TEST BANK - clinical companion to Medical surgical nursing 12th edition by Debra Hagler, Harding ,Kwong , Reinisch .ISBN: % COMPLETE CUIDE VERIFIED A+ GRADE ASSURED!!! LATEST UPDATE!!!

,Chapter 01:P rofessional Nursing
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Harding: Lewis’sMedical-Surgical Nursing, 12thEdition
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MULTIPLECHOICE l




1. The nurse completes an admission database and explains that the plan of care and discharge goals
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willbe developed with the patient‗s input. The patient asks, ―How is t his different fromwhat the p
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hysician does?‖ Which response would the nurse provide?
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a. ―Theroleo f the nurse is to a dminister medications and other treatments prescribed by y
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our physician.‖ l


b. ―Inaddition to caringf or y ouw hile you ares ick,t he nurses w illhelp you plant o maint
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ain your health.‖ l l


c. ―Thenurse‗sjob ist o collect informationa ndc ommunicate a ny problems t hat occ
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ur to the physician.‖ l l l


d. ―Nursesperformmany of t hesame p rocedures as the physician,but nursesare with l l l l l l l l l l bj l l


the patients for a longer time than the physician.‖
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ANS: B l


The American Nurses Association (ANA) definition of nursing describes the role of nurses in promoting h
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ealth. The other responses describe dependent and collaborative functions of the nursing role but do not
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accurately describe the nurse‗s unique role in the health care system.
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DIF: CognitiveLevel:Analyze(Analysis) l l l


TOP: Nursing Process:Implementation bj l MSC: NCLEX:SafeandEffective CareEnvironment l l l l bj l




2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
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a. ―Patient care is based on clinical judgment, experience, and traditions.‖ l l l l l l l l l


b. ―Data areanalyzed later to show that the patient outcomes are consistently met.‖
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c. ―Research fromall published articles are used as a guide for planning patient care.‖ l l l l l l l l l l l l l


d. ―Recommendationsare based o n research,c linicalexpertise,a nd patient pre l l l l l l l l l


ferences.‖
ANS: D l


Evidence-based practice (EBP) is the use of the best research- l l l l l l l l l


based evidence combined with clinician expertise and consideration of patient preferences. Clinic
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al judgment based on the nurse‗s clinical experience is part of EBP, but clinical decisi on making s
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hould also incorporate current research and research-
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based guidelines. Evaluation of patient outcomes is important, but data analysis is not require
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d to use EBP. All published articles do not provide research evidence; interventions should b
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ebased on credible research, preferably randomized controlled studies with a large number of subjects.
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DIF: Cognitive Level: Understand (Comprehension) l l l


TOP:Nursing Process:P lanning MSC: NCLEX: Safe and Effective Care Environment
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3. Whichstatement by the nurse providesa clear explanation of the nursing process?
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a. ―Thenursing process is aresearch method o f diagnosing t he patient‗s health care prob
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lems.‖
b. ―Thenursing process is used primarily to e xplain nursing interventions t o o ther heal
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th care professionals.‖ l l


c. ―The nursing process is a problem-solving tool used to identify a nd manage the
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, patients‗ health care needs.‖ l l l


d. ―Thenursing process is based on nursing t heory t hat incorporatest he bio
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psychosocial nature of humans.‖ l l l




ANS: C l


The nursing process is a problem-
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solving approach to the identification and treatment of patients‗ problems. Nursing process does n
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ot require research methods for diagnosis. The primary use of the nursing process is in patient care, n
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ot to establish nursing theory or explain nursing interventions to other health ca re professionals.
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DIF: Cognitive Level: Understand (Comprehension) l l l


TOP:NursingP rocess:Evaluation MSC: NCLEX: Safe and Effective Care Environment
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4. Apatientadmitted to the h ospitalf or s urgerytells the n urse,―I do n ot feelcomfortable leavi
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ng my children with my parents.‖ Which action would the nurse take next?
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a. Reassure the patient that these feelings are common for parents. l l l l l l l l l


b. Havethe patient call the children to ensure that they are doing well.
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c. Gather information on the patient‗s concerns about the child care arrangements.
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d. Callthe patient‗s parents to determine whether adequate child care is being prov
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ided.
ANS: C l


