Test Bank For Medical Surgical Nursing Single Volume Assessment and Management of Clinical Problems 7th Edition by Sharon L. Lewis
Test Bank For Medical Surgical Nursing Single Volume Assessment and Management of Clinical Problems
Medical Surgical Nursing Single Volume Assessment and Management
Test Bank For Medical Surgical Nursing Single Volume Assessment and Management
Medical Surgical Nursing Single Volume Assessment and Management
Chapter 1: Nursing Practice Today
MULTIPLE CHOICE
- When the nurse explains to the patient that together they will plan the patient’s care and set goals to achieve by discharge, the patient says, “How is that different from what the doctor does?” Which response by the nurse is most appropriate?
a.
“The role of the nurse is to provide prescribed patient care.”
b.
“The nurse helps the doctor to diagnose and treat patients.”
c.
“Nurses perform many of the procedures done by physicians.”
d.
“Nursing is focused on the human response to health problems.”
Correct Answer: D
Rationale: This response is consistent with the American Nursing Association (ANA) definition of nursing, which states that nursing is focused on the human response to health problems. The other responses describe some of the dependent and collaborative functions of the nursing role but do not accurately describe the nurse’s role in the health care system.
Cognitive Level: Comprehension Text Reference: p. 3
Nursing Process: Implementation
NCLEX: Safe and Effective Care Environment
- When providing patient care using evidence-based practice, the nurse uses
a.
clinical judgment based on experience.
b.
evidence from a clinical research study.
c.
evidence-based guidelines coupled with clinical expertise.
d.
evaluation of data showing that the patient outcomes are met.
Correct Answer: C
Rationale: Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician expertise. Clinical judgment based on the nurse’s clinical experience is part of EBP, but clinical decision-making should also incorporate current research and research-based guidelines. Evidence from one clinical research study does not provide 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.
Cognitive Level: Comprehension Text Reference: p. 5
Nursing Process: Planning
NCLEX: Safe and Effective Care Environment
- The nurse uses the nursing process in the care of patients primarily
a.
as a scientific-based process of diagnosing the patient’s health care problems.
b.
to establish nursing theory that incorporates the biopsychosocial nature of humans.
c.
to explain nursing interventions to other health care professionals.
d.
as a problem-solving tool to identify and treat patients’ health care needs.
Correct Answer: D
Rationale: A nursing process is a 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.
Cognitive Level: Comprehension Text Reference: p. 9
Nursing Process: Implementation
NCLEX: Safe and Effective Care Environment
- An elderly, emaciated patient is admitted to the intensive care unit (ICU). The nurse plans an every-2-hours turning schedule to prevent skin breakdown. In this case, the nursing action is considered to be
a.
dependent.
b.
cooperative.
c.
independent.
d.
collaborative.
Correct Answer: D
Rationale: When implementing collaborative nursing actions, the nurse is responsible primarily for monitoring for complications 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.
Cognitive Level: Application Text Reference: p. 10
Nursing Process: Implementation
NCLEX: Safe and Effective Care Environment
- A patient who has been admitted to the hospital for gallbladder surgery tells the nurse on admission, “I do not feel right about leaving my children with my neighbor.” During the assessment of the patient, an appropriate nursing action by the nurse is to
a.
reassure the patient that these feelings are common for parents.
b.
call the neighbor to determine whether adequate child care is being provided.
c.
have the patient call the children to reassure herself that they are doing well.
d.
gather more data about the patient’s feelings about the childcare arrangements.
Correct Answer: D
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