Medical-Surgical Nursing In Canada 4th Edition By
Sharon L. Lewis; Margaret Mclean Heitkemper; Linda
Bucher 9781771720489 Chapter 1-72 Complete Guide.
4th Edition
,Section One – Concepts In Nursing Practice
Chapter 01: Introduction To Medical-Surgical Nursing Practice In Canada
Lewis: Medical-Surgical Nursing In Canada, 4th Canadian Edition
MULTIPLE CHOICE
1. The Nurse Is Caring For A Client With A New Diagnosis Of Pneumonia And Explains
To The Client That Together They Will Plan The Client’s Care And Set Goals For
Discharge. The Client Asks, “How Is That Different From What The Doctor Does?”
Which Response By The Nurse Is Most Appropriate?
a. “The Role Of The Nurse Is To Administer Medications And Other Treatments
Prescribed By Your Doctor.”
b. “The Nurse’s Job Is To Help The Doctor By Collecting Data And Communicating
When There Are Problems.”
c. “Nurses Perform Many Of The Procedures Done By Physicians, But Nurses Are
Here In The Hospital For A Longer Time Than Doctors.”
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 Canadian Nurses Association (CNA) Definition Of
Nursing. Registered Nurses Are Self-Regulated Health Care Professionals Who Work
Autonomously And In Collaboration With Others. Rns Enable Individuals, Families,
Groups, Communities And Populations To Achieve Their Optimal Level Of Health. Rns
Coordinate Health Care, Deliver Direct Services, And Support Clients In Their Self-Care
Decisions And Actions In Situations Of Health, Illness, Injury, And Disability In All
Stages Of Life. The Other Responses Describe Some Of The Dependent And
Collaborative Functions Of The Nursing Role But Do Not Accurately Describe The
Nurse’s Role In The Health Care System.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
MSC: NCLEX: Safe And Effective Care Environment
2. When Caring For Clients Using Evidence-Informed Practice, Which Of The Following
Does The Nurse Use?
a. Clinical Judgement Based On Experience
b. Evidence From A Clinical Research Study
c. The Best Available Evidence To Guide Clinical Expertise
d. Evaluation Of Data Showing That The Client Outcomes Are Met
ANS>>>C
Evidence-Informed Nursing Practice Is A Continuous Interactive Process Involving The
Explicit, Conscientious, And Judicious Consideration Of The Best Available Evidence To
Provide Care. Four Primary Elements Are: (A) Clinical State, Setting, And
Circumstances; (B) Client Preferences And Actions; (C) Best Research Evidence, And
(D) Health Care Resources. Clinical Judgement Based On The Nurse’s Clinical
Experience Is Part Of EIP, But Clinical Decision Making Also Should Incorporate
Current Research And Research-Based Guidelines. Evidence From One Clinical Research
Study Does Not Provide An Adequate Substantiation For Interventions. Evaluation Of
Client Outcomes Is Important, But Interventions Should Be Based On Research From
Randomized Control Studies With A Large Number Of Subjects.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
,
, MSC: NCLEX: Safe And Effective Care Environment
3. Which Of The Following Best Explains The Nurses’ Primary Use Of The Nursing
Process When Providing Care To Clients?
a. To Explain Nursing Interventions To Other Health Care Professionals
b. As A Problem-Solving Tool To Identify And Treat Clients’ Health Care Needs
c. As A Scientific-Based Process Of Diagnosing The Client’s Health Care Problems
d. To Establish Nursing Theory That Incorporates The Biopsychosocial Nature Of Humans
ANS>>>B
The Nursing Process Is An Assertive Problem-Solving Approach To The Identification
And Treatment Of Clients’ Problems. Diagnosis Is Only One Phase Of The Nursing
Process. The Primary Use Of The Nursing Process Is In Client Care, Not To Establish
Nursing Theory Or Explain Nursing Interventions To Other Health Care Professionals.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
MSC: NCLEX: Safe And Effective Care Environment
4. The Nurse Is Caring For A Critically Ill Client In The Intensive Care Unit And Plans An
Every-2-Hour Turning Schedule To Prevent Skin Breakdown. Which Type Of Nursing
Function Is Demonstrated With This Turning Schedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS>>>D
When Implementing Collaborative Nursing Actions, The Nurse Is Responsible Primarily
For Monitoring For Complications Of Acute Illness Or Providing Care To Prevent Or
Treat Complications. Independent Nursing Actions Are Focused On Health Promotion,
Illness Prevention, And Client Advocacy. A Dependent Action Would Require A
Physician Order To Implement. Cooperative Nursing Functions Are Not Described As
One Of The Formal Nursing Functions.
DIF: Cognitive Level: Application TOP: Nursing Process: Implementation
MSC: NCLEX: Safe And Effective Care Environment
5. The Nurse Is Caring For A Client Who Has Been Admitted To The Hospital For Surgery
And Tells The Nurse, “I Do Not Feel Right About Leaving My Children With My
Neighbour.” Which Action Should The Nurse Take Next?
a. Reassure The Client That These Feelings Are Common For Parents.
b. Have The Client Call The Children To Ensure That They Are Doing Well.
c. Call The Neighbour To Determine Whether Adequate Childcare Is Being Provided.
d. Gather More Data About The Client’s Feelings About The Childcare Arrangements.
ANS>>>D
Since A Complete Assessment Is Necessary In Order To Identify A Problem And Choose
An Appropriate Intervention, The Nurse’s First Action Should Be To Obtain More
Information. The Other Actions May Be Appropriate, But More Assessment Is Needed
Before The Best Intervention Can Be Chosen.
