Test Bank for Lewis's Medical-Surgical Nursing in Canada 5th Edition by Jane Tyerman, ISBN: 9780323791564.
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Course
Nursing pharmacology
Institution
Nursing Pharmacology
Tb, Test Bank for Lewis's Medical-Surgical Nursing in Canada 5th Edition by Jane Tyerman, Shelley Cobbett.
ISBN: 9780323791564.
Lewis's Medical-Surgical Nursing in Canada 5e test bank
TEST BANK Lewis's Medical-Surgical Nursing in Canada 5/E Jane Tyerman
Item Bank: Tyerman - Lewis MSN in Canada, 5E
Objective: CH 01 - Introduction to Medical-Surgical Nursing P
___________________________________________________________
1. Question Name: Question 0001 Type: MC Objective: CH 01 - Introduction to Medical-Surgical Nursing P
Item Bank: Tyerman - Lewis MSN in Canada, 5E
When caring for patients 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 patient outcomes are met
Correct Answer: C
Explanation/Rationale:
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: (1) clinical state, setting, and circumstances; (2)
patient preferences and actions; (3) best research evidence; and (4) 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 patient 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
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: Active
Date Created: 04/14/22 10:46:24 Date Modified: 04/26/22 16:26:50 Date Used:
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
___________________________________________________________
2. Question Name: Question 0002 Type: MC Objective: CH 01 - Introduction to Medical-Surgical Nursing P
Item Bank: Tyerman - Lewis MSN in Canada, 5E
Which of the following best explains the nurses’ primary use of the nursing process when
, providing care to patients?
A. To explain nursing interventions to other health care professionals
* B. As a problem-solving tool to identify and treat patients’ health care needs
C. As a scientific-based process of diagnosing the patient’s health care problems
D. To establish nursing theory that incorporates the biopsychosocial nature of humans
Correct Answer: B
Explanation/Rationale:
The nursing process is an assertive problem-solving approach to the identification and
treatment of patients’ problems. Diagnosis is only one phase of the nursing process. The
primary use of the nursing process is in patient care, not to establish nursing theory or
explain nursing interventions to other health care professionals.
DIF: Cognitive Level: Comprehension
TOP: Nursing Process: Implementation
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: Active
Date Created: 04/14/22 10:46:24 Date Modified: 04/14/22 10:46:24 Date Used:
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
___________________________________________________________
3. Question Name: Question 0003 Type: MC Objective: CH 01 - Introduction to Medical-Surgical Nursing P
Item Bank: Tyerman - Lewis MSN in Canada, 5E
The nurse is caring for a critically ill patient 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
Explanation/Rationale:
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 patient 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
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: Active
Date Created: 04/14/22 10:46:24 Date Modified: 04/14/22 10:46:24 Date Used:
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
___________________________________________________________
4. Question Name: Question 0004 Type: MC Objective: CH 01 - Introduction to Medical-Surgical Nursing P
Item Bank: Tyerman - Lewis MSN in Canada, 5E
The nurse is caring for a patient who has been admitted to the hospital for surgery and tells
the nurse, “I do not feel right about leaving my children with my neighbour.” Which action
should the nurse take next?
A. Reassure the patient that these feelings are common for parents.
B. Have the patient call the children to ensure that they are doing well.
C. Call the neighbour to determine whether adequate childcare is being provided.
* D. Gather more data about the patient’s feelings about the childcare arrangements.
Correct Answer: D
Explanation/Rationale:
Since a complete assessment is necessary in order to identify a problem and choose an
appropriate intervention, the nurse’s first action should be to obtain more information.
The other actions may be appropriate, but more assessment is needed before the best
intervention can be chosen.
DIF: Cognitive Level: Application
TOP: Nursing Process: Assessment
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: Active
Date Created: 04/14/22 10:46:24 Date Modified: 04/14/22 10:46:24 Date Used:
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
, No. of Students Responded: 0 No. of Students Responded: 0
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
___________________________________________________________
5. Question Name: Question 0005 Type: MC Objective: CH 01 - Introduction to Medical-Surgical Nursing P
Item Bank: Tyerman - Lewis MSN in Canada, 5E
The nurse is caring for a patient who has left-sided paralysis as the result of a stroke and
assesses a pressure injury on the patient’s left hip. Which of the following is the most
appropriate nursing diagnosis for this patient?
A. Impaired physical mobility related to decrease in muscle control (left-sided paralysis)
B. Risk for impaired tissue integrity as evidenced by insufficient knowledge about
protecting tissue integrity
* C. Impaired skin integrity related to pressure over bony prominence (impaired circulation)
D. Ineffective tissue perfusion related to sedentary lifestyle
Correct Answer: C
Explanation/Rationale:
The patient’s major problem is the impaired skin integrity as demonstrated by the
presence of a pressure injury. The nurse is able to treat the cause of altered circulation
and pressure by frequently repositioning the patient. Although left-sided weakness is a
problem for the patient, the nurse cannot treat the weakness. The “risk for” diagnosis is
not appropriate for this patient, who already has impaired tissue integrity. The patient
does have ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates
more clearly what the health problem is.
DIF: Cognitive Level: Application
TOP: Nursing Process: Diagnosis
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: Active
Date Created: 04/14/22 10:46:24 Date Modified: 04/14/22 10:46:24 Date Used:
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
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