Chapter 2 Medical Surgical Nursing
exam with correct responses
A |nurse |who |is |considering |the |possibility |of |becoming |involved |in |home |care |asks |a |home |care |
nurse |about |the |characteristics |needed |for |this |practice |area. |Which |of |the |following |would |the |
home |care |nurse |be |least |likely |to |include?
Nonjudgmental |attitude
Need |for |control |over |a |situation
Ability |to |improvise
Respect |for |client's |differences |- |correct |answer |-Need |for |control |over |a |situation
A |nursing |student |asks |an |instructor |to |explain |what |roles |are |involved |in |community |health |
nursing. |Which |of |the |following |would |the |instructor |include? |Select |all |that |apply.
Emergency |services |advisor
Financial |consultant
Case |manager
Visiting |nurse
Epidemiologist |- |correct |answer |-Epidemiologist
Case |manager
Visiting |nurse
The |charge |nurse |is |making |assignments |for |a |group |of |clients |on |a |medical |unit. |When |reviewing |
the |acuity |of |the |clients, |the |charge |nurse |assigns |the |RN |to |the |clients |with |higher |acuity |levels. |
Why |would |the |charge |nurse |assign |the |RN |to |the |clients |with |a |higher |acuity?
Higher |acuity |clients |may |request |the |services |of |an |RN |versus |other |care |providers.
Assigning |an |LPN |would |allow |them |to |provide |care |out |of |their |scope |of |practice.
A |higher |acuity |client |requires |a |greater |need |for |highly |skilled |care.
LPNs |do |not |understand |how |to |care |for |clients |with |complex |disorders. |- |correct |answer |-A |higher |
acuity |client |requires |a |greater |need |for |highly |skilled |care.
, What |are |the |responsibilities |of |a |case |manager?
supervise |the |tasks |carried |out |by |nursing |staff |assigned |to |a |specific |group |of |clients
negotiate |with |health |insurance |carriers |to |obtain |coverage |for |experimental |diagnostic |or |
treatment |procedures
plan |and |coordinate |the |client's |progress |through |the |various |phases |of |care |and |maximize |fiscal |
outcomes
plan |and |coordinate |the |client's |progress |through |the |various |phases |of |care |and |provide |
counseling |for |family |members |as |needed |- |correct |answer |-Plan |and |coordinate |the |client's |
progress |through |the |various |phases |of |care |and |maximize |fiscal |outcomes
A |male |client |recovering |from |a |stroke |is |receiving |anticoagulant |therapy. |Which |item |will |the |
nurse |instruct |the |client |to |use |for |self-care?
hard-bristled |toothbrush
long-handle |shoe |horn
loofah |sponge
electric |razor |- |correct |answer |-Electric |razor
A |nurse |is |evaluating |a |client's |discharge |collaboration |between |the |referring |agency |and |the |home
|care |agency. |What |response |by |the |client |would |indicate |an |understanding |of |the |discharge |
planning |process?
"My |wife |sat |down |with |the |discharge |planner |and |established |realistic |and |measurable |goals |for |
my |recovery."
"The |nurse |helped |me |make |a |list |of |my |needs |and |goals |for |recovery |and |shared |them |with |the |
home |care |team"
"My |daughter |is |my |health |care |power |of |attorney |and |she |decided |when |I |left |the |hospital |and |
selected |my |home |care |provider."
"The |doctor |provided |a |list |of |behavioral |outcomes |for |me |and |the |nurse |faxed |them |to |the |home |
care |agency." |- |correct |answer |-"The |nurse |helped |me |make |a |list |of |my |needs |and |goals |for |
recovery |and |shared |them |with |the |home |care |team"
A |nurse |acts |as |preceptor |to |a |student |nurse |who |is |performing |discharge |planning |for |a |client. |
What |statement |made |by |the |student |nurse |about |discharge |planning |indicates |that |the |student |
needs |additional |teaching?
