(Test Bank) Lewis’S Medical Surgical Nursing

Harding, 11

Nursing

Test Bank

11th Edition

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Test Bank for Lewis’S Medical Surgical Nursing, The downloadable file consists of 900 pages, and the total size of the file is 15.36 MB. Purchase now only for highly discounted price.

Author(s): Harding

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1313212838485459717991101105117129148165175184196216227233245259270282305325332353364375394406420435450458469478499523543553573590600622642Table of ContentsTable of ContentsChapter 01: Professional NursingChapter 02: Health Equity and Culturally Competent CareChapter 03: Health History and Physical ExaminationChapter 04: Patient and Caregiver TeachingChapter 05: Chronic Illness and Older AdultsChapter 06: Stress ManagementChapter 07: Sleep and Sleep DisordersChapter 08: PainChapter 09: Palliative and End of Life CareChapter 10: Substance Use DisordersChapter 11: Inflammation and HealingChapter 12: GeneticsChapter 13: Immune Responses and TransplantationChapter 14: InfectionChapter 15: CancerChapter 16: Fluid, Electrolyte, and Acid-Base ImbalancesChapter 17: Preoperative CareChapter 18: Intraoperative CareChapter 19: Postoperative CareChapter 20: Assessment and Management: Visual ProblemsChapter 21: Assessment and Management: Auditory ProblemsChapter 22: Assessment: Integumentary SystemChapter 23: Integumentary ProblemsChapter 24: BurnsChapter 25: Assessment: Respiratory SystemChapter 26: Upper Respiratory ProblemsChapter 27: Lower Respiratory ProblemsChapter 28: Obstructive Pulmonary DiseasesChapter 29: Assessment: Hematologic SystemChapter 30: Hematologic ProblemsChapter 31: Assessment: Cardiovascular SystemChapter 32: HypertensionChapter 33: Coronary Artery Disease and Acute Coronary SyndromeChapter 34: Heart FailureChapter 35: DysrhythmiasChapter 36: Inflammatory and Structural Heart DisordersChapter 37: Vascular DisordersChapter 38: Assessment: Gastrointestinal SystemChapter 39: Nutritional ProblemsChapter 40: ObesityChapter 41: Upper Gastrointestinal ProblemsChapter 42: Lower Gastrointestinal ProblemsChapter 43: Liver, Biliary Tract, and Pancreas ProblemsChapter 44: Assessment: Urinary SystemChapter 45: Renal and Urologic ProblemsChapter 46: Acute Kidney Injury and Chronic Kidney DiseaseChapter 47: Assessment: Endocrine SystemChapter 48: Diabetes MellitusChapter 49: Endocrine ProblemsChapter 50: Assessment: Reproductive SystemTest Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)1 TESTBANK FOR LEWIS MEDICAL SURGICAL NURSING 11TH EDITION BY HARDING650662671693708717734747763772787794814825845864877889Chapter 51: Breast DisordersChapter 52: Sexually Transmitted InfectionsChapter 53: Female Reproductive ProblemsChapter 54: Male Reproductive ProblemsChapter 55: Assessment: Nervous SystemChapter 56: Acute Intracranial ProblemsChapter 57: StrokeChapter 58: Chronic Neurologic ProblemsChapter 59: Dementia and DeliriumChapter 60: Spinal Cord and Peripheral Nerve ProblemsChapter 61: Assessment: Musculoskeletal SystemChapter 62: Musculoskeletal Trauma and Orthopedic SurgeryChapter 63: Musculoskeletal ProblemsChapter 64: Arthritis and Connective Tissue DiseasesChapter 65: Critical CareChapter 66: Shock, Sepsis, and Multiple Organ Dysfunction SyndromeChapter 67: Acute Respiratory Failure and Acute Respiratory Distress SyndromeChapter 68: Emergency and Disaster NursingTest Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)2Chapter 01: Professional NursingTest BankMULTIPLE CHOICE1. The nurse teaches a student nurse about how to apply the nursing process when providing patient care.Which statement, if made by the student nurse, indicates that teaching was successful?a.The nursing process is a scientific-based method of diagnosing the patients health care problems.b.The nursing process is a problem-solving tool used to identify and treat patients health care needs.c.The nursing process is based on nursing theory that incorporates the biopsychosocial nature ofhumans.d.The nursing process is used primarily to explain nursing interventions to other health careprofessionals.ANS: BThe 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: Understand (comprehension)TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment2. The nurse describes to a student nurse how to use evidence-based practice guidelines when caring forpatients. Which statement, if made by the nurse, would be the most accurate?a.Inferences from clinical research studies are used as a guide.b.Patient care is based on clinical judgment, experience, and traditions.c.Data are evaluated to show that the patient outcomes are consistently met.d.Recommendations are based on research, clinical expertise, and patient preferences.ANS: DEvidence-based practice (EBP) is the use of the best research-based evidence combined with clinicianexpertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decisionmaking should also incorporate current research and research-based guidelines. Evaluation of patient outcomesis important, but interventions should be based on research from randomized control studies with a largenumber of subjects.DIF: Cognitive Level: Remember (knowledge)TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care EnvironmentTest Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)33. The nurse completes an admission database and explains that the plan of care and discharge goals will bedeveloped with the patients input. The patient states, How is this different from what the doctor does? Whichresponse 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.The nurses job is to help the doctor by collecting information and communicating