Test Bank For Medical-Surgical Nursing in Canada 4th Edition By Sharon L. Lewis; Margaret
McLean Heitkemper; Linda Bucher 9781771720489 Chapter 1-72 Complete Guide
Test Bank For Medical-Surgical Nursing in Canada 4th
Edition By Sharon L. Lewis; Margaret McLean
Heitkemper; Linda Bucher 9781771720489 Chapter 1-72
Complete Guide
pg. 1
,Test Bank For Medical-Surgical Nursing in Canada 4th Edition By Sharon L. Lewis; Margaret
McLean Heitkemper; Linda Bucher 9781771720489 Chapter 1-72 Complete Guide
Chapter 01: Introduction to Medical-Surgical Nursing Practice in
Canada
Lewis: Medical-Surgical Nursing in Canada, 4th Canadian Edition
MULTIPLE CHOICE
1. The nurse is caring for a client with a new diagnosis of pneumonia and
explains to the client that together they will plan the client’s care and set
goals for discharge. The client asks, “How is that different from what the
doctor does?” Which response by the nurse is most appropriate?
a. “The role of the nurse is to administer medications and other
treatments prescribed by your doctor.”
b. “The nurse’s job is to help the doctor by collecting data and
communicating when there are problems.”
c. “Nurses perform many of the procedures done by physicians, but
nurses are here in the hospital for a longer time than doctors.”
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.”
Correct Answer: D
This response is consistent with the Canadian Nurses Association
(CNA) definition of nursing. Registered nurses are self-regulated
health care professionals who work autonomously and in
collaboration with others. RNs enable individuals, families, groups,
communities and populations to achieve their optimal level of health.
RNs coordinate health care, deliver direct services, and support
clients in their self-care decisions and actions in situations of health,
illness, injury, and disability in all stages of life. The other responses
describe some of the dependent and collaborative functions of the
nursing role but do not accurately describe the nurse’s role in the
health care system.
pg. 2
,Test Bank For Medical-Surgical Nursing in Canada 4th Edition By Sharon L. Lewis; Margaret
McLean Heitkemper; Linda Bucher 9781771720489 Chapter 1-72 Complete Guide
DIF: Cognitive Level: Comprehension TOP: Nursing Process:
Implementation MSC: NCLEX: Safe and Effective Care
Environment
2. When caring for clients using evidence-informed practice, which of the
following does the nurse use?
a. Clinical judgement based on experience
b. Evidence from a clinical research study
c. The best available evidence to guide clinical expertise
d. Evaluation of data showing that the client outcomes are met
Correct Answer: C
Evidence-informed nursing practice is a continuous interactive
process involving the explicit, conscientious, and judicious
consideration of the best available evidence to provide care. Four
primary elements are: (a) clinical state, setting, and circumstances;
(b) client preferences and actions; (c) best research evidence, and (d)
health care resources. Clinical judgement based on the nurse’s
clinical experience is part of EIP, but clinical decision making also
should incorporate current research and research-based guidelines.
Evidence from one clinical research study does not provide an
adequate substantiation for interventions. Evaluation of client
outcomes is important, but interventions should be based on research
from randomized control studies with a large number of subjects.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
www.nursylab.com
MSC: NCLEX: Safe and Effective Care Environment
3. Which of the following best explains the nurses’ primary use of the nursing process
when providing care to clients?
a. To explain nursing interventions to other health care professionals
pg. 3
, Test Bank For Medical-Surgical Nursing in Canada 4th Edition By Sharon L. Lewis; Margaret
McLean Heitkemper; Linda Bucher 9781771720489 Chapter 1-72 Complete Guide
b. As a problem-solving tool to identify and treat clients’ health care needs
c. As a scientific-based process of diagnosing the client’s health care problems
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
Correct Answer: B
The nursing process is an assertive problem-solving approach to the identification and
treatment of clients’ problems. Diagnosis is only one phase of the nursing process. The
primary use of the nursing process is in client care, not to establish nursing theory or
explain nursing interventions to other health care professionals.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation MSC:
NCLEX: Safe and Effective Care Environment
4. The nurse is caring for a critically ill client in the intensive care unit and plans an every-
2-hour turning schedule to prevent skin breakdown. Which type of nursing function is
demonstrated with this turning schedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
Correct Answer: D
When implementing collaborative nursing actions, the nurse is responsible primarily for
monitoring for complications of acute illness or providing care to prevent or treat
complications. Independent nursing actions are focused on health promotion, illness
prevention, and client advocacy. A dependent action would require a physician order to
implement. Cooperative nursing functions are not described as one of the formal nursing
functions.
