TEST BANK FOR LEWIS MEDICAL-
pp pp pp pp
SURGICAL NURSING IN CANADA 5TH
pp pp pp pp
ppEDITION
,CHAPTER 01: Introduction to Medical Surgical Nursing Practice
pp pp pp pp pp pp pp
in Canada Lewis: Medical-Surgical Nursing in Canada, 5th
pp pp pp pp pp pp pp pp
Canadian Edition
pp pp
MULTIPLE ppCHOICE pp:
1. The ppmedical ppattendant ppis ppcaring p p for ppa pphospital ppclient ppwith p p a
ppnew ppdiagnosis ppof pppneumonia ppand ppexplains ppto ppthe pphospital ppclient
ppthat pptogether ppthey ppwill ppplan ppthe p p hospital ppclient’s ppcare ppand ppset
ppgoals ppfor ppdischarge. ppThe pphospital ppclient ppasks, pp“How ppis ppthat
p p different p p from ppwhat ppthe p p doctor p p does?” p p Which p p response
p p by ppthe ppmedical ppattendant ppis ppmost ppappropriate?
a. “The pprole ppof ppthe ppmedical ppattendant ppis ppto ppadminister p p medications
ppand ppother pptreatments ppprescribed
by ppyour p p doctor.”
b. “The ppmedical ppattendant’s ppjob ppis ppto pphelp ppthe ppdoctor ppby ppcollecting
ppdata ppand ppcommunicating ppwhen ppthere ppare ppproblems.”
c. “Medical ppattendants ppperform ppmany ppof ppthe ppprocedures ppdone ppby
ppphysicians, ppbut p p medical ppattendants ppare pphere ppin
the p p health p p center p p for p p a p p longer p p time p p than p p doctors.”
d. “In ppaddition ppto ppcaring ppfor p p you p p while ppyou ppare ppsick, ppthe ppmedical
ppattendants ppwill ppassist ppyou ppto
develop p p an p p individualized p p plan p p to p p maintain p p your p p health.”
PRECISE ppCHOICE:-D
Reasoning pp:->>>This p p response p p is p p consistent p p with p p the p p Canadian ppnurses p p Association
p p (CNA) p p definition p p of p p nursing. ppRegistered p p medical ppattendants p p are p p self-regulated p p health
p p care p p professionals p p who p p work p p autonomously p p and ppin p p collaboration p p with p p others. p p RNs
p p enable p p individuals, p p families, p p groups, p p communities p p and p p populations p p to ppachieve p p their
p p optimal p p level p p of p p health. p p RNs p p coordinate p p health p p care, p p deliver p p direct p p services,
p p and p p support pphospital ppclients p p in pptheir p p self-care p p decisions ppand ppactions p p in p p situations p p of
p p health, p p illness, p p injury, p p and p p disability ppin ppall ppstages p p of p p life. p p The p p other p p responses
p p describe p p some p p of p p the p p dependent p p and p p collaborative p p functions p p of p p the ppnursing p p role
p p but p p do p p not p p accurately p p describe p p the p p medical ppattendant’s p p role p p in p p the p p health p p care
p p system.
DIF: Cognitive ppLevel: ppComprehension TOPIC: p p Nursing ppProcess:
Implementation ppMSC: p p NCLEX: ppSafe ppand ppEffective ppCare ppEnvironment
2. When ppcaring p p for p p hospital ppclients ppusing p p evidence-informed p p practice, p p which pp of ppthe
p p following p p does ppthe ppmedical ppattendant ppuse?
a. Clinical p p judgement p p based p p on p p experience
b. Evidence p p from p p a p p clinical pp research p p study
c. The p p best p p available p p evidence p p to p p guide p p clinical p p expertise
d. Evaluation ppof ppdata ppshowing ppthat ppthe pphospital ppclient
ppoutcomes ppare ppmet
PRECISE ppCHOICE:-C
Reasoning pp:->>>Evidence-informed p p nursing p p practice p p is p p a p p continuous p p interactive
p p process p p involving p p the p p explicit, ppconscientious, p p and p p judicious p p consideration p p of ppthe
p p best ppavailable p p evidence p p to p p provide p p care. p p Four p p primary ppelements p p are: pp(a) p p clinical
p p state, p p setting, p p and p p circumstances; p p (b) p p hospital ppclient p p preferences p p and p p actions; p p (c)
p p best ppresearch p p evidence, p p and p p (d) p p health p p care p p resources. p p Clinical p p judgement p p based
,p p on p p the p p medical ppattendant’s ppclinical p p experience p p is p p part p p of p p EIP, p p but p p clinical
p p decision p p making p p also p p should p p incorporate p p current ppresearch p p and p p research-based
p p guidelines. p p Evidence p p from p p one p p clinical p p research p p study ppdoes p p not p p provide p p an
ppadequate p p substantiation p p for p p interventions. p p Evaluation p p of p p hospital ppclient p p outcomes p p is
p p important, p p but p p interventions p p should p p be p p based p p on p p research p p from p p randomized
p p control p p studies p p with p p a p p large p p number p p of
, subjects.