any problemsthat occur.c.Nurses perform many of the same procedures as the doctor, but nurses are with the patients for alonger time than the doctor.d.In addition to caring for you while you are sick, the nurses will assist you to develop anindividualized plan to maintain your health.ANS: DThis response is consistent with the American Nurses Association (ANA) definition of nursing, whichdescribes the role of nurses in promoting health. The other responses describe some of the dependent andcollaborative functions of the nursing role but do not accurately describe the nurses role in the health caresystem.DIF: Cognitive Level: Understand (comprehension)TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip.Which nursing diagnosis is most appropriate?a.Impaired physical mobility related to left-sided paralysisb.Risk for impaired tissue integrity related to left-sided weaknessc.Impaired skin integrity related to altered circulation and pressured.Ineffective tissue perfusion related to inability to move independentlyANS: CThe patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer.The nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patient.Although left-sided weakness is a problem for the patient, the nurse cannot treat the weakness. The risk fordiagnosis is not appropriate for this patient, who already has impaired tissue integrity. The patient does haveineffective tissue perfusion, but the impaired skin integrity diagnosis indicates more clearly what the healthproblem is.DIF: Cognitive Level: Apply (application)TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable leavingmy children with my parents. Which action should the nurse take next?Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)4a.Reassure the patient that these feelings are common for parents.b.Have the patient call the children to ensure that they are doing well.c.Gather more data about the patients feelings about the child-care arrangements.d.Call the patients parents to determine whether adequate child care is being provided.ANS: CSince a complete assessment is necessary in order to identify a problem and choose an appropriateintervention, the nurses first action should be to obtain more information. The other actions may beappropriate, but more assessment is needed before the best intervention can be chosen.DIF: Cognitive Level: Apply (application)OBJ: Special Questions: Prioritization TOP: Nursing Process: AssessmentMSC: NCLEX: Psychosocial Integrity6. A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to excessivediaphoresis. Which outcome would the nurse recognize as most appropriate for this patient?a.Patient has a balanced intake and output.b.Patients bedding is changed when it becomes damp.c.Patient understands the need for increased fluid intake.d.Patients skin remains cool and dry throughout hospitalization.ANS: AThis statement gives measurable data showing resolution of the problem of deficient fluid volume that wasidentified in the nursing diagnosis statement. The other statements would not indicate that the problem ofdeficient fluid volume was resolved.DIF: Cognitive Level: Apply (application)TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity7. A nurse asks the patient if pain was relieved after receiving medication. What is the purpose of theevaluation phase of the nursing process?a.To determine if interventions have been effective in meeting patient outcomesb.To document the nursing care plan in the progress notes of the medical recordc.To decide whether the patients health problems have been completely resolvedTest Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)5d.To establish if the patient agrees that the nursing care provided was satisfactoryANS: AEvaluation consists of determining whether the desired patient outcomes have been met and whether thenursing interventions were appropriate. The other responses do not describe the evaluation phase.DIF: Cognitive Level: Understand (comprehension)TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment8. The nurse interviews a patient while completing the health history and physical examination. What is thepurpose of the assessment phase of the nursing process?a.To teach interventions that relieve health problemsb.To use patient data to evaluate patient care outcomesc.To obtain data with which to diagnose patient problemsd.To help the patient identify realistic outcomes for health problemsANS: CDuring the assessment phase, the nurse gathers information about the patient to diagnose patient problems. Theother responses are examples of the planning, intervention, and evaluation phases of the nursing process.DIF: Cognitive Level: Understand (comprehension)TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment9. Which nursing diagnosis statement is written correctly?a.Altered tissue perfusion related to heart failureb.Risk for impaired tissue integrity related to sacral rednessc.Ineffective coping related to response to biopsy test resultsd.Altered urinary elimination related to urinary tract infectionANS: CThis diagnosis statement includes a NANDA nursing diagnosis and an etiology that describes a patientsresponse to a health problem that can be treated by nursing. The use of a medical diagnosis as an etiology (asin the responses beginning Altered tissue perfusion and Altered urinary elimination) is not appropriate. Theresponse beginning Risk for impaired tissue integrity uses the defining characteristic as the etiology.DIF: Cognitive Level: Understand (comprehension)TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care EnvironmentTest Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)610. The nurse admits a patient to the hospital