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Test Bank for Lewis Medical Surgical Nursing 12th Edition by Mariann M. Harding, Jeffrey Kwong, Debra Hagler All Chapters Covered (Chapters 1 to 69) Correct Answers with Rationale | Graded A+
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Lewis Medical Surgical Nursing 12TH
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Lewis Medical Surgical Nursing 12TH
Test Bank for Lewis Medical Surgical Nursing 12th Edition by Mariann M. Harding, Jeffrey Kwong, Debra Hagler All Chapters Covered (Chapters 1 to 69) Correct Answers with Rationale | Graded A+
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Created By: Test Bank 7 7 7
Test Bank For Lewis\'s Medical- Surgical Nursing, 12th
Edition by Mariann M. Harding, Jeffrey Kwong, Debra
Hagler Chapter 1-69 A +
Chapter 01: Professional Nursing
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Harding: Lewis‟s Medical-Surgical Nursing, 12th Edition
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MULTIPLE CHOICE 7
1. The nurse completes an admission database and explains that the plan of care anddi
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scharge goals will be developed with the patient„s input. The patient asks, “How is thisdiffe
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rent from what the physician does?” Which response would the nurse provide?
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a. “The role of the nurse is to administer medications and other treatments prescribed byyo
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ur physician.”
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b. “In addition to caring for you while you are sick, the nurses will help you plan toma
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intain your health.”
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c. “The nurse„s job is to collect information and communicate any problems that occur toth
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e physician.”
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d. “Nurses perform many of the same procedures as the physician, but nurses are with thepat
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ients for a longer time than the physician.”
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ANS: B 7
The American Nurses Association (ANA) definition of nursing describes the role of nurses inpr
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omoting health. The other responses describe dependent and collaborative functions of the nursi
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ng role but do not accurately describe the nurse„s unique role in the health care system.
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DIF: Cognitive Level: Analyze (Analysis) 7 7 7
TOP: Nursing Process: Implementation
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MSC: NCLEX: Safe and Effective Care
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Environment
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2. Which statement by the nurse accurately describes the use of evidence-
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based practice(EBP)? 7 7
a. “Patient care is based on clinical judgment, experience, and traditions.”
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b. “Data are analyzed later to show that the patient outcomes are consistently met.”
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c. “Research from all published articles are used as a guide for planning patient care.”
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d. “Recommendations are based on research, clinical expertise, and patient preferences.”A 7 7 7 7 7 7 7 7 7 7
NS: D 7
Evidence-based practice (EBP) is the use of the best research- 7 7 7 7 7 7 7 7 7
based evidence combined with clinician expertise and consideration of patient preferences. Clinica
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l judgment based on the nurse„s clinical experience is part of EBP, but clinical decision making sho
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uld also incorporate current research and research-
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based guidelines. Evaluation of patient outcomes is important, butdata analysis is not required to us
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e EBP. All published articles do not provide research evidence;interventions should be based on cr
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edible research, preferably randomized controlled studies with a large number of subjects.
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DIF: Cognitive Level: Understand (Comprehension) 7 7 7
TOP: Nursing Process: PlanningMSC: 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. “The nursing process is a research method of diagnosing the patient„s health carepr
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oblems.”
b. “The nursing process is used primarily to explain nursing interventions to other healthca
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re professionals.”
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c. “The nursing process is a problem-solving tool used to identify and manage the
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patients„ health care needs.” 7 7 7
d. “The nursing process is based on nursing theory that incorporates the biopsychosocialna
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ture of humans.”
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ANS: C 7
The nursing process is a problem-
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solving approach to the identification and treatment of patients„ problems. Nursing process
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does not require research methods for diagnosis. The
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primary use of the nursing process is in patient care, not to establish nursing theory or explainnur
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sing interventions to other health care professionals.
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DIF: Cognitive Level: Understand (Comprehension) 7 7 7
TOP: Nursing Process: EvaluationMSC: NCLEX: Safe and Effective Care Environment
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4. A patient admitted to the hospital for surgery tells the nurse, “I do not feel comfortablelea
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ving 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.
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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 provided.A
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NS: C 7
Because a complete assessment is necessary in order to identify a problem and choose an appropria
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te intervention, the nurse„s first action should be to obtain more information. The otheractions may
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be appropriate, but more assessment is needed before the best intervention can be chosen.
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DIF: Cognitive Level: Analyze (Analysis) 7 7 7
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
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5. A patient with a bacterial infection is hypovolemic due to a fever and excessivedi
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aphoresis. Which expected outcome would the nurse select for this patient?
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a. Patient has a balanced intake and output.
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b. Patient„s bedding is kept clean and free of moisture.
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c. Patient understands the need for increased fluid intake.
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d. Patient„s skin remains cool and dry throughout hospitalization.
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ANS: A 7
Balanced intake and output gives measurable data showing resolution of the problem of deficientflu
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id volume. The other statements would not indicate that the problem of hypovolemia was resolved.
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DIF: Cognitive Level: Apply (Application)
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TOP: Nursing Process: Planning MSC:
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NCLEX: Physiological Integrity 7 7
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 satisfactoryA
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NS: B 7
Evaluation consists of determining whether the desired patient outcomes have been met andw
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hether the nursing interventions were appropriate. The other responses do not describe theeval
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uation phase. 7
DIF: Cognitive Level: Understand (Comprehension) 7 7 7
TOP: Nursing Process: EvaluationMSC: NCLEX: Safe and Effective Care Environment
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7. Which statement describes the purpose of the assessment phase of the nursing process?
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a. To teach interventions that relieve health problems
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b. To use patient data to evaluate patient care outcomes
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c. To obtain data to diagnose patient strengths and problems
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d. To help the patient identify realistic outcomes for health problemsA
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NS: C 7
During the assessment phase, the nurse gathers information about the patient to diagnose patientstr
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engths and problems. The other responses are examples of the planning, intervention, and evaluati
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on phases of the nursing process.
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DIF: Cognitive Level: Understand (Comprehension) 7 7 7
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
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