TEST BANK FOR LEWIS MEDICAL-SURGICAL
BG BG BG BG
NURSING IN CANADA 5TH EDITION
BG BG BG BG BG
,CHAPTER 01: Introduction to Medical Surgical Nursing Practice in
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Canada Lewis: Medical-Surgical Nursing in Canada, 5th Canadian
BG BG BG BG BG BG BG BG
Edition
BG
MULTIPLE CHOICE : BG BG
1. The medical attendant is caring for a hospital client with a new
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diagnosis of pneumonia and explains to the hospital client that together
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they will plan the hospital client’s care and set goals for discharge.
BG BG BG BG B G BG BG BG BG BG BG BG
The hospital client asks, “How is that different from what the doctor
BG BG BG BG BG BG BG B G B G BG BG B G
does?” Which response by the medical attendant is most
B G B G B G B G BG BG BG BG BG
appropriate?
BG
a. “The role of the medical attendant is to administer medications and other
BG BG BG BG BG BG BG BG B G BG BG
treatments prescribed
BG BG
by your doctor.” BG BG
b. “The medical attendant’s job is to help the doctor by collecting data and
BG BG BG BG BG BG BG BG BG BG BG BG
communicating when there are problems.”
BG BG BG BG BG
c. “Medical attendants perform many of the procedures done by physicians, but
BG BG BG BG BG BG BG BG BG BG
medical attendants are here in
B G BG BG BG BG
the health center for a longer time than doctors.”
BG BG B G BG BG BG BG BG
d. “In addition to caring for you while you are sick, the medical attendants will assist
BG BG BG BG B G B G BG BG BG BG BG BG BG BG
you to BG BG
develop an individualized plan to maintain your health.” BG BG B G BG B G B G B G
PRECISE CHOICE:-D BG
Reasoning :->>>This response is consistent with the Canadian nurses Association (CNA)
BG B G B G B G B G B G B G BG B G B G
definition of nursing. Registered medical attendants are self-regulated health care professionals
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who work autonomously and in collaboration with others. RNs enable individuals, families,
B G B G B G B G BG B G B G B G B G B G B G B G
groups, communities and populations to achieve their optimal level of health. RNs
B G B G B G B G B G BG B G B G B G B G B G B G
coordinate health care, deliver direct services, and support hospital clients in their self-care
B G B G B G B G B G B G B G B G BG BG B G BG B G
decisions and actions in situations of health, illness, injury, and disability in all stages of life.
B G BG BG B G B G B G B G B G B G B G B G BG BG BG B G B G
The other responses describe some of the dependent and collaborative functions of the
B G B G B G B G B G B G B G B G B G B G B G B G B G
nursing role but do not accurately describe the medical attendant’s role in the health care
BG B G B G B G B G B G B G B G B G BG B G B G B G B G B G
system.
B G
DIF: Cognitive Level: Comprehension TOPIC: Nursing Process: BG BG B G BG
Implementation MSC: NCLEX: Safe and Effective Care Environment BG B G BG BG BG BG BG
2. When caring for hospital clients using evidence-informed practice, which of the following does the
BG B G B G BG BG B G B G B G B G BG B G B G BG
medical attendant use?
BG BG BG
a. Clinical judgement based on experience BG B G B G B G
b. Evidence from a clinical research study B G BG B G BG B G
c. The best available evidence to guide clinical expertise
BG BG B G B G BG BG BG
d. Evaluation of data showing that the hospital client BG BG BG BG BG BG BG
outcomes are met
BG BG BG
PRECISE CHOICE:-C BG
Reasoning :->>>Evidence-informed nursing practice is a continuous interactive process
BG B G B G B G B G B G B G B G
involving the explicit, conscientious, and judicious consideration of the best available evidence
B G B G B G BG B G B G B G B G BG B G BG B G
to provide care. Four primary elements are: (a) clinical state, setting, and circumstances; (b)
B G B G B G B G B G BG B G BG B G B G B G B G B G B G
hospital client preferences and actions; (c) best research evidence, and (d) health care
B G BG B G B G B G B G B G BG B G B G B G B G B G
resources. Clinical judgement based on the medical attendant’s clinical experience is part of
B G B G B G B G B G B G B G BG BG B G B G B G B G
EIP, but clinical decision making also should incorporate current research and research-
B G B G B G B G B G B G B G B G B G BG B G B G
,based guidelines. Evidence from one clinical research study does not provide an adequate
B G B G B G B G B G B G B G BG B G B G B G BG
substantiation for interventions. Evaluation of hospital client outcomes is important, but
B G B G B G B G B G B G BG B G B G B G B G
interventions should be based on research from randomized control studies with a large
B G B G B G B G B G B G B G B G B G B G B G B G B G
number of
B G B G
, subjects.
