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Answer
Key)
Study Guide Answer Key 1
Study Guide Answer Key
CHAPTER 1: CARING FOR MEDICAL- 4. Any five of these:
SURGICAL PATIENTS a. Teach about basic hygiene and nutrition in
the context of health promotion.
SHORT ANSWER b. Reinforce what the RN or health care pro-
1. Answers will depend on student preference for vider teaches regarding diagnostic tests
a work environment. and treatments.
2. a. Promote and maintain health c. Teach how to take prescribed medication
b. Prevent disease and disability and what side effects to report.
c. Assist with rehabilitation d. Teach self-care activities necessary to pro-
d. Assist the dying patient to the best quality mote rehabilitation and independence.
of life possible e. Inform regarding lifestyle changes that
3. Any three of these: may be required.
a. Attain healthy, thriving lives and well- f. Reinforce discharge instructions.
being free of preventable disease, disabil- g. Provide information about community re-
ity, injury, and premature death sources and self-help groups.
b. Eliminate health disparities, achieve health
equity, attain health literacy to improve the COMPLETION
health and well-being of all 1. communication; documentation; electronic
c. Create social, physical, and economic en- data access; data utilization
vironments that promote attaining full po- 2. Capitation
GgRfA
tential for health and well-bein orDaE 3.OM
ll SLAB.C advocate
d. Promote healthy development, healthy 4. standards for care
behaviors, and well-being across all life 5. cost containment
stages
e. Engage leadership, key constituents, and SHORT ANSWER
the public across multiple sectors to take Dealing With Different Patient Behaviors
action and design policies that improve the
health and well-being of all Scenario A
1. safety and security
Nursing Roles and Responsibilities 2. Any four of these:
1. a. Caregiver a. Provide consistent routine care of patient
b. Educator so she knows what to expect.
c. Collaborator b. Reduce environmental stress, confusion,
d. Advocate and disorder.
e. Leader c. Limit the number of people assigned to
f. Delegator care for the patient.
2. a. Right task d. Develop trust and instill confidence.
b. Right circumstances e. Do not joke with or tease patient.
c. Right person f. Do not whisper or act secretive in her pres-
d. Right direction and communication ence.
e. Right supervision and evaluation
3. a. Provide patient-centered care Scenario B
b. Collaborate with the interdisciplinary 1. frustration; anger
health care team 2. be in control of what is happening to him
c. Implement evidence-based practice 3. a. Allow him to release his anger by talking
d. Use quality improvement in patient care about it.
e. Use informatics in patient care b. Encourage physical activity to release pent-
up energy and frustration.
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Key)
2 Study Guide Answer Key
c. Provide opportunities to take part in deci- compare and contrast with theirs. Being open-
sions affecting his care. minded is important, and you should examine
your own philosophy of individual worth. Get
Scenario C
in the habit of asking patients about their per-
1. a. Tell her that you will put in an order for a
sonal preferences. Observe body language and
dietary consult with the dietitian.
tactfully ask for validation of what you are see-
b. Explain that you will check with the kitch-
ing (i.e., “You seem a little sad today. Is there
en, but the fish is what she ordered.
something I can do to help?”).
c. Sit down and ask her if there are other
things bothering her.
STEPS TOWARD BETTER COMMUNICATION
d. Sit down and explain that she is making
progress and that recovery is slow.
COMPLETION
1. collaborative
PRIORITY SETTING
2. premium
3 a. Ms. Bora is calling for assistance to the
3. fee-for-service
bathroom. Help her to the bathroom, using
4. significant others
a matter-of-fact approach. (Note: Return
5. feedback
later and try to find an underlying cause
6. empathy
for her dependent behavior.)
2 b. Mr. Fogel has locked himself in the bath-
VOCABULARY EXERCISE
room. You must rule out any intent or
1. Answers will vary.
means of self-harm before you can allow
Examples: The nurse assessed the patient’s IV
him to remain isolated.
site.
1 c. Mr. Ahrens had an abdominal surgery 2
This is the site where the explosion occurred 50
days ago and states he is in pain.
5 d. Ms. Schott wants you to immediately call years
2. a. ago.
sight
her doctor because she wishes to go hoGm ReA. DESLAB.COM
b. site
4 e. Mr. McGinnis refuses to sit in the chair per
c. cite
orders. The nursing assistant has tried to
d. site
encourage him, but he just gazes off and
3. If medical personnel were demeaning and aloof
then starts crying.
would that be good for the patient or not?
® No. Why? They would be treating patients as
REVIEW QUESTIONS FOR THE NCLEX
though they were children or less intelligent,
EXAMINATION
and would appear uncaring and cold.