and develops a plan of care. What components should the nurseinclude in the nursing diagnosis statement?a.The problem and the suggested patient goals or outcomesb.The problem with possible causes and the planned interventionsc.The problem, its cause, and objective data that support the problemd.The problem with an etiology and the signs and symptoms of the problemANS: DWhen writing nursing diagnoses, this format should be used: problem, etiology, and signs and symptoms. Thesubjective, as well as objective, data should be included in the defining characteristics. Interventions andoutcomes are not included in the nursing diagnosis statement.DIF: Cognitive Level: Remember (knowledge)TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care Environment11. A nurse is caring for a patient with heart failure. Which task is appropriate for the nurse to delegate toexperienced unlicensed assistive personnel (UAP)?a.Monitor for shortness of breath or fatigue after ambulation.b.Instruct the patient about the need to alternate activity and rest.c.Obtain the patients blood pressure and pulse rate after ambulation.d.Determine whether the patient is ready to increase the activity level.ANS: CUAP education includes accurate vital sign measurement. Assessment and patient teaching require registerednurse education and scope of practice and cannot be delegated.DIF: Cognitive Level: Apply (application)OBJ: Special Questions: Delegation TOP: Nursing Process: PlanningMSC: NCLEX: Safe and Effective Care Environment12. A nurse is caring for a group of patients on the medical-surgical unit with the help of one float registerednurse (RN), one unlicensed assistive personnel (UAP), and one licensed practical/vocational nurse(LPN/LVN). Which assignment, if delegated by the nurse, would be inappropriate?a.Measurement of a patients urine output by UAPb.Administration of oral medications by LPN/LVNTest Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)7c.Check for the presence of bowel sounds and flatulence by UAPd.Care of a patient with diabetes by RN who usually works on the pediatric unitANS: CAssessment requires RN education and scope of practice and cannot be delegated to an LPN/LVN or UAP.The other assignments made by the RN are appropriate.DIF: Cognitive Level: Apply (application)OBJ: Special Questions: Delegation TOP: Nursing Process: PlanningMSC: NCLEX: Safe and Effective Care Environment13. Which task is appropriate for the nurse to delegate to a licensed practical/vocational nurse (LPN/LVN)?a.Complete the initial admission assessment and plan of care.b.Document teaching completed before a diagnostic procedure.c.Instruct a patient about low-fat, reduced sodium dietary restrictions.d.Obtain bedside blood glucose on a patient before insulin administration.ANS: DThe education and scope of practice of the LPN/LVN include activities such as obtaining glucose testing usinga finger stick. Patient teaching and the initial assessment and development of the plan of care are nursingactions that require registered nurse education and scope of practice.DIF: Cognitive Level: Apply (application)OBJ: Special Questions: Delegation TOP: Nursing Process: PlanningMSC: NCLEX: Safe and Effective Care Environment14. A nurse is assigned as a case manager for a hospitalized patient with a spinal cord injury. The patient canexpect the nurse functioning in this role to perform which activity?a.Care for the patient during hospitalization for the injuries.b.Assist the patient with home care activities during recovery.c.Determine what medical care the patient needs for optimal rehabilitation.d.Coordinate the services that the patient receives in the hospital and at home.ANS: DThe role of the case manager is to coordinate the patients care through multiple settings and levels of care toTest Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)8allow the maximal patient benefit at the least cost. The case manager does not provide direct care in either theacute or home setting. The case manager coordinates and advocates for care but does not determine whatmedical care is needed; that would be completed by the health care provider or other provider.DIF: Cognitive Level: Apply (application)TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment15. The nurse is caring for an older adult patient who had surgery to repair a fractured hip. The patient needscontinued nursing care and physical therapy to improve mobility before returning home. The nurse will help toarrange for transfer of this patient to which facility?a.A skilled care facilityb.A residential care facilityc.A transitional care facilityd.An intermediate care facilityANS: CTransitional care settings are appropriate for patients who need continued rehabilitation before discharge tohome or to long-term care settings. The patient is no longer in need of the more continuous assessment andcare given in acute care settings. There is no indication that the patient will need the permanent and ongoingmedical and nursing services available in intermediate or skilled care. The patient is not yet independentenough to transfer to a residential care facility.DIF: Cognitive Level: Apply (application)MSC: NCLEX: Safe and Effective Care Environment16. A home care nurse is planning care for a patient who has just been diagnosed with type 2 diabetes mellitus.Which task is appropriate for the nurse to delegate to the home health aide?a.Assist the patient to choose appropriate foods.b.Help the patient with a daily bath and oral care.c.Check the patients feet for signs of breakdown.d.Teach the patient how to monitor blood glucose.ANS: BAssisting with patient hygiene is included in home health-aide education