{"id":118694,"date":"2023-09-05T20:16:07","date_gmt":"2023-09-05T20:16:07","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=118694"},"modified":"2023-09-05T20:16:09","modified_gmt":"2023-09-05T20:16:09","slug":"test-bank-for-lewiss-medical-surgical-nursing-12th-edition-by-mariann-m-harding-jeffrey-kwong-debra-hagler-chapter-1-69","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/05\/test-bank-for-lewiss-medical-surgical-nursing-12th-edition-by-mariann-m-harding-jeffrey-kwong-debra-hagler-chapter-1-69\/","title":{"rendered":"Test Bank For Lewis&#8217;s Medical-Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffrey Kwong, Debra Hagler Chapter 1-69"},"content":{"rendered":"\n<p>Chapter 01: Professional Nursing<br>Harding: Lewis\u2019s Medical-Surgical Nursing, 12th Edition<br>MULTIPLE CHOICE<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nurse completes an admission database and explains that the plan of care and discharge<br>goals will be developed with the patient\u2018s input. The patient asks, \u201cHow is this different from<br>what the physician does?\u201d Which response would the nurse provide?<br>a. \u201cThe role of the nurse is to administer medications and other treatments prescribed<br>by your physician.\u201d<br>b. \u201cIn addition to caring for you while you are sick, the nurses will help you plan to<br>maintain your health.\u201d<br>c. \u201cThe nurse\u2018s job is to collect information and communicate any problems that<br>occur to the physician.\u201d<br>d. \u201cNurses perform many of the same procedures as the physician, but nurses are<br>with the patients for a longer time than the physician.\u201d<br>ANS: B<br>The American Nurses Association (ANA) definition of nursing describes the role of nurses in<br>promoting health. The other responses describe dependent and collaborative functions of the<br>nursing role but do not accurately describe the nurse\u2018s unique role in the health care system.<br>DIF: Cognitive Level: Analyze (Analysis)<br>TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n<li>Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?<br>a. \u201cPatient care is based on clinical judgment, experience, and traditions.\u201d<br>b. \u201cData are analyzed later to show that the patient outcomes are consistently met.\u201d<br>c. \u201cResearch from all published articles are used as a guide for planning patient care.\u201d<br>d. \u201cRecommendations are based on research, clinical expertise, and patient<br>preferences.\u201d<br>ANS: D<br>Evidence-based practice (EBP) is the use of the best research-based evidence combined with<br>clinician expertise and consideration of patient preferences. Clinical judgment based on the<br>nurse\u2018s clinical experience is part of EBP, but clinical decision making should also<br>incorporate current research and research-based guidelines. Evaluation of patient outcomes is<br>important, but data analysis is not required to use EBP. All published articles do not provide<br>research evidence; interventions should be based on credible research, preferably randomized<br>controlled studies with a large number of subjects.<br>DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning<br>MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n<li>Which statement by the nurse provides a clear explanation of the nursing process?<br>a. \u201cThe nursing process is a research method of diagnosing the patient\u2018s health care<br>problems.\u201d<br>b. \u201cThe nursing process is used primarily to explain nursing interventions to other<br>health care professionals.\u201d<br>c. \u201cThe nursing process is a problem-solving tool used to identify and manage the<\/li>\n<\/ol>\n\n\n\n<p>patients\u2018 health care needs.\u201d<br>d. \u201cThe nursing process is based on nursing theory that incorporates the<br>biopsychosocial nature of humans.\u201d<br>ANS: C<br>The nursing process is a problem-solving approach to the identification and treatment of<br>patients\u2018 problems. Nursing process does not require research methods for diagnosis. The<br>primary use of the nursing process is in patient care, not to establish nursing theory or explain<br>nursing interventions to other health care professionals.<br>DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Evaluation<br>MSC: NCLEX: Safe and Effective Care Environment<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"4\">\n<li>A patient admitted to the hospital for surgery tells the nurse, \u201cI do not feel comfortable<br>leaving my children with my parents.\u201d Which action would the nurse take next?<br>a. Reassure the patient that these feelings are common for parents.<br>b. Have the patient call the children to ensure that they are doing well.<br>c. Gather information on the patient\u2018s concerns about the child care arrangements.<br>d. Call the patient\u2018s parents to determine whether adequate child care is being<br>provided.<br>ANS: C<br>Because a complete assessment is necessary in order to identify a problem and choose an<br>appropriate intervention, the nurse\u2018s first action should be to obtain more information. The<br>other actions may be appropriate, but more assessment is needed before the best intervention<br>can be chosen.<br>DIF: Cognitive Level: Analyze (Analysis)<br>TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity<\/li>\n\n\n\n<li>A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.<br>Which expected outcome would the nurse select for this patient?<br>a. Patient has a balanced intake and output.<br>b. Patient\u2018s bedding is kept clean and free of moisture.<br>c. Patient understands the need for increased fluid intake.<br>d. Patient\u2018s skin remains cool and dry throughout hospitalization.<br>ANS: A<br>Balanced intake and output gives measurable data showing resolution of the problem of<br>deficient fluid volume. The other statements would not indicate that the problem of<br>hypovolemia was resolved.<br>DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning<br>MSC: NCLEX: Physiological Integrity<\/li>\n\n\n\n<li>Which statement describes the purpose of the evaluation phase of the nursing process?<br>a. To document the nursing care plan in the progress notes of the health record<br>b. To determine if interventions have been effective in meeting patient outcomes<br>c. To decide whether the patient\u2018s health problems have been completely resolved<br>d. To establish if the patient agrees that the nursing care provided was satisfactory<br>ANS: B<\/li>\n<\/ol>\n\n\n\n<p>Evaluation consists of determining whether the desired patient outcomes have been met and<br>whether the nursing interventions were appropriate. The other responses do not describe the<br>evaluation phase.