhpracticejhguidelinesjhwhenjhcaringjhforjhpatients.jhWhichjhstatement,jhifjhmadejhbyjhthejhnurs
e,jhwouldjhbejhthejhmostjhaccurate?
a. “Inferencesjhfromjhclinicaljhresearchjhstudiesjharejhusedjhasjhajhguide.”
b. “Patientjhcarejhisjhbasedjhonjhclinicaljhjudgment,jhexperience,jhandjhtraditions.”
c. “Datajharejhevaluatedjhtojhshowjhthatjhthejhpatientjhoutcomesjharejhconsistentlyjhmet.”
d. “Recommendationsjharejhbasedjhonjhresearch,jhclinicaljhexpertise,jhandjhpatien
tjhpreferences.”
ANS:j h D
Evidence-basedjhpracticejh(EBP)jhisjhthejhusejhofjhthejhbestjhresearch-
basedjhevidencejhcombinedjhwithjhclinicianjhexpertise.jhClinicaljhjudgmentjhbasedjhonjhthejhnurse’sjhcl
inicaljhexperiencejhisjhpartjhofjhEBP,jhbutjhclinicaljhdecisionjhmakingjhshouldjhalsojhincorporatejhcurren
tjhresearchjhandjhresearch-
basedjhguidelines.jhEvaluationjhofjhpatientjhoutcomesjhisjhimportant,jhbutjhinterventionsjhshouldjhbejhba
sedjhonjhresearchjhfromjhrandomizedjhcontroljhstudiesjhwithjhajhlargejhnumberjhofjhsubjects.
DIF: CognitivejhLevel:jhRememberjh(knowledge) REF:j h 15
TOP:j h NursingjhProcess:jhPlanning MSC:j h NCLEX:jhSafejhandjhEffectivejhCarejhEnvironment
3. Thejhnursejhteachesjhajhstudentjhnursejhaboutjhhowjhtojhapplyjhthejhnursingjhprocessjhwhenjhprovidi
ngjhpatientjhcare.jhWhichjhstatement,jhifjhmadejhbyjhthejhstudentjhnurse,jhindicatesjhthatjhteachingjh
wasjhsuccessful?
a. “Thejhnursingjhprocessjhisjhajhscientific-
basedjhmethodjhofjhdiagnosingjhthejhpatient’sjhhealthjhcarejhproblems.”
,[Typejhhere]
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
b. “Thejhnursingjhprocessjhisjhajhproblem-solvingjhtooljhusedjhtojhidentifyjhandjhtreatjhpatients’
, [Typejhhere]
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
healthjhcarejhneeds.”
c. “Thejhnursingjhprocessjhisjhusedjhprimarilyjhtojhexplainjhnursingjhinterventionsjhtojhoth
erjhhealthjhcarejhprofessionals.”
d. “Thejhnursingjhprocessjhisjhbasedjhonjhnursingjhtheoryjhthatjhincorporatesjhth
ejhbiopsychosocialjhnaturejhofjhhumans.”
ANS:j h B
Thejhnursingjhprocessjhisjhajhproblem-
solvingjhapproachjhtojhthejhidentificationjhandjhtreatmentjhofjhpatients’jhproblems.jhDiagnosisjhisjhonly
jhonejhphasejhofjhthejhnursingjhprocess.jhThejhprimaryjhusejhofjhthejhnursingjhprocessjhisjhinjhpatientjhcare,jh
notjhtojhestablishjhnursingjhtheoryjhorjhexplainjhnursingjhinterventionsjhtojhotherjhhealthjhcarejhprofessi
onals.
DIF: CognitivejhLevel:jhUnderstandjh(comprehension) REF:j h 5
TOP:j h NursingjhProcess:jhImplementation MSC:j h NCLEX:jhSafejhandjhEffectivejhCarejhEnvironment
4. Ajhpatientjhhasjhbeenjhadmittedjhtojhthejhhospitaljhforjhsurgeryjhandjhtellsjhthejhnurse,jh“Ijhdojhnotjhfeeljhc
omfortablejhleavingjhmyjhchildrenjhwithjhmyjhparents.”jhWhichjhactionjhshouldjhthejhnursejhtakejhnext
?
a. Reassurejhthejhpatientjhthatjhthesejhfeelingsjharejhcommonjhforjhparents.
b. Havejhthejhpatientjhcalljhthejhchildrenjhtojhensurejhthatjhtheyjharejhdoingjhwell.
c. Gatherjhmorejhdatajhaboutjhthejhpatient’sjhfeelingsjhaboutjhthejhchild-carejharrangements.
d. Calljhthejhpatient’sjhparentsjhtojhdeterminejhwhetherjhadequatejhchildjhcarejhisjhbein
gjhprovided.
