TEST BANK FOR LEWIS MEDICAL-
m m m m
SURGICAL NURSING IN CANADA 5TH E
m m m m m
DITION
,CHAPTERm01:mIntroductionmtomMedicalmSurgicalmNursingmPracticeminm
CanadamLewis:mMedical-
SurgicalmNursingminmCanada,m5thmCanadianmEdition
MULTIPLEmCHOICEm:
1. Themmedicalmattendantmismcaringm formamhospitalmclientmwithm amnewmdiagn
osismofmpneumoniamandmexplainsmtomthemhospitalmclientmthatmtogethermthe
ymwillmplanmthem hospitalmclient’smcaremandmsetmgoalsmformdischarge.mThem
hospitalmclientmasks,m“Howmismthatm differentm frommwhatmthem doctorm doe
s?”m Whichm responsem bymthemmedicalmattendantmismmostmappropriate?
a. “Themrolemofmthemmedicalmattendantmismtomadministerm medicationsmandmoth
ermtreatmentsmprescribed
bymyourm doctor.”
b. “Themmedicalmattendant’smjobmismtomhelpmthemdoctormbymcollectingmdatama
ndmcommunicatingmwhenmtheremaremproblems.”
c. “Medicalmattendantsmperformmmanymofmthemproceduresmdonembymphysicians,mbu
tm medicalmattendantsmaremheremin
them healthm centerm formam longerm timem thanm doctors.”
d. “Inmadditionmtomcaringmform youm whilemyoumaremsick,mthemmedicalmattendantsmwillmas
sistmyoumto
developm anm individualizedm planm tom maintainm yourm health.”
PRECISEmCHOICE:-D
Reasoningm:-
>>>Thism responsem ism consistentm withm them Canadianmnursesm Associationm (CNA)m definitionm ofm nursin
g.mRegisteredm medicalmattendantsm arem self-
regulatedm healthm carem professionalsm whom workm autonomouslym andminm collaborationm withm others.m RNs
m enable m individuals,m families,m groups,m communitiesm andm populationsm tomachievem theirm optimalm levelm
ofm health.m RNsm coordinatem healthm care,m deliverm directm services,m andm supportmhospitalmclientsm inmtheirm
self-
carem decisionsmandmactionsm inm situationsm ofm health,m illness,m injury,m andm disabilityminmallmstagesm ofm life.
m Them otherm responsesm describem somem ofm the m dependentm andm collaborative m functionsm ofm themnursingm r
olem butm dom notm accuratelym describem them medicalmattendant’sm rolem inm them healthm carem system.
DIF: CognitivemLevel:mComprehension TOPIC:m NursingmProcess:
ImplementationmMSC:m NCLEX:mSafemandmEffectivemCaremEnvironment
2. Whenmcaringm form hospitalmclientsmusingm evidence-
informedm practice,m whichm ofmthem followingm doesmthemmedicalmattendantmuse?
a. Clinicalm judgementm basedm onm experience
b. Evidencem fromm am clinicalmresearchm study
c. Them bestmavailablem evidencem tom guidem clinicalm expertise
d. Evaluationmofmdatamshowingmthatmthemhospitalmclientmoutc
omesmaremmet
PRECISEmCHOICE:-C
Reasoningm:->>>Evidence-
informedm nursingm practicem ism am continuousm interactivem processm involvingm them explicit,mconscientious,
m andm judiciousm considerationm ofmthem bestmavailable m evidencem tom provide m care.m Fourm primarymelement
sm are:m(a)m clinicalm state,m setting,m andm circumstances;m (b)m hospitalmclientm preferencesm andm actions;m (c)
m bestmresearchm evidence,m andm (d)m healthm carem resources.m Clinicalm judgementm basedm onm them medicalm
attendant’smclinicalm experiencem ism partm ofm EIP,m butm clinicalm decisionm makingm alsom shouldm incorporat
,em currentmresearchm andm research-
basedm guidelines.m Evidencem fromm onem clinicalm researchm studymdoesm notm providem anmadequatem substan
tiationm form interventions.m Evaluationm ofm hospitalmclientm outcomesm ism important,m butm interventionsm sho
uldm bem basedm onm researchm fromm randomizedm controlm studiesm withm am
, Largemnumbermofmsubjects.
