Lewis’s Medical-Surgical Nursing 12th Edition Harding Test Bank
Chapter 01: Professional NursingHarding: Lewis’s Medical-Surgical Nursing, 12th EditionMULTIPLE CHOICE1. The nurse completes an admission database and explains that the plan of care and dischargegoals will be developed with the patient‘s input. The patient asks, “How is this different fromwhat the physician does?” Which response would the nurse provide?a. “The role of the nurse is to administer medications and other treatments prescribedby your physician.”b. “In addition to caring for you while you are sick, the nurses will help you plan tomaintain your health.”c. “The nurse‘s job is to collect information and communicate any problems thatoccur to the physician.”d. “Nurses perform many of the same procedures as the physician, but nurses arewith the patients for a longer time than the physician.”ANS: BThe American Nurses Association (ANA) definition of nursing describes the role of nurses inpromoting health. The other responses describe dependent and collaborative functions of thenursing role but do not accurately describe the nurse‘s unique role in the health care system.DIF: Cognitive Level: Analyze (Analysis)TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?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.”c. “Research from all published articles are used as a guide for planning patient care.”d. “Recommendations are based on research, clinical expertise, and patientpreferences.”ANS: DEvidence-based practice (EBP) is the use of the best research-based evidence combined withclinician expertise and consideration of patient preferences. Clinical judgment based on thenurse‘s clinical experience is part of EBP, but clinical decision making should alsoincorporate current research and research-based guidelines. Evaluation of patient outcomes isimportant, but data analysis is not required to use EBP. All published articles do not provideresearch evidence; interventions should be based on credible research, preferably randomizedcontrolled studies with a large number of subjects.DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: PlanningMSC: NCLEX: Safe and Effective Care Environment3. Which statement by the nurse provides a clear explanation of the nursing process?a. “The nursing process is a research method of diagnosing the patient‘s health careproblems.”b. “The nursing process is used primarily to explain nursing interventions to otherhealth care professionals.”c. “The nursing process is a problem-solving tool used to identify and manage the
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