TEST BANK FOR LEWIS MEDICAL SURGICAL
n n n n n
NURSING IN CANADA n n n
4TH EDITION n n
MULTIPLE nCHOICE n:
1. The nnurse nis ncaring nfor na nclient n with n a nnew ndiagnosis nof
npneumonia nand n explains nto nthe n client nthat ntogether nthey nwill
nplan nthe nclient‘s ncare nand n set n goals nfor ndischarge. nThe nclient
nasks, n―How nis nthat ndifferent nfrom nwhat nthe ndoctor n does?‖
n Which n response n by n the n nurse n is n most n appropriate?
a. ―The nrole nof nthe nnurse nis nto nadminister nmedications nand nother
ntreatments nprescribed nby nyour ndoctor.‖
b. ―The nnurse‘s njob nis nto nhelp nthe ndoctor nby ncollecting ndata nand
ncommunicating nwhen nthere nare nproblems.‖
c. ―Nurses nperform nmany nof nthe nprocedures ndone nby nphysicians, nbut
nnurses nare nhere nin nthe nhospital nfor na nlonger n time nthan ndoctors.‖
d. ―In naddition nto ncaring nfor nyou nwhile nyou nare nsick, nthe nnurses nwill
nassist nyou nto ndevelop nan nindividualized n plan nto n maintain n your
nhealth.‖
ANS: n D
This n response n is n consistent n with n the n Canadian n Nurses n Association n (CNA)
n definition n of n nursing. nRegistered n nurses n are n self-regulated n health n care n professionals
n who n work n autonomously n and n in ncollaboration n with n others. n RNs n enable
n individuals, n families, n groups, n communities n and n populations n to nachieve n their
n optimal n level n of n health. n RNs n coordinate n health n care, n deliver n direct n services, n and
n support nclients nin n their n self-care n decisions n and nactions nin n situations n of nhealth, nillness,
n injury, n and n disability nin nall nstages n of n life. n The n other n responses n describe n some n of
n the n dependent n and n collaborative n functions n of n the nnursing n role n but n do n not
n accurately n describe n the n nurse‘s n role n in n the n health n care n system.
DIF: Cognitive nLevel: nComprehension TOP: n Nursing nProcess:
nImplementation nMSC: n NCLEX: nSafe nand nEffective nCare nEnvironment
2. When n caring n for n clients n using n evidence-informed n practice, n which n of nthe n following n does
n the n nurse n use?
a. Clinical n judgement n based n on n experience
b. Evidence n from na n clinical n research n study
c. The n best n available n evidence n to n guide n clinical n expertise
d. Evaluation n of n data n showing nthat n the n client n outcomes n are n met
ANS: n C
,Evidence-informed n nursing n practice n is n a n continuous n interactive n process n involving
n the n explicit, nconscientious, n and n judicious n consideration n of nthe n best n available
n evidence n to n provide n care. n Four n primary nelements n are: n (a) n clinical n state, n setting,
n and n circumstances; n (b) n client n preferences n and n actions; n (c) n best nresearch n evidence,
n and n (d) n health n care n resources. n Clinical n judgement n based n on n the n nurse‘s n clinical
nexperience n is n part n of n EIP, n but n clinical n decision n making n also n should n incorporate
n current n research n and nresearch-based n guidelines. n Evidence n from n one n clinical
n research n study n does n not n provide n an n adequate nsubstantiation n for n interventions.
n Evaluation n of n client n outcomes nis nimportant, n but ninterventions n should n be nbased n on
n research n from n randomized n control n studies n with n a n large n number n of n subjects.
, DIF: Cognitive nLevel: nComprehension TOP: n Nursing nProcess:
nPlanning nMSC: n NCLEX: nSafe nand nEffective nCare nEnvironment
3. Which n of nthe nfollowing n best n explains nthe nnurses‘ n primary nuse nof nthe n nursing
n process n when n providing ncare nto nclients?
a. To n explain n nursing ninterventions n to n other n health n care n professionals
b. As na n problem-solving ntool n to n identify n and ntreat n clients‘ n health n care n needs
c. As na n scientific-based n process n of n diagnosing n the n client‘s n health n care n problems
d. To n establish n nursing n theory n that n incorporates n the n biopsychosocial n nature n of n humans
ANS: n B
The n nursing n process n is n an n assertive n problem-solving n approach n to n the
n identification n and n treatment n of nclients‘ n problems. n Diagnosis n is n only n one n phase n of
n the n nursing n process. n The n primary n use n of nthe n nursing nprocess nis nin n client n care, n not
n to n establish n nursing ntheory n or n explain n nursing n interventions nto nother n health ncare
nprofessionals.