DIF: Cognitive ppLevel: ppComprehension TOPIC: p p Nursing ppProcess:
Planning ppMSC: p p NCLEX: ppSafe ppand ppEffective ppCare ppEnvironment
3. Which ppof ppthe ppfollowing p p best p p explains ppthe ppmedical ppattendants’ p p primary ppuse p p of ppthe
p p nursing p p process ppwhen ppproviding ppcare ppto pphospital ppclients?
a. To ppexplain p p nursing p p interventions p p to p p other p p health p p care p p professionals
b. As pp a p p problem-solving p p tool p p to p p identify p p and p p treat p p hospital ppclients’ p p health p p care p p needs
c. As p p a p p scientific-based p p process p p of p p diagnosing p p the p p hospital ppclient’s p p health p p care p p problems
d. To pp establish p p nursing p p theory pp that p p incorporates p p the p p biopsychosocial p p nature p p of p p humans
PRECISE ppCHOICE:-B
Reasoning pp:->>>The p p nursing p p process p p is p p an p p assertive p p problem-solving p p approach p p to
p p the p p identification p p and p p treatment p p of pphospital ppclients’ p p problems. p p Diagnosis p p is p p only
p p one p p phase p p of p p the p p nursing p p process. p p The p p primary p p use p p of ppthe p p nursing ppprocess p p is ppin
pphospital ppclient p p care, p p not p p to p p establish p p nursing pptheory ppor p p explain p p nursing p p interventions p p to
ppother p p health ppcare ppprofessionals.
DIF: Cognitive ppLevel: ppComprehension TOPIC: p p Nursing ppProcess:
Implementation ppMSC: p p NCLEX: ppSafe ppand ppEffective ppCare ppEnvironment
4. The p p medical ppattendant p p is p p caring p p for p p a p p critically p p ill p p hospital ppclient p p in p p the p p intensive
p p care ppunit p p and p p plans p p an p p every- pp2-hour p p turning p p schedule p p to p p prevent p p skin
p p breakdown. p p Which p p type p p of p p nursing p p function p p is p p demonstrated ppwith ppthis ppturning
ppschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
PRECISE ppCHOICE:-D
Reasoning pp:->>>When p p implementing p p collaborative p p nursing p p actions, p p the p p medical ppattendant
p p is p p responsible p p primarily p p for ppmonitoring p p for p p complications p p of p p acute p p illness p p or
p p providing p p care p p to p p prevent p p or p p treat p p complications.
Independent p p nursing ppactions ppare ppfocused p p on pphealth pppromotion, ppillness ppprevention, p p and
pphospital ppclient ppadvocacy. p p A ppdependent p p action p p would p p require ppa p p physician p p order ppto
ppimplement. p p Cooperative p p nursing ppfunctions p p are p p not p p described p p as p p one p p of p p the
p p formal p p nursing p p functions.
DIF: Cognitive ppLevel: ppApplication TOPIC: p p Nursing ppProcess:
Implementation ppMSC: p p NCLEX: ppSafe ppand ppEffective ppCare ppEnvironment
5. The ppmedical ppattendant ppis ppcaring ppfor ppa pphospital ppclient ppwho pphas ppbeen ppadmitted ppto ppthe pphealth
ppcenter ppfor p p surgery ppand pptells ppthe ppmedical ppattendant, pp“I ppdo ppnot ppfeel ppright ppabout ppleaving
ppmy ppchildren ppwith ppmy ppneighbour.” ppWhich ppaction ppshould p p the p p medical ppattendant p p take
p p next?
a. Reassure p p the p p hospital ppclient p p that p p these p p feelings p p are p p common p p for p p parents.
b. Have p p the p p hospital ppclient p p call p p the p p children ppto p p ensure p p that p p they p p are p p doing p p well.
c. Call ppthe p p neighbour p p to p p determine p p whether p p adequate p p childcare p p is p p being p p provided.
d. Gather p p more p p data p p about p p the p p hospital ppclient’s p p feelings p p about p p the p p childcare p p arrangements.
