TEST BANK for Medical-Surgical Nursing in Canada: Assessment and Management of Clinical Problems 3rd Canadian Edition by Lewis Sharon , Heitkemper Margaret, Dirksen Shannon. A+

LewisXMedical-
SurgicalXNursingXinXCanadaX4thXEditionXTestXBank




ChapterX01:XIntroductionXtoXMedical-
SurgicalXNursingXPracticeXinXCanadaXLewis:XMedical-
SurgicalXNursingXinXCanada,X4thXCanadianXEdition


MULTIPLEXCHOICEX:

1. TheXnurseXisXcaringXforXaXclientXwithXaXnewXdiagnosisXofXpneumon
iaXandXexplainsXtoXtheXclientXthatXtogetherXtheyXwillXplanXtheXclient
’sXcareXandXsetXgoalsXforXdischarge.XTheXclientXasks,X“HowXisXthatX
differentXfromXwhatXtheXdoctorXdoes?”XWhichXresponseXbyXtheXnurs
eXisXmostXappropriate?



a. “TheXroleXofXtheXnurseXisXtoXadministerX medicationsXandXotherXtreatmentsXpres
cribed
byXyourXdoctor.”
b. “TheXnurse’sXjobXisXtoXhelpXtheXdoctorXbyXcollectingXdataXandXcommunicating
XwhenXthereXareXproblems.”
c. “NursesXperformXmanyXofXtheXproceduresXdoneXbyXphysicians,XbutXnursesXareX
hereXin
theXhospitalXforXaXlongerXtimeXthanXdoctors.”
d. “InXadditionXtoXcaringXforXyouXwhileXyouXareXsick,XtheXnursesXwillXassistXyou
Xto
developXanXindividualizedXplanXtoXmaintainXyourXhealth.”
ANS:X D
ThisXresponseXisXconsistentXwithXtheXCanadianXNursesXAssociationX(CNA)XdefinitionXofXnursing.X
RegisteredXnursesXareXself-
regulatedXhealthXcareXprofessionalsXwhoXworkXautonomouslyXandXinXcollaborationXwithXothers.XR
NsXenableXindividuals,Xfamilies,Xgroups,XcommunitiesXandXpopulations XtoXachieveXtheirXoptimalXle
velXofXhealth.XRNsXcoordinateXhealthXcare,XdeliverXdirectXservices,XandXsupportXclientsXinXtheirXse
lf-
careXdecisionsXandXactionsXinXsituationsXofXhealth,Xillness,Xinjury,XandXdisabilityXinXallXstagesXofXli
fe.XTheXotherXresponsesXdescribeXsomeXofXtheXdependentXandXcollaborativeXfunctionsXofXtheXnursi
ngXroleXbutXdoXnotXaccuratelyXdescribeXtheXnurse’sXroleXinXtheXhealthXcareXsystem.

DIF: CognitiveXLevel:XComprehension
TOP:X NursingXProcess:XImplementationXMSC:X NCLEX:XSafeXandXEffec
tiveXCareXEnvironment

2. WhenXcaringXforXclientsXusingXevidence-
informedXpractice,XwhichXofXtheXfollowingXdoesXtheXnurseXuse?
a. ClinicalXjudgementXbasedXonXexperience
b. EvidenceXfromXaXclinicalXresearchXstudy
c. TheXbestXavailableXevidenceXtoXguideXclinicalXexpertise
d. EvaluationXofXdataXshowingXthatXtheXclientXoutcomesXare
Xmet

ANS:X C
Evidence-
informedXnursingXpracticeXisXaXcontinuousXinteractiveXprocessXinvolvingXtheXexplicit,Xconscientio
us,XandXjudiciousXconsiderationXofXtheXbestXavailableXevidenceXtoXprovideXcare.XFourXprimaryXel

,LewisXMedical-
SurgicalXNursingXinXCanadaX4thXEditionXTestXBank




ementsXare:X(a)XclinicalXstate,Xsetting,XandXcircumstances;X(b)XclientXpreferencesXandXactions;X(c)
XbestXresearchXevidence,XandX(d)XhealthXcareXresources.XClinicalXjudgementXbasedXonXtheXnurse’
sXclinicalXexperienceXisXpartXofXEIP,XbutXclinicalXdecisionXmakingXalsoXshouldXincorporateXcurre
ntXresearchXandXresearch-
basedXguidelines.XEvidenceXfromXoneXclinicalXresearchXstudyXdoesXnotXprovideXanXadequateXsub
stantiationXforXinterventions.XEvaluationXofXclientXoutcomesXisXimportant,XbutXinterventionsXshoul
dXbeXbasedXonXresearchXfromXrandomizedXcontrolXstudiesXwithXaXlargeXnumberXofXsubjects.

