Med C
g
,Med C
g
, hapter 01: Professional NursingTest Bank
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MULTIPLE CHOICE g
1. The nurse teaches a student nurse about how to apply the nursing process when providing patient
g g g g g g g g g g g g g g g
care. Which statement, if made by the student nurse, indicates that teaching was
g g g g g g g g g g g g g
gsuccessful?
a. The nursing process is a scientific-based method of diagnosing the patients health care
g g g g g g g g g g g g
problems.
g
b. The nursing process is a problem-solving tool used to identify and treat patients health care
g g g g g g g g g g g g g g
needs.
g
c. The nursing process is based on nursing theory that incorporates the biopsychosocial
g g g g g g g g g g g
nature of humans.
g g g
d. The nursing process is used primarily to explain nursing interventions to other health
g g g g g g g g g g g g
care professionals.
g g
ANS: B g
The nursing process is a problem-solving approach to the identification and treatment of patients
g g g g g g g g g g g g g
problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing process is
g g g g g g g g g g g g g g g g g g
gin patient care, not to establish nursing theory or explain nursing interventions to other health care
g g g g g g g g g g g g g g g
professionals.
g
DIF: Cognitive Level: Understand (comprehension)
g g g g
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
g g g g g g g g g g
2. The nurse describes to a student nurse how to use evidence-based practice guidelines when
g g g g g g g g g g g g g
caring for patients. Which statement, if made by the nurse, would be the most accurate?
g g g g g g g g g g g g g g g
a. Inferences from clinical research studies are used as a guide.
g g g g g g g g g
b. Patient care is based on clinical judgment, experience, and traditions.
g g g g g g g g g
c. Data are evaluated to show that the patient outcomes are consistently met.
g g g g g g g g g g g
d. Recommendations are based on research, clinical expertise, and patient preferences. g g g g g g g g g
ANS: D g
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
g g g g g g g g g g g g
gclinician expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but
g g g g g g g g g g g g g g
clinical decision making should also incorporate current research and research-based guidelines.
g g g g g g g g g g g
Evaluation of patient outcomes is important, but interventions should be based on research from
g g g g g g g g g g g g g g
grandomized control studies with a large number of subjects.
g g g g g g g g
DIF: Cognitive Level: Remember (knowledge)
g g g g
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
g g g g g g g g g g
Med C g
, 3. The nurse completes an admission database and explains that the plan of care and discharge goals
g g g g g g g g g g g g g g g
gwill be developed with the patients input. The patient states, How is this different from what the
g g g g g g g g g g g g g g g g
doctor does? Which response would be most appropriate for the nurse to make?
g g g g g g g g g g g g g
a. The role of the nurse is to administer medications and other treatments prescribed by your
g g g g g g g g g g g g g g
doctor.
g
b. The nurses job is to help the doctor by collecting information and communicating any
g g g g g g g g g g g g g
problems that occur.
g g g
c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients
g g g g g g g g g g g g g g g
for a longer time than the doctor.
g g g g g g g
d. In addition to caring for you while you are sick, the nurses will assist you to
g g g g g g g g g g g g g g g
gdevelop an individualized plan to maintain your health.
g g g g g g g
ANS: D g
This response is consistent with the American Nurses Association (ANA) definition of nursing, which
g g g g g g g g g g g g g
describes the role of nurses in promoting health. The other responses describe some of the dependent and
g g g g g g g g g g g g g g g g g
collaborative functions of the nursing role but do not accurately describe the nurses role in the health care
g g g g g g g g g g g g g g g g g g
system.
g
DIF: Cognitive Level: Understand (comprehension)
g g g g
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
g g g g g g g g g g
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the
g g g g g g g g g g g g g g g g g g g g
left hipWhich nursing diagnosis is most appropriate?
g g g g g g g
a. Impaired physical mobility related to left-sided paralysis g g g g g g
b. Risk for impaired tissue integrity related to left-sided weakness
g g g g g g g g
c. Impaired skin integrity related to altered circulation and pressure g g g g g g g g
d. Ineffective tissue perfusion related to inability to move g g g g g g g
gindependentlyANS: C g
The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure
g g g g g g g g g g g g g g g g
ulcer.The nurse is able to treat the cause of altered circulation and pressure by frequently repositioning
g g g g g g g g g g g g g g g g
the patient. Although left-sided weakness is a problem for the patient, the nurse cannot treat
g g g g g g g g g g g g g g g
gthe weakness. The risk fordiagnosis is not appropriate for this patient, who already has impaired tissue
g g g g g g g g g g g g g g g
integrity. The patient does have ineffective tissue perfusion, but the impaired skin integrity
g g g g g g g g g g g g g
gdiagnosis indicates more clearly what the healthproblem is.
g g g g g g g
DIF: Cognitive Level: Apply (application)
g g g g
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
g g g g g g g
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable
g g g g g g g g g g g g g g g g g g
leavingmy children with my parents. Which action should the nurse take next?
