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Test Bank For Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 8th Edition

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Lewis: Medical-Surgical Nursing, 8th EditionChapter 1: Contemporary Nursing PracticeTest BankMULTIPLE CHOICE1.The nurse has admitted a patient with a new diagnosis of pneumonia and explainedto the patient that together they will plan thepatient’scare and set goals for discharge.The patient says,“Howis that different from what the doctordoes?”Which responseby the nurse is most appropriate?a.“Theroleofthenurseistoadministermedicationsandothertreatmentsprescribedbyyourb.“Thenurse’sjobistohelpthedoctorbycollectingdataandcommunicatingwhentherearec.“Nursesperformmanyoftheproceduresdonebyphysicians,butnursesarehereinthehostimethandoctors.”d.“Inadditiontocaringforyouwhileyouaresick,thenurseswillassistyoutodevelopanintomaintainyourhealth.”ANS: DThis response is consistent with the American Nurses Association (ANA) definitionof nursing, which describes the role of nurses in promoting health. The otherresponses describe some of the dependent and collaborative functions of the nursingrole but do not accurately describe thenurse’srole in the health care system.DIF: Cognitive Level: Comprehension REF: 3TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment2.When providing patient care using evidence-based practice, the nurse usesa.clinicaljudgmentbasedonexperience.b.evidencefromaclinicalresearchstudy.c.evidence-basedguidelinesinadditiontoclinicalexpertise.d.evaluationofdatashowingthatthepatientoutcomesaremet.ANS: CEvidence-based practice (EBP) is the use of the best research-based evidencecombined with clinician expertise. Clinical judgment based on thenurse’sclinicalexperience is part of EBP, but clinical decision making also should incorporatecurrent research and research-based guidelines. Evidence from one clinical researchstudy does not provide an adequate substantiation for interventions. Evaluation of

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Subject
Nursing
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Medical-Surgical Nursing: Assessmen...

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