, LewisXMedical-
SurgicalXNursingXinXCanadaX4thXEditionXTestXBank




DIF: CognitiveXLevel:XComprehension
TOP:X NursingXProcess:XPlanningXMSC:X NCLEX:XSafeXandXEffec
tiveXCareXEnvironment

3. WhichXofXtheXfollowingXbestXexplainsXtheXnurses’XprimaryXuseXofXtheXnursingXprocessXwhenX
providingXcareXtoXclients?
a. ToXexplainXnursingXinterventionsXtoXotherXhealthXcareXprofessionals
b. AsXaXproblem-solvingXtoolXtoXidentifyXandXtreatXclients’XhealthXcareXneeds
c. AsXaXscientific-basedXprocessXofXdiagnosingXtheXclient’sXhealthXcareXproblems
d. ToXestablishXnursingXtheoryXthatXincorporatesXtheXbiopsychosocialXnatureXofXhu
mans
ANS:X B
TheXnursingXprocessXisXanXassertiveXproblem-
solvingXapproachXtoXtheXidentificationXandXtreatmentXofXclients’Xproblems.XDiagnosisXisXonlyXoneX
phaseXofXtheXnursingXprocess.XTheXprimaryXuseXofXtheXnursingXprocessXisXinXclientXcare,XnotXtoXe
stablishXnursingXtheoryXorXexplainXnursingXinterventionsXtoXotherXhealthXcareXprofessionals.

DIF: CognitiveXLevel:XComprehension
TOP:X NursingXProcess:XImplementationXMSC:X NCLEX:XSafeXandXEffec
tiveXCareXEnvironment

4. TheXnurseXisXcaringXforXaXcriticallyXillXclientXinXtheXintensiveXcareXunitXandXplansXanX every-2-
hourXturningXscheduleXtoXpreventXskinXbreakdown.XWhichXtypeXofXnursingXfunctionXisXdemonstr
atedXwithXthisXturningXschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative

ANS:X D
WhenXimplementingXcollaborativeXnursingXactions,XtheXnurseXisXresponsibleXprimarilyXforXmonit
oringXforXcomplications XofXacuteXillnessXorXprovidingXcareXtoXpreventXorXtreatXcomplications.XI
ndependentXnursingXactionsXareXfocusedXonXhealthXpromotion,XillnessXprevention,XandXclientXadv
ocacy.XAXdependentXactionXwouldXrequireXaXphysicianXorderXtoXimplement.XCooperativeXnursing
XfunctionsXareXnotXdescribedXasXoneXofXtheXformalXnursingXfunctions.


DIF: CognitiveXLevel:XApplication
TOP:X NursingXProcess:XImplementationXMSC:X NCLEX:XSafeXandXEffec
tiveXCareXEnvironment

5. TheXnurseXisXcaringXforXaXclientXwhoXhasXbeenXadmittedXtoXtheXhospitalXforXsurgeryXandXtellsXt
heXnurse,X“IXdoXnotXfeelXrightXaboutXleavingXmyXchildrenXwithXmyXneighbour.”XWhichXactionX
shouldXtheXnurseXtakeXnext?
a. ReassureXtheXclientXthatXtheseXfeelingsXareXcommonXforXparents.
b. HaveXtheXclientXcallXtheXchildrenXtoXensureXthatXtheyXareXdoingXwell.
c. CallXtheXneighbourXtoXdetermineXwhetherXadequateXchildcareXisXbeingXpro
vided.
d. GatherXmoreXdataXaboutXtheXclient’sXfeelingsXaboutXtheXchildcareXarrange
ments.
ANS:X D
SinceXaXcompleteXassessmentXisXnecessaryXinXorderXtoXidentifyXaXproblemXandXchooseXanXappropr
iateXintervention,XtheXnurse’sXfirstXactionXshouldXbeXtoXobtainXmoreXinformation.XTheXotherXactions

, LewisXMedical-
SurgicalXNursingXinXCanadaX4thXEditionXTestXBank




Xmay XbeXappropriate,XbutXmoreXassessmentXisXneededXbeforeXtheXbestXinterventionXcanXbeXchosen.