TEST BANK - LEWIS'S MEDICAL SURGICAL NURSING (11TH EDITION BY HARDING)TEST BANK - LEWIS'S MEDICAL SURGICAL NURSING (11TH EDITION BY HARDING)TEST BANK - LEWIS'S MEDICAL SURGICAL NURSING (11TH EDITION BY HARDING)TEST BANK - LEWIS'S MEDICAL SURGICAL NURSING (11TH EDITION BY HARDING)TEST BANK - LEWIS'S...
TEST BANK - LEWIS'S MEDICAL SURGICAL
NURSING (11TH EDITION BY HARDING)
Chapter 01: Professional Nursing
Test Bank
MULTIPLE CHOICE
A patient has been admitted to the hospital for surgery and tells the nurse, I do not
feel comfortable leaving my children with my parents. 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. Gather more data about the patients feelings about the child-care
arrangements.
d. Call the patients parents to determine whether adequate child care is being
provided.
ANS: C
Since a complete assessment is necessary in order to identify a problem and
choose an appropriate intervention, the nurses 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: Apply (application)
OBJ: Special Questions: Prioritization TOP: Nursing
Process: Assessment MSC: NCLEX: Psychosocial
Integrity
A patient with a bacterial infection has a nursing diagnosis of deficient fluid
Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
, Lewis's Medical 2
volume related to excessive diaphoresis. Which outcome would the nurse
recognize as most appropriate for this patient?
a. Patient has a balanced intake and output.
b. Patients bedding is changed when it becomes damp.
c. Patient understands the need for increased fluid intake.
d. Patients skin remains cool and dry throughout hospitalization.
ANS: A
This statement gives measurable data showing resolution of the problem of deficient
fluid volume that was identified in the nursing diagnosis statement. The other
statements would not indicate that the problem of deficient fluid volume was
resolved.
A nurse asks the patient if pain was relieved after receiving medication. What
is the purpose of the evaluation phase of the nursing process?
a. To determine if interventions have been effective in meeting patient
outcomes
b. To document the nursing care plan in the progress notes of the medical
record
c. To decide whether the patients health problems have been completely
resolved
Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
, Lewis's Medical 3
d. To establish if the patient agrees that the nursing care provided was
satisfactory
ANS: A
Evaluation consists of determining whether the desired patient outcomes have
been met and whether the nursing interventions were appropriate. The other
responses do not describe the evaluation phase.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
The nurse interviews a patient while completing the health history and physical
examination. What is the purpose of the assessment phase of the nursing process?
a. To teach interventions that relieve health problems
b. To use patient data to evaluate patient care outcomes
c. To obtain data with which to diagnose patient problems
d. To help the patient identify realistic outcomes for
health problems ANS: C
During the assessment phase, the nurse gathers information about the patient to
diagnose patient problems. The other responses are examples of the planning,
intervention, and evaluation phases of the nursing process.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
1. Which nursing diagnosis statement is written correctly?
a. Altered tissue perfusion related to heart failure
b. Risk for impaired tissue integrity related to sacral redness
c. Ineffective coping related to response to biopsy test results
d. Altered urinary elimination related to
urinary tract infection ANS: C
Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
, Lewis's Medical 4
This diagnosis statement includes a NANDA nursing diagnosis and an etiology
that describes a patients response to a health problem that can be treated by
nursing. The use of a medical diagnosis as an etiology (as in the responses
beginning Altered tissue perfusion and Altered urinary elimination) is not
appropriate. The response beginning Risk for impaired tissue integrity uses the
defining characteristic as the etiology.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care Environment
Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
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