Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The caregiver completes an admission database and explains that the plan of care and discharge goals will be developed with the client’s input. The client’s asks, ―Ho...
TEST BANK FOR LEWIS’S MEDICAL-SURGICAL NURSING,
12TH EDITION CHAPTER 1-69
QUESTIONS AND ELABORATED ANSWERS
,Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The caregiver completes an admission database and explains that the plan of care and
discharge goals will be developed with the client’s input. The client’s asks, ―How is this
different from what the doctor does?‖ Which response would the caregiver provide?
a. ―The role of the caregiver is to administer medications and other
treatments prescribed by your doctor.‖
b. ―In addition to caring for you while you are sick, the caregivers will help you
plan to maintain your health.‖
c. ―The caregiver‗s job is to collect information and communicate any
problems that occur to the doctor.‖
d. ―Caregivers perform many of the same procedures as the doctor, but
caregivers are with the client’s for a longer time than the doctor.‖
CORRECT ANSWER: B
The American Caregivers Association (ANA) definition of nursing describes the role of
caregivers in promoting health. The other responses describe dependent and collaborative
functions of the nursing role but do not accurately describe the caregiver‗s unique role in the
health care system.
DIFFICULT: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. Which statement by the caregiver accurately describes the use of evidence-based practice (EBP)?
a. ―Client’s care is based on clinical judgment, experience, and traditions.‖
b. ―Data are analyzed later to show that the client’s outcomes are consistently met.‖
c. ―Research from all published articles are used as a guide for planning client’s care.‖
d. ―Recommendations are based on research, clinical expertise, and
client’s preferences.‖
CORRECT ANSWER: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of client’s preferences. Clinical judgment based on the
caregiver‗s clinical experience is part of EBP, but clinical decision making should also
incorporate current research and research-based guidelines. Evaluation of client’s outcomes
is important, but data analysis is not required to use EBP. All published articles do not
provide research evidence; interventions should be based on credible research, preferably
randomized controlled studies with a large number of subjects.
DIFFICULT:Cognitive Level: Understand (Comprehension) TOP: Nursing Process:
Planning MSC: NCLEX: Safe and Effective Care Environment
,3. Which statement by the caregiver provides a clear explanation of the nursing process?
a. ―The nursing process is a research method of diagnosing the client’s health
care problems.‖
b. ―The nursing process is used primarily to explain nursing interventions to
other health care professionals.‖
c. ―The nursing process is a problem-solving tool used to identify and manage the
, client’s‗ health care needs.‖
d. ―The nursing process is based on nursing theory that incorporates
the bio psychosocial nature of human
CORRECT ANSWER: C
The nursing process is a problem-solving approach to the identification and treatment of
client’s‗ problems. Nursing process does not require research methods for diagnosis. The
primary use of the nursing process is in client’s care, not to establish nursing theory or
explain nursing interventions to other health care professionals.
DIFFICULT: Cognitive Level: Understand
(Comprehension) TOP: Nursing Process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment
4. A client’s admitted to the health facility for surgery tells the caregiver, ―I do not feel
comfortableleaving my children with my parents.‖ Which action would the caregiver
take next?
a. Reassure the client’s that these feelings are common for parents.
b. Have the client’s call the children to ensure that they are doing well.
c. Gather information on the client’sconcerns about the child care arrangements.
d. Call the client’s‗ parents to determine whether adequate child care is
being provided.
CORRECT ANSWER: C
Because a complete assessment is necessary in order to identify a problem and choose an
appropriate intervention, the caregiver‗s first action should be to obtain more information.
The other actions may be appropriate, but more assessment is needed before the best
interventioncan be chosen.
5. A client’s with a bacterial infection is hypovolemic due to a fever and
excessivediaphoresis. Which expected outcome would the caregiver select for
this client’s?
a. Client’s has a balanced intake and output.
b. Client’sbedding is kept clean and free of moisture.
c. Client’s understands the need for increased fluid intake.
d. Client’skin remains cool and dry throughout health facilityization.
CORRECT ANSWER: A
Balanced intake and output gives measurable data showing resolution of the problem of
deficient fluid volume. The other statements would not indicate that the problem of
hypovolemia was resolved.
6. Which statement describes the purpose of the evaluation phase of the nursing process?
a. To document the nursing care plan in the progress notes of the health record
b. To determine if interventions have been effective in meeting client’s outcomes
c. To decide whether the client’shealth problems have been completely resolved
d. To establish if the client’s agrees that the nursing care provided was satisfactory
CORRECT ANSWER: B
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