and scope of practice. Assessment ofthe patient and instructing the patient in new skills, such as diet and blood glucose monitoring, are complexskills that are included in registered nurse education and scope of practice.DIF: Cognitive Level: Apply (application)OBJ: Special Questions: Delegation TOP: Nursing Process: ImplementationTest Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)9MSC: NCLEX: Safe and Effective Care Environment17. The nurse is providing education to nursing staff on quality care initiatives. Which statement would be themost accurate description of the impact of health care financing on quality care?a.Hospitals are reimbursed for all costs incurred if care is documented electronically.b.Payment for patient care is primarily based on clinical outcomes and patient satisfaction.c.If a patient develops a catheter-related infection, the hospital receives additional funding.d.Because hospitals are accountable for overall care, it is not nursings responsibility to monitor caredelivered by others.ANS: BPayment for health care services programs reimburses hospitals for their performance on overall quality-of-care measures. These measures include clinical outcomes and patient satisfaction. Nurses are responsible forcoordinating complex aspects of patient care, including the care delivered by others, and identifying issues thatare associated with poor quality care. Payment for care can be withheld if something happens to the patient thatis considered preventable (e.g., acquiring a catheter-related urinary tract infection).DIF: Cognitive Level: Apply (application)TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment18. The nurse documenting the patients progress in the care plan in the electronic health record before aninterdisciplinary discharge conference is demonstrating competency in which QSEN category?a.Patient-centered careb.Quality improvementc.Evidence-based practiced.Informatics and technologyANS: DThe nurse is displaying competency in the QSEN area of informatics and technology. Using a computerizedinformation system to document patient needs and progress and communicate vital information regarding thepatient with health care team members provides evidence that nursing practice standards related to the nursingprocess have been maintained during the care of the patient.DIF: Cognitive Level: Apply (application)TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care EnvironmentMULTIPLE RESPONSE1. Which information will the nurse consider when deciding what nursing actions to delegate to a licensedpractical/vocational nurse (LPN/LVN) who is working on a medical-surgical unit (select all that apply)?Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)10a.Institutional policiesb.Stability of the patientc.State nurse practice actd.LPN/LVN teaching abilitiese.Experience of the LPN/LVNANS: A, B, C, EThe nurse should assess the experience of LPN/LVNs when delegating. In addition, state nurse practice actsand institutional policies must be considered. In general, LPN/LVN scope of practice includes caring forpatients who are stable, while registered nurses should provide most of the care for unstable patients. SinceLPN/LVN scope of practice does not include patient education, this will not be part of the delegation process.DIF: Cognitive Level: Apply (application)OBJ: Special Questions: Delegation TOP: Nursing Process: PlanningMSC: NCLEX: Safe and Effective Care Environment2. The nurse is administering medications to a patient. Which actions by the nurse during this process areconsistent with promoting safe delivery of care (select all that apply)?a.Throws away a medication that is not labeledb.Uses a hand sanitizer before preparing a medicationc.Identifies the patient by the room number on the doord.Checks lab test results before administering a diuretice.Gives the patient a list of current medications upon dischargeANS: A, B, D, ENational Patient Safety Goals have been established to promote safe delivery of care. The nurse should use atleast two reliable ways to identify the patient such as asking the patients full name and date of birth beforemedication administration. Other actions that improve patient safety include performing hand hygiene,disposing of unlabeled medications, completing appropriate assessments before administering medications,and giving a list of the current medicines to the patient and caregiver before discharge.DIF: Cognitive Level: Apply (application)TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care EnvironmentOTHER1. The nurse uses the Situation-Background-Assessment-Recommendation (SBAR) format to communicate aTest Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)11change in patient status to a health care provider. In which order should the nurse make the followingstatements? (Put a comma and a space between each answer choice [A, B, C, D].)a. The patient needs to be evaluated immediately and may need intubation and mechanical ventilation.b. The patient was admitted yesterday with heart failure and has been receiving furosemide (Lasix) for diuresis,but urine output has been low.c. The patient has crackles audible throughout the posterior chest and the most recent oxygen saturation is89%. Her condition is very unstable.d. This is the nurse on the surgical unit. After assessing the patient, I am very concerned about increasedshortness of breath over the past hour.ANS:D, B, C, AThe order of the nurses statements follows the SBAR format.DIF: Cognitive Level: Apply (application)OBJ: Special Questions: Prioritization TOP: Nursing Process: ImplementationMSC: NCLEX: Safe and Effective Care EnvironmentTest Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)12Chapter 