"Discharge |planning |begins |once |the |client |is |on |the |unit."
exam with correct responses
A |nurse |who |is |considering |the |possibility |of |becoming |involved |in |home |care |asks |a |home |care |
nurse |about |the |characteristics |needed |for |this |practice |area. |Which |of |the |following |would |the |
home |care |nurse |be |least |likely |to |include?
Nonjudgmental |attitude
Need |for |control |over |a |situation
Ability |to |improvise
Respect |for |client's |differences |- |correct |answer |-Need |for |control |over |a |situation
A |nursing |student |asks |an |instructor |to |explain |what |roles |are |involved |in |community |health |
nursing. |Which |of |the |following |would |the |instructor |include? |Select |all |that |apply.
Emergency |services |advisor
Financial |consultant
Case |manager
Visiting |nurse
Epidemiologist |- |correct |answer |-Epidemiologist
Case |manager
Visiting |nurse
The |charge |nurse |is |making |assignments |for |a |group |of |clients |on |a |medical |unit. |When |reviewing |
the |acuity |of |the |clients, |the |charge |nurse |assigns |the |RN |to |the |clients |with |higher |acuity |levels. |
Why |would |the |charge |nurse |assign |the |RN |to |the |clients |with |a |higher |acuity?
Higher |acuity |clients |may |request |the |services |of |an |RN |versus |other |care |providers.
Assigning |an |LPN |would |allow |them |to |provide |care |out |of |their |scope |of |practice.
A |higher |acuity |client |requires |a |greater |need |for |highly |skilled |care.
LPNs |do |not |understand |how |to |care |for |clients |with |complex |disorders. |- |correct |answer |-A |higher |
acuity |client |requires |a |greater |need |for |highly |skilled |care.
, What |are |the |responsibilities |of |a |case |manager?
supervise |the |tasks |carried |out |by |nursing |staff |assigned |to |a |specific |group |of |clients
negotiate |with |health |insurance |carriers |to |obtain |coverage |for |experimental |diagnostic |or |
treatment |procedures
plan |and |coordinate |the |client's |progress |through |the |various |phases |of |care |and |maximize |fiscal |
outcomes
plan |and |coordinate |the |client's |progress |through |the |various |phases |of |care |and |provide |
counseling |for |family |members |as |needed |- |correct |answer |-Plan |and |coordinate |the |client's |
progress |through |the |various |phases |of |care |and |maximize |fiscal |outcomes
A |male |client |recovering |from |a |stroke |is |receiving |anticoagulant |therapy. |Which |item |will |the |
nurse |instruct |the |client |to |use |for |self-care?
hard-bristled |toothbrush
long-handle |shoe |horn
loofah |sponge
electric |razor |- |correct |answer |-Electric |razor
A |nurse |is |evaluating |a |client's |discharge |collaboration |between |the |referring |agency |and |the |home
|care |agency. |What |response |by |the |client |would |indicate |an |understanding |of |the |discharge |
planning |process?
"My |wife |sat |down |with |the |discharge |planner |and |established |realistic |and |measurable |goals |for |
my |recovery."
"The |nurse |helped |me |make |a |list |of |my |needs |and |goals |for |recovery |and |shared |them |with |the |
home |care |team"
"My |daughter |is |my |health |care |power |of |attorney |and |she |decided |when |I |left |the |hospital |and |
selected |my |home |care |provider."
"The |doctor |provided |a |list |of |behavioral |outcomes |for |me |and |the |nurse |faxed |them |to |the |home |
care |agency." |- |correct |answer |-"The |nurse |helped |me |make |a |list |of |my |needs |and |goals |for |
recovery |and |shared |them |with |the |home |care |team"
A |nurse |acts |as |preceptor |to |a |student |nurse |who |is |performing |discharge |planning |for |a |client. |
What |statement |made |by |the |student |nurse |about |discharge |planning |indicates |that |the |student |
needs |additional |teaching?
"Discharge |planning |begins |once |the |client |is |on |the |unit."