DIF: Cognitive Level: Application TOP: Nursing Process: Assessment
Sharon L. Lewis; Margaret Mclean Heitkemper; Linda
Bucher 9781771720489 Chapter 1-72 Complete Guide.
4th Edition
,Section One – Concepts In Nursing Practice
Chapter 01: Introduction To Medical-Surgical Nursing Practice In Canada
Lewis: Medical-Surgical Nursing In Canada, 4th Canadian Edition
MULTIPLE CHOICE
1. The Nurse Is Caring For A Client With A New Diagnosis Of Pneumonia And Explains
To The Client That Together They Will Plan The Client’s Care And Set Goals For
Discharge. The Client Asks, “How Is That Different From What The Doctor Does?”
Which Response By The Nurse Is Most Appropriate?
a. “The Role Of The Nurse Is To Administer Medications And Other Treatments
Prescribed By Your Doctor.”
b. “The Nurse’s Job Is To Help The Doctor By Collecting Data And Communicating
When There Are Problems.”
c. “Nurses Perform Many Of The Procedures Done By Physicians, But Nurses Are
Here In The Hospital For A Longer Time Than Doctors.”
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 Canadian Nurses Association (CNA) Definition Of
Nursing. Registered Nurses Are Self-Regulated Health Care Professionals Who Work
Autonomously And In Collaboration With Others. Rns Enable Individuals, Families,
Groups, Communities And Populations To Achieve Their Optimal Level Of Health. Rns
Coordinate Health Care, Deliver Direct Services, And Support Clients In Their Self-Care
Decisions And Actions In Situations Of Health, Illness, Injury, And Disability In All
Stages Of Life. The Other Responses Describe Some Of The Dependent And
Collaborative Functions Of The Nursing Role But Do Not Accurately Describe The
Nurse’s Role In The Health Care System.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
MSC: NCLEX: Safe And Effective Care Environment
2. When Caring For Clients Using Evidence-Informed Practice, Which Of The Following
Does The Nurse Use?
a. Clinical Judgement Based On Experience
b. Evidence From A Clinical Research Study
c. The Best Available Evidence To Guide Clinical Expertise
d. Evaluation Of Data Showing That The Client Outcomes Are Met
ANS>>>C
Evidence-Informed Nursing Practice Is A Continuous Interactive Process Involving The
Explicit, Conscientious, And Judicious Consideration Of The Best Available Evidence To
Provide Care. Four Primary Elements Are: (A) Clinical State, Setting, And
Circumstances; (B) Client Preferences And Actions; (C) Best Research Evidence, And
(D) Health Care Resources. Clinical Judgement Based On The Nurse’s Clinical
Experience Is Part Of EIP, But Clinical Decision Making Also Should Incorporate
Current Research And Research-Based Guidelines. Evidence From One Clinical Research
Study Does Not Provide An Adequate Substantiation For Interventions. Evaluation Of
Client Outcomes Is Important, But Interventions Should Be Based On Research From
Randomized Control Studies With A Large Number Of Subjects.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
,
, MSC: NCLEX: Safe And Effective Care Environment
3. Which Of The Following Best Explains The Nurses’ Primary Use Of The Nursing
Process When Providing Care To Clients?
a. To Explain Nursing Interventions To Other Health Care Professionals
b. As A Problem-Solving Tool To Identify And Treat Clients’ Health Care Needs
c. As A Scientific-Based Process Of Diagnosing The Client’s Health Care Problems
d. To Establish Nursing Theory That Incorporates The Biopsychosocial Nature Of Humans
ANS>>>B
The Nursing Process Is An Assertive Problem-Solving Approach To The Identification
And Treatment Of Clients’ Problems. Diagnosis Is Only One Phase Of The Nursing
Process. The Primary Use Of The Nursing Process Is In Client Care, Not To Establish
Nursing Theory Or Explain Nursing Interventions To Other Health Care Professionals.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
MSC: NCLEX: Safe And Effective Care Environment
4. The Nurse Is Caring For A Critically Ill Client In The Intensive Care Unit And Plans An
Every-2-Hour Turning Schedule To Prevent Skin Breakdown. Which Type Of Nursing
Function Is Demonstrated With This Turning Schedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS>>>D
When Implementing Collaborative Nursing Actions, The Nurse Is Responsible Primarily
For Monitoring For Complications Of Acute Illness Or Providing Care To Prevent Or
Treat Complications. Independent Nursing Actions Are Focused On Health Promotion,
Illness Prevention, And Client Advocacy. A Dependent Action Would Require A
Physician Order To Implement. Cooperative Nursing Functions Are Not Described As
One Of The Formal Nursing Functions.
DIF: Cognitive Level: Application TOP: Nursing Process: Implementation
MSC: NCLEX: Safe And Effective Care Environment
5. The Nurse Is Caring For A Client Who Has Been Admitted To The Hospital For Surgery
And Tells The Nurse, “I Do Not Feel Right About Leaving My Children With My
Neighbour.” Which Action Should The Nurse Take Next?
a. Reassure The Client That These Feelings Are Common For Parents.
b. Have The Client Call The Children To Ensure That They Are Doing Well.
c. Call The Neighbour To Determine Whether Adequate Childcare Is Being Provided.
d. Gather More Data About The Client’s Feelings About The Childcare Arrangements.
ANS>>>D
Since A Complete Assessment Is Necessary In Order To Identify A Problem And Choose
An Appropriate Intervention, The Nurse’s First Action Should Be To Obtain More
Information. The Other Actions May Be Appropriate, But More Assessment Is Needed
Before The Best Intervention Can Be Chosen.
DIF: Cognitive Level: Application TOP: Nursing Process: Assessment