02: Health Equity and Culturally Competent CareTest BankMULTIPLE CHOICE1. What information should the nurse collect when assessing the health status of a community?a.Air pollution levelsb.Number of health food storesc.Most common causes of deathd.Education level of the individualsANS: CHealth status measures of a community include birth and death rates, life expectancy, access to care, andmorbidity and mortality rates related to disease and injury. Although air pollution, access to health food stores,and education level are factors that affect a communitys health status, they are not health measures.DIF: Cognitive Level: Understand (comprehension)TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance2. The nurse works in a clinic located in a community with many Hispanics. Which strategy, if implemented bythe nurse, would decrease health care disparities for the Hispanic patients?a.Improve public transportation to the clinic.b.Update equipment and supplies at the clinic.c.Obtain low-cost medications for clinic patients.d.Teach clinic staff about Hispanic health beliefs.ANS: DHealth care disparities are due to stereotyping, biases, and prejudice of health care providers. The nurse candecrease these through staff education. The other strategies also may be addressed by the nurse but will notdirectly impact health disparities.DIF: Cognitive Level: Apply (application)TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance3. The nurse is obtaining a health history from a new patient. Which data will be the focus of patient teaching?a.Age and genderTest Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)13b.Saturated fat intakec.Hispanic/Latino ethnicityd.Family history of diabetesANS: BBehaviors are strongly linked to many health care problems. The patients saturated fat intake is a behavior thatthe patient can change. The other information will be useful as the nurse develops an individualized plan forimproving the patients health, but will not be the focus of patient teaching.DIF: Cognitive Level: Apply (application)TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance4. The nurse is caring for a Native American patient who has traditional beliefs about health and illness. Whichaction by nurse is most appropriate?a.Avoid asking questions unless the patient initiates the conversation.b.Ask the patient whether it is important that cultural healers are contacted.c.Explain the usual hospital routines for meal times, care, and family visits.d.Obtain further information about the patients cultural beliefs from a family member.ANS: BBecause the patient has traditional health care beliefs, it is appropriate for the nurse to ask whether the patientwould like a visit by a shaman or other cultural healer. There is no cultural reason for the nurse to avoid askingthe patient questions because they are necessary to obtain health information. The patient (rather than thefamily) should be consulted about personal cultural beliefs. The hospital routines for meals, care, and visitsshould be adapted to the patients preferences rather than expecting the patient to adapt to the hospital schedule.DIF: Cognitive Level: Apply (application)TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity5. The nurse is caring for an Asian patient who is being admitted to the hospital. Which action would be mostappropriate for the nurse to take when interviewing this patient?a.Avoid eye contact with the patient.b.Observe the patients use of eye contact.c.Look directly at the patient when interacting.d.Ask a family member about the patients cultural beliefs.Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)14ANS: BObservation of the patients use of eye contact will be most useful in determining the best way to communicateeffectively with the patient. Looking directly at the patient or avoiding eye contact may be appropriate,depending on the patients individual cultural beliefs. The nurse should assess the patient, rather than askingfamily members about the patients beliefs.DIF: Cognitive Level: Apply (application)TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity6. A female staff nurse is assessing a male patient of Arab descent who is admitted with complaints of severeheadaches. It is most important for the charge nurse to intervene if the nurse takes which action?a.The nurse explains the 0 to 10 intensity pain scale.b.The nurse asks the patient when the headaches started.c.The nurse sits down at the bedside and closes the privacy curtain.d.The nurse calls for a male nurse to bring a hospital gown to the room.ANS: CMany males of Arab ethnicity do not believe it is appropriate to be alone with any female except for theirspouse. The other actions are appropriate.DIF: Cognitive Level: Apply (application)TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity7. The nurse cares for a patient who speaks a different language. If an interpreter is not available, which actionby the nurse is most appropriate?a.Talk slowly so that each word is clearly heard.b.Speak loudly in close proximity to the patients ears.c.Repeat important words so that the patient recognizes their significance.d.Use simple gestures to demonstrate meaning while talking to the patient.ANS: DThe use of gestures will enable some information to be communicated to the patient. The other actions will notimprove communication with the patient.DIF: Cognitive Level: Understand (comprehension)TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity8. The nurse plans care for a hospitalized patient who uses culturally based treatments. Which action by thenurse is best?Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)15