DIF: Cognitive nLevel: nComprehension TOP: n Nursing nProcess:
nImplementation nMSC: n NCLEX: nSafe nand nEffective nCare nEnvironment
4. The nnurse nis ncaring nfor na ncritically nill nclient nin nthe nintensive ncare nunit nand nplans nan nevery-
2-hour nturning nschedule nto nprevent nskin nbreakdown. nWhich ntype nof nnursing nfunction nis
ndemonstrated nwith nthis nturning nschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: n D
When n implementing n collaborative n nursing n actions, n the n nurse n is n responsible
n primarily n for n monitoring nfor n complications n of n acute n illness n or n providing n care n to
n prevent n or n treat n complications. n Independent nnursing nactions nare nfocused n on n health
n promotion, nillness nprevention, n and n client nadvocacy. n A n dependent naction n would
n require n a n physician n order n to n implement. n Cooperative n nursing n functions n are n not
n described nas none n of nthe nformal nnursing nfunctions.
DIF: Cognitive nLevel: nApplication TOP: n Nursing nProcess:
nImplementation nMSC: n NCLEX: nSafe nand nEffective nCare nEnvironment
5. The nnurse nis ncaring nfor na nclient n who nhas nbeen nadmitted nto nthe nhospital nfor nsurgery nand
ntells nthe nnurse, n―I ndo n not n feel n right n about n leaving n my n children n with n my
n neighbour.‖ n Which n action n should n the n nurse n take nnext?
a. Reassure n the n client n that n these n feelings n are n common n for n parents.
b. Have n the n client n call n the n children nto n ensure n that nthey n are n doing n well.
c. Call n the n neighbour n to n determine n whether n adequate n childcare nis n being n provided.
d. Gather n more n data n about n the n client‘s n feelings n about n the n childcare n arrangements.
ANS: n D
Since n a n complete n assessment n is n necessary n in n order n to n identify n a n problem n and
n choose n an n appropriate nintervention, n the nnurse‘s nfirst naction n should n be nto n obtain n more
, information. nThe nother n actions n may n be nappropriate, n but n more n assessment n is n needed
n
nbefore n the n best n intervention n can n be n chosen.
n n n n n
NURSING IN CANADA n n n
4TH EDITION n n
MULTIPLE nCHOICE n:
1. The nnurse nis ncaring nfor na nclient n with n a nnew ndiagnosis nof
npneumonia nand n explains nto nthe n client nthat ntogether nthey nwill
nplan nthe nclient‘s ncare nand n set n goals nfor ndischarge. nThe nclient
nasks, n―How nis nthat ndifferent nfrom nwhat nthe ndoctor n does?‖
n Which n response n by n the n nurse n is n most n appropriate?
a. ―The nrole nof nthe nnurse nis nto nadminister nmedications nand nother
ntreatments nprescribed nby nyour ndoctor.‖
b. ―The nnurse‘s njob nis nto nhelp nthe ndoctor nby ncollecting ndata nand
ncommunicating nwhen nthere nare nproblems.‖
c. ―Nurses nperform nmany nof nthe nprocedures ndone nby nphysicians, nbut
nnurses nare nhere nin nthe nhospital nfor na nlonger n time nthan ndoctors.‖
d. ―In naddition nto ncaring nfor nyou nwhile nyou nare nsick, nthe nnurses nwill
nassist nyou nto ndevelop nan nindividualized n plan nto n maintain n your
nhealth.‖
ANS: n D
This n response n is n consistent n with n the n Canadian n Nurses n Association n (CNA)
n definition n of n nursing. nRegistered n nurses n are n self-regulated n health n care n professionals
n who n work n autonomously n and n in ncollaboration n with n others. n RNs n enable
n individuals, n families, n groups, n communities n and n populations n to nachieve n their
n optimal n level n of n health. n RNs n coordinate n health n care, n deliver n direct n services, n and
n support nclients nin n their n self-care n decisions n and nactions nin n situations n of nhealth, nillness,
n injury, n and n disability nin nall nstages n of n life. n The n other n responses n describe n some n of
n the n dependent n and n collaborative n functions n of n the nnursing n role n but n do n not
n accurately n describe n the n nurse‘s n role n in n the n health n care n system.