DIF: Cognitive Level: Application TOP: Nursing Process: Implementation MSC: NCLEX:
Safe and Effective Care Environment
pg. 4
McLean Heitkemper; Linda Bucher 9781771720489 Chapter 1-72 Complete Guide
Test Bank For Medical-Surgical Nursing in Canada 4th
Edition By Sharon L. Lewis; Margaret McLean
Heitkemper; Linda Bucher 9781771720489 Chapter 1-72
Complete Guide
pg. 1
,Test Bank For Medical-Surgical Nursing in Canada 4th Edition By Sharon L. Lewis; Margaret
McLean Heitkemper; Linda Bucher 9781771720489 Chapter 1-72 Complete Guide
Chapter 01: Introduction to Medical-Surgical Nursing Practice in
Canada
Lewis: Medical-Surgical Nursing in Canada, 4th Canadian Edition
MULTIPLE CHOICE
1. The nurse is caring for a client with a new diagnosis of pneumonia and
explains to the client that together they will plan the client’s care and set
goals for discharge. The client asks, “How is that different from what the
doctor does?” Which response by the nurse is most appropriate?
a. “The role of the nurse is to administer medications and other
treatments prescribed by your doctor.”
b. “The nurse’s job is to help the doctor by collecting data and
communicating when there are problems.”
c. “Nurses perform many of the procedures done by physicians, but
nurses are here in the hospital for a longer time than doctors.”
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.”
Correct Answer: D
This response is consistent with the Canadian Nurses Association
(CNA) definition of nursing. Registered nurses are self-regulated
health care professionals who work autonomously and in
collaboration with others. RNs enable individuals, families, groups,
communities and populations to achieve their optimal level of health.
RNs coordinate health care, deliver direct services, and support
clients in their self-care decisions and actions in situations of health,
illness, injury, and disability in all stages of life. The other responses
describe some of the dependent and collaborative functions of the
nursing role but do not accurately describe the nurse’s role in the
health care system.
pg. 2
,Test Bank For Medical-Surgical Nursing in Canada 4th Edition By Sharon L. Lewis; Margaret
McLean Heitkemper; Linda Bucher 9781771720489 Chapter 1-72 Complete Guide
DIF: Cognitive Level: Comprehension TOP: Nursing Process:
Implementation MSC: NCLEX: Safe and Effective Care
Environment
2. When caring for clients using evidence-informed practice, which of the
following does the nurse use?
a. Clinical judgement based on experience
b. Evidence from a clinical research study
c. The best available evidence to guide clinical expertise
d. Evaluation of data showing that the client outcomes are met
Correct Answer: C
Evidence-informed nursing practice is a continuous interactive
process involving the explicit, conscientious, and judicious
consideration of the best available evidence to provide care. Four
primary elements are: (a) clinical state, setting, and circumstances;
(b) client preferences and actions; (c) best research evidence, and (d)
health care resources. Clinical judgement based on the nurse’s
clinical experience is part of EIP, but clinical decision making also
should incorporate current research and research-based guidelines.
Evidence from one clinical research study does not provide an
adequate substantiation for interventions. Evaluation of client
outcomes is important, but interventions should be based on research
from randomized control studies with a large number of subjects.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
www.nursylab.com
MSC: NCLEX: Safe and Effective Care Environment
3. Which of the following best explains the nurses’ primary use of the nursing process
when providing care to clients?
a. To explain nursing interventions to other health care professionals
pg. 3
, Test Bank For Medical-Surgical Nursing in Canada 4th Edition By Sharon L. Lewis; Margaret
McLean Heitkemper; Linda Bucher 9781771720489 Chapter 1-72 Complete Guide
b. As a problem-solving tool to identify and treat clients’ health care needs
c. As a scientific-based process of diagnosing the client’s health care problems
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
Correct Answer: B
The nursing process is an assertive problem-solving approach to the identification and
treatment of clients’ problems. Diagnosis is only one phase of the nursing process. The
primary use of the nursing process is in client care, not to establish nursing theory or
explain nursing interventions to other health care professionals.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation MSC:
NCLEX: Safe and Effective Care Environment
4. The nurse is caring for a critically ill client in the intensive care unit and plans an every-
2-hour turning schedule to prevent skin breakdown. Which type of nursing function is
demonstrated with this turning schedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
Correct Answer: D
When implementing collaborative nursing actions, the nurse is responsible primarily for
monitoring for complications of acute illness or providing care to prevent or treat
complications. Independent nursing actions are focused on health promotion, illness
prevention, and client advocacy. A dependent action would require a physician order to
implement. Cooperative nursing functions are not described as one of the formal nursing
functions.
DIF: Cognitive Level: Application TOP: Nursing Process: Implementation MSC: NCLEX:
Safe and Effective Care Environment
pg. 4
