TEST BANK
LeMone and Burke's Medical-Surgical Nursing: Clinical Reasoning in Patient Care
Paula Gubrud
7th Edition
Chapter 1-46 (Rationalized Answers)
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,Table of Contents
Unit 1: Dimensions of Medical-Surgical Nursing
1. Medical-Surgical Nursing in the 21st Century
2. Health and Illness in Adults
Unit 2: Alterations in Patterns of Health
3. Nursing Care of the Patient with Alterations of Sleep
4. Nursing Care of the Patient Having Surgery
5. Palliative Care and End-of-Life Care
6. Nursing Care of Patients with Substance Use Disorders
7. Nursing Care of Patients Experiencing Violence, Trauma, and Disasters
Unit 3: Pathophysiology and Patterns of Health
8. Genetic Implications for Nursing Care of Adults
9. Nursing Care of Patients in Pain
10. Nursing Care of Patients with Altered Fluid, Electrolyte, and Acid-Base Balance
11. Nursing Care of Patients Experiencing Trauma and Shock
12. Nursing Care of Patients with Infections
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13. Nursing Care of Patients with Altered Immunity
14. Nursing Care of Patients with Cancer
Unit 4: Responses to Altered Integumentary Structure and Function
15. Assessment of the Integumentary System
16. Nursing Care of Patients with Integumentary Disorders
17. Nursing Care of Patients with Burns
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Unit 5: Responses to Altered Endocrine Function
18. Assessment of the Endocrine System
19. Nursing Care of Patients with Endocrine Disorders
FD
20. Nursing Care of Patients with Diabetes Mellitus
Unit 6: Responses to Altered Gastrointestinal Function
21. Assessment of the Gastrointestinal System
22. Nursing Care of Patients with Nutritional Disorders
23. Nursing Care of Patients with Upper Gastrointestinal Disorders
24. Nursing Care of Patients with Bowel Disorders
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25. Nursing Care of Patients with Gallbladder, Liver, and Pancreatic Disorders
Unit 7: Responses to Altered Urinary Function
26. Assessment of the Renal and Urinary Systems
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27. Nursing Care of Patients with Urinary Tract Disorders
28. Nursing Care of Patients with Kidney Disorders
Unit 8: Responses to Altered Cardiovascular and Lymphatic Function
29. Assessment of the Cardiovascular and Lymphatic Systems
30. Nursing Care of Patients with Coronary Heart Disease
31. Nursing Care of Patients with Cardiac Disorders
32. Nursing Care of Patients with Vascular Disorders
Unit 9: Responses to Altered Respiratory Function
33. Assessment of the Respiratory System
34. Nursing Care of Patients with Upper Respiratory Disorders
35. Nursing Care of Patients with Lower Respiratory Disorders
Unit 10: Responses to Altered Hematologic Function
36. Assessment of the Hematologic System
37. Nursing Care of Patients with Hematologic Disorders
Unit 11: Responses to Altered Musculoskeletal Function
38. Assessment of the Musculoskeletal System
39. Nursing Care of Patients with Musculoskeletal Disorders
Unit 12: Responses to Altered Neurologic Function
40. Assessment of the Neurologic System
,41. Nursing Care of Patients with Neurologic Disorders
Unit 13: Responses to Altered Sensory Function
42. Assessment of Sensory Function
43. Nursing Care of Patients with Visual and Auditory Disorders
Unit 14: Responses to Altered Reproductive and Genitourinary Function
44. Assessment of Reproductive Function
45. Nursing Care of Patients with Female Reproductive Disorders
46. Nursing Care of Patients with Male Reproductive Disorders
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O
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, Chapter 1
Question 1
Type: MCSA
The nurse is instructing a patient on the role of diet, exercise, and medication to control type 2 diabetes mellitus.
Which core competency for healthcare professionals is the nurse implementing?
1. Quality improvement
2. Evidence-based practice
3. Patient-centered care
4. Teamwork and collaboration
PR
Correct Answer: 3
Rationale 1: Identifying safety hazards and measuring quality is an example of the core competency quality
improvement.
O
Rationale 2: Using best research when providing patient care is an example of the core competency evidence-
based practice.
FD
Rationale 3: The nurse instructing the patient is an example of the competency patient-centered care.
Rationale 4: The core competency teamwork and collaboration involves collaboration between disciplines to
provide continuous and reliable care.
O
Global Rationale: In 2003, the National Academy of Sciences proposed a set of five core competencies that all
healthcare professionals should possess to meet the needs of the 21st century. The nurse instructing the patient is
an example of the competency patient-centered care. Identifying safety hazards and measuring quality are
C
examples of the core competency quality improvement. Using best research when providing patient care is an
example of the core competency evidence-based practice. Collaboration between disciplines to provide
continuous and reliable care is an example of the core competency teamwork and collaboration.