DIF: Cognitive Level: Comprehension TOPIC: Nursing Process: BG BG B G BG
Planning MSC: NCLEX: Safe and Effective Care Environment
BG B G BG BG BG BG BG
3. Which of the following best explains the medical attendants’ primary use of the nursing
BG BG BG B G B G BG BG BG B G BG B G BG B G
process when providing care to hospital clients?
B G BG BG BG BG BG BG
a. To explain nursing interventions to other health care professionals
BG B G B G B G BG B G B G BG
b. As a problem-solving tool to identify and treat hospital clients’ health care needs
BG B G BG BG BG BG BG B G BG B G B G B G
c. As a scientific-based process of diagnosing the hospital client’s health care problems
BG B G B G B G BG BG BG BG B G B G BG
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
BG B G B G BG B G B G B G B G B G BG
PRECISE CHOICE:-B BG
Reasoning :->>>The nursing process is an assertive problem-solving approach to the
BG B G B G B G B G B G B G B G B G B G
identification and treatment of hospital clients’ problems. Diagnosis is only one phase of the
B G B G B G B G BG BG B G B G B G B G B G B G B G B G
nursing process. The primary use of the nursing process is in hospital client care, not to establish
B G B G B G B G B G B G BG B G BG B G BG BG BG B G B G B G B G
nursing theory or explain nursing interventions to other health care professionals.
B G BG BG B G B G B G B G BG B G BG BG
DIF: Cognitive Level: Comprehension TOPIC: Nursing Process: BG BG B G BG
Implementation MSC: NCLEX: Safe and Effective Care Environment
BG B G BG BG BG BG BG
4. The medical attendant is caring for a critically ill hospital client in the intensive care unit and
B G BG B G B G B G B G B G BG BG BG B G BG B G B G BG BG
plans an every- 2-hour turning schedule to prevent skin breakdown. Which type of
B G BG B G BG B G B G B G B G B G B G B G B G B G
nursing function is demonstrated with this turning schedule?
B G B G B G B G BG BG BG BG
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
PRECISE CHOICE:-D BG
Reasoning :->>>When implementing collaborative nursing actions, the medical attendant is
BG B G B G B G B G B G B G BG B G
responsible primarily for monitoring for complications of acute illness or providing care to
B G B G B G BG B G B G B G B G B G B G B G B G B G
prevent or treat complications.
B G B G B G B G
Independent nursing actions are focused on health promotion, illness prevention, and hospital
B G BG BG BG B G BG BG BG BG B G BG
client advocacy. A dependent action would require a physician order to implement.
BG BG B G BG B G B G B G BG B G B G BG BG
Cooperative nursing functions are not described as one of the formal nursing functions.
B G B G BG B G B G B G B G B G B G B G B G B G B G
DIF: Cognitive Level: Application TOPIC: Nursing Process: BG BG B G BG
Implementation MSC: NCLEX: Safe and Effective Care Environment
BG B G BG BG BG BG BG
5. The medical attendant is caring for a hospital client who has been admitted to the health center for
BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG
surgery and tells the medical attendant, “I do not feel right about leaving my children with my
B G BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG
neighbour.” Which action should the medical attendant take next?
BG BG BG BG B G B G BG B G B G
a. Reassure the hospital client that these feelings are common for parents.
BG B G BG BG B G B G BG BG BG B G
b. Have the hospital client call the children to ensure that they are doing well.
BG BG BG B G BG B G BG BG BG BG BG BG B G
c. Call the neighbour to determine whether adequate childcare is being provided.
BG B G B G BG B G B G B G B G B G B G
d. Gather more data about the hospital client’s feelings about the childcare arrangements.
B G BG BG BG BG BG B G BG B G B G B G
PRECISE CHOICE:-D BG
Reasoning :->>>Since a complete assessment is necessary in order to identify a problem and
BG B G B G B G B G B G B G B G B G B G B G B G B G
choose an appropriate intervention, the medical attendant’s first action should be to obtain more
B G B G B G BG B G B G BG BG BG B G B G BG B G B G
information. The other actions may be appropriate, but more assessment is needed before the
BG B G B G B G BG B G B G B G B G B G B G B G B G B G
best intervention can be chosen.
