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Chapter01: Professional NursingPractice Lewis:Medical-Surgical Nursing,10th i| i| i| i| i| i| i| i|
Edition
MULTIPLE CHOICE i|
1. The nurse completes an admission database and explains that the plan of care and discharge
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goalswillbedevelopedwiththepatient‘sinput.Thepatientstates,―Howisthisdifferentfrom what
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the doctor does?‖ Which response would be most appropriate for the nurse to make?
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a. ―Therole of the nurse is to administer medications and othertreatments prescribed by
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your doctor.‖
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b. ―Thenurse‘sjobistohelpthedoctorbycollectinginformationand i| i| i| i| i| i| i| i| i| i| i|
communicating any problems that occur.‖
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c. ―Nursesperformmanyofthesameproceduresasthedoctor,butnursesarewith the i| i| i| i| i| i| i| i| i| i| i| i| i| i|
patients for a longer time than the doctor.‖
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d. ―Inadditionto caringfor you while you aresick, thenurses will assist you to
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develop an individualized plan to maintain your health.‖
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ANS: D i|
This response is consistent with the American Nurses Association (ANA) definition of nursing,
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which describes the role of nurses in promoting health. The other responses describe some of the
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dependent and collaborative functions of the nursing role but do not accurately describe the
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nurse‘s role in the health care system.
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DIF: CognitiveLevel:Understand(comprehension) REF: 3 i| i| i| i|
TOP: NursingProcess: Implementation
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2. The nurse describes to a student nurse how to use evidence-based practice guidelines when
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i| caring for patients. Which statement, if made bythe nurse, would be the most accurate?
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a. ―Inferences from clinical research studies are used as a guide.‖ i| i| i| i| i| i| i| i| i|
b. ―Patientcareis based on clinical judgment, experience, and traditions.‖ i| i| i| i| i| i| i| i| i|
c. ―Data are evaluated to show that the patient outcomes are consistentlymet.‖
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d. ―Recommendations arebased onresearch, clinical expertise, and patient i| i| i| i| i| i| i| i|
preferences.‖
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ANS: D i|
Evidence-based practice (EBP) is the use of the best research-based evidence combined with i| i| i| i| i| i| i| i| i| i| i| i|
clinician expertise. Clinical judgment based on the nurse‘s clinical experience is part of EBP, but
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clinical decision making should also incorporate current research and research-based guidelines.
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Evaluation of patient outcomes is important, but interventions should be based on research from
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randomized control studies with a large number of subjects.
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DIF: CognitiveLevel: Remember (knowledge) i| i| i| REF: 15 i|
, TOP: i | NursingProcess: Planning
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3. The nurse teaches a student nurse about how to applythe nursing process when providing
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, patient care. Which statement, if made by the student nurse, indicates that teaching was
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successful?
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a. ―The nursingprocess is a scientific-based method of diagnosingthe patient‘s
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health care problems.‖
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b. ―Thenursingprocess is a problem-solvingtool used to identifyand treat patients‘
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