Lewis Medical-Surgical Nursing 7th Edition：刘易斯医疗外科护理学第七版.doc

Lewis: Medical-Surgical Nursing, 7th Edition Test Bank Chapter 1: Nursing Practice Today MULTIPLE CHOICE 1. When the nurse explains to the patient that together they will plan the patient’s care and set goals to achieve by discharge, the patient says, “How is that different from what the doctor does?” Which response by the nurse is most appropriate? a. “The role of the nurse is to provide prescribed patient care.” b. “The nurse helps the doctor to diagnose and treat patients.” c. “Nurses perform many of the procedures done by physicians.” d. “Nursing is focused on the human response to health problems.” Correct Answer: D Rationale: This response is consistent with the American Nursing Association (ANA) definition of nursing, which states that nursing is focused on the human response to health problems. The other responses describe some of the dependent and collaborative functions of the nursing role but do not accurately describe the nurse’s role in the health care system. Cognitive Level: Comprehension Text Reference: p. 3 Nursing Process: Implementation NCLEX: Safe and Effective Care Environment 2. When providing patient care using evidence-based practice, the nurse uses a. clinical judgment based on experience. b. evidence from a clinical research study. c. evidence-based guidelines coupled with clinical expertise. d. evaluation of data showing that the patient outcomes are met. Correct Answer: C Rationale: Evidence-based practice (EBP) is use of the best research-based evidence combined with clinician expertise. Clinical judgment based on the nurse’s clinical experience is part of EBP, but clinical decision making should also incorporate current research and research-based guidelines. Evidence from one clinical research study does not provide an adequate substantiation for interventions. Evaluation of patient outcomes is important, but interventions should be based on research from randomized control studies with a large number of subjects. Cogniti