B G B G B G B G B G
BG BG BG BG
NURSING IN CANADA 5TH EDITION
BG BG BG BG BG
,CHAPTER 01: Introduction to Medical Surgical Nursing Practice in
BG BG BG BG BG BG BG BG
Canada Lewis: Medical-Surgical Nursing in Canada, 5th Canadian
BG BG BG BG BG BG BG BG
Edition
BG
MULTIPLE CHOICE : BG BG
1. The medical attendant is caring for a hospital client with a new
BG BG BG BG B G BG BG BG BG B G BG
diagnosis of pneumonia and explains to the hospital client that together
BG BG BG BG BG BG BG BG BG BG BG
they will plan the hospital client’s care and set goals for discharge.
BG BG BG BG B G BG BG BG BG BG BG BG
The hospital client asks, “How is that different from what the doctor
BG BG BG BG BG BG BG B G B G BG BG B G
does?” Which response by the medical attendant is most
B G B G B G B G BG BG BG BG BG
appropriate?
BG
a. “The role of the medical attendant is to administer medications and other
BG BG BG BG BG BG BG BG B G BG BG
treatments prescribed
BG BG
by your doctor.” BG BG
b. “The medical attendant’s job is to help the doctor by collecting data and
BG BG BG BG BG BG BG BG BG BG BG BG
communicating when there are problems.”
BG BG BG BG BG
c. “Medical attendants perform many of the procedures done by physicians, but
BG BG BG BG BG BG BG BG BG BG
medical attendants are here in
B G BG BG BG BG
the health center for a longer time than doctors.”
BG BG B G BG BG BG BG BG
d. “In addition to caring for you while you are sick, the medical attendants will assist
BG BG BG BG B G B G BG BG BG BG BG BG BG BG
you to BG BG
develop an individualized plan to maintain your health.” BG BG B G BG B G B G B G
PRECISE CHOICE:-D BG
Reasoning :->>>This response is consistent with the Canadian nurses Association (CNA)
BG B G B G B G B G B G B G BG B G B G
definition of nursing. Registered medical attendants are self-regulated health care professionals
B G B G B G BG B G BG B G B G B G B G B G
who work autonomously and in collaboration with others. RNs enable individuals, families,
B G B G B G B G BG B G B G B G B G B G B G B G
groups, communities and populations to achieve their optimal level of health. RNs
B G B G B G B G B G BG B G B G B G B G B G B G
coordinate health care, deliver direct services, and support hospital clients in their self-care
B G B G B G B G B G B G B G B G BG BG B G BG B G
decisions and actions in situations of health, illness, injury, and disability in all stages of life.
B G BG BG B G B G B G B G B G B G B G B G BG BG BG B G B G
The other responses describe some of the dependent and collaborative functions of the
B G B G B G B G B G B G B G B G B G B G B G B G B G
nursing role but do not accurately describe the medical attendant’s role in the health care
BG B G B G B G B G B G B G B G B G BG B G B G B G B G B G
system.
B G
DIF: Cognitive Level: Comprehension TOPIC: Nursing Process: BG BG B G BG
Implementation MSC: NCLEX: Safe and Effective Care Environment BG B G BG BG BG BG BG
2. When caring for hospital clients using evidence-informed practice, which of the following does the
BG B G B G BG BG B G B G B G B G BG B G B G BG
medical attendant use?
BG BG BG
a. Clinical judgement based on experience BG B G B G B G
b. Evidence from a clinical research study B G BG B G BG B G
c. The best available evidence to guide clinical expertise
BG BG B G B G BG BG BG
d. Evaluation of data showing that the hospital client BG BG BG BG BG BG BG
outcomes are met
BG BG BG
PRECISE CHOICE:-C BG
Reasoning :->>>Evidence-informed nursing practice is a continuous interactive process
BG B G B G B G B G B G B G B G
involving the explicit, conscientious, and judicious consideration of the best available evidence
B G B G B G BG B G B G B G B G BG B G BG B G
to provide care. Four primary elements are: (a) clinical state, setting, and circumstances; (b)
B G B G B G B G B G BG B G BG B G B G B G B G B G B G
hospital client preferences and actions; (c) best research evidence, and (d) health care
B G BG B G B G B G B G B G BG B G B G B G B G B G
resources. Clinical judgement based on the medical attendant’s clinical experience is part of
B G B G B G B G B G B G B G BG BG B G B G B G B G
EIP, but clinical decision making also should incorporate current research and research-
B G B G B G B G B G B G B G B G B G BG B G B G
,based guidelines. Evidence from one clinical research study does not provide an adequate
B G B G B G B G B G B G B G BG B G B G B G BG
substantiation for interventions. Evaluation of hospital client outcomes is important, but
B G B G B G B G B G B G BG B G B G B G B G
interventions should be based on research from randomized control studies with a large
B G B G B G B G B G B G B G B G B G B G B G B G B G
number of
B G B G
, subjects.