Cognitive Level: Applying
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage,
age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in
their care
NLN Competencies: Relationship Centered Care: Learn cooperatively, facilitate the learning of others
Nursing/Integrated Concepts: Nursing Process: Implementation
LeMone and Burke's Medical-Surgical Nursing: Clinical Reasoning in Patient Care
Paula Gubrud
7th Edition
Chapter 1-46 (Rationalized Answers)
PR
O
FD
O
C
,Table of Contents
Unit 1: Dimensions of Medical-Surgical Nursing
1. Medical-Surgical Nursing in the 21st Century
2. Health and Illness in Adults
Unit 2: Alterations in Patterns of Health
3. Nursing Care of the Patient with Alterations of Sleep
4. Nursing Care of the Patient Having Surgery
5. Palliative Care and End-of-Life Care
6. Nursing Care of Patients with Substance Use Disorders
7. Nursing Care of Patients Experiencing Violence, Trauma, and Disasters
Unit 3: Pathophysiology and Patterns of Health
8. Genetic Implications for Nursing Care of Adults
9. Nursing Care of Patients in Pain
10. Nursing Care of Patients with Altered Fluid, Electrolyte, and Acid-Base Balance
11. Nursing Care of Patients Experiencing Trauma and Shock
12. Nursing Care of Patients with Infections
PR
13. Nursing Care of Patients with Altered Immunity
14. Nursing Care of Patients with Cancer
Unit 4: Responses to Altered Integumentary Structure and Function
15. Assessment of the Integumentary System
16. Nursing Care of Patients with Integumentary Disorders
17. Nursing Care of Patients with Burns
O
Unit 5: Responses to Altered Endocrine Function
18. Assessment of the Endocrine System
19. Nursing Care of Patients with Endocrine Disorders
FD
20. Nursing Care of Patients with Diabetes Mellitus
Unit 6: Responses to Altered Gastrointestinal Function
21. Assessment of the Gastrointestinal System
22. Nursing Care of Patients with Nutritional Disorders
23. Nursing Care of Patients with Upper Gastrointestinal Disorders
24. Nursing Care of Patients with Bowel Disorders
O
25. Nursing Care of Patients with Gallbladder, Liver, and Pancreatic Disorders
Unit 7: Responses to Altered Urinary Function
26. Assessment of the Renal and Urinary Systems
C
27. Nursing Care of Patients with Urinary Tract Disorders
28. Nursing Care of Patients with Kidney Disorders
Unit 8: Responses to Altered Cardiovascular and Lymphatic Function
29. Assessment of the Cardiovascular and Lymphatic Systems
30. Nursing Care of Patients with Coronary Heart Disease
31. Nursing Care of Patients with Cardiac Disorders
32. Nursing Care of Patients with Vascular Disorders
Unit 9: Responses to Altered Respiratory Function
33. Assessment of the Respiratory System
34. Nursing Care of Patients with Upper Respiratory Disorders
35. Nursing Care of Patients with Lower Respiratory Disorders
Unit 10: Responses to Altered Hematologic Function
36. Assessment of the Hematologic System
37. Nursing Care of Patients with Hematologic Disorders
Unit 11: Responses to Altered Musculoskeletal Function
38. Assessment of the Musculoskeletal System
39. Nursing Care of Patients with Musculoskeletal Disorders
Unit 12: Responses to Altered Neurologic Function
40. Assessment of the Neurologic System
,41. Nursing Care of Patients with Neurologic Disorders
Unit 13: Responses to Altered Sensory Function
42. Assessment of Sensory Function
43. Nursing Care of Patients with Visual and Auditory Disorders
Unit 14: Responses to Altered Reproductive and Genitourinary Function
44. Assessment of Reproductive Function
45. Nursing Care of Patients with Female Reproductive Disorders
46. Nursing Care of Patients with Male Reproductive Disorders
PR
O
FD
O
C
, Chapter 1
Question 1
Type: MCSA
The nurse is instructing a patient on the role of diet, exercise, and medication to control type 2 diabetes mellitus.
Which core competency for healthcare professionals is the nurse implementing?
1. Quality improvement
2. Evidence-based practice
3. Patient-centered care
4. Teamwork and collaboration
PR
Correct Answer: 3
Rationale 1: Identifying safety hazards and measuring quality is an example of the core competency quality
improvement.
O
Rationale 2: Using best research when providing patient care is an example of the core competency evidence-
based practice.
FD
Rationale 3: The nurse instructing the patient is an example of the competency patient-centered care.
Rationale 4: The core competency teamwork and collaboration involves collaboration between disciplines to
provide continuous and reliable care.
O
Global Rationale: In 2003, the National Academy of Sciences proposed a set of five core competencies that all
healthcare professionals should possess to meet the needs of the 21st century. The nurse instructing the patient is
an example of the competency patient-centered care. Identifying safety hazards and measuring quality are
C
examples of the core competency quality improvement. Using best research when providing patient care is an
example of the core competency evidence-based practice. Collaboration between disciplines to provide
continuous and reliable care is an example of the core competency teamwork and collaboration.
Cognitive Level: Applying
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage,
age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in
their care
NLN Competencies: Relationship Centered Care: Learn cooperatively, facilitate the learning of others
Nursing/Integrated Concepts: Nursing Process: Implementation