<br>DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Evaluation<br>MSC: NCLEX: Safe and Effective Care Environment<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"7\">\n<li>Which statement describes the purpose of the assessment phase of the nursing process?<br>a. To teach interventions that relieve health problems<br>b. To use patient data to evaluate patient care outcomes<br>c. To obtain data to diagnose patient strengths and problems<br>d. To help the patient identify realistic outcomes for health problems<br>ANS: C<br>During the assessment phase, the nurse gathers information about the patient to diagnose<br>patient strengths and problems. The other responses are examples of the planning,<br>intervention, and evaluation phases of the nursing process.<br>DIF: Cognitive Level: Understand (Comprehension)<br>TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n<li>When developing the plan of care, which components would the nurse include in the clinical<br>problem statement?<br>a. The problem and the suggested patient goals or outcomes<br>b. The problem, its causes, and the signs and symptoms of the problem<br>c. The problem with the possible etiology and the planned interventions<br>d. The problem, its pathophysiology, and the expected outcome<br>ANS: B<br>When writing clinical problems or nursing diagnoses, the subjective as well as objective data<br>to support the problem\u2018s existence should be included. Goals, outcomes, and interventions are<br>not included in the problem statement.<br>DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Diagnosis<br>MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n<li>Which patient care task would the nurse delegate to experienced assistive personnel (AP)?<br>a. Instruct the patient about the need to alternate activity and rest.<br>b. Monitor level of shortness of breath or fatigue after ambulation.<br>c. Obtain the patient\u2018s blood pressure and pulse rate after ambulation.<br>d. Determine whether the patient is ready to increase the activity level.<br>ANS: C<br>AP education includes accurate vital sign measurement. Assessment and patient teaching<br>require registered nurse education and scope of practice and cannot be delegated.<br>DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning<br>MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n<li>A nurse is caring for a group of patients on the medical-surgical unit with the help of one float<br>registered nurse (RN), one assistive personnel (AP), and one licensed practical\/vocational<br>nurse (LPN\/VN). Which assignment, if delegated by the nurse, would be outside that<br>individual\u2018s scope of practice?<br>a. Check for the presence of bowel sounds by AP<br>b. Administration of oral medications by LPN\/VN<br>c. Insulin administration by float RN from the pediatric unit<br>d. Measurement of a patient\u2018s urinary catheter output by AP<br>ANS: A<br>Assessment requires RN education and scope of practice so it cannot be delegated to an<br>LPN\/VN or AP. The other assignments made by the RN are appropriate for the role of the<br>team member.<br>DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning<br>MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n<li>Which task is appropriate for the nurse to delegate to a licensed practical\/vocational nurse<br>(LPN\/VN)?<br>a. Complete the initial admission assessment and plan of care.<br>b. Measure bedside blood glucose before administering insulin.<br>c. Document teaching completed before a diagnostic procedure.<br>d. Instruct a patient about low-fat, reduced sodium dietary restrictions.<br>ANS: B<br>The education and scope of practice of the LPN\/LVN include activities such as obtaining<br>glucose testing using a finger stick and administering insulin. Patient teaching and the initial<br>assessment and development of the plan of care are nursing actions that require registered<br>nurse education and scope of practice.<br>DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning<br>MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n<li>A nurse is assigned as a case manager for a hospitalized patient who has a spinal cord injury.<br>Which activity can the patient expect the nurse in this role to perform?<br>a. Care for the patient during hospitalization for the injuries.<br>b. Assist the patient with home care activities during recovery.<br>c. Coordinate the services the patient receives in the hospital and at home.<br>d. Determine what medical care the patient needs for optimal rehabilitation.<br>ANS: C<br>The role of the case manager is to coordinate the patient\u2018s care through multiple settings and<br>levels of care to allow the maximal patient benefit at the least cost. The case manager does not<br>provide direct care in the acute or home setting. The case manager coordinates and advocates<br>for care. The HCP determines what medical care is needed.<br>DIF: Cognitive Level: Apply (Application)<br>TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n<li>The nurse is caring for an older adult patient who needs continued nursing care and physical<br>therapy to improve mobility after surgery to repair a fractured hip. The nurse would help to<br>arrange for transfer of the patient to which type of facility?<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Chapter 01: Professional NursingHarding: Lewis\u2019s Medical-Surgical Nursing, 12th EditionMULTIPLE CHOICE patients\u2018 health care needs.\u201dd. \u201cThe nursing process is based on nursing theory that incorporates thebiopsychosocial nature of humans.\u201dANS: CThe nursing process is a problem-solving approach to the identification and treatment ofpatients\u2018 problems. Nursing process does not require research methods for diagnosis. Theprimary use of the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-118694","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118694","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=118694"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118694\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118694"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118694"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118694"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}