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TEST BANK Lewis medical surgical nursing 12th Edition by Harding all chapters 1- 68
TEST BANK Lewis medical surgical nursing 12th Edition by Harding all chapters 1- 68
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==1,
,Chapter01: Professional Nursing
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Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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MULTIPLE CHOICE n
1. The nurse completes an admission database and explains that the plan of care and discharge
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goals will be developed with the patient‘s input. The patient asks, “How is this different fromwhat
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the physician does?” Which response would the nurse provide?
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a. “Theroleof the nurseis to administer medications and othertreatments prescribedby
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your physician.”
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b. “In addition to caring for you while you aresick, the nurses will help you plan to
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maintain your health.”
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c. “Thenurse‘s job is to collect information and communicate anyproblems that
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occur to the physician.”
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d. “Nurses perform manyof the same procedures as the physician, but nurses are with
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the patients for a longer time than the physician.”
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ANS: B n
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
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promoting health. The other responses describe dependent and collaborative functions of the
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nursing role but do not accurately describe the nurse‘s unique role in the health care system.
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DIF: CognitiveLevel: Analyze (Analysis)
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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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.” n n n n n n n n n
b. “Data areanalyzed later to show that the patient outcomes areconsistently met.”
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c. “Research from all published articles are used as a guide for planning patient care.” n n n n n n n n n n n n n
d. “Recommendations arebased on research, clinical expertise, and patient n n n n n n n n
n preferences.”
ANS: D n
Evidence-based practice (EBP) is the use of the best research-based evidence combined with n n n n n n n n n n n n
clinician expertise and consideration of patient preferences. Clinical judgment based on the
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nurse‘s clinical experience is part of EBP, but clinical decision making should also incorporate
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current research and research-based guidelines. Evaluation of patient outcomes isimportant, but
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data analysis is not required to use EBP. All published articles do not provide research evidence;
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interventions should be based on credible research, preferably randomizedcontrolled studies with
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a large number of subjects.
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DIF: Cognitive Level: Understand (Comprehension) n n n TOP: Nursing Process: Planning n n n
MSC: NCLEX: Safe and Effective Care Environment
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3. Which statement by the nurse provides a clear explanation of the nursing process?
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a. “Thenursing process is a research method ofdiagnosing the patient‘s health care
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problems.” n
b. “Thenursingprocess is used primarilyto explain nursing interventions to other
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health care professionals.”
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c. “Thenursing process is a problem-solving tool used to identify and manage the
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, patients‘ health care needs.” n n n
d. “Thenursing process is based on nursingtheorythat incorporates the
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biopsychosocial nature of humans.”
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ANS: C n
The nursing process is a problem-solving approach to the identification and treatment of patients‘
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problems. Nursing process does not require research methods for diagnosis. The primaryuse of
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the nursing process is in patient care, not to establish nursing theory or explainnursing
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interventions to other health care professionals.
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DIF: Cognitive Level: Understand (Comprehension) n n n TOP: Nursing Process: Evaluation n n n
MSC: NCLEX: Safe and Effective Care Environment
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4. A patient admitted to thehospital forsurgery tells the nurse, “Ido not feel comfortable
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leaving 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. n n n n n n n n n
b. Have the 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. Call the patient‘s parents to determine whether adequate child care is being
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provided.
n
ANS: C n
Because a complete assessment is necessary in order to identify a problem and choose an
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appropriate intervention, the nurse‘s first action should be to obtain more information. The other
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actions maybe appropriate, but more assessment is needed before the best interventioncan be
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chosen.
n
DIF: Cognitive Level: Analyze (Analysis) n n n
TOP: Nursing Process: Assessment
n MSC: NCLEX: Psychosocial Integrity n n n n n
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
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Which expected outcome would the nurse select for this patient?
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a. Patient has a balanced intake and output. n n n n n n
b. Patient‘s bedding is kept clean and free of moisture. n n n n n n n n
c. Patient understands the need for increased fluid intake. n n n n n n n
d. Patient‘s skin remains cool and drythroughout hospitalization. n n n n n n n
ANS: A n
Balanced intake and output gives measurable data showing resolution of the problem ofdeficient
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fluid volume. The other statements would not indicate that the problem of hypovolemia was
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resolved.
n
DIF: Cognitive Level: Apply (Application) n n n TOP: Nursing Process: Planning n n n
MSC: NCLEX: Physiological Integrity
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6. Which statement describes the purpose of the evaluation phase of the nursing process?
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a. To document 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. To establish if the patient agrees that the nursing care provided was satisfactory
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ANS: B n
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