1. 1, 2, 4, 5 (3 is acceptable also)
2. 3
SPECIAL VOCABULARY MEANINGS
3. 1, 2, 4
1. Going slightly outside the rules without do-
4. 4
ing anything really wrong—which would be
5. 1
“breaking the rules.”
6. 1
2. Because it is going up very fast and explod-
7. 1, 3, 4, 5
ing—like a skyrocket.
8. 3
3. The systems are coming apart and not working
9. 1, 2, 5
very well, and people are trying to put them
back in a different way. It is like knitting a
CRITICAL THINKING ACTIVITIES
sweater or sewing clothes.
1. those beliefs and values do not interfere with
4. Because it is like a fancy shop that only rich
the rights of others and are within the law
people can afford.
2. a. be open-minded and nonjudgmental
b. take differences at face value
CLINICAL SCENARIOS
c. accept people as they are
1. c
d. deliver high-quality care
2. This is an example of an appropriate way to
3. Talking to classmates from different cultural
delegate a task.
backgrounds is a good place to start. You can
3. “Ann, I would like you to dangle and then
share your insights into your own culture and
ambulate Ms. Paul at 10:00 am and again at
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Answer
Key)
Study Guide Answer Key 3
1:00 pm. Sit her up on the side of the bed with IDENTIFICATION
her feet resting on the floor for 2 to 3 minutes,
and if she is not dizzy, help her to stand. Am- Phases of the Nursing Process
bulate her using a gait belt and safety hold. 1. Evaluation
Take her to the end of the hall and back. Tell 2. Implementation
me if she has any difficulty, becomes short of 3. Planning
breath, weak, dizzy, or extremely fatigued. I 4. Implementation
will be in the nurses’ station or in one of my 5. Implementation
patient’s rooms as posted on the main assign- 6. Data collection/Assessment
ment board.” (Later, 2:00 pm) “Ann, tell me how 7. Data collection/Assessment
things went when you ambulated Ms. Paul. 8. Implementation
Were there any problems either time?” (Check
with Ms. Paul to determine her view of the ses- COMPLETION
sions.) 1. plan, implement and evaluate care.
2. identifying by data collection the patient’s pain
level, noting ordered medication to relieve it,
CHAPTER 2: CRITICAL THINKING AND THE and recalling other comfort measures that have
NURSING PROCESS helped relieve this type of pain in the past
3. assessing; planning; implementing
CRITICAL THINKING 4. evaluation
1. Answers will vary according to the individual 5. patient
student, but should include something similar Assessment (Data Collection)
to “directed, purposeful, mental activity by 1. a. Reading the face sheet of the chart
which you evaluate ideas, construct plans, and b. Physical exam and history by health care
determine desired outcomes; useful in solving provider
problems.” GRADESLAB.COMc. Interviewing the patient and significant
2. Answers will depend on the student and could others
include four of the characteristics from Box 2-1 2. private place
in the text. 3. plan more time for the interview
3. Clinical judgment is the result of critical think- 4. spouse; significant other; relative; friend
ing applied to clinical situations, and is derived 5. the patient’s preferences
from experience. 6. stress; coping
4. The scientific method helps a nurse solve a 7. spirituality
problem by incorporating it into critical think- 8. 75
ing. The problem is defined and data are 9. 960
gathered. Data are then analyzed, possible so-
lutions are developed, and the best solution is SHORT ANSWER
chosen.
5. Other standards are listed on the website Na- LPN/LVN’s Role and Use of Nursing Process
tional Association of Licensed Professional 1. The plan must be revised with different inter-
Nurses: https://nalpn.org/nalpn-practice-stan- ventions.
dards/. 2. It is important to provide a legal record of what
a. Legal-ethical status: The nurse shall hold a has been done for the patient and how she has
license and know the scope of practice au- responded to treatment. Documentation of the
thorized in the state nurse practice act. care given is needed to justify the charges for
b. Practice: The nurse functions within the this care. Documentation also provides evalu-
limits of educational preparation and expe- ation data on the effectiveness of care and the
rience as related to assigned duties. response of the patient to nursing actions.
c. Continuing education: The nurse seeks and
participates in continuing education activi- APPLICATION OF THE NURSING PROCESS
ties that are approved for credit by appro- Scenario A
priate organizations. Patient states pain is relieved after using patient-
controlled analgesia (PCA) for 2 hours. Reposi-
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Stromberg (Study(&*$ Guide
**F VJyvhjbnoP+_IREOLKD
Answer
Key)
Study Guide Answer Key 1
Study Guide Answer Key
CHAPTER 1: CARING FOR MEDICAL- 4. Any five of these:
SURGICAL PATIENTS a. Teach about basic hygiene and nutrition in
the context of health promotion.