g g g g g g g g g g g g
Med C g
g
,Med C
g
, hapter 01: Professional NursingTest Bank
g g g g
MULTIPLE CHOICE g
1. The nurse teaches a student nurse about how to apply the nursing process when providing patient
g g g g g g g g g g g g g g g
care. Which statement, if made by the student nurse, indicates that teaching was
g g g g g g g g g g g g g
gsuccessful?
a. The nursing process is a scientific-based method of diagnosing the patients health care
g g g g g g g g g g g g
problems.
g
b. The nursing process is a problem-solving tool used to identify and treat patients health care
g g g g g g g g g g g g g g
needs.
g
c. The nursing process is based on nursing theory that incorporates the biopsychosocial
g g g g g g g g g g g
nature of humans.
g g g
d. The nursing process is used primarily to explain nursing interventions to other health
g g g g g g g g g g g g
care professionals.
g g
ANS: B g
The nursing process is a problem-solving approach to the identification and treatment of patients
g g g g g g g g g g g g g
problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing process is
g g g g g g g g g g g g g g g g g g
gin patient care, not to establish nursing theory or explain nursing interventions to other health care
g g g g g g g g g g g g g g g
professionals.
g
DIF: Cognitive Level: Understand (comprehension)
g g g g
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
g g g g g g g g g g
2. The nurse describes to a student nurse how to use evidence-based practice guidelines when
g g g g g g g g g g g g g
caring for patients. Which statement, if made by the nurse, would be the most accurate?
g g g g g g g g g g g g g g g
a. Inferences from clinical research studies are used as a guide.
g g g g g g g g g
b. Patient care is based on clinical judgment, experience, and traditions.
g g g g g g g g g
c. Data are evaluated to show that the patient outcomes are consistently met.
g g g g g g g g g g g
d. Recommendations are based on research, clinical expertise, and patient preferences. g g g g g g g g g
ANS: D g
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
g g g g g g g g g g g g
gclinician expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but
g g g g g g g g g g g g g g
clinical decision making should also incorporate current research and research-based guidelines.
g g g g g g g g g g g
Evaluation of patient outcomes is important, but interventions should be based on research from
g g g g g g g g g g g g g g
grandomized control studies with a large number of subjects.
g g g g g g g g
DIF: Cognitive Level: Remember (knowledge)
g g g g
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
g g g g g g g g g g
Med C g
, 3. The nurse completes an admission database and explains that the plan of care and discharge goals
g g g g g g g g g g g g g g g
gwill be developed with the patients input. The patient states, How is this different from what the
g g g g g g g g g g g g g g g g
doctor does? Which response would be most appropriate for the nurse to make?
g g g g g g g g g g g g g
a. The role of the nurse is to administer medications and other treatments prescribed by your
g g g g g g g g g g g g g g
doctor.
g
b. The nurses job is to help the doctor by collecting information and communicating any
g g g g g g g g g g g g g
problems that occur.
g g g
c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients
g g g g g g g g g g g g g g g
for a longer time than the doctor.
g g g g g g g
d. In addition to caring for you while you are sick, the nurses will assist you to
g g g g g g g g g g g g g g g
gdevelop an individualized plan to maintain your health.
g g g g g g g
ANS: D g
This response is consistent with the American Nurses Association (ANA) definition of nursing, which
g g g g g g g g g g g g g
describes the role of nurses in promoting health. The other responses describe some of the dependent and
g g g g g g g g g g g g g g g g g
collaborative functions of the nursing role but do not accurately describe the nurses role in the health care
g g g g g g g g g g g g g g g g g g
system.
g
DIF: Cognitive Level: Understand (comprehension)
g g g g
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
g g g g g g g g g g
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the
g g g g g g g g g g g g g g g g g g g g
left hipWhich nursing diagnosis is most appropriate?
g g g g g g g
a. Impaired physical mobility related to left-sided paralysis g g g g g g
b. Risk for impaired tissue integrity related to left-sided weakness
g g g g g g g g
c. Impaired skin integrity related to altered circulation and pressure g g g g g g g g
d. Ineffective tissue perfusion related to inability to move g g g g g g g
gindependentlyANS: C g
The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure
g g g g g g g g g g g g g g g g
ulcer.The nurse is able to treat the cause of altered circulation and pressure by frequently repositioning
g g g g g g g g g g g g g g g g
the patient. Although left-sided weakness is a problem for the patient, the nurse cannot treat
g g g g g g g g g g g g g g g
gthe weakness. The risk fordiagnosis is not appropriate for this patient, who already has impaired tissue
g g g g g g g g g g g g g g g
integrity. The patient does have ineffective tissue perfusion, but the impaired skin integrity
g g g g g g g g g g g g g
gdiagnosis indicates more clearly what the healthproblem is.
g g g g g g g
DIF: Cognitive Level: Apply (application)
g g g g
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
g g g g g g g
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable
g g g g g g g g g g g g g g g g g g
leavingmy children with my parents. Which action should the nurse take next?
g g g g g g g g g g g g
Med C g
