{"id":119379,"date":"2023-09-08T23:31:51","date_gmt":"2023-09-08T23:31:51","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=119379"},"modified":"2023-09-08T23:31:52","modified_gmt":"2023-09-08T23:31:52","slug":"test-bank-brunner-suddarths-textbook-of-medical-surgical-nursing-15th-edition-test-bank-janice-l-hinkle-kerry-h-cheever-all-chapters-complete-guide-2022","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/08\/test-bank-brunner-suddarths-textbook-of-medical-surgical-nursing-15th-edition-test-bank-janice-l-hinkle-kerry-h-cheever-all-chapters-complete-guide-2022\/","title":{"rendered":"Test bank Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 15th edition Test Bank Janice L Hinkle, Kerry H. Cheever – All Chapters | Complete Guide 2022"},"content":{"rendered":"\n

1
Test Bank For Brunner & Suddarth’s Textbook of Medical-Surgical
Nursing 15th Edition
Chapter 1: Professional Nursing Practice
MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  1. The nurse completes an admission database and explains that the plan of care
    and discharge goals will be developed with the patient\u2019s input. The patient states, \u201cHow is this
    different from what the doctor does?\u201d Which response would be most appropriate for the
    nurse to make?
    a. \u201cThe role of the nurse is to administer medications and other treatments prescribed
    by your doctor.\u201d
    b. \u201cThe nurse\u2019s job is to help the doctor by collecting information and communicating
    any problems that occur.\u201d
    c. \u201cNurses perform many of the same procedures as the doctor, but nurses are with the
    patients for a longer time than the doctor.\u201d
    d. \u201cIn addition to caring for you while you are sick, the nurses will assist you to
    develop an individualized plan to maintain your health.\u201d
    ANS: D
    This response is consistent with the American Nurses Association (ANA) definition of
    nursing, which describes the role of nurses in promoting health. The other responses describe
    some of the dependent and collaborative functions of the nursing role but do not accurately
    describe the nurse\u2019s role in the health care system.<\/li>\n\n\n\n
  2. The nurse describes to a student nurse how to use evidence-based practice
    guidelines when caring for patients. Which statement, if made by the nurse, would be the most
    accurate?
    a. \u201cInferences from clinical research studies are used as a guide.\u201d
    b. \u201cPatient care is based on clinical judgment, experience, and traditions.\u201d
    c. \u201cData are evaluated to show that the patient outcomes are consistently met.\u201d
    d. \u201cRecommendations are based on research, clinical expertise, and patient preferences.\u201d
    ANS: D
    Evidence-based practice (EBP) is the use of the best research-based evidence combined with
    clinician expertise. Clinical judgment based on the nurse\u2019s clinical experience is part of EBP,
    but clinical decision making should also incorporate current research and research-based
    guidelines. Evaluation of patient outcomes is important, but interventions should be based on
    research from randomized control studies with a large number of subjects.<\/li>\n\n\n\n
  3. The nurse teaches a student nurse about how to apply the nursing process when
    providing patient care. Which statement, if made by the student nurse, indicates that teaching 2
    was successful?
    a. \u201cThe nursing process is a scientific-based method of diagnosing the patient\u2019s health
    care problems.\u201d
    b. \u201cThe nursing process is a problem-solving tool used to identify and treat patients\u2019
    health care needs.\u201d
    c. \u201cThe nursing process is based on nursing theory that incorporates the biopsychosocial nature of humans.\u201d
    d. \u201cThe nursing process is used primarily to explain nursing interventions to other
    health care professionals.\u201d
    ANS: B
    The nursing process is a problem-solving approach to the identification and treatment of
    patients\u2019 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.<\/li>\n\n\n\n
  4. A patient has been admitted to the hospital for surgery and tells the nurse, \u201cI do
    not feel comfortable leaving my children with my parents.\u201d Which action should the nurse
    take next?
    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.
    c. Gather more data about the patient\u2019s feelings about the child-care arrangements.
    d. Call the patient\u2019s parents to determine whether adequate child care is being provided.
