Lewis's Medical-Surgical Nursing: Assessment
and Management of Clinical Problems 11th Edition
TESTBANK NEW UPDATE
Chapter 1. Professional Nursing
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and
discharge goals will be developed with the patients input. The patient states, 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. The nurses job is to help the doctor by collecting information and
communicating any problems that occur.
c. Nurses perform many of the same procedures as the doctor, but nurses
are with the patients for a longer time than the doctor.
d. In addition to caring for you while you are sick, the nurses will assist
you to develop an individualized plan to maintain your health.
ANS: D
This response is consistent with the American Nurses Association (ANA) definition
of nursing, which describes the role of nurses in promoting health. The other
,responses describe some of the dependent and collaborative functions of the nursing
role but do not accurately describe the nurses role in the health care system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
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
guidelines when caring for patients. Which statement, if made by the nurse, would be
the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently
met.
d. Recommendations are based on research, clinical expertise, and patient
preferences.
ANS: D
Evidence-based fpractice f(EBP) fis fthe fuse fof fthe fbest fresearch-based fevidence
combined fwith fclinician fexpertise. fClinical fjudgment fbased fon fthe fnurses
f
clinical fexperience fis fpart fof fEBP, fbut fclinical fdecision fmaking fshould falso
f
incorporate fcurrent fresearch fand fresearch-based fguidelines. fEvaluation fof
f
patient foutcomes fis fimportant, fbut finterventions fshould fbe fbased fon fresearch
f
from frandomized fcontrolfstudies fwith fa flarge fnumber fof fsubjects.
f
DIF: fCognitive fLevel: fRemember f(knowledge) fREF: f11
,TOP: fNursing fProcess: fPlanning fMSC: fNCLEX: fSafe fand fEffective fCare fEnvironment
3. The fnurse fteaches fa fstudent fnurse fabout fhow fto fapply fthe fnursing fprocess
when fproviding fpatient fcare. fWhich fstatement, fif fmade fby fthe fstudent fnurse,
f
indicates fthatfteaching fwas fsuccessful?
f
a. The fnursing fprocess fis fa fscientific-based fmethod fof fdiagnosing
fthefpatients fhealth fcare fproblems.
b. The fnursing fprocess fis fa fproblem-solving ftool fused fto fidentify fand
ftreatfpatients fhealth fcare fneeds.
c. The fnursing fprocess fis fbased fon fnursing ftheory fthat fincorporates
fthefbiopsychosocial fnature fof fhumans.
d. The fnursing fprocess fis fused fprimarily fto fexplain fnursing finterventions
ftofother fhealth fcare fprofessionals.
ANS: fB
The fnursing fprocess fis fa fproblem-solving fapproach fto fthe fidentification fand
treatmentfof fpatients fproblems. fDiagnosis fis fonly fone fphase fof fthe fnursing fprocess.
f
The fprimary fuse fof fthe fnursing fprocess fis fin fpatient fcare, fnot fto festablish fnursing
f
theory for fexplain fnursing finterventions fto fother fhealth fcare fprofessionals.
f
DIF: fCognitive fLevel: fUnderstand f(comprehension) fREF: f7
TOP: fNursing fProcess: fImplementation fMSC: fNCLEX: fSafe fand fEffective fCare fEnvironment
, 4. A fpatient fhas fbeen fadmitted fto fthe fhospital ffor fsurgery fand ftells fthe fnurse, fI fdo
not ffeel fcomfortable fleaving fmy fchildren fwith fmy fparents. fWhich faction fshould
f
the fnurseftake fnext?
f
a. Reassure fthe fpatient fthat fthese ffeelings fare fcommon ffor fparents.
b. Have fthe fpatient fcall fthe fchildren fto fensure fthat fthey fare fdoing fwell.
c. Gather fmore fdata fabout fthe fpatients ffeelings fabout fthe fchild-
carefarrangements.
d. Call fthe fpatients fparents fto fdetermine fwhether fadequate fchild fcare
fisfbeing fprovided.
ANS: fC
Since fa fcomplete fassessment fis fnecessary fin forder fto fidentify fa fproblem fand fchoose
anfappropriate fintervention, fthe fnurses ffirst faction fshould fbe fto fobtain fmore
f
information. fThe fother factions fmay fbe fappropriate, fbut fmore fassessment fis fneeded
f
before fthe fbest fintervention fcan fbe fchosen.
f
DIF: fCognitive fLevel: fApply f(application) fREF: f6-7
OBJ: fSpecial fQuestions: fPrioritization fTOP: fNursing fProcess: fAssessment
MSC: fNCLEX: fPsychosocial fIntegrity
5. A fpatient fwho fis fparalyzed fon fthe fleft fside fof fthe fbody fafter fa fstroke
develops fafpressure fulcer fon fthe fleft fhip. fWhich fnursing fdiagnosis fis fmost
f
appropriate?
f
and Management of Clinical Problems 11th Edition
TESTBANK NEW UPDATE
Chapter 1. Professional Nursing
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and
discharge goals will be developed with the patients input. The patient states, 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. The nurses job is to help the doctor by collecting information and
communicating any problems that occur.
c. Nurses perform many of the same procedures as the doctor, but nurses
are with the patients for a longer time than the doctor.
d. In addition to caring for you while you are sick, the nurses will assist
you to develop an individualized plan to maintain your health.
