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TEST BANK For: Lewis Medical Surgical Nursing, 12thn Edition by Mariann M. Harding , Verified Chapters 1 - 69, Complete Newest Versio|LATES UPDATE 2024|25
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TEST BANK For: Lewis Medical Surgical Nursing, 12thn Edition by Mariann M. Harding , Verified Chapters 1 - 69, Complete Newest Versio|LATES UPDATE 2024|25TEST BANK For: Lewis Medical Surgical Nursing, 12thn Edition by Mariann M. Harding , Verified Chapters 1 - 69, Complete Newest Versio|LATES UPDAT...
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,Chapter 01: Professional Nursing
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Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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MULTIPLE CHOICE ?
1. The nurse completes an admission database and explains that the plan of care and
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discharge goals will be developed with the patient‗s input. The patient asks, ―How is this
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different fromwhat 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 prescribedby
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your physician.‖
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b. ―In addition to caring for you while you are sick, the nurses will help you plan
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tomaintain your health.‖
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c. ―The nurse‗s job is to collect information and communicate anyproblems
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thatoccur to the physician.‖
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d. ―Nurses perform manyof the same procedures as the physician, but nurses are
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with the patients for a longer time than the physician.‖
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ANS: B ?
The American Nurses Association (ANA) definition of nursing describes the role of nurses
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inpromoting 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: Cognitive Level: 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.‖? ? ? ? ? ? ? ? ?
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.‖ ? ? ? ? ? ? ? ? ? ? ? ? ?
d. ―Recommendations are based on research, clinical expertise, and patient ? ? ? ? ? ? ? ?
preferences.‖
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ANS: D ?
Evidence-based practice (EBP) is the use of the best research-based evidence combined ? ? ? ? ? ? ? ? ? ? ?
withclinician 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
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evidence; interventions should be based on credible research, preferably randomizedcontrolled
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studies with a large number of subjects.
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DIF: Cognitive Level: Understand (Comprehension) ? ? ? 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
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careproblems.‖
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b. ―The nursing process is used primarilyto explain nursing interventions to
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otherhealth care 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.‖ ? ? ?
d. ―The nursing process is based on nursing theorythat incorporates
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thebiopsychosocial nature of humans.‖
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ANS: C ?
The nursing process is a problem-solving approach to the identification and treatment of
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patients‗ problems. Nursing process 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
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explainnursing interventions to other health care professionals.
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DIF: Cognitive Level: Understand (Comprehension) 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
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comfortableleaving my children with my parents.‖ Which action would the nurse take
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next?
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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.
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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
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beingprovided.
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ANS: C ?
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
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other actions may be appropriate, but more assessment is needed before the best interventioncan
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be chosen.
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DIF: Cognitive Level: Analyze (Analysis) ? ? ?
TOP: Nursing Process: Assessment
? MSC: NCLEX: Psychosocial Integrity ? ? ? ? ?
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive
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diaphoresis.Which expected outcome would the nurse select for this patient?
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a. Patient has a balanced intake and output. ? ? ? ? ? ?
b. Patient‗s bedding is kept clean and free of moisture. ? ? ? ? ? ? ? ?
c. Patient understands the need for increased fluid intake. ? ? ? ? ? ? ?
d. Patient‗s skin remains cool and dry throughout hospitalization. ? ? ? ? ? ? ?
ANS: A ?
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.
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DIF: Cognitive Level: Apply (Application) ? ? ? TOP: Nursing Process: ? ?
PlanningMSC: 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 ?
, Evaluation consists of determining whether the desired patient outcomes have been met
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and whether the nursing interventions were appropriate. The other responses do not describe
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theevaluation phase.
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DIF: Cognitive Level: Understand (Comprehension)
?? ? 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 problems
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ANS: C ?
During the assessment phase, the nurse gathers information about the patient to diagnosepatient
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strengths and problems. The other responses are examples of the planning, intervention, and
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evaluation phases of the nursing process.
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DIF: Cognitive Level: Understand (Comprehension) ? ? ?
TOP: Nursing Process: Assessment
? MSC: NCLEX: Safe and Effective Care Environment ? ? ? ? ? ? ? ?
8. When developing the plan of care, which components would the nurse include in the
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clinicalproblem statement?
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a. The problem and the suggested patient goals or outcomes
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b. The problem, its causes, and the signs and symptoms of the problem
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c. The problem with the possible etiology and the planned interventions
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d. The problem, its pathophysiology, and the expected outcome
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ANS: B ?
When writing clinical problems or nursing diagnoses, the subjective as well as objective data to
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support the problem‗s existence should be included. Goals, outcomes, and interventions arenot
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included in the problem statement.
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DIF: Cognitive Level: Understand (Comprehension) ? ? ? TOP: Nursing Process: ? ?
DiagnosisMSC: NCLEX: Safe and Effective Care Environment
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9. Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
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a. Instruct the patient about the need to alternate activity and rest.? ? ? ? ? ? ? ? ? ?
b. Monitor level of shortness of breath or fatigue after ambulation. ? ? ? ? ? ? ? ? ?
c. Obtain the patient‗s blood pressure and pulse rate after ambulation.
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d. Determine whether the patient is ready to increase the activity level. ? ? ? ? ? ? ? ? ? ?
ANS: C ?
AP education includes accurate vital sign measurement. Assessment and patient teachingrequire
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registered nurse education and scope of practice and cannot be delegated.
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DIF: Cognitive Level: Apply (Application) ? ? ? TOP: Nursing Process: ? ?
PlanningMSC: NCLEX: Safe and Effective Care Environment
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