TEST BANK FOR LEWIS'S MEDICAL-SURGICAL NURSING, 12TH EDITION BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-69 QUESTIONS AND CORRECT ANSWERS

TESTzBANKzFORzLEWIS\'SzMEDICAL-
SURGICALzNURSING,z12THzEDITIONzBYzMARIAN
NzM.zzHARDING,zJEFFREYzKWONG,zDEBRAz HAGL
ERzCHAPTERz1-
69zQUESTIONSzANDzCORRECTzzANSWERS


Chapterz01:zProfessionalzNursing
Harding:zLewis’szMedical-SurgicalzNursing,z12thzEdition


MULTIPLEzCHOICE

1. Theznursezcompleteszanzadmissionzdatabasezandzexplainszthatzthezplanzofzcarezandzdischarg
ezgoalszwillzbezdevelopedzwithzthezpatient‗szinput.zThezpatientzasks,z―Howziszthiszdifferentzfr
omzwhatzthezphysicianzdoes?‖zWhichzresponsezwouldztheznursezprovide?
a. ―Thezrolezofztheznursezisztozadministerzmedicationszandzotherztreatmentszprescribe
dzbyzyourzphysician.‖
b. ―Inzadditionztozcaringzforzyouzwhilezyouzarezsick,ztheznurseszwillzhelpzyouzplanz
tozmaintainzyourzhealth.‖
c. ―Theznurse‗szjobzisztozcollectzinformationzandzcommunicatezanyzproblemszth
atzoccurztozthezphysician.‖
d. ―Nurseszperformzmanyzofzthezsamezprocedureszaszthezphysician,zbutznursesza
rezwithzthezpatientszforzazlongerztimezthanzthezphysician.‖
ANS:z B
ThezAmericanzNurseszAssociationz(ANA)zdefinitionzofznursingzdescribeszthezrolezofznurseszi
nzpromotingzhealth.zThezotherzresponseszdescribezdependentzandzcollaborativezfunctionszofzt
heznursingzrolezbutzdoznotzaccuratelyzdescribeztheznurse‗szuniquezrolezinzthezhealthzcarezsys
tem.

DIF:z z CognitivezLevel:zAnalyzez(Analysis)
TOP:z NursingzProcess:zImplementationz z z MSC:z NCLEX:zSafezandzEffectivezCarezEnvironment

2. Whichzstatementzbyztheznursezaccuratelyzdescribesz thezusezofzevidence-basedzpracticez(EBP)?
a. ―Patientzcareziszbasedzonzclinicalzjudgment,zexperience,zandztraditions.‖
b. ―Datazarezanalyzedzlaterztozshowzthatzthezpatientzoutcomeszarezconsistentlyzmet.‖
c. ―Researchzfromzallzpublishedzarticleszarezusedzaszazguidezforzplanningzpatientzcare.‖
d. ―Recommendationszarezbasedzonzresearch,zclinicalzexpertise,zandzpatien
tzpreferences.‖
ANS:z D
Evidence-basedzpracticez(EBP)ziszthezusezofzthezbestzresearch-
basedzevidencezcombinedzwithzclinicianzexpertisezandzconsiderationzofzpatientzpreferences.z
Clinicalzjudgmentzbasedzonztheznurse‗szclinicalzexperienceziszpartzofzEBP,zbutzclinicalzdeci
sionzmakingzshouldzalsozincorporatezcurrentzresearchzandzresearch-
basedzguidelines.zEvaluationzofzpatientzoutcomesziszimportant,zbutzdatazanalysiszisznotzrequi
redztozusezEBP.zAllzpublishedzarticleszdoznotzprovidezresearchzevidence;zinterventionszshoul
dzbezbasedzonzcrediblezresearch,zpreferablyzrandomizedzcontrolledzstudieszwithzazlargeznum
berzofzsubjects.