DIF: CognitivemLevel:mComprehension TOPIC:m NursingmProcess:
PlanningmMSC:m NCLEX:mSafemandmEffectivemCaremEnvironment
3. Whichmofmthemfollowingm bestm explainsmthemmedicalmattendants’m primarymusem ofmthem nursingm proc
essmwhenmprovidingmcaremtomhospitalmclients?
a. Tomexplainm nursingm interventionsm tom otherm healthm carem professionals
b. Asmam problem-solvingm toolm tom identifym andmtreatm hospitalmclients’m healthm carem needs
c. Asmam scientific-basedm processm ofm diagnosingm them hospitalmclient’sm healthm carem problems
d. Tomestablishm nursingm theorymthatm incorporatesm them biopsychosocialm naturem ofm humans
PRECISEmCHOICE:-B
Reasoningm:->>>Them nursingm processm ism anm assertivem problem-
solvingm approachm tom them identificationm andm treatmentm ofmhospitalmclients’m problems.m Diagnosism ism onl
ym onem phasem ofm them nursingm process.m Them primarym usem ofmthem nursingmprocessm isminmhospitalmclientm ca
re,m notm tom establishm nursingmtheorymorm explainm nursingm interventionsm tomotherm healthmcaremprofessionals.
DIF: CognitivemLevel:mComprehension TOPIC:m NursingmProcess:
ImplementationmMSC:m NCLEX:mSafemandmEffectivemCaremEnvironment
4. Them medicalmattendantm ism caringm form am criticallym illm hospitalmclientm inm them intensivem caremunitm andm pla
nsm anm every-m2-
hourm turningm schedulem tom preventm skinm breakdown.m Whichm typem ofm nursingm functionm ism demonstrat
edmwithmthismturningmschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
PRECISEmCHOICE:-D
Reasoningm:-
>>>Whenm implementingm collaborativem nursingm actions,m them medicalmattendantm ism responsiblem primarilym
formmonitoringm form complicationsm ofm acutem illnessm orm providingm carem tom preventm orm treatm complications
.
Independentm nursingmactionsmaremfocusedm onmhealthmpromotion,millnessmprevention,m andmhospitalmcli
entmadvocacy.m Amdependentm actionm wouldm requiremam physicianm ordermtomimplement.m Cooperativem n
ursingmfunctionsm arem notm describedm asm onem ofm them formalm nursingm functions.
DIF: CognitivemLevel:mApplication TOPIC:m NursingmProcess:
ImplementationmMSC:m NCLEX:mSafemandmEffectivemCaremEnvironment
5. Themmedicalmattendantmismcaringmformamhospitalmclientmwhomhasmbeenmadmittedmtomthemhealthmcentermf
orm surgerymandmtellsmthemmedicalmattendant,m“Imdomnotmfeelmrightmaboutmleavingmmymchildrenmwithmm
ymneighbour.”mWhichmactionmshouldm them medicalmattendantm takem next?
a. Reassurem them hospitalmclientm thatm thesem feelingsm arem commonm form parents.
b. Havem them hospitalmclientm callm them childrenmtom ensurem thatmtheym arem doingm well.
c. Callmthem neighbourm tom determinem whetherm adequatem childcarem ism beingm provided.
d. Gatherm morem datam aboutm them hospitalmclient’sm feelingsm aboutm them childcarem arrangements.
