MEDICAL SURGICAL NURSING TESTBANK QUESTIONS WITH
DETAILED ANSWERS
Psychosocial Integrity - ✔✔ Psychosocial integrity includes understanding the client's cultural
and spiritual needs.
Ethics in nursing - ✔✔ Ethics in nursing involves respecting the autonomy and rights of the
client.
Social justice - ✔✔ Treating the client fairly compared to other clients is a principle of social
justice.
SBAR - ✔✔ A recommended form of communication that stands for Situation, Background,
Assessment, and Recommendation.
Background (SBAR) - ✔✔ Appropriate background information includes allergies to
medications the on-call health care provider might order.
Assessment (SBAR) - ✔✔ Includes an analysis of the client's problem.
Recommendation (SBAR) - ✔✔ A statement of what is needed or what outcome is desired.
Supervision - ✔✔ One of the five rights of delegation, which includes directing, evaluating, and
following up on delegated tasks.
,Quality Improvement (QI) - ✔✔ Activities designed to improve care that can be implemented
even by newly licensed nurses.
Magnet Status - ✔✔ Client Magnet status is awarded by The Joint Commission (TJC) and
certifies that nurses can demonstrate how best current evidence guides their practice.
Institute of Medicine (IOM) Report - ✔✔ A report that lists five broad core competencies that all
health care providers should practice.
Competencies (IOM) - ✔✔ Include collaborating with the interprofessional team, implementing
evidence-based practice, providing patient-focused care, using informatics in client care, and
using quality improvement in client care.
Interprofessional Team Collaboration - ✔✔ Involves planning, implementing, and evaluating
client care as a team with all other involved disciplines included.
Evidence-Based Practice (EBP) - ✔✔ Consists of utilizing current evidence, the client's values
and preferences, and the nurse's expertise when planning care.
Client Preferences (EBP) - ✔✔ Factors that should be considered when planning care in
evidence-based practice.
Nurse's Expertise (EBP) - ✔✔ A factor that should be considered when planning care in
evidence-based practice.
,Research Findings (EBP) - ✔✔ Current evidence that should be utilized when planning care.
Values of the Client (EBP) - ✔✔ Factors that should be considered when planning care in
evidence-based practice.
Plan-Do-Study-Act Model - ✔✔ A model that may be considered in the context of evidence-
based practice.
Delegation - ✔✔ The act of assigning tasks to others while ensuring appropriate supervision and
instruction.
Client Needs Category: Psychosocial Integrity - ✔✔ A category that encompasses health care
disparities and LGBTQ considerations.
Client Needs Category: Safe and Effective Care Environment - ✔✔ A category that includes
management of care and safety and infection control.
Client Needs Category: Management of Care - ✔✔ A subcategory under Safe and Effective Care
Environment focusing on delegation and teamwork.
Client Needs Category: Safety and Infection Control - ✔✔ A subcategory under Safe and
Effective Care Environment focusing on ensuring safety in care delivery.
, Teamwork and Collaboration - ✔✔ Essential skills for effective nursing practice, particularly in
interprofessional settings.
Communication and Documentation - ✔✔ Key processes in nursing that ensure effective
information exchange and record-keeping.
Understanding - ✔✔ A level of cognitive ability that involves grasping concepts and principles.
Applying - ✔✔ A level of cognitive ability that involves using knowledge in practical situations.
Analyzing - ✔✔ A level of cognitive ability that involves breaking down information into parts.
Remembering - ✔✔ A level of cognitive ability that involves recalling information.
Evidence-based practice (EBP) - ✔✔ Utilizing current evidence, client values, and expertise.
Plan-do-study-act model - ✔✔ Systematic model for quality improvement processes.
Hand-off communication - ✔✔ Transfer of patient information between healthcare providers.
SBAR method - ✔✔ Structured communication: Situation, Background, Assessment,
Recommendation.
DETAILED ANSWERS
Psychosocial Integrity - ✔✔ Psychosocial integrity includes understanding the client's cultural
and spiritual needs.
Ethics in nursing - ✔✔ Ethics in nursing involves respecting the autonomy and rights of the
client.
Social justice - ✔✔ Treating the client fairly compared to other clients is a principle of social
justice.
SBAR - ✔✔ A recommended form of communication that stands for Situation, Background,
Assessment, and Recommendation.
Background (SBAR) - ✔✔ Appropriate background information includes allergies to
medications the on-call health care provider might order.
Assessment (SBAR) - ✔✔ Includes an analysis of the client's problem.
Recommendation (SBAR) - ✔✔ A statement of what is needed or what outcome is desired.
Supervision - ✔✔ One of the five rights of delegation, which includes directing, evaluating, and
following up on delegated tasks.
,Quality Improvement (QI) - ✔✔ Activities designed to improve care that can be implemented
even by newly licensed nurses.
Magnet Status - ✔✔ Client Magnet status is awarded by The Joint Commission (TJC) and
certifies that nurses can demonstrate how best current evidence guides their practice.
Institute of Medicine (IOM) Report - ✔✔ A report that lists five broad core competencies that all
health care providers should practice.
Competencies (IOM) - ✔✔ Include collaborating with the interprofessional team, implementing
evidence-based practice, providing patient-focused care, using informatics in client care, and
using quality improvement in client care.
Interprofessional Team Collaboration - ✔✔ Involves planning, implementing, and evaluating
client care as a team with all other involved disciplines included.
Evidence-Based Practice (EBP) - ✔✔ Consists of utilizing current evidence, the client's values
and preferences, and the nurse's expertise when planning care.
Client Preferences (EBP) - ✔✔ Factors that should be considered when planning care in
evidence-based practice.
Nurse's Expertise (EBP) - ✔✔ A factor that should be considered when planning care in
evidence-based practice.
,Research Findings (EBP) - ✔✔ Current evidence that should be utilized when planning care.
Values of the Client (EBP) - ✔✔ Factors that should be considered when planning care in
evidence-based practice.
Plan-Do-Study-Act Model - ✔✔ A model that may be considered in the context of evidence-
based practice.
Delegation - ✔✔ The act of assigning tasks to others while ensuring appropriate supervision and
instruction.
Client Needs Category: Psychosocial Integrity - ✔✔ A category that encompasses health care
disparities and LGBTQ considerations.
Client Needs Category: Safe and Effective Care Environment - ✔✔ A category that includes
management of care and safety and infection control.
Client Needs Category: Management of Care - ✔✔ A subcategory under Safe and Effective Care
Environment focusing on delegation and teamwork.
Client Needs Category: Safety and Infection Control - ✔✔ A subcategory under Safe and
Effective Care Environment focusing on ensuring safety in care delivery.
, Teamwork and Collaboration - ✔✔ Essential skills for effective nursing practice, particularly in
interprofessional settings.
Communication and Documentation - ✔✔ Key processes in nursing that ensure effective
information exchange and record-keeping.
Understanding - ✔✔ A level of cognitive ability that involves grasping concepts and principles.
Applying - ✔✔ A level of cognitive ability that involves using knowledge in practical situations.
Analyzing - ✔✔ A level of cognitive ability that involves breaking down information into parts.
Remembering - ✔✔ A level of cognitive ability that involves recalling information.
Evidence-based practice (EBP) - ✔✔ Utilizing current evidence, client values, and expertise.
Plan-do-study-act model - ✔✔ Systematic model for quality improvement processes.
Hand-off communication - ✔✔ Transfer of patient information between healthcare providers.
SBAR method - ✔✔ Structured communication: Situation, Background, Assessment,
Recommendation.