DIF: CognitivezLevel:zUnderstandz(Comprehension)

,TOP:zNursingzProcess:zPlanningzMSC:z NCLEX:zSafezandzEffectivezCarezEnvironment

,3. Whichzstatementzbyztheznursezprovideszazclearzexplanationzofztheznursingzprocess?
a. ―Theznursingzprocessziszazresearchzmethodzofzdiagnosingzthezpatient‗szhealthzcar
ezproblems.‖
b. ―Theznursingzprocessziszusedzprimarilyztozexplainznursingzinterventionsztozoth
erzhealthzcarezprofessionals.‖
c. ―Theznursingzprocessziszazproblem-solvingztoolzusedztozidentifyzandzmanagezthe

, patients‗zhealthzcarezneeds.‖
d. ―Theznursingzprocessziszbasedzonznursingztheoryzthatzincorporateszth
ezbiopsychosocialznaturezofzhumans.‖
ANS:z C
Theznursingzprocessziszazproblem-
solvingzapproachztozthezidentificationzandztreatmentzofzpatients‗zproblems.zNursingzprocess
zdoesznotzrequirezresearchzmethodszforzdiagnosis.zThezprimaryzusezofztheznursingzprocesszisz
inzpatientzcare,znotztozestablishznursingztheoryzorzexplainznursingzinterventionsztozotherzheal
thzcarezprofessionals.

DIF: CognitivezLevel:zUnderstandz(Comprehension)
TOP:zNursingzProcess:zEvaluationzMSC:z NCLEX:zSafezandzEffectivezCarezEnvironment

4. Azpatientzadmittedztozthezhospitalzforzsurgeryztellsztheznurse,z―Izdoznotzfeelzcomfortab
lezleavingzmyzchildrenzwithzmyzparents.‖zWhichzactionzwouldztheznurseztakeznext?
a. Reassurezthezpatientzthatzthesezfeelingszarezcommonzforzparents.
b. Havezthezpatientzcallzthezchildrenztozensurezthatztheyzarezdoingzwell.
c. Gatherzinformationzonzthezpatient‗szconcernszaboutzthezchildzcarezarrangements.
d. Callzthezpatient‗szparentsztozdeterminezwhetherzadequatezchildzcareziszbein
gzprovided.
ANS:z C
Becausezazcompletezassessmentzisznecessaryzinzorderztozidentifyzazproblemzandzchoosezanza
ppropriatezintervention,ztheznurse‗szfirstzactionzshouldzbeztozobtainzmorezinformation.zThez
otherzactionszmayzbezappropriate,zbutzmorezassessmentziszneededzbeforezthezbestzinterventio
nzcanzbezchosen.

DIF: CognitivezLevel:zAnalyzez(Analysis)
TOP:z NursingzProcess:zAssessment MSC:z NCLEX:zPsychosocialzIntegrity

5. Azpatientzwithzazbacterialzinfectionziszhypovolemiczdueztozazfeverzandzexcessivezdiaphoresi
s.zWhichzexpectedzoutcomezwouldztheznursezselectzforzthiszpatient?
a. Patientzhaszazbalancedzintakezandzoutput.
b. Patient‗szbeddingziszkeptzcleanzandzfreezofzmoisture.
c. Patientzunderstandszthezneedzforzincreasedzfluidzintake.
d. Patient‗szskinzremainszcoolzandzdryzthroughoutzhospitalization.
ANS:z A
Balancedzintakezandzoutputzgiveszmeasurablezdatazshowingzresolutionzofzthezproblemzofzdefi
cientzfluidzvolume.zThezotherzstatementszwouldznotzindicatezthatzthezproblemzofzhypovolem
iazwaszresolved.

DIF: CognitivezLevel:zApplyz(Application)
TOP:zNursingzProcess:zPlanningzMSC:z NCLEX:zPhysiologicalzIntegrity

6. Whichzstatementzdescribeszthezpurposezofzthezevaluationzphasezofztheznursingzprocess?
a. Tozdocumentztheznursingzcarezplanzinzthezprogressznoteszofzthezhealthzrecord
b. Tozdeterminezifzinterventionszhavezbeenzeffectivezinzmeetingzpatientzoutcomes
c. Tozdecidezwhetherzthezpatient‗szhealthzproblemszhavezbeenzcompletelyzresolved
d. Tozestablishzifzthezpatientzagreeszthatztheznursingzcarezprovidedzwaszsatisfactory

ANS:z B