Because a complete assessment is necessary in order to identify a problem and choose an ap propriate i
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ntervention, the nurse‗s first action should be to obtain more information. The oth er actions may b
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e appropriate, but more assessment is needed before the best intervention can b e chosen.
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DIF: CognitiveLevel:Analyze (Analysis) l l l


TOP: Nursing Process:Assessment bj l MSC: NCLEX:P sychosocialIntegrity l l l




5. A patient with a bacterial infection is hypovolemic due t o a fever and excessive diaphoresis. Whic
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h expected outcome would the nurse select for this patient?
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a. Patient has a balanced intake and output. l l l l l l


b. Patient‗sbedding is kept clean and free of moisture. l l l l l l l l


c. Patient understands the need for increased fluid intake. l l l l l l l


d. Patient‗s skin remains cool and dry throughout hospitalization. l l l l l l l




ANS: A l


Balanced intake and output gives measurable data showing resolution of the problem of deficie nt flui
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d volume. The other statements would not indicate that the problem of hypovolemia was resolved.
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DIF: Cognitive Level: Apply (Application) l l l


TOP:Nursing Process:P lanning MSC: NCLEX: Physiological Integrity l bj l l l l l




6. Which statement describes the purpose of the evaluation phase of the nursing process?
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a. Todocument the nursing care plan in the progress notes of the health record
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b. To determine if interventions have been effective in meeting patient outcomes
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c. To decide whether the patient‗s health problems have been completely resolved
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d. Toestablish if the patient agrees that the nursing care provided was satisfactory
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ANS: B l

, Evaluation consists of determining whether the desired patient outcomes have been met and whethe
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r the nursing interventions were appropriate. The other responses do not describe the evaluation pha
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se.

DIF: Cognitive Level: Understand (Comprehension)
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TOP:NursingP rocess:Evaluation MSC: NCLEX: Safe and Effective Care Environment
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7. Which statement describes the purpose of the assessment phase of the nursing process?
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a. To teach interventions that relieve health problems
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b. Tousepatient data to evaluate patient care o utcomes
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c. Toobtain data to diagnose patient strengths and problems
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d. To help the patient identify realistic outcomes for health problems
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ANS: C l


During the assessment phase, the nurse gathers information about the patient to diagnose patie nt stre
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ngths and problems. The other responses are examples of the planning, intervention, a nd evaluati
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on phases of the nursing process.
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DIF: CognitiveLevel:Understand(Comprehension) l l l


TOP: Nursing Process:Assessment MSC: NCLEX:Safeand EffectiveCare Environment bj l l l l l l bj




8. When developing the plan of care, which components would the nurse include in the clinical proble
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mstatement?
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a. Theproblemand the suggested patient goals or outcomes
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b. Theproblem, its causes, and the signs and symptoms of t he problem
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c. The problem with the possible etiology and the planned interventions
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d. The problem, its pathophysiology, and the expected outcome
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ANS: B l


When writing clinical problems or nursing diagnoses, the subjective as well as objective data to su
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pport the problem‗s existence should be included. Goals, outcomes,and interventions are not include
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d in the problem statement.
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DIF: Cognitive Level: Understand (Comprehension) l l l


TOP:NursingP rocess:Diagnosis MSC: NCLEX: Safe and Effective Care Environment
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9. Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
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a. Instruct the patient about the need to alternate activityand rest.
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b. Monitor level of s hortness of breath or fatigue after ambulation.
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c. Obtain the patient‗s blood pressure and pulse rate after ambulation.
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d. Determine whether the patient is ready to increase the activity level. l l l l l l l l l l




ANS: C l


AP education includes accurate vitalsign measurement. Assessment and patient teaching requi re re
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gistered nurse education and scope of practice and cannot be delegated.
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DIF: Cognitive Level: Apply (Application)
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TOP:Nursing Process:P lanning MSC: NCLEX: Safe and Effective Care Environment
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