PRECISE ppCHOICE:-D
Reasoning pp:->>>Since p p a p p complete p p assessment p p is p p necessary p p in p p order p p to p p identify p p a
p p problem p p and p p choose p p an p p appropriate ppintervention, p p the p p medical ppattendant’s ppfirst ppaction
p p should p p be ppto p p obtain p p more ppinformation. p p The p p other p p actions ppmay p p be p p appropriate, p p but
p p more p p assessment p p is p p needed p p before p p the p p best p p intervention p p can p p be p p chosen.
pp pp pp pp
SURGICAL NURSING IN CANADA 5TH
pp pp pp pp
ppEDITION
,CHAPTER 01: Introduction to Medical Surgical Nursing Practice
pp pp pp pp pp pp pp
in Canada Lewis: Medical-Surgical Nursing in Canada, 5th
pp pp pp pp pp pp pp pp
Canadian Edition
pp pp
MULTIPLE ppCHOICE pp:
1. The ppmedical ppattendant ppis ppcaring p p for ppa pphospital ppclient ppwith p p a
ppnew ppdiagnosis ppof pppneumonia ppand ppexplains ppto ppthe pphospital ppclient
ppthat pptogether ppthey ppwill ppplan ppthe p p hospital ppclient’s ppcare ppand ppset
ppgoals ppfor ppdischarge. ppThe pphospital ppclient ppasks, pp“How ppis ppthat
p p different p p from ppwhat ppthe p p doctor p p does?” p p Which p p response
p p by ppthe ppmedical ppattendant ppis ppmost ppappropriate?
a. “The pprole ppof ppthe ppmedical ppattendant ppis ppto ppadminister p p medications
ppand ppother pptreatments ppprescribed
by ppyour p p doctor.”
b. “The ppmedical ppattendant’s ppjob ppis ppto pphelp ppthe ppdoctor ppby ppcollecting
ppdata ppand ppcommunicating ppwhen ppthere ppare ppproblems.”
c. “Medical ppattendants ppperform ppmany ppof ppthe ppprocedures ppdone ppby
ppphysicians, ppbut p p medical ppattendants ppare pphere ppin
the p p health p p center p p for p p a p p longer p p time p p than p p doctors.”
d. “In ppaddition ppto ppcaring ppfor p p you p p while ppyou ppare ppsick, ppthe ppmedical
ppattendants ppwill ppassist ppyou ppto
develop p p an p p individualized p p plan p p to p p maintain p p your p p health.”
PRECISE ppCHOICE:-D
Reasoning pp:->>>This p p response p p is p p consistent p p with p p the p p Canadian ppnurses p p Association
p p (CNA) p p definition p p of p p nursing. ppRegistered p p medical ppattendants p p are p p self-regulated p p health
p p care p p professionals p p who p p work p p autonomously p p and ppin p p collaboration p p with p p others. p p RNs
p p enable p p individuals, p p families, p p groups, p p communities p p and p p populations p p to ppachieve p p their
p p optimal p p level p p of p p health. p p RNs p p coordinate p p health p p care, p p deliver p p direct p p services,
p p and p p support pphospital ppclients p p in pptheir p p self-care p p decisions ppand ppactions p p in p p situations p p of
p p health, p p illness, p p injury, p p and p p disability ppin ppall ppstages p p of p p life. p p The p p other p p responses
p p describe p p some p p of p p the p p dependent p p and p p collaborative p p functions p p of p p the ppnursing p p role
p p but p p do p p not p p accurately p p describe p p the p p medical ppattendant’s p p role p p in p p the p p health p p care
p p system.
DIF: Cognitive ppLevel: ppComprehension TOPIC: p p Nursing ppProcess:
Implementation ppMSC: p p NCLEX: ppSafe ppand ppEffective ppCare ppEnvironment
2. When ppcaring p p for p p hospital ppclients ppusing p p evidence-informed p p practice, p p which pp of ppthe
p p following p p does ppthe ppmedical ppattendant ppuse?
a. Clinical p p judgement p p based p p on p p experience
b. Evidence p p from p p a p p clinical pp research p p study
c. The p p best p p available p p evidence p p to p p guide p p clinical p p expertise
d. Evaluation ppof ppdata ppshowing ppthat ppthe pphospital ppclient
ppoutcomes ppare ppmet
PRECISE ppCHOICE:-C
Reasoning pp:->>>Evidence-informed p p nursing p p practice p p is p p a p p continuous p p interactive
p p process p p involving p p the p p explicit, ppconscientious, p p and p p judicious p p consideration p p of ppthe
p p best ppavailable p p evidence p p to p p provide p p care. p p Four p p primary ppelements p p are: pp(a) p p clinical
p p state, p p setting, p p and p p circumstances; p p (b) p p hospital ppclient p p preferences p p and p p actions; p p (c)
p p best ppresearch p p evidence, p p and p p (d) p p health p p care p p resources. p p Clinical p p judgement p p based
,p p on p p the p p medical ppattendant’s ppclinical p p experience p p is p p part p p of p p EIP, p p but p p clinical
p p decision p p making p p also p p should p p incorporate p p current ppresearch p p and p p research-based
p p guidelines. p p Evidence p p from p p one p p clinical p p research p p study ppdoes p p not p p provide p p an
ppadequate p p substantiation p p for p p interventions. p p Evaluation p p of p p hospital ppclient p p outcomes p p is
p p important, p p but p p interventions p p should p p be p p based p p on p p research p p from p p randomized
p p control p p studies p p with p p a p p large p p number p p of
, subjects.
