Chapter 01: Aspects of Medical-Surgical Nursing
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. What provides\ direction\ for\ individualized\ care\ and\ assures\ the\ delivery\ of\ accurate,\ safe\
care\ through\ a\ definitive\ pathway\ that\ promotes\ the\ client’s\ and\ the\ support\ persons’\
progress\ toward\ positive\ outcomes?
a. Physician’s\ orders
b. Progress\ notes
c. Nursing\ care\ plan
d. Client\ health\ history
ANS:\ C
The\ nursing\ care\ plan\ provides\ direction\ for\ individualized\ care\ and\ assures\ the\ delivery\ of\
accurate,\ safe\ care\ through\ a\ definitive\ pathway\ that\ promotes\ the\ client’s\ and\ the\ support\
persons’\ progress\ toward\ positive\ outcomes.
DIF: Cognitive\ Level:\ Comprehension REF:\ \ p.\ 2 OBJ:\ 1
TOP:\ Nursing\ Care\ Plan KEY:\ Nursing\ Process\ Step:\ Planning\
MSC:\ NCLEX:\ Physiological\ Integrity:\ Reduction\ of\ Risk
2. The\ nurse\ is\ performing\ behaviors\ and\ actions\ that\ assist\ clients\ and\ significant \ others\ in\
meeting\ their\ needs\ and\ the\ identified\ outcomes\ of\ the\ plan\ of\ care.\ What\ is\ the\ correct\
term\ for\ these\ nursing\ behaviors?
a. Assessments
b. Interventions
c. Planning
d. Evaluation
ANS:\ B
Caring\ interventions\ are\ those\ nursing\ behaviors\ and\ actions\ that\ assist\ clients\ and\
significant\ others\ in\ meeting\ their\ needs\ and\ the\ identified\ outcomes\ of\ the\ plan\ of\ care.
DIF: Cognitive\ Level:\ Comprehension REF:\ \ p.\ 3 OBJ:\ 1
TOP:\ Interventions KEY:\ Nursing\ Process\ Step:\ Planning\
MSC:\ NCLEX:\ Physiological\ Integrity:\ Reduction\ of\ Risk
3. The\ nurse\ understands\ the\ importance\ of\ being\ answerable\ for\ all\ actions\ and\ the\
possibility\ of\ being\ called\ on\ to\ explain\ or\ justify\ them.\ What\ term\ best\ describes\ this\
concept?
a. Reliability
b. Maturity
c. Accountability
d. Liability
ANS:\ C
Accountability\ means\ that\ a\ person\ is\ answerable\ for\ his\ or\ her\ actions\ and\ may\ be\ called\
on\ to\ explain\ or\ justify\ them.
DIF: Cognitive\ Level:\ Comprehension REF:\ \ pp.\ 6-7 OBJ:\ 3\ |\ 5\ |\ 7
, TOP:\ Accountability KEY:\ Nursing\ Process\ Step:\ N/A\
MSC:\ NCLEX:\ Physiological\ Integrity:\ Reduction\ of\ Risk
MULTIPLE\RESPONSE
1. The\ nurse\ manager\ is\ providing\ an\ inservice\ about\ conflict\ resolution.\ What\ modes\ of\
conflict\ resolution\ should\ be\ addressed?\ (Select\ all\ that\ apply.)
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
ANS:\ B,\ C,\ D,\ E,\ F
The\ modes\ of\ conflict\ resolution\ include\ accommodation,\ collaboration,\ compromise,\
avoidance,\ and\ competition.
DIF: Cognitive\ Level:\ Knowledge REF:\ p.\ 7|p.\ 8|Table\ 1.1
OBJ:\ 7 TOP:\ Conflict\ Resolution KEY:\ Nursing\Process\Step:\
N/A
MSC:\ NCLEX:\ N/A
2. What\ are\ the\ characteristics\ of\ an\ effective\ leader?\ (Select\ all\ that\ apply.)
a. Effective\ communication
b. Rigid\ rules\ and\ regulations
c. Delegates\ appropriately
d. Acts\ as\ a\ role\ model
e. Consistently\ handles\ conflict
f. Focuses\ on\ individual\ development
ANS:\ A,\ C,\ D,\ E
Characteristics\ of\ an\ effective\ leader\ include\ effective\ communication,\ consistency\ in\
managing\ conflict,\ knowledge\ and\ competency\ in\ all\ aspects\ of\ delivery\ of\ care,\
effective\ role\ model\ for\ staff,\ uses\ participatory\ approach\ in\ decision\ making,\ shows\
appreciation\ for\a\ job\ well\ done,\ delegates\ work\ appropriately,\ sets\ objectives\ and\ guides\
staff,\ displays\ caring,\ understanding,\ and\ empathy\ for\ others,\ motivates\ and\ empowers\
others,\ is\ proactive\ and\ flexible,\ and\ focuses\ on\ team\ development.
DIF: Cognitive\ Level:\ Comprehension REF:\ \ p.\ 6 OBJ:\ 5
TOP:\ Leadership KEY:\ Nursing\ Process\ Step:\ N/A MSC:\ NCLEX:\ N/A
COMPLETION
1. is\ defined\ as\ the\ process\ by\ which\ information\ is\ exchanged\ between\
individuals\ verbally,\ nonverbally,\ and/or\ in\ writing\ or\through\ information\ technology.
ANS:
Communication
, Communication\ is\ defined\ as\ the\ process\ by\ which\ information\ is\ exchanged\ between\
individuals\ verbally,\ nonverbally,\ and/or\ in\ writing\ or\through\ information\ technology.
DIF: Cognitive\ Level:\ Knowledge REF:\ p.\ 2 OBJ:\ 2\
TOP:\ Communication KEY:\ Nursing\ Process\ Step:\ N/A\
MSC:\ NCLEX:\ N/A
2. is\ the\ collection\ and\ processing\ of\ relevant\ data\ for\ the\ purpose\ of\ appraising\
the\ client’s\ health\ status.
ANS:
Assessment
Assessment\ is\ the\ collection\ and\ processing\ of\ relevant\ data\ for\ the\ purpose\ of\ appraising\
the\ client’s\ health\ status.
DIF: Cognitive\ Level:\ Knowledge REF:\ \ p.\ 2 OBJ:\ 1\ |\ 2
TOP:\ Assessment KEY:\ Nursing\ Process\ Step:\ N/A MSC:\ NCLEX:\ N/A
3. is\ concerned\ with\ the\ ethical\ questions\ that\ arise\ in\ the\ context\ of\ health\ care.
ANS:
Bioethics
Bioethics\ is\ concerned\ with\ the\ ethical\ questions\