Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada MULTIPLE CHOICE 1. The nurse is caring for a patient with a new diagnosis of pneumonia and explains to the patient that together they will plan the patient‘s care and set goals for discharge. The patient asks, ―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 administer medications and other treatments prescribed by your doctor.‖ b. ―The nurse‘s job is to help the doctor by collecting data and communicating when there are problems.‖ c. ―Nurses perform many of the procedures done by physicians, but nurses are here in the hospital for a longer time than doctors.‖ d. ―In addition to caring for you while you are sick, the nurses will assist you to develop an individualized plan to maintain your health.‖ ANS: D This response is consistent with the Canadian Nurses Association (CNA) definition of nursing. Registered nurses are self-regulated health care professionals who work autonomously and in collaboration with others. RNs enable individuals, families, groups, communities and populations to achieve their optimal level of health. RNs coordinate health care, deliver direct services, and support patients in their self-care decisions and actions in situations of health, illness, injury, and disability in all stages of life. 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. DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment 2. When caring for patients using evidence-informed practice, which of the following does the nurse use? a. Clinical judgement based on experience b. Evidence from a clinical research study c. The best available evidence to guide clinical expertise d. Evaluation of data show