    ANS: C
    Since a complete assessment is necessary in order to identify a problem and choose an
    appropriate intervention, the nurse\u2019s first action should be to obtain more information. The
    other actions may be appropriate, but more assessment is needed before the best intervention
    can be chosen.<\/li>\n\n\n\n
  5. A patient who is paralyzed on the left side of the body after a stroke develops a
    pressure ulcer on the left hip. Which nursing diagnosis is most appropriate?
    a. Impaired physical mobility related to left-sided paralysis
    b. Risk for impaired tissue integrity related to left-sided weakness
    c. Impaired skin integrity related to altered circulation and pressure
    d. Ineffective tissue perfusion related to inability to move independently
    ANS: C
    The patient\u2019s major problem is the impaired skin integrity as demonstrated by the presence of
    a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by
    frequently repositioning the patient. Although left-sided weakness is a problem for the patient, 3
    the nurse cannot treat the weakness. The \u201crisk for\u201d diagnosis is not appropriate for this patient,
    who already has impaired tissue integrity. The patient does have ineffective tissue perfusion,
    but the impaired skin integrity diagnosis indicates more clearly what the health problem is.<\/li>\n\n\n\n
  6. A patient with a bacterial infection has a nursing diagnosis of deficient fluid
    volume related to excessive diaphoresis. Which outcome would the nurse recognize as most
    appropriate for this patient?
    a. Patient has a balanced intake and output.
    b. Patient\u2019s bedding is changed when it becomes damp.
    c. Patient understands the need for increased fluid intake.
    d. Patient\u2019s skin remains cool and dry throughout hospitalization.
    ANS: A
    This statement gives measurable data showing resolution of the problem of deficient fluid
    volume that was identified in the nursing diagnosis statement. The other statements would not
    indicate that the problem of deficient fluid volume was resolved.<\/li>\n\n\n\n
  7. A nurse asks the patient if pain was relieved after receiving medication. What
    is the purpose of the evaluation phase of the nursing process?
    a. To determine if interventions have been effective in meeting patient outcomes
    b. To document the nursing care plan in the progress notes of the medical record
    c. To decide whether the patient\u2019s health problems have been completely resolved
    d. To establish if the patient agrees that the nursing care provided was satisfactory
    ANS: A
    Evaluation consists of determining whether the desired patient outcomes have been met and
    whether the nursing interventions were appropriate. The other responses do not describe the
    evaluation phase.<\/li>\n\n\n\n
  8. The nurse interviews a patient while completing the health history and physical
    examination. What is the purpose of the assessment phase of the nursing process?
    a. To teach interventions that relieve health problems
    b. To use patient data to evaluate patient care outcomes
    c. To obtain data with which to diagnose patient problems
    d. To help the patient identify realistic outcomes for health problems
    ANS: C
    During the assessment phase, the nurse gathers information about the patient to diagnose
    patient problems. The other responses are examples of the planning, intervention, and
    evaluation phases of the nursing process. 4<\/li>\n\n\n\n
  9. Which nursing diagnosis statement is written correctly?
    a. Altered tissue perfusion related to heart failure
    b. Risk for impaired tissue integrity related to sacral redness
    c. Ineffective coping related to response to biopsy test results
    d. Altered urinary elimination related to urinary tract infection
    ANS: C
    This diagnosis statement includes a NANDA nursing diagnosis and an etiology that describes
    a patient\u2019s response to a health problem that can be treated by nursing. The use of a medical
    diagnosis as an etiology (as in the responses beginning \u201cAltered tissue perfusion\u201d and
    \u201cAltered urinary elimination\u201d) is not appropriate. The response beginning \u201cRisk for impaired
    tissue integrity\u201d uses the defining characteristic as the etiology.<\/li>\n\n\n\n
  10. The nurse admits a patient to the hospital and develops a plan of care. What
    components should the nurse include in the nursing diagnosis statement?
    a. The problem and the suggested patient goals or outcomes
    b. The problem with possible causes and the planned interventions
    c. The problem, its cause, and objective data that support the problem
    d. The problem with an etiology and the signs and symptoms of the problem
    ANS: D
    When writing nursing diagnoses, this format should be used: problem, etiology, and signs and
    symptoms. The subjective, as well as objective, data should be included in the defining
    characteristics. Interventions and outcomes are not included in the nursing diagnosis
    statement.<\/li>\n\n\n\n
  11. A nurse is caring for a patient with heart failure. Which task is appropriate for
    the nurse to delegate to experienced unlicensed assistive personnel (UAP)?
    a. Monitor for shortness of breath or fatigue after ambulation.
    b. Instruct the patient about the need to alternate activity and rest.
    c. Obtain the patient\u2019s blood pressure and pulse rate after ambulation.
    d. Determine whether the patient is ready to increase the activity level.
    ANS: C
    UAP education includes accurate vital sign measurement. Assessment and patient teaching
    require registered nurse education and scope of practice and cannot be delegated.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

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