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Lewis-s Medical-Surgical Nursing Assessment and Management of Clinical Problems 11th Edition Test

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The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patient’s input. The patient asks, “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. “In addition to caring for you while you are sick, the nurses will help you plan to maintain your health.” c. “The nurse’s job is to help the doctor by collecting information and communicating any problems that occur.” d. “Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a longer time than the doctor.” ANS: B The American Nurses Association (ANA) definition of nursing describes the role of nurses in promoting health. The other responses describe dependent and collaborative functions of the nursing role but do not accurately describe the nurse’s unique role in the health care system. DIF: Cognitive Level: Analyze (analysis) 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 (EBP) when caring for patients. Which statement by the nurse accurately describes the use of EBP? a. “Inferences from all published articles are used as a guide.” b. “Patient care is based on clinical judgment, experience, and traditions.” c. “Data are analyzed later 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 and consideration of patient preferences. Clinical judgment based on the nurse’s 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 data analysis is not required to use EBP. All published articles do not provide research evidence; interventions should be based on credible research, preferably randomized controlled studies with a large number of subjects. DIF: Cognitive Level: Remember (knowledge) 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 by the student nurse indicates that teaching was successful? a. “The nursing process is a research method of diagnosing the patient’s health care problems.” b. “The nursing process is used primarily to explain nursing interventions to other

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Lewis's Medical-Surgical Nursing Assessment and Management of Clinical Problems
11th Edition Test Bank

1. Question: What is the primary purpose of the assessment phase of the
nursing process?
o Answer: To gather comprehensive data about the patient to identify health
problems and strengths.
2. Question: During which phase of the nursing process are nursing diagnoses
made?
o Answer: Diagnosis phase.
3. Question: Which term describes the specific, measurable outcomes expected
from nursing interventions?
o Answer: Patient goals.
4. Question: What is the primary focus of the implementation phase in the
nursing process?
o Answer: To execute the planned interventions to achieve the desired patient
outcomes.
5. Question: Why is ongoing evaluation important after implementing a nursing
care plan?
o Answer: To determine if the patient’s health outcomes are being met and to
make necessary adjustments to the plan.
6. Question: What is included in a well-written nursing diagnosis?
o Answer: The problem, its etiology, and defining characteristics.
7. Question: What is the purpose of the planning phase in the nursing process?
o Answer: To develop a comprehensive care plan that includes interventions
and expected outcomes.
8. Question: How should a nurse prioritize nursing diagnoses?
o Answer: By determining which issues are most critical to the patient’s safety
and wellbeing.
9. Question: What is the difference between short-term and long-term goals in
nursing care?
o Answer: Short-term goals are expected to be achieved in a short time, while
long-term goals take longer to accomplish.
10.Question: Which step follows the implementation phase in the nursing
process?

, Lewis's Medical-Surgical Nursing Assessment and Management of Clinical Problems
11th Edition Test Bank

o Answer: Evaluation phase.
Delegation and Supervision
11. Question: What factors should a nurse consider when delegating tasks to
unlicensed assistive personnel (UAP)?
o Answer: The complexity of the task, the patient’s condition, and the UAP's
training and experience.
12. Question: Which task is appropriate to delegate to a licensed
practical/vocational nurse (LPN/VN)?
o Answer: Administering medications to stable patients.
13. Question: Can a nurse delegate the task of performing a head-to-toe
assessment?
o Answer: No, that task should be performed by a registered nurse.
14. Question: What is the primary role of a nurse supervisor?
o Answer: To oversee nursing staff and ensure quality patient care delivery.
15. Question: When should a nurse intervene during a task delegated to another
nursing staff member?
o Answer: If the task is not being performed according to established protocols
or if patient safety is at risk.
Therapeutic Communication
16. Question: What communication technique involves summarizing what the
patient has said to ensure understanding?
o Answer: Reflection.
17. Question: How can a nurse create a therapeutic relationship with a patient?
o Answer: By being empathetic, respectful, and maintaining open lines of
communication.
18. Question: Why is active listening important in nursing practice?
o Answer: It helps build trust and understanding between the nurse and the
patient.
19. Question: What should a nurse do if a patient is expressing anger?
o Answer: Listen to the patient’s concerns without becoming defensive and
validate their feelings.

, Lewis's Medical-Surgical Nursing Assessment and Management of Clinical Problems
11th Edition Test Bank

20. Question: In which situation should the nurse use silence during a
conversation with a patient?
o Answer: When allowing the patient time to process information or gather their
thoughts.
Cultural Competence
21. Question: What is cultural competence in nursing care?
o Answer: The ability to understand, respect, and effectively interact with people
from diverse backgrounds.
22.Question: How can a nurse demonstrate respect for a patient’s cultural
beliefs?
o Answer: By asking the patient about their cultural practices and considering
them in the care plan.
23.Question: Why is it essential for nurses to be aware of cultural differences in
health care?
o Answer: To provide appropriate and individualized care that respects each
patient’s values and beliefs.
24. Question: What should a nurse do if a patient wants to use alternative
medicine alongside traditional treatment?
o Answer: Coordinate care and discuss how both approaches can be safely
integrated.
25. Question: What is the nurse’s responsibility when caring for a patient
from a different cultural background?
o Answer: To assess cultural needs and provide care that is sensitive to those
needs.
Evidence-Based Practice
26. Question: What is evidence-based practice (EBP) in nursing?
o Answer: A problem-solving approach to decision-making that integrates the
best available research, clinical expertise, and patient values.
27.Question: What is a key component of EBP?
o Answer: Use of standardized guidelines and protocols based on research
findings.
28. Question: Why is keeping up with current research important for
nurses?

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Subido en
12 de octubre de 2024
Número de páginas
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Escrito en
2024/2025
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