ANS: D
This response is consistent with the American Nurses Association (ANA) definition
of nursing, which describes the role of nurses in promoting health. The other
,responses describe some of the dependent and collaborative functions of the nursing
role but do not accurately describe the nurses role in the health care system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
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
guidelines when caring for patients. Which statement, if made by the nurse, would be
the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently
met.
d. Recommendations are based on research, clinical expertise, and patient
preferences.
ANS: D
Evidence-based fpractice f(EBP) fis fthe fuse fof fthe fbest fresearch-based fevidence
combined fwith fclinician fexpertise. fClinical fjudgment fbased fon fthe fnurses
f
clinical fexperience fis fpart fof fEBP, fbut fclinical fdecision fmaking fshould falso
f
incorporate fcurrent fresearch fand fresearch-based fguidelines. fEvaluation fof
f
patient foutcomes fis fimportant, fbut finterventions fshould fbe fbased fon fresearch
f
from frandomized fcontrolfstudies fwith fa flarge fnumber fof fsubjects.
f
DIF: fCognitive fLevel: fRemember f(knowledge) fREF: f11
,TOP: fNursing fProcess: fPlanning fMSC: fNCLEX: fSafe fand fEffective fCare fEnvironment
3. The fnurse fteaches fa fstudent fnurse fabout fhow fto fapply fthe fnursing fprocess
when fproviding fpatient fcare. fWhich fstatement, fif fmade fby fthe fstudent fnurse,
f
indicates fthatfteaching fwas fsuccessful?
f
a. The fnursing fprocess fis fa fscientific-based fmethod fof fdiagnosing
fthefpatients fhealth fcare fproblems.
b. The fnursing fprocess fis fa fproblem-solving ftool fused fto fidentify fand
ftreatfpatients fhealth fcare fneeds.
c. The fnursing fprocess fis fbased fon fnursing ftheory fthat fincorporates
fthefbiopsychosocial fnature fof fhumans.
d. The fnursing fprocess fis fused fprimarily fto fexplain fnursing finterventions
ftofother fhealth fcare fprofessionals.
ANS: fB
The fnursing fprocess fis fa fproblem-solving fapproach fto fthe fidentification fand
treatmentfof fpatients fproblems. fDiagnosis fis fonly fone fphase fof fthe fnursing fprocess.
f
The fprimary fuse fof fthe fnursing fprocess fis fin fpatient fcare, fnot fto festablish fnursing
f
theory for fexplain fnursing finterventions fto fother fhealth fcare fprofessionals.
f
DIF: fCognitive fLevel: fUnderstand f(comprehension) fREF: f7
TOP: fNursing fProcess: fImplementation fMSC: fNCLEX: fSafe fand fEffective fCare fEnvironment
, 4. A fpatient fhas fbeen fadmitted fto fthe fhospital ffor fsurgery fand ftells fthe fnurse, fI fdo
not ffeel fcomfortable fleaving fmy fchildren fwith fmy fparents. fWhich faction fshould
f
the fnurseftake fnext?
f
a. Reassure fthe fpatient fthat fthese ffeelings fare fcommon ffor fparents.
b. Have fthe fpatient fcall fthe fchildren fto fensure fthat fthey fare fdoing fwell.
c. Gather fmore fdata fabout fthe fpatients ffeelings fabout fthe fchild-
carefarrangements.
d. Call fthe fpatients fparents fto fdetermine fwhether fadequate fchild fcare
fisfbeing fprovided.
ANS: fC
Since fa fcomplete fassessment fis fnecessary fin forder fto fidentify fa fproblem fand fchoose
anfappropriate fintervention, fthe fnurses ffirst faction fshould fbe fto fobtain fmore
f
information. fThe fother factions fmay fbe fappropriate, fbut fmore fassessment fis fneeded
f
before fthe fbest fintervention fcan fbe fchosen.
f
DIF: fCognitive fLevel: fApply f(application) fREF: f6-7
OBJ: fSpecial fQuestions: fPrioritization fTOP: fNursing fProcess: fAssessment
MSC: fNCLEX: fPsychosocial fIntegrity
5. A fpatient fwho fis fparalyzed fon fthe fleft fside fof fthe fbody fafter fa fstroke
develops fafpressure fulcer fon fthe fleft fhip. fWhich fnursing fdiagnosis fis fmost
f
appropriate?
f