ANS:j h C
Becausejhajhcompletejhassessmentjhisjhnecessaryjhinjhorderjhtojhidentifyjhajhproblemjhandjhchoosejhanjha
ppropriatejhintervention,jhthejhnurse’sjhfirstjhactionjhshouldjhbejhtojhobtainjhmorejhinformation.jhThejho
therjhactionsjhmayjhbejhappropriate,jhbutjhmorejhassessmentjhisjhneededjhbeforejhthejhbestjhinterventionjh
canjhbejhchosen.
DIF: CognitivejhLevel:jhApplyjh(application) REF: 6
OBJ:j h SpecialjhQuestions:jhPrioritization
TOP:j h NursingjhProcess:jhAssessmen
tjhMSC:j h NCLEX:jhPsychosocialjhIntegrity
5. Ajhpatientjhwhojhisjhparalyzedjhonjhthejhleftjhsidejhofjhthejhbodyjhafterjhajhstrokejhdevelopsjhajhpressurejhul
cerjhonjhthejhleftjhhip.jhWhichjhnursingjhdiagnosisjhisjhmostjhappropriate?
a. Impairedjhphysicaljhmobilityjhrelatedjhtojhleft-sidedjhparalysis
b. Riskjhforjhimpairedjhtissuejhintegrityjhrelatedjhtojhleft-sidedjhweakness
c. Impairedjhskinjhintegrityjhrelatedjhtojhalteredjhcirculationjhandjhpressure
d. Ineffectivejhtissuejhperfusionjhrelatedjhtojhinabilityjhtojhmovejhindependently
ANS:j h C
Thejhpatient’sjhmajorjhproblemjhisjhthejhimpairedjhskinjhintegrityjhasjhdemonstratedjhbyjhthejhpresencejh
ofjhajhpressurejhulcer.jhThejhnursejhisjhablejhtojhtreatjhthejhcausejhofjhalteredjhcirculationjhandjhpressurejhb
yjhfrequentlyjhrepositioningjhthejhpatient.jhAlthoughjhleft-
sidedjhweaknessjhisjhajhproblemjhforjhthejhpatient,jhthejhnursejhcannotjhtreatjhthejhweakness.jhThejh“riskjhf
or”jhdiagnosisjhisjhnotjhappropriatejhforjhthisjhpatient,jhwhojhalreadyjhhasjhimpairedjhtissuejhintegrity.jhT
hejhpatientjhdoesjhhavejhineffectivejhtissuejhperfusion,jhbutjhthejhimpairedjhskinjhintegrityjhdiagnosisjhi
ndicatesjhmorejhclearlyjhwhatjhthejhhealthjhproblemjhis.
DIF: CognitivejhLevel:jhApplyjh(application) REF: 7
TOP:j h NursingjhProcess:jhDiagnosis MSC:j h NCLEX:jhPhysiologicaljhIntegrity
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
,[Typejhhere]
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
Chapter 01: Professional Nursing Practice Le
jh jh jh jh jh
wis: Medical-Surgical Nursing, 10th Edition
jh jh jh jh
MULTIPLEjhCHOICE
1. Thejhnursejhcompletesjhanjhadmissionjhdatabasejhandjhexplainsjhthatjhthejhplanjhofjhcarejhandjhdischargej
hgoalsjhwilljhbejhdevelopedjhwithjhthejhpatient’sjhinput.jhThejhpatientjhstates,jh“Howjhisjhthisjhdifferentjhfr
omjhwhatjhthejhdoctorjhdoes?”jhWhichjhresponsejhwouldjhbejhmostjhappropriatejhforjhthejhnursejhtojhma
ke?
a. “Thejhrolejhofjhthejhnursejhisjhtojhadministerjhmedicationsjhandjhotherjhtreatmentsjhprescribe
djhbyjhyourjhdoctor.”
b. “Thejhnurse’sjhjobjhisjhtojhhelpjhthejhdoctorjhbyjhcollectingjhinformationjhan
djhcommunicatingjhanyjhproblemsjhthatjhoccur.”
c. “Nursesjhperformjhmanyjhofjhthejhsamejhproceduresjhasjhthejhdoctor,jhbutjhnursesjharejhwi
thjhthejhpatientsjhforjhajhlongerjhtimejhthanjhthejhdoctor.”
d. “Injhadditionjhtojhcaringjhforjhyoujhwhilejhyoujharejhsick,jhthejhnursesjhwilljhassistjhyoujh
tojhdevelopjhanjhindividualizedjhplanjhtojhmaintainjhyourjhhealth.”
