Chapter 1: Contemporary Nursing Practice

Chapter 1: Contemporary Nursing Practice

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. The nurse has admitted a patient with a new diagnosis of pneumonia and explained to the
patient that together they will plan the patient’s care and set goals for 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 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 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’s role in the health care system.
DIF: Cognitive Level: Comprehension REF: 3
TOP: Nursing Process: Implementation MSC: 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 in addition to clinical expertise.
d. evaluation of data showing that the patient outcomes are met.
ANS: C
Evidence-based practice (EBP) is the 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 also should 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.
DIF: Cognitive Level: Comprehension REF: 6-8 TOP: Nursing Process:
Planning
Test Bank 1-2
MSC: NCLEX: Safe and Effective Care Environment
3. The nurse primarily uses the nursing process in the care of patients
a. to explain nursing interventions to other health care professionals
b. as a problem-solving tool to identify and treat patients’ health care needs
c. as a scientific-based process of diagnosing the patient’s health care problems
d. to establish nursing theory that incorporates the biopsychosocial nature of humans
ANS: B
The nursing process is a problem-solving approach to the identification and treatment of
patients’ 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.
DIF: Cognitive Level: Comprehension REF: 10
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment
4. The nurse plans an every 2-hour turning schedule to prevent skin breakdown for a
critically ill patient in the intensive care unit. In this case, the nursing action is considered
to be
a. dependent.
b. cooperative.
c. independent.
d. collaborative.
ANS: D
When implementing collaborative nursing actions, the nurse is responsible primarily for
monitoring for complications of acute illness or providing care to prevent or treat
complications. Independent nursing actions are focused on health promotion, illness
prevention, and patient advocacy. A dependent action would require a physician order to
implement. Cooperative nursing functions are not described as one of the formal nursing
functions.
DIF: Cognitive Level: Application REF: 10-11
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment