LEWIS MEDICAL SURGICAL NURSING 2026
ASSESSMENT SCRIPT DETAILED RESPONSES
COMPREHENSIVE REVIEW
◉ What is the chapter learning objective regarding evidence-based
practices?
Answer: Discussing the incorporation of evidence-based practices
into medical-surgical nursing.
◉ What is the heading for the steps of evidence-based practice?
Answer: Evidence-Based Nursing Care/Box 1.3 Steps of Evidence-
Based Practice.
◉ What is the feedback regarding the nursing process not being
replaced?
Answer: The nursing process is not being replaced by the
implementation of evidence-based practice.
◉ What is the cognitive level for remembering evidence-based
practice steps?
Answer: Comprehension [Remembering].
,◉ What is the feedback regarding the strength of evidence from
randomized controlled studies?
Answer: They provide the strongest evidence to support a practice
change.
◉ What is the feedback regarding the levels of evidence?
Answer: The lower the numerical value, the greater the support for a
change in practice.
◉ What is the cognitive level for evaluating the quality of evidence?
Answer: Comprehension [Understanding].
◉ What is the feedback about the nursing process and
interprofessional team?
Answer: The nursing process is not used by all members of the
interprofessional team to plan care.
◉ What is the feedback regarding the steps of evidence-based
practice?
Answer: The steps include developing a question, searching for
evidence, evaluating quality, integrating evidence, and disseminating
findings.
◉ What is the feedback regarding the lowest level of evidence?
,Answer: Level VII is based on expert individual authorities or
committees.
◉ What is identified as Level I evidence?
Answer: A systemic review of randomized controlled studies.
◉ What is identified as Level II evidence?
Answer: Evidence from at least one randomized control study.
◉ What is identified as Level III evidence?
Answer: A quasi-experimental research study.
◉ What is identified as Level IV evidence?
Answer: Evidence from case-control or cohort studies.
◉ What level of evidence is a single descriptive research study?
Answer: Level VI.
◉ Which organization provides a standardized approach to collect
data from patients about their experiences?
Answer: Hospital Consumer Assessment of Healthcare Providers
and Systems (HCAHPS).
, ◉ What aspect of patient-centered care should the nurse manager
include for The Joint Commission (TJC) visit?
Answer: Patient participation in plan of care.
◉ What does the 'S' in the SBAR approach stand for?
Answer: The patient's current situation.
◉ Which statement should the nurse use to communicate the 'S' in
SBAR?
Answer: "The patient presented to the emergency department at
0200 with lower left abdominal pain."
◉ What statement should the nurse begin with when using the
SBAR format for change of status?
Answer: "The patient is complaining of chest pain."
◉ What does the 'A' in SBAR communication stand for?
Answer: Assessment finding by the staff nurse.
◉ What does the 'R' in SBAR communication represent?
Answer: Recommendation by the staff nurse.
ASSESSMENT SCRIPT DETAILED RESPONSES
COMPREHENSIVE REVIEW
◉ What is the chapter learning objective regarding evidence-based
practices?
Answer: Discussing the incorporation of evidence-based practices
into medical-surgical nursing.
◉ What is the heading for the steps of evidence-based practice?
Answer: Evidence-Based Nursing Care/Box 1.3 Steps of Evidence-
Based Practice.
◉ What is the feedback regarding the nursing process not being
replaced?
Answer: The nursing process is not being replaced by the
implementation of evidence-based practice.
◉ What is the cognitive level for remembering evidence-based
practice steps?
Answer: Comprehension [Remembering].
,◉ What is the feedback regarding the strength of evidence from
randomized controlled studies?
Answer: They provide the strongest evidence to support a practice
change.
◉ What is the feedback regarding the levels of evidence?
Answer: The lower the numerical value, the greater the support for a
change in practice.
◉ What is the cognitive level for evaluating the quality of evidence?
Answer: Comprehension [Understanding].
◉ What is the feedback about the nursing process and
interprofessional team?
Answer: The nursing process is not used by all members of the
interprofessional team to plan care.
◉ What is the feedback regarding the steps of evidence-based
practice?
Answer: The steps include developing a question, searching for
evidence, evaluating quality, integrating evidence, and disseminating
findings.
◉ What is the feedback regarding the lowest level of evidence?
,Answer: Level VII is based on expert individual authorities or
committees.
◉ What is identified as Level I evidence?
Answer: A systemic review of randomized controlled studies.
◉ What is identified as Level II evidence?
Answer: Evidence from at least one randomized control study.
◉ What is identified as Level III evidence?
Answer: A quasi-experimental research study.
◉ What is identified as Level IV evidence?
Answer: Evidence from case-control or cohort studies.
◉ What level of evidence is a single descriptive research study?
Answer: Level VI.
◉ Which organization provides a standardized approach to collect
data from patients about their experiences?
Answer: Hospital Consumer Assessment of Healthcare Providers
and Systems (HCAHPS).
, ◉ What aspect of patient-centered care should the nurse manager
include for The Joint Commission (TJC) visit?
Answer: Patient participation in plan of care.
◉ What does the 'S' in the SBAR approach stand for?
Answer: The patient's current situation.
◉ Which statement should the nurse use to communicate the 'S' in
SBAR?
Answer: "The patient presented to the emergency department at
0200 with lower left abdominal pain."
◉ What statement should the nurse begin with when using the
SBAR format for change of status?
Answer: "The patient is complaining of chest pain."
◉ What does the 'A' in SBAR communication stand for?
Answer: Assessment finding by the staff nurse.
◉ What does the 'R' in SBAR communication represent?
Answer: Recommendation by the staff nurse.
