Chapter 01: Professional Nursing

Harding: Lewis’s Medical-Surgical Nursing, 11th Edition

MULTIPLE CHOICE

1. The nurse completes an admission database and explains that the plan of care and discharge

goals will be developed with the patient‘s input. The patient asks, ―How is this differentfrom

what the doctor does?‖ Which response would be most appropriate for the nurse to make?

a. ―The role of the nurse is to administer medications and other treatments prescribed

by your doctor.‖ b.

―In addition to caring for you while you are sick, the nurses will help you plan to

maintain your health.‖

c. ―The nurse‘s job is to help the doctor by collecting information and

communicating any problems that occur.‖

d. ―Nurses perform many of the same procedures as the doctor, but nurses are with

the patients for a longer time than the doctor.‖

ANS: B

The American Nurses Association (ANA) definition of nursing describes the role of nurses in

promoting health. The other responses describe dependent and collaborative functions of the

nursing 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 Environment

2. The nurse describes to a student nurse how to use evidence-based practice (EBP) when caring

for patients. Which statement by the nurse accurately describes the use of EBP?

a. ―Inferences from all published articles are used as a guide.‖

b. ―Patient care is based on clinical judgment, experience, and traditions.‖

c. ―Data are analyzed later to show that the patient outcomes are consistently met.‖

d. ―Recommendations are based on research, clinical expertise, and patient

preferences.‖

ANS: D

Evidence-based practice (EBP) is the use of the best research-based evidence combined with

clinician expertise and consideration of patient preferences. 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. Evaluation of patient outcomes is

important, but data analysis is not required to use EBP. All published articles do not provide

research evidence; interventions should be based on credible research, preferably randomized

controlled studies with a large number of subjects.