SHORT ANSWER b. Reinforce what the RN or health care pro-
1. Answers will depend on student preference for vider teaches regarding diagnostic tests
a work environment. and treatments.
2. a. Promote and maintain health c. Teach how to take prescribed medication
b. Prevent disease and disability and what side effects to report.
c. Assist with rehabilitation d. Teach self-care activities necessary to pro-
d. Assist the dying patient to the best quality mote rehabilitation and independence.
of life possible e. Inform regarding lifestyle changes that
3. Any three of these: may be required.
a. Attain healthy, thriving lives and well- f. Reinforce discharge instructions.
being free of preventable disease, disabil- g. Provide information about community re-
ity, injury, and premature death sources and self-help groups.
b. Eliminate health disparities, achieve health
equity, attain health literacy to improve the COMPLETION
health and well-being of all 1. communication; documentation; electronic
c. Create social, physical, and economic en- data access; data utilization
vironments that promote attaining full po- 2. Capitation
GgRfA
tential for health and well-bein orDaE 3.OM
ll SLAB.C advocate
d. Promote healthy development, healthy 4. standards for care
behaviors, and well-being across all life 5. cost containment
stages
e. Engage leadership, key constituents, and SHORT ANSWER
the public across multiple sectors to take Dealing With Different Patient Behaviors
action and design policies that improve the
health and well-being of all Scenario A
1. safety and security
Nursing Roles and Responsibilities 2. Any four of these:
1. a. Caregiver a. Provide consistent routine care of patient
b. Educator so she knows what to expect.
c. Collaborator b. Reduce environmental stress, confusion,
d. Advocate and disorder.
e. Leader c. Limit the number of people assigned to
f. Delegator care for the patient.
2. a. Right task d. Develop trust and instill confidence.
b. Right circumstances e. Do not joke with or tease patient.
c. Right person f. Do not whisper or act secretive in her pres-
d. Right direction and communication ence.
e. Right supervision and evaluation
3. a. Provide patient-centered care Scenario B
b. Collaborate with the interdisciplinary 1. frustration; anger
health care team 2. be in control of what is happening to him
c. Implement evidence-based practice 3. a. Allow him to release his anger by talking
d. Use quality improvement in patient care about it.
e. Use informatics in patient care b. Encourage physical activity to release pent-
up energy and frustration.
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**F VJyvhjbnoP+_IREOLKD
Answer
Key)
2 Study Guide Answer Key
c. Provide opportunities to take part in deci- compare and contrast with theirs. Being open-
sions affecting his care. minded is important, and you should examine
your own philosophy of individual worth. Get
Scenario C
in the habit of asking patients about their per-
1. a. Tell her that you will put in an order for a
sonal preferences. Observe body language and
dietary consult with the dietitian.
tactfully ask for validation of what you are see-
b. Explain that you will check with the kitch-
ing (i.e., “You seem a little sad today. Is there
en, but the fish is what she ordered.
something I can do to help?”).
c. Sit down and ask her if there are other
things bothering her.
STEPS TOWARD BETTER COMMUNICATION
d. Sit down and explain that she is making
progress and that recovery is slow.
COMPLETION
1. collaborative
PRIORITY SETTING
2. premium
3 a. Ms. Bora is calling for assistance to the
3. fee-for-service
bathroom. Help her to the bathroom, using
4. significant others
a matter-of-fact approach. (Note: Return
5. feedback
later and try to find an underlying cause
6. empathy
for her dependent behavior.)
2 b. Mr. Fogel has locked himself in the bath-
VOCABULARY EXERCISE
room. You must rule out any intent or
1. Answers will vary.
means of self-harm before you can allow
Examples: The nurse assessed the patient’s IV
him to remain isolated.
site.
1 c. Mr. Ahrens had an abdominal surgery 2
This is the site where the explosion occurred 50
days ago and states he is in pain.
5 d. Ms. Schott wants you to immediately call years
2. a. ago.
sight
her doctor because she wishes to go hoGm ReA. DESLAB.COM
b. site
4 e. Mr. McGinnis refuses to sit in the chair per
c. cite
orders. The nursing assistant has tried to
d. site
encourage him, but he just gazes off and
3. If medical personnel were demeaning and aloof
then starts crying.
would that be good for the patient or not?
® No. Why? They would be treating patients as
REVIEW QUESTIONS FOR THE NCLEX
though they were children or less intelligent,
EXAMINATION
and would appear uncaring and cold.
1. 1, 2, 4, 5 (3 is acceptable also)
2. 3
SPECIAL VOCABULARY MEANINGS
3. 1, 2, 4
1. Going slightly outside the rules without do-
4. 4
ing anything really wrong—which would be
5. 1
“breaking the rules.”
6. 1
2. Because it is going up very fast and explod-
7. 1, 3, 4, 5
ing—like a skyrocket.
8. 3
3. The systems are coming apart and not working
9. 1, 2, 5
very well, and people are trying to put them
back in a different way. It is like knitting a
CRITICAL THINKING ACTIVITIES
sweater or sewing clothes.
1. those beliefs and values do not interfere with
4. Because it is like a fancy shop that only rich
the rights of others and are within the law
people can afford.
2. a. be open-minded and nonjudgmental
b. take differences at face value
CLINICAL SCENARIOS
c. accept people as they are
1. c
d. deliver high-quality care
2. This is an example of an appropriate way to
3. Talking to classmates from different cultural
delegate a task.
backgrounds is a good place to start. You can
3. “Ann, I would like you to dangle and then
share your insights into your own culture and
ambulate Ms. Paul at 10:00 am and again at
6085856_645616d00476c_aksg__med_surg_acute_care__study_guide(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
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Stromberg (Study(&*$ Guide
**F VJyvhjbnoP+_IREOLKD
Answer
Key)
Study Guide Answer Key 3
1:00 pm. Sit her up on the side of the bed with IDENTIFICATION
her feet resting on the floor for 2 to 3 minutes,
and if she is not dizzy, help her to stand. Am- Phases of the Nursing Process
bulate her using a gait belt and safety hold. 1. Evaluation
Take her to the end of the hall and back. Tell 2. Implementation
me if she has any difficulty, becomes short of 3. Planning
breath, weak, dizzy, or extremely fatigued. I 4. Implementation
will be in the nurses’ station or in one of my 5. Implementation
patient’s rooms as posted on the main assign- 6. Data collection/Assessment
ment board.” (Later, 2:00 pm) “Ann, tell me how 7. Data collection/Assessment
things went when you ambulated Ms. Paul. 8. Implementation
Were there any problems either time?” (Check
with Ms. Paul to determine her view of the ses- COMPLETION
sions.) 1. plan, implement and evaluate care.
2. identifying by data collection the patient’s pain
level, noting ordered medication to relieve it,
CHAPTER 2: CRITICAL THINKING AND THE and recalling other comfort measures that have
NURSING PROCESS helped relieve this type of pain in the past
3. assessing; planning; implementing
CRITICAL THINKING 4. evaluation
1. Answers will vary according to the individual 5. patient
student, but should include something similar Assessment (Data Collection)
to “directed, purposeful, mental activity by 1. a. Reading the face sheet of the chart
which you evaluate ideas, construct plans, and b. Physical exam and history by health care
determine desired outcomes; useful in solving provider
problems.” GRADESLAB.COMc. Interviewing the patient and significant
2. Answers will depend on the student and could others
include four of the characteristics from Box 2-1 2. private place
in the text. 3. plan more time for the interview
3. Clinical judgment is the result of critical think- 4. spouse; significant other; relative; friend
ing applied to clinical situations, and is derived 5. the patient’s preferences
from experience. 6. stress; coping
4. The scientific method helps a nurse solve a 7. spirituality
problem by incorporating it into critical think- 8. 75
ing. The problem is defined and data are 9. 960
gathered. Data are then analyzed, possible so-
lutions are developed, and the best solution is SHORT ANSWER
chosen.
5. Other standards are listed on the website Na- LPN/LVN’s Role and Use of Nursing Process
tional Association of Licensed Professional 1. The plan must be revised with different inter-
Nurses: https://nalpn.org/nalpn-practice-stan- ventions.
dards/. 2. It is important to provide a legal record of what
a. Legal-ethical status: The nurse shall hold a has been done for the patient and how she has
license and know the scope of practice au- responded to treatment. Documentation of the
thorized in the state nurse practice act. care given is needed to justify the charges for
b. Practice: The nurse functions within the this care. Documentation also provides evalu-
limits of educational preparation and expe- ation data on the effectiveness of care and the
rience as related to assigned duties. response of the patient to nursing actions.
c. Continuing education: The nurse seeks and
participates in continuing education activi- APPLICATION OF THE NURSING PROCESS
ties that are approved for credit by appro- Scenario A
priate organizations. Patient states pain is relieved after using patient-
controlled analgesia (PCA) for 2 hours. Reposi-
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