DIF: Cognitive Level: Comprehension TOPIC: Nursing Process: BG BG B G BG
Planning MSC: NCLEX: Safe and Effective Care Environment
BG B G BG BG BG BG BG
3. Which of the following best explains the medical attendants’ primary use of the nursing
BG BG BG B G B G BG BG BG B G BG B G BG B G
process when providing care to hospital clients?
B G BG BG BG BG BG BG
a. To explain nursing interventions to other health care professionals
BG B G B G B G BG B G B G BG
b. As a problem-solving tool to identify and treat hospital clients’ health care needs
BG B G BG BG BG BG BG B G BG B G B G B G
c. As a scientific-based process of diagnosing the hospital client’s health care problems
BG B G B G B G BG BG BG BG B G B G BG
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
BG B G B G BG B G B G B G B G B G BG
PRECISE CHOICE:-B BG
Reasoning :->>>The nursing process is an assertive problem-solving approach to the
BG B G B G B G B G B G B G B G B G B G
identification and treatment of hospital clients’ problems. Diagnosis is only one phase of the
B G B G B G B G BG BG B G B G B G B G B G B G B G B G
nursing process. The primary use of the nursing process is in hospital client care, not to establish
B G B G B G B G B G B G BG B G BG B G BG BG BG B G B G B G B G
nursing theory or explain nursing interventions to other health care professionals.
B G BG BG B G B G B G B G BG B G BG BG
DIF: Cognitive Level: Comprehension TOPIC: Nursing Process: BG BG B G BG
Implementation MSC: NCLEX: Safe and Effective Care Environment
BG B G BG BG BG BG BG
4. The medical attendant is caring for a critically ill hospital client in the intensive care unit and
B G BG B G B G B G B G B G BG BG BG B G BG B G B G BG BG
plans an every- 2-hour turning schedule to prevent skin breakdown. Which type of
B G BG B G BG B G B G B G B G B G B G B G B G B G
nursing function is demonstrated with this turning schedule?
B G B G B G B G BG BG BG BG
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
PRECISE CHOICE:-D BG
Reasoning :->>>When implementing collaborative nursing actions, the medical attendant is
BG B G B G B G B G B G B G BG B G
responsible primarily for monitoring for complications of acute illness or providing care to
B G B G B G BG B G B G B G B G B G B G B G B G B G
prevent or treat complications.
B G B G B G B G
Independent nursing actions are focused on health promotion, illness prevention, and hospital
B G BG BG BG B G BG BG BG BG B G BG
client advocacy. A dependent action would require a physician order to implement.
BG BG B G BG B G B G B G BG B G B G BG BG
Cooperative nursing functions are not described as one of the formal nursing functions.
B G B G BG B G B G B G B G B G B G B G B G B G B G
DIF: Cognitive Level: Application TOPIC: Nursing Process: BG BG B G BG
Implementation MSC: NCLEX: Safe and Effective Care Environment
BG B G BG BG BG BG BG
5. The medical attendant is caring for a hospital client who has been admitted to the health center for
BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG
surgery and tells the medical attendant, “I do not feel right about leaving my children with my
B G BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG BG
neighbour.” Which action should the medical attendant take next?
BG BG BG BG B G B G BG B G B G
a. Reassure the hospital client that these feelings are common for parents.
BG B G BG BG B G B G BG BG BG B G
b. Have the hospital client call the children to ensure that they are doing well.
BG BG BG B G BG B G BG BG BG BG BG BG B G
c. Call the neighbour to determine whether adequate childcare is being provided.
BG B G B G BG B G B G B G B G B G B G
d. Gather more data about the hospital client’s feelings about the childcare arrangements.
B G BG BG BG BG BG B G BG B G B G B G
PRECISE CHOICE:-D BG
Reasoning :->>>Since a complete assessment is necessary in order to identify a problem and
BG B G B G B G B G B G B G B G B G B G B G B G B G
choose an appropriate intervention, the medical attendant’s first action should be to obtain more
B G B G B G BG B G B G BG BG BG B G B G BG B G B G
information. The other actions may be appropriate, but more assessment is needed before the
BG B G B G B G BG B G B G B G B G B G B G B G B G B G
best intervention can be chosen.
B G B G B G B G B G