ANS:j h D
ThisjhresponsejhisjhconsistentjhwithjhthejhAmericanjhNursesjhAssociationjh(ANA)jhdefinitionjhofjhnurs
ing,jhwhichjhdescribesjhthejhrolejhofjhnursesjhinjhpromotingjhhealth.jhThejhotherjhresponsesjhdescribejhso
mejhofjhthejhdependentjhandjhcollaborativejhfunctionsjhofjhthejhnursingjhrolejhbutjhdojhnotjhaccuratelyjhd
escribejhthejhnurse’sjhrolejhinjhthejhhealthjhcarejhsystem.
DIF: CognitivejhLevel:jhUnderstandjh(comprehension) REF:j h 3
TOP:j h NursingjhProcess:jhImplementation MSC:j h NCLEX:jhSafejhandjhEffectivejhCarejhEnvironment
2. Thejhnursejhdescribesjhtojhajhstudentjhnursejhhowjhtojhusejhevidence-
basedjhpracticejhguidelinesjhwhenjhcaringjhforjhpatients.jhWhichjhstatement,jhifjhmadejhbyjhthejhnurs
e,jhwouldjhbejhthejhmostjhaccurate?
a. “Inferencesjhfromjhclinicaljhresearchjhstudiesjharejhusedjhasjhajhguide.”
b. “Patientjhcarejhisjhbasedjhonjhclinicaljhjudgment,jhexperience,jhandjhtraditions.”
c. “Datajharejhevaluatedjhtojhshowjhthatjhthejhpatientjhoutcomesjharejhconsistentlyjhmet.”
d. “Recommendationsjharejhbasedjhonjhresearch,jhclinicaljhexpertise,jhandjhpatien
tjhpreferences.”
ANS:j h D
Evidence-basedjhpracticejh(EBP)jhisjhthejhusejhofjhthejhbestjhresearch-
basedjhevidencejhcombinedjhwithjhclinicianjhexpertise.jhClinicaljhjudgmentjhbasedjhonjhthejhnurse’sjhcl
inicaljhexperiencejhisjhpartjhofjhEBP,jhbutjhclinicaljhdecisionjhmakingjhshouldjhalsojhincorporatejhcurren
tjhresearchjhandjhresearch-
basedjhguidelines.jhEvaluationjhofjhpatientjhoutcomesjhisjhimportant,jhbutjhinterventionsjhshouldjhbejhba
sedjhonjhresearchjhfromjhrandomizedjhcontroljhstudiesjhwithjhajhlargejhnumberjhofjhsubjects.
DIF: CognitivejhLevel:jhRememberjh(knowledge) REF:j h 15
TOP:j h NursingjhProcess:jhPlanning MSC:j h NCLEX:jhSafejhandjhEffectivejhCarejhEnvironment
3. Thejhnursejhteachesjhajhstudentjhnursejhaboutjhhowjhtojhapplyjhthejhnursingjhprocessjhwhenjhprovidi
ngjhpatientjhcare.jhWhichjhstatement,jhifjhmadejhbyjhthejhstudentjhnurse,jhindicatesjhthatjhteachingjh
wasjhsuccessful?
a. “Thejhnursingjhprocessjhisjhajhscientific-
basedjhmethodjhofjhdiagnosingjhthejhpatient’sjhhealthjhcarejhproblems.”
,[Typejhhere]
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
b. “Thejhnursingjhprocessjhisjhajhproblem-solvingjhtooljhusedjhtojhidentifyjhandjhtreatjhpatients’
, [Typejhhere]
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
healthjhcarejhneeds.”
c. “Thejhnursingjhprocessjhisjhusedjhprimarilyjhtojhexplainjhnursingjhinterventionsjhtojhoth
erjhhealthjhcarejhprofessionals.”
d. “Thejhnursingjhprocessjhisjhbasedjhonjhnursingjhtheoryjhthatjhincorporatesjhth
ejhbiopsychosocialjhnaturejhofjhhumans.”