DIF: Cognitive ppLevel: ppComprehension TOPIC: p p Nursing ppProcess:
Planning ppMSC: p p NCLEX: ppSafe ppand ppEffective ppCare ppEnvironment
3. Which ppof ppthe ppfollowing p p best p p explains ppthe ppmedical ppattendants’ p p primary ppuse p p of ppthe
p p nursing p p process ppwhen ppproviding ppcare ppto pphospital ppclients?
a. To ppexplain p p nursing p p interventions p p to p p other p p health p p care p p professionals
b. As pp a p p problem-solving p p tool p p to p p identify p p and p p treat p p hospital ppclients’ p p health p p care p p needs
c. As p p a p p scientific-based p p process p p of p p diagnosing p p the p p hospital ppclient’s p p health p p care p p problems
d. To pp establish p p nursing p p theory pp that p p incorporates p p the p p biopsychosocial p p nature p p of p p humans
PRECISE ppCHOICE:-B
Reasoning pp:->>>The p p nursing p p process p p is p p an p p assertive p p problem-solving p p approach p p to
p p the p p identification p p and p p treatment p p of pphospital ppclients’ p p problems. p p Diagnosis p p is p p only
p p one p p phase p p of p p the p p nursing p p process. p p The p p primary p p use p p of ppthe p p nursing ppprocess p p is ppin
pphospital ppclient p p care, p p not p p to p p establish p p nursing pptheory ppor p p explain p p nursing p p interventions p p to
ppother p p health ppcare ppprofessionals.
DIF: Cognitive ppLevel: ppComprehension TOPIC: p p Nursing ppProcess:
Implementation ppMSC: p p NCLEX: ppSafe ppand ppEffective ppCare ppEnvironment
4. The p p medical ppattendant p p is p p caring p p for p p a p p critically p p ill p p hospital ppclient p p in p p the p p intensive
p p care ppunit p p and p p plans p p an p p every- pp2-hour p p turning p p schedule p p to p p prevent p p skin
p p breakdown. p p Which p p type p p of p p nursing p p function p p is p p demonstrated ppwith ppthis ppturning
ppschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
PRECISE ppCHOICE:-D
Reasoning pp:->>>When p p implementing p p collaborative p p nursing p p actions, p p the p p medical ppattendant
p p is p p responsible p p primarily p p for ppmonitoring p p for p p complications p p of p p acute p p illness p p or
p p providing p p care p p to p p prevent p p or p p treat p p complications.
Independent p p nursing ppactions ppare ppfocused p p on pphealth pppromotion, ppillness ppprevention, p p and
pphospital ppclient ppadvocacy. p p A ppdependent p p action p p would p p require ppa p p physician p p order ppto
ppimplement. p p Cooperative p p nursing ppfunctions p p are p p not p p described p p as p p one p p of p p the
p p formal p p nursing p p functions.
DIF: Cognitive ppLevel: ppApplication TOPIC: p p Nursing ppProcess:
Implementation ppMSC: p p NCLEX: ppSafe ppand ppEffective ppCare ppEnvironment
5. The ppmedical ppattendant ppis ppcaring ppfor ppa pphospital ppclient ppwho pphas ppbeen ppadmitted ppto ppthe pphealth
ppcenter ppfor p p surgery ppand pptells ppthe ppmedical ppattendant, pp“I ppdo ppnot ppfeel ppright ppabout ppleaving
ppmy ppchildren ppwith ppmy ppneighbour.” ppWhich ppaction ppshould p p the p p medical ppattendant p p take
p p next?
a. Reassure p p the p p hospital ppclient p p that p p these p p feelings p p are p p common p p for p p parents.
b. Have p p the p p hospital ppclient p p call p p the p p children ppto p p ensure p p that p p they p p are p p doing p p well.
c. Call ppthe p p neighbour p p to p p determine p p whether p p adequate p p childcare p p is p p being p p provided.
d. Gather p p more p p data p p about p p the p p hospital ppclient’s p p feelings p p about p p the p p childcare p p arrangements.
PRECISE ppCHOICE:-D
Reasoning pp:->>>Since p p a p p complete p p assessment p p is p p necessary p p in p p order p p to p p identify p p a
p p problem p p and p p choose p p an p p appropriate ppintervention, p p the p p medical ppattendant’s ppfirst ppaction
p p should p p be ppto p p obtain p p more ppinformation. p p The p p other p p actions ppmay p p be p p appropriate, p p but
p p more p p assessment p p is p p needed p p before p p the p p best p p intervention p p can p p be p p chosen.
