TestBankFor tn nt
Medical_Surgical_Nursing_8th_EditionMary_Ann -
nt tn nt
Linton
Chapter 1: Aspects of Medical-Surgical Nursing Linton:
nt nt nt nt nt nt
Medical-SurgicalNursing,8thEdition
tn nt nt nt
1. Choose an item in a medicalrecord that provides direction nt nt nt nt nt nt nt n t nt
forindividualized care and assures the delivery of accurate, safe
nt t
n nt nt nt nt nt nt nt nt
care through a definitive pathway that promotes the client‘s and
nt nt nt nt nt nt nt nt nt nt
the support persons‘ progress toward positive outcomes?
nt nt nt nt nt nt nt
a. Physician‘sorders nt
b. Progressnotes nt
c. Nursingcare plan nt nt
d. Clienthealth history nt nt
The The Answer iswer is: C
nt nt nt nt nt nt
The nursing care plan provides direction for individualized care
nt nt nt nt nt nt nt nt
and assures the deliveryof accurate, safe care through adefinitive
nt nt nt nt nt nt nt nt nt nt t
n
pathwaythatpromotes the client‘s and the supportpersons‘
nt nt nt nt nt nt nt nt t
n
progress toward positive outcomes.
nt nt nt nt
DIF: Cognitive Level: Comprehension OBJ: 1 nt nt nt nt nt TOP: Nursing Care nt nt
PlanKEY: Nursing Process Step: Planning
nt t
n nt nt nt nt
MSC: NCLEX: Physiological Integrity: Reduction of Risk
nt nt nt nt nt nt
2. The nurse is performing behaviors and actions that assist clients and significant others in meeting
nt nt nt nt nt nt nt nt nt nt nt nt nt nt
their needs and the identified outcomes ofthe plan of care. Which term is correct forthese nursing
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt
behaviors?
nt
a. Assessments
b. Interventions
c. Planning
d. Evaluation
The The Answer iswer is: B
nt nt nt nt nt
Caring interventions are thosenursingbehaviors and actions thatassist clients and significantothers
nt nt nt nt nt nt nt nt nt nt nt nt t
n
in meeting their needs and the identified outcomes of the plan of care.
nt nt nt nt nt nt nt nt nt nt nt nt nt
DIF: Cognitive Level: Knowledge OBJ: 1 nt nt nt nt nt TOP:
InterventionsKEY: Nursing Process Step: Planning
nt nt nt nt nt nt
MSC: NCLEX: Physiological Integrity: Reduction of Risk
nt nt nt nt nt nt
3. Thenurse understands the importance of being The The Answer iswer iswerable for all actions and theof being
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt
called on to explain or justify them. Which term best describes this concept?
nt nt nt nt nt nt nt nt nt nt nt nt nt
a. Reliability
b. Maturity
c. Accountability
d. Liability
The The Answer iswer is: C
nt nt nt nt nt
AccountabilitymeThe The Answer iswer is that a person is The The Answer iswer iswerable for his orto nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt t
n
explain or justify them.
nt nt nt nt
DIF: Cognitive Level: Knowledge OBJ: 1 nt nt nt nt nt TOP:
AccountabilityKEY: Nursing Process Step: N/A
nt nt nt nt nt nt
1
, MSC: NCLEX: Physiological Integrity: Reduction of Risk
nt nt nt nt nt nt
MULTIPLE RESPONSE nt
1. Whichmodes of conflict resolution shouldbe addressed when providing an inservice
nt nt nt nt nt nt nt nt nt nt nt
aboutconflict resolution? (Select all that apply.)
nt nt nt nt nt nt nt
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
The The Answer iswer is: B, C, D, E, F
nt nt nt nt nt nt nt nt nt
Themodesofconflict resolutionincludeaccommodation,collaboration,compromise,avoidance,
nt nt nt nt nt nt nt nt t
n
and competition.
nt nt
DIF: Cognitive Level: Knowledge OBJ: 5 nt nt nt nt nt TOP: Conflict nt
ResolutionKEY: Nursing Process Step: N/A
nt nt n t nt nt nt MSC: NCLEX: N/A nt nt
2. Which characteristics describe an effective leader? (Selectallthat apply.)
nt nt nt nt nt nt nt nt nt
a. Effectivecommunication nt
b. Rigid rules and regulations nt nt nt
c. Delegatesappropriately nt
d. Acts as a role model nt nt nt nt
e. Consistentlyhandles conflict nt nt
f. Focuses on individual development nt nt n t
The The Answer iswer is: A, C, D, E
nt nt nt nt nt nt nt nt
Characteristics of an effective leader include effective communication, consistency in managing nt nt nt nt nt nt nt nt nt nt
conflict, knowledge and competency in all aspects of deliveryofcare, effective rolemodel for staff,
nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt nt
uses participatory approach in decision making, shows appreciation for a job well done, delegates
nt nt nt nt nt nt nt nt nt nt nt nt nt nt
work appropriately, sets objectives and guides staff, displays caring, understanding, and empathy
nt nt nt nt nt nt nt nt nt nt nt nt
for others, motivates and empowers others, is proactive and flexible, and focuses on team
nt nt nt nt nt nt nt nt nt nt nt nt nt nt
development.
nt
DIF: Cognitive Level: Comprehension OBJ: 5 nt nt nt nt nt TOP:
LeadershipKEY: Nursing Process Step: N/A
nt nt n t nt nt nt MSC: NCLEX: nt
N/A
nt
COMPLETION
1. nt isdefined as the process bywhich information is exchanged between nt nt nt nt nt nt nt nt nt nt
individualsverbally, nonverbally, and/or in writing or through information technology.
nt nt nt nt nt nt nt nt nt nt
The The Answer iswer is:
nt nt nt nt
Communication
Communication is defined as the process by which information is exchanged between individuals nt nt nt nt nt nt nt nt nt nt nt nt
verbally,nonverbally, and/or inwritingor through informationtechnology.
nt nt nt nt nt nt nt nt nt
2
, DIF: Cognitive Level: Knowledge OBJ: 2 nt nt nt nt nt TOP:
CommunicationKEY: Nursing Process Step: N/A
nt nt n t nt nt nt MSC: NCLEX: N/A
nt nt
2. nt isthe collection and processingof relevant data for the purposeof appraising
nt nt nt nt nt nt nt nt nt nt nt nt
theclient‘s health status.
nt t
n nt nt
The The Answer iswer is:
nt nt nt nt
Assessment
Assessment isthe collection and processing of relevant data forthe purposeof appraising theclient‘s
nt nt nt nt nt nt nt nt nt nt nt nt nt nt t
n
health status.
nt nt
DIF: Cognitive Level: Knowledge OBJ: 1 nt nt nt nt nt TOP:
AssessmentKEY: Nursing Process Step: N/A
nt nt n t nt nt nt MSC: NCLEX:
nt
N/A
nt
3. nt is concerned with the ethical questions that arise in the contextof health care.
nt nt nt nt nt nt nt nt nt nt nt nt nt
The The Answer iswer is:
nt nt nt nt
Bioethics
Bioethicsis concerned with the ethical questions that arise inthe context ofhealth care.
nt nt nt nt nt nt nt nt nt nt nt nt nt nt
DIF: Cognitive Level: Knowledge OBJ: 3 nt nt nt nt nt TOP:
BioethicsKEY: Nursing Process Step: N/A MSC: NCLEX: N/A
nt nt n t nt nt nt nt nt
3
, Chapter02:Medical-SurgicalPractice
tn nt nt
SettingsLinton:Medical-SurgicalNursing,8th
nt tn nt nt nt
Edition
nt
MULTIPLE CHOICE nt
1. While a home health nurse is making the entry to a service assessment on a homebound patient,
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
the spouse ofthe patient asks whether Medicare will coverthe patient‘s ventilatortherapy and
nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt
insulin injections. Which response by the nurse is the best response?
nt nt nt nt nt nt nt nt nt nt nt
a. ―Yes, Medicare will cover both the ventilator therapyand the insulin injections.‖ nt nt nt nt nt nt nt nt nt nt nt
b. ―No, Medicare will not cover either of these ongoing therapies.‖ nt nt nt nt nt nt nt nt nt
c. ―Medicarewill cover the ventilator therapy, but it does notcover the nt nt nt nt nt nt nt nt nt nt nt
insulininjections.‖ nt nt
d. ―Medicare will cover the ongoing insulin therapy, but it does not cover a nt nt nt nt nt nt nt nt nt nt nt nt
highlytechnical skill such as ventilator therapy.‖
nt nt nt nt nt nt nt
The The Answer iswer is: C nt nt nt nt nt nt
Medicarewill cover skilled nursingtasks such as ventilatortherapy, but common tasks thatcan be nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt
taught to the family or the patient are not covered.
nt nt nt nt nt nt nt nt nt nt
DIF: Cognitive Level: Application OBJ: nt nt
3TOP: Medicare Coverage for Home Health
nt t
n nt nt nt nt nt
KEY: Nursing Process Step: Implementation nt nt nt nt
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
nt nt nt nt nt nt nt
2. The wife of a patient asks the nurse whether her husband would be considered for placement in a
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
skilled nursing care facility when he is discharged from the general hospital. The patient is
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
incontinent, has mild dementiabut is able to ambulate with a walker, and must have help toeat and
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt
dress himself. Which is the most appropriate response?
nt nt nt nt nt nt nt nt
a. ―Yes, your husband would qualify fora skilled carefacilitybecause of his inabilityto feed nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt
and dress himself.‖ nt nt nt
b. ―No, your husband‘s disabilities would not qualify him for a skilled facility.‖ nt nt nt nt nt nt nt nt nt nt nt
c. ―Yes, your husband qualifies for placementin a skilled care facilitybecause of nt nt nt nt nt nt nt nt nt nt nt nt
hisdementia.‖ nt nt
d. ―Yes, anyone who is willing to pay can be placed in a skilled nursing facility.‖ nt nt nt nt nt nt nt nt nt nt nt nt nt nt
The The Answer iswer is: B nt nt nt nt nt nt
Placement in a skilled nursing facility must be authorized by a physician. A clear need for nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
rehabilitation must be evident, or severe deficits in self-care that have a potential for improvement
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
and require the servicesof aregistered nurse, a physical therapist, ora speechtherapist must exist.
nt nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt nt
DIF: Cognitive Level: Analysis OBJ: 9 nt nt nt
TOP: Placement Qualifications for Skilled Nursing
nt nt nt nt nt
FacilityKEY: Nursing Process Step: Implementation
nt nt nt nt nt nt
MSC: NCLEX: Safe, Effective Care Environment nt nt nt nt nt
3. A nurse has noted that a newly admitted resident to an extended care facility stays in her room, does
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
not take active partin activities, and leaves the meal table after having eaten verylittle. Which type
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt nt
of relocation response is the resident exhibiting?
nt nt nt nt nt nt nt
a. regression.
4
Medical_Surgical_Nursing_8th_EditionMary_Ann -
nt tn nt
Linton
Chapter 1: Aspects of Medical-Surgical Nursing Linton:
nt nt nt nt nt nt
Medical-SurgicalNursing,8thEdition
tn nt nt nt
1. Choose an item in a medicalrecord that provides direction nt nt nt nt nt nt nt n t nt
forindividualized care and assures the delivery of accurate, safe
nt t
n nt nt nt nt nt nt nt nt
care through a definitive pathway that promotes the client‘s and
nt nt nt nt nt nt nt nt nt nt
the support persons‘ progress toward positive outcomes?
nt nt nt nt nt nt nt
a. Physician‘sorders nt
b. Progressnotes nt
c. Nursingcare plan nt nt
d. Clienthealth history nt nt
The The Answer iswer is: C
nt nt nt nt nt nt
The nursing care plan provides direction for individualized care
nt nt nt nt nt nt nt nt
and assures the deliveryof accurate, safe care through adefinitive
nt nt nt nt nt nt nt nt nt nt t
n
pathwaythatpromotes the client‘s and the supportpersons‘
nt nt nt nt nt nt nt nt t
n
progress toward positive outcomes.
nt nt nt nt
DIF: Cognitive Level: Comprehension OBJ: 1 nt nt nt nt nt TOP: Nursing Care nt nt
PlanKEY: Nursing Process Step: Planning
nt t
n nt nt nt nt
MSC: NCLEX: Physiological Integrity: Reduction of Risk
nt nt nt nt nt nt
2. The nurse is performing behaviors and actions that assist clients and significant others in meeting
nt nt nt nt nt nt nt nt nt nt nt nt nt nt
their needs and the identified outcomes ofthe plan of care. Which term is correct forthese nursing
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt
behaviors?
nt
a. Assessments
b. Interventions
c. Planning
d. Evaluation
The The Answer iswer is: B
nt nt nt nt nt
Caring interventions are thosenursingbehaviors and actions thatassist clients and significantothers
nt nt nt nt nt nt nt nt nt nt nt nt t
n
in meeting their needs and the identified outcomes of the plan of care.
nt nt nt nt nt nt nt nt nt nt nt nt nt
DIF: Cognitive Level: Knowledge OBJ: 1 nt nt nt nt nt TOP:
InterventionsKEY: Nursing Process Step: Planning
nt nt nt nt nt nt
MSC: NCLEX: Physiological Integrity: Reduction of Risk
nt nt nt nt nt nt
3. Thenurse understands the importance of being The The Answer iswer iswerable for all actions and theof being
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt
called on to explain or justify them. Which term best describes this concept?
nt nt nt nt nt nt nt nt nt nt nt nt nt
a. Reliability
b. Maturity
c. Accountability
d. Liability
The The Answer iswer is: C
nt nt nt nt nt
AccountabilitymeThe The Answer iswer is that a person is The The Answer iswer iswerable for his orto nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt t
n
explain or justify them.
nt nt nt nt
DIF: Cognitive Level: Knowledge OBJ: 1 nt nt nt nt nt TOP:
AccountabilityKEY: Nursing Process Step: N/A
nt nt nt nt nt nt
1
, MSC: NCLEX: Physiological Integrity: Reduction of Risk
nt nt nt nt nt nt
MULTIPLE RESPONSE nt
1. Whichmodes of conflict resolution shouldbe addressed when providing an inservice
nt nt nt nt nt nt nt nt nt nt nt
aboutconflict resolution? (Select all that apply.)
nt nt nt nt nt nt nt
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
The The Answer iswer is: B, C, D, E, F
nt nt nt nt nt nt nt nt nt
Themodesofconflict resolutionincludeaccommodation,collaboration,compromise,avoidance,
nt nt nt nt nt nt nt nt t
n
and competition.
nt nt
DIF: Cognitive Level: Knowledge OBJ: 5 nt nt nt nt nt TOP: Conflict nt
ResolutionKEY: Nursing Process Step: N/A
nt nt n t nt nt nt MSC: NCLEX: N/A nt nt
2. Which characteristics describe an effective leader? (Selectallthat apply.)
nt nt nt nt nt nt nt nt nt
a. Effectivecommunication nt
b. Rigid rules and regulations nt nt nt
c. Delegatesappropriately nt
d. Acts as a role model nt nt nt nt
e. Consistentlyhandles conflict nt nt
f. Focuses on individual development nt nt n t
The The Answer iswer is: A, C, D, E
nt nt nt nt nt nt nt nt
Characteristics of an effective leader include effective communication, consistency in managing nt nt nt nt nt nt nt nt nt nt
conflict, knowledge and competency in all aspects of deliveryofcare, effective rolemodel for staff,
nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt nt
uses participatory approach in decision making, shows appreciation for a job well done, delegates
nt nt nt nt nt nt nt nt nt nt nt nt nt nt
work appropriately, sets objectives and guides staff, displays caring, understanding, and empathy
nt nt nt nt nt nt nt nt nt nt nt nt
for others, motivates and empowers others, is proactive and flexible, and focuses on team
nt nt nt nt nt nt nt nt nt nt nt nt nt nt
development.
nt
DIF: Cognitive Level: Comprehension OBJ: 5 nt nt nt nt nt TOP:
LeadershipKEY: Nursing Process Step: N/A
nt nt n t nt nt nt MSC: NCLEX: nt
N/A
nt
COMPLETION
1. nt isdefined as the process bywhich information is exchanged between nt nt nt nt nt nt nt nt nt nt
individualsverbally, nonverbally, and/or in writing or through information technology.
nt nt nt nt nt nt nt nt nt nt
The The Answer iswer is:
nt nt nt nt
Communication
Communication is defined as the process by which information is exchanged between individuals nt nt nt nt nt nt nt nt nt nt nt nt
verbally,nonverbally, and/or inwritingor through informationtechnology.
nt nt nt nt nt nt nt nt nt
2
, DIF: Cognitive Level: Knowledge OBJ: 2 nt nt nt nt nt TOP:
CommunicationKEY: Nursing Process Step: N/A
nt nt n t nt nt nt MSC: NCLEX: N/A
nt nt
2. nt isthe collection and processingof relevant data for the purposeof appraising
nt nt nt nt nt nt nt nt nt nt nt nt
theclient‘s health status.
nt t
n nt nt
The The Answer iswer is:
nt nt nt nt
Assessment
Assessment isthe collection and processing of relevant data forthe purposeof appraising theclient‘s
nt nt nt nt nt nt nt nt nt nt nt nt nt nt t
n
health status.
nt nt
DIF: Cognitive Level: Knowledge OBJ: 1 nt nt nt nt nt TOP:
AssessmentKEY: Nursing Process Step: N/A
nt nt n t nt nt nt MSC: NCLEX:
nt
N/A
nt
3. nt is concerned with the ethical questions that arise in the contextof health care.
nt nt nt nt nt nt nt nt nt nt nt nt nt
The The Answer iswer is:
nt nt nt nt
Bioethics
Bioethicsis concerned with the ethical questions that arise inthe context ofhealth care.
nt nt nt nt nt nt nt nt nt nt nt nt nt nt
DIF: Cognitive Level: Knowledge OBJ: 3 nt nt nt nt nt TOP:
BioethicsKEY: Nursing Process Step: N/A MSC: NCLEX: N/A
nt nt n t nt nt nt nt nt
3
, Chapter02:Medical-SurgicalPractice
tn nt nt
SettingsLinton:Medical-SurgicalNursing,8th
nt tn nt nt nt
Edition
nt
MULTIPLE CHOICE nt
1. While a home health nurse is making the entry to a service assessment on a homebound patient,
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
the spouse ofthe patient asks whether Medicare will coverthe patient‘s ventilatortherapy and
nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt
insulin injections. Which response by the nurse is the best response?
nt nt nt nt nt nt nt nt nt nt nt
a. ―Yes, Medicare will cover both the ventilator therapyand the insulin injections.‖ nt nt nt nt nt nt nt nt nt nt nt
b. ―No, Medicare will not cover either of these ongoing therapies.‖ nt nt nt nt nt nt nt nt nt
c. ―Medicarewill cover the ventilator therapy, but it does notcover the nt nt nt nt nt nt nt nt nt nt nt
insulininjections.‖ nt nt
d. ―Medicare will cover the ongoing insulin therapy, but it does not cover a nt nt nt nt nt nt nt nt nt nt nt nt
highlytechnical skill such as ventilator therapy.‖
nt nt nt nt nt nt nt
The The Answer iswer is: C nt nt nt nt nt nt
Medicarewill cover skilled nursingtasks such as ventilatortherapy, but common tasks thatcan be nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt
taught to the family or the patient are not covered.
nt nt nt nt nt nt nt nt nt nt
DIF: Cognitive Level: Application OBJ: nt nt
3TOP: Medicare Coverage for Home Health
nt t
n nt nt nt nt nt
KEY: Nursing Process Step: Implementation nt nt nt nt
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
nt nt nt nt nt nt nt
2. The wife of a patient asks the nurse whether her husband would be considered for placement in a
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
skilled nursing care facility when he is discharged from the general hospital. The patient is
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
incontinent, has mild dementiabut is able to ambulate with a walker, and must have help toeat and
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt
dress himself. Which is the most appropriate response?
nt nt nt nt nt nt nt nt
a. ―Yes, your husband would qualify fora skilled carefacilitybecause of his inabilityto feed nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt
and dress himself.‖ nt nt nt
b. ―No, your husband‘s disabilities would not qualify him for a skilled facility.‖ nt nt nt nt nt nt nt nt nt nt nt
c. ―Yes, your husband qualifies for placementin a skilled care facilitybecause of nt nt nt nt nt nt nt nt nt nt nt nt
hisdementia.‖ nt nt
d. ―Yes, anyone who is willing to pay can be placed in a skilled nursing facility.‖ nt nt nt nt nt nt nt nt nt nt nt nt nt nt
The The Answer iswer is: B nt nt nt nt nt nt
Placement in a skilled nursing facility must be authorized by a physician. A clear need for nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
rehabilitation must be evident, or severe deficits in self-care that have a potential for improvement
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
and require the servicesof aregistered nurse, a physical therapist, ora speechtherapist must exist.
nt nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt nt
DIF: Cognitive Level: Analysis OBJ: 9 nt nt nt
TOP: Placement Qualifications for Skilled Nursing
nt nt nt nt nt
FacilityKEY: Nursing Process Step: Implementation
nt nt nt nt nt nt
MSC: NCLEX: Safe, Effective Care Environment nt nt nt nt nt
3. A nurse has noted that a newly admitted resident to an extended care facility stays in her room, does
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
not take active partin activities, and leaves the meal table after having eaten verylittle. Which type
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt t
n nt nt
of relocation response is the resident exhibiting?
nt nt nt nt nt nt nt
a. regression.
4
