M ULTIPL E CHOICE
1. The nurse completes an admission databaseand explains that the plan of care and discharge
goals will bedeveloped with
... [Show More] thepatient‘s input. Thepatient asks, “How is this different from
whatthephysician does?” Whichresponsewould thenurseprovide?
a. “Theroleofthenurseistoadministermedicationsandothertreatmentsprescribed
by your physician.”
b. “In additiontocaringfor youwhileyouaresick,thenurseswill help youplanto
maintain your health.”
c. “The nurse‘s jobis to collectinformationandcommunicateanyproblemsthat
occur to the physician.”
d. “Nursesperformmany of thesameprocedures as thephysician, but nurses are
withthepatients for alongertimethanthephysician.”
ANS: B
TheA merican Nurses Association (ANA) definition of nursing describes theroleof nurses in
promoting health. The other responses describe dependent and collaborative functions of the
nursing rolebut do not accurately describethenurse‘s uniquerolein thehealthcaresystem.
DIF: CognitiveLevel: Analyze(Analysis)
TOP: NursingProcess: Implementation MSC: NCLEX: Safeand EffectiveCareEnvironment
2. Which statement by the nurseaccurately describes theuseof evidence-based practice (EBP)?
a. “Patient careis based on clinical judgment, experience, and traditions.”
b. “Data areanalyzedlaterto show thatthepatientoutcomesareconsistently met.”
c. “Research from all published articles areused as aguidefor planning patient care.”
d. “Recommendations arebased onresearch, clinical expertise, and patient
preferences.”
ANS: D
Evidence-based practice (EBP) is theuseof thebestresearch-based evidencecombined with
clinician expertiseandconsiderationof patientpreferences. Clinical judgmentbasedon the
nurse‘s clinical experience is part of EBP, but clinical decision making should also
incorporatecurrentresearchand research-based guidelines. Evaluation of patient outcomes is
important, but dataanalysis is notrequired to useEBP. All published articlesdo not provide
researchevidence; interventions should bebased on credibleresearch, preferably randomized
controlledstudieswithalargenumber of subjects [Show Less]