LEWIS'S
MEDICAL-SURGICAL NURSING
ASSESSMENT &
MANAGEMENT OF CLINICAL
PROBLEMS
11TH EDITION
TESTBANK
,Chapter 1. Professional Nursing
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patients input. The patient states, How is this different from what the
doctor does? Which response would be most appropriate for the nurse to make?
a. The role of the nurse is to administer medications and other treatments prescribed by your
doctor.
b. The nurses job is to help the doctor by collecting information and communicating any problems
that occur.
c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients for
a longer time than the doctor.
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 American Nurses Association (ANA) definition of nursing, which
describes the role of nurses in promoting health. The other responses describe some of the dependent
and collaborative functions of the nursing role but do not accurately describe the nurses role in the
health care system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
,2. The nurse describes to a student nurse how to use evidence-based practice guidelines when
caring for patients. Which statement, if made by the nurse, would be the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently met.
d. Recommendations are based on research, clinical expertise, and patient preferences.
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decision
making should also incorporate current research and research-based guidelines. Evaluation of patient
outcomes is important, but interventions should be based on research from randomized control studies
with a large number of subjects.
DIF: Cognitive Level: Remember (knowledge) REF: 11
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. The nurse teaches a student nurse about how to apply the nursing process when providing
patient care. Which statement, if made by the student nurse, indicates that teaching was successful?
a. The nursing process is a scientific-based method of diagnosing the patients health care
problems.
b. The nursing process is a problem-solving tool used to identify and treat patients health care
needs.
c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of
humans.
, d. The nursing process is used primarily to explain nursing interventions to other health care
professionals.
ANS: B
The nursing process is a problem-solving approach to the identification and treatment of patients
problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing process is
in patient care, not to establish nursing theory or explain nursing interventions to other health care
professionals.
DIF: Cognitive Level: Understand (comprehension) REF: 7
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel
comfortable leaving my children with my parents. Which action should the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
c. Gather more data about the patients feelings about the child-care arrangements.
d. Call the patients parents to determine whether adequate child care is being provided.
ANS: C
Since a complete assessment is necessary in order to identify a problem and choose an appropriate
intervention, the nurses 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.
MEDICAL-SURGICAL NURSING
ASSESSMENT &
MANAGEMENT OF CLINICAL
PROBLEMS
11TH EDITION
TESTBANK
,Chapter 1. Professional Nursing
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patients input. The patient states, How is this different from what the
doctor does? Which response would be most appropriate for the nurse to make?
a. The role of the nurse is to administer medications and other treatments prescribed by your
doctor.
b. The nurses job is to help the doctor by collecting information and communicating any problems
that occur.
c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients for
a longer time than the doctor.
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 American Nurses Association (ANA) definition of nursing, which
describes the role of nurses in promoting health. The other responses describe some of the dependent
and collaborative functions of the nursing role but do not accurately describe the nurses role in the
health care system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
,2. The nurse describes to a student nurse how to use evidence-based practice guidelines when
caring for patients. Which statement, if made by the nurse, would be the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently met.
d. Recommendations are based on research, clinical expertise, and patient preferences.
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decision
making should also incorporate current research and research-based guidelines. Evaluation of patient
outcomes is important, but interventions should be based on research from randomized control studies
with a large number of subjects.
DIF: Cognitive Level: Remember (knowledge) REF: 11
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. The nurse teaches a student nurse about how to apply the nursing process when providing
patient care. Which statement, if made by the student nurse, indicates that teaching was successful?
a. The nursing process is a scientific-based method of diagnosing the patients health care
problems.
b. The nursing process is a problem-solving tool used to identify and treat patients health care
needs.
c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of
humans.
, d. The nursing process is used primarily to explain nursing interventions to other health care
professionals.
ANS: B
The nursing process is a problem-solving approach to the identification and treatment of patients
problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing process is
in patient care, not to establish nursing theory or explain nursing interventions to other health care
professionals.
DIF: Cognitive Level: Understand (comprehension) REF: 7
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel
comfortable leaving my children with my parents. Which action should the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
c. Gather more data about the patients feelings about the child-care arrangements.
d. Call the patients parents to determine whether adequate child care is being provided.
ANS: C
Since a complete assessment is necessary in order to identify a problem and choose an appropriate
intervention, the nurses 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.