DIF: Cognitive nLevel: nComprehension TOP: n Nursing nProcess:
nImplementation nMSC: n NCLEX: nSafe nand nEffective nCare nEnvironment
2. When n caring n for n clients n using n evidence-informed n practice, n which n of nthe n following n does
n the n nurse n use?
a. Clinical n judgement n based n on n experience
b. Evidence n from na n clinical n research n study
c. The n best n available n evidence n to n guide n clinical n expertise
d. Evaluation n of n data n showing nthat n the n client n outcomes n are n met
ANS: n C
,Evidence-informed n nursing n practice n is n a n continuous n interactive n process n involving
n the n explicit, nconscientious, n and n judicious n consideration n of nthe n best n available
n evidence n to n provide n care. n Four n primary nelements n are: n (a) n clinical n state, n setting,
n and n circumstances; n (b) n client n preferences n and n actions; n (c) n best nresearch n evidence,
n and n (d) n health n care n resources. n Clinical n judgement n based n on n the n nurse‘s n clinical
nexperience n is n part n of n EIP, n but n clinical n decision n making n also n should n incorporate
n current n research n and nresearch-based n guidelines. n Evidence n from n one n clinical
n research n study n does n not n provide n an n adequate nsubstantiation n for n interventions.
n Evaluation n of n client n outcomes nis nimportant, n but ninterventions n should n be nbased n on
n research n from n randomized n control n studies n with n a n large n number n of n subjects.
, DIF: Cognitive nLevel: nComprehension TOP: n Nursing nProcess:
nPlanning nMSC: n NCLEX: nSafe nand nEffective nCare nEnvironment
3. Which n of nthe nfollowing n best n explains nthe nnurses‘ n primary nuse nof nthe n nursing
n process n when n providing ncare nto nclients?
a. To n explain n nursing ninterventions n to n other n health n care n professionals
b. As na n problem-solving ntool n to n identify n and ntreat n clients‘ n health n care n needs
c. As na n scientific-based n process n of n diagnosing n the n client‘s n health n care n problems
d. To n establish n nursing n theory n that n incorporates n the n biopsychosocial n nature n of n humans
ANS: n B
The n nursing n process n is n an n assertive n problem-solving n approach n to n the
n identification n and n treatment n of nclients‘ n problems. n Diagnosis n is n only n one n phase n of
n the n nursing n process. n The n primary n use n of nthe n nursing nprocess nis nin n client n care, n not
n to n establish n nursing ntheory n or n explain n nursing n interventions nto nother n health ncare
nprofessionals.
DIF: Cognitive nLevel: nComprehension TOP: n Nursing nProcess:
nImplementation nMSC: n NCLEX: nSafe nand nEffective nCare nEnvironment
4. The nnurse nis ncaring nfor na ncritically nill nclient nin nthe nintensive ncare nunit nand nplans nan nevery-
2-hour nturning nschedule nto nprevent nskin nbreakdown. nWhich ntype nof nnursing nfunction nis
ndemonstrated nwith nthis nturning nschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: n D
When n implementing n collaborative n nursing n actions, n the n nurse n is n responsible
n primarily n for n monitoring nfor n complications n of n acute n illness n or n providing n care n to
n prevent n or n treat n complications. n Independent nnursing nactions nare nfocused n on n health
n promotion, nillness nprevention, n and n client nadvocacy. n A n dependent naction n would
n require n a n physician n order n to n implement. n Cooperative n nursing n functions n are n not
n described nas none n of nthe nformal nnursing nfunctions.
DIF: Cognitive nLevel: nApplication TOP: n Nursing nProcess:
nImplementation nMSC: n NCLEX: nSafe nand nEffective nCare nEnvironment
5. The nnurse nis ncaring nfor na nclient n who nhas nbeen nadmitted nto nthe nhospital nfor nsurgery nand
ntells nthe nnurse, n―I ndo n not n feel n right n about n leaving n my n children n with n my
n neighbour.‖ n Which n action n should n the n nurse n take nnext?
a. Reassure n the n client n that n these n feelings n are n common n for n parents.
b. Have n the n client n call n the n children nto n ensure n that nthey n are n doing n well.
c. Call n the n neighbour n to n determine n whether n adequate n childcare nis n being n provided.
d. Gather n more n data n about n the n client‘s n feelings n about n the n childcare n arrangements.
ANS: n D
Since n a n complete n assessment n is n necessary n in n order n to n identify n a n problem n and
n choose n an n appropriate nintervention, n the nnurse‘s nfirst naction n should n be nto n obtain n more
, information. nThe nother n actions n may n be nappropriate, n but n more n assessment n is n needed
n
nbefore n the n best n intervention n can n be n chosen.