PRECISEmCHOICE:-D
Reasoningm:-
>>>Sincem am completem assessmentm ism necessarym inm orderm tom identifym am problemm andm choosem anm approp
riatemintervention,m them medicalmattendant’smfirstmactionm shouldm bemtom obtainm moreminformation.m Them other
m actionsmmaym bem appropriate,m butm more m assessmentm ism neededm before m them bestm interventionm canm bem ch
osen.
m m m m
SURGICAL NURSING IN CANADA 5TH E
m m m m m
DITION
,CHAPTERm01:mIntroductionmtomMedicalmSurgicalmNursingmPracticeminm
CanadamLewis:mMedical-
SurgicalmNursingminmCanada,m5thmCanadianmEdition
MULTIPLEmCHOICEm:
1. Themmedicalmattendantmismcaringm formamhospitalmclientmwithm amnewmdiagn
osismofmpneumoniamandmexplainsmtomthemhospitalmclientmthatmtogethermthe
ymwillmplanmthem hospitalmclient’smcaremandmsetmgoalsmformdischarge.mThem
hospitalmclientmasks,m“Howmismthatm differentm frommwhatmthem doctorm doe
s?”m Whichm responsem bymthemmedicalmattendantmismmostmappropriate?
a. “Themrolemofmthemmedicalmattendantmismtomadministerm medicationsmandmoth
ermtreatmentsmprescribed
bymyourm doctor.”
b. “Themmedicalmattendant’smjobmismtomhelpmthemdoctormbymcollectingmdatama
ndmcommunicatingmwhenmtheremaremproblems.”
c. “Medicalmattendantsmperformmmanymofmthemproceduresmdonembymphysicians,mbu
tm medicalmattendantsmaremheremin
them healthm centerm formam longerm timem thanm doctors.”
d. “Inmadditionmtomcaringmform youm whilemyoumaremsick,mthemmedicalmattendantsmwillmas
sistmyoumto
developm anm individualizedm planm tom maintainm yourm health.”
PRECISEmCHOICE:-D
Reasoningm:-
>>>Thism responsem ism consistentm withm them Canadianmnursesm Associationm (CNA)m definitionm ofm nursin
g.mRegisteredm medicalmattendantsm arem self-
regulatedm healthm carem professionalsm whom workm autonomouslym andminm collaborationm withm others.m RNs
m enable m individuals,m families,m groups,m communitiesm andm populationsm tomachievem theirm optimalm levelm
ofm health.m RNsm coordinatem healthm care,m deliverm directm services,m andm supportmhospitalmclientsm inmtheirm
self-
carem decisionsmandmactionsm inm situationsm ofm health,m illness,m injury,m andm disabilityminmallmstagesm ofm life.
m Them otherm responsesm describem somem ofm the m dependentm andm collaborative m functionsm ofm themnursingm r
olem butm dom notm accuratelym describem them medicalmattendant’sm rolem inm them healthm carem system.
DIF: CognitivemLevel:mComprehension TOPIC:m NursingmProcess:
ImplementationmMSC:m NCLEX:mSafemandmEffectivemCaremEnvironment
2. Whenmcaringm form hospitalmclientsmusingm evidence-
informedm practice,m whichm ofmthem followingm doesmthemmedicalmattendantmuse?
a. Clinicalm judgementm basedm onm experience
b. Evidencem fromm am clinicalmresearchm study
c. Them bestmavailablem evidencem tom guidem clinicalm expertise
d. Evaluationmofmdatamshowingmthatmthemhospitalmclientmoutc
omesmaremmet
PRECISEmCHOICE:-C
Reasoningm:->>>Evidence-
informedm nursingm practicem ism am continuousm interactivem processm involvingm them explicit,mconscientious,
m andm judiciousm considerationm ofmthem bestmavailable m evidencem tom provide m care.m Fourm primarymelement
sm are:m(a)m clinicalm state,m setting,m andm circumstances;m (b)m hospitalmclientm preferencesm andm actions;m (c)
m bestmresearchm evidence,m andm (d)m healthm carem resources.m Clinicalm judgementm basedm onm them medicalm
attendant’smclinicalm experiencem ism partm ofm EIP,m butm clinicalm decisionm makingm alsom shouldm incorporat
,em currentmresearchm andm research-
basedm guidelines.m Evidencem fromm onem clinicalm researchm studymdoesm notm providem anmadequatem substan
tiationm form interventions.m Evaluationm ofm hospitalmclientm outcomesm ism important,m butm interventionsm sho
uldm bem basedm onm researchm fromm randomizedm controlm studiesm withm am
, Largemnumbermofmsubjects.