ANS:j h B
Thejhnursingjhprocessjhisjhajhproblem-
solvingjhapproachjhtojhthejhidentificationjhandjhtreatmentjhofjhpatients’jhproblems.jhDiagnosisjhisjhonly
jhonejhphasejhofjhthejhnursingjhprocess.jhThejhprimaryjhusejhofjhthejhnursingjhprocessjhisjhinjhpatientjhcare,jh
notjhtojhestablishjhnursingjhtheoryjhorjhexplainjhnursingjhinterventionsjhtojhotherjhhealthjhcarejhprofessi
onals.
DIF: CognitivejhLevel:jhUnderstandjh(comprehension) REF:j h 5
TOP:j h NursingjhProcess:jhImplementation MSC:j h NCLEX:jhSafejhandjhEffectivejhCarejhEnvironment
4. Ajhpatientjhhasjhbeenjhadmittedjhtojhthejhhospitaljhforjhsurgeryjhandjhtellsjhthejhnurse,jh“Ijhdojhnotjhfeeljhc
omfortablejhleavingjhmyjhchildrenjhwithjhmyjhparents.”jhWhichjhactionjhshouldjhthejhnursejhtakejhnext
?
a. Reassurejhthejhpatientjhthatjhthesejhfeelingsjharejhcommonjhforjhparents.
b. Havejhthejhpatientjhcalljhthejhchildrenjhtojhensurejhthatjhtheyjharejhdoingjhwell.
c. Gatherjhmorejhdatajhaboutjhthejhpatient’sjhfeelingsjhaboutjhthejhchild-carejharrangements.
d. Calljhthejhpatient’sjhparentsjhtojhdeterminejhwhetherjhadequatejhchildjhcarejhisjhbein
gjhprovided.
ANS:j h C
Becausejhajhcompletejhassessmentjhisjhnecessaryjhinjhorderjhtojhidentifyjhajhproblemjhandjhchoosejhanjha
ppropriatejhintervention,jhthejhnurse’sjhfirstjhactionjhshouldjhbejhtojhobtainjhmorejhinformation.jhThejho
therjhactionsjhmayjhbejhappropriate,jhbutjhmorejhassessmentjhisjhneededjhbeforejhthejhbestjhinterventionjh
canjhbejhchosen.
DIF: CognitivejhLevel:jhApplyjh(application) REF: 6
OBJ:j h SpecialjhQuestions:jhPrioritization
TOP:j h NursingjhProcess:jhAssessmen
tjhMSC:j h NCLEX:jhPsychosocialjhIntegrity
5. Ajhpatientjhwhojhisjhparalyzedjhonjhthejhleftjhsidejhofjhthejhbodyjhafterjhajhstrokejhdevelopsjhajhpressurejhul
cerjhonjhthejhleftjhhip.jhWhichjhnursingjhdiagnosisjhisjhmostjhappropriate?
a. Impairedjhphysicaljhmobilityjhrelatedjhtojhleft-sidedjhparalysis
b. Riskjhforjhimpairedjhtissuejhintegrityjhrelatedjhtojhleft-sidedjhweakness
c. Impairedjhskinjhintegrityjhrelatedjhtojhalteredjhcirculationjhandjhpressure
d. Ineffectivejhtissuejhperfusionjhrelatedjhtojhinabilityjhtojhmovejhindependently
ANS:j h C
Thejhpatient’sjhmajorjhproblemjhisjhthejhimpairedjhskinjhintegrityjhasjhdemonstratedjhbyjhthejhpresencejh
ofjhajhpressurejhulcer.jhThejhnursejhisjhablejhtojhtreatjhthejhcausejhofjhalteredjhcirculationjhandjhpressurejhb
yjhfrequentlyjhrepositioningjhthejhpatient.jhAlthoughjhleft-
sidedjhweaknessjhisjhajhproblemjhforjhthejhpatient,jhthejhnursejhcannotjhtreatjhthejhweakness.jhThejh“riskjhf
or”jhdiagnosisjhisjhnotjhappropriatejhforjhthisjhpatient,jhwhojhalreadyjhhasjhimpairedjhtissuejhintegrity.jhT
hejhpatientjhdoesjhhavejhineffectivejhtissuejhperfusion,jhbutjhthejhimpairedjhskinjhintegrityjhdiagnosisjhi
ndicatesjhmorejhclearlyjhwhatjhthejhhealthjhproblemjhis.
DIF: CognitivejhLevel:jhApplyjh(application) REF: 7
TOP:j h NursingjhProcess:jhDiagnosis MSC:j h NCLEX:jhPhysiologicaljhIntegrity