DIF: CognitivemLevel:mComprehension TOPIC:m NursingmProcess:
PlanningmMSC:m NCLEX:mSafemandmEffectivemCaremEnvironment
3. Whichmofmthemfollowingm bestm explainsmthemmedicalmattendants’m primarymusem ofmthem nursingm proc
essmwhenmprovidingmcaremtomhospitalmclients?
a. Tomexplainm nursingm interventionsm tom otherm healthm carem professionals
b. Asmam problem-solvingm toolm tom identifym andmtreatm hospitalmclients’m healthm carem needs
c. Asmam scientific-basedm processm ofm diagnosingm them hospitalmclient’sm healthm carem problems
d. Tomestablishm nursingm theorymthatm incorporatesm them biopsychosocialm naturem ofm humans
PRECISEmCHOICE:-B
Reasoningm:->>>Them nursingm processm ism anm assertivem problem-
solvingm approachm tom them identificationm andm treatmentm ofmhospitalmclients’m problems.m Diagnosism ism onl
ym onem phasem ofm them nursingm process.m Them primarym usem ofmthem nursingmprocessm isminmhospitalmclientm ca
re,m notm tom establishm nursingmtheorymorm explainm nursingm interventionsm tomotherm healthmcaremprofessionals.
DIF: CognitivemLevel:mComprehension TOPIC:m NursingmProcess:
ImplementationmMSC:m NCLEX:mSafemandmEffectivemCaremEnvironment
4. Them medicalmattendantm ism caringm form am criticallym illm hospitalmclientm inm them intensivem caremunitm andm pla
nsm anm every-m2-
hourm turningm schedulem tom preventm skinm breakdown.m Whichm typem ofm nursingm functionm ism demonstrat
edmwithmthismturningmschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
PRECISEmCHOICE:-D
Reasoningm:-
>>>Whenm implementingm collaborativem nursingm actions,m them medicalmattendantm ism responsiblem primarilym
formmonitoringm form complicationsm ofm acutem illnessm orm providingm carem tom preventm orm treatm complications
.
Independentm nursingmactionsmaremfocusedm onmhealthmpromotion,millnessmprevention,m andmhospitalmcli
entmadvocacy.m Amdependentm actionm wouldm requiremam physicianm ordermtomimplement.m Cooperativem n
ursingmfunctionsm arem notm describedm asm onem ofm them formalm nursingm functions.
DIF: CognitivemLevel:mApplication TOPIC:m NursingmProcess:
ImplementationmMSC:m NCLEX:mSafemandmEffectivemCaremEnvironment
5. Themmedicalmattendantmismcaringmformamhospitalmclientmwhomhasmbeenmadmittedmtomthemhealthmcentermf
orm surgerymandmtellsmthemmedicalmattendant,m“Imdomnotmfeelmrightmaboutmleavingmmymchildrenmwithmm
ymneighbour.”mWhichmactionmshouldm them medicalmattendantm takem next?
a. Reassurem them hospitalmclientm thatm thesem feelingsm arem commonm form parents.
b. Havem them hospitalmclientm callm them childrenmtom ensurem thatmtheym arem doingm well.
c. Callmthem neighbourm tom determinem whetherm adequatem childcarem ism beingm provided.
d. Gatherm morem datam aboutm them hospitalmclient’sm feelingsm aboutm them childcarem arrangements.
PRECISEmCHOICE:-D
Reasoningm:-
>>>Sincem am completem assessmentm ism necessarym inm orderm tom identifym am problemm andm choosem anm approp
riatemintervention,m them medicalmattendant’smfirstmactionm shouldm bemtom obtainm moreminformation.m Them other
m actionsmmaym bem appropriate,m butm more m assessmentm ism neededm before m them bestm interventionm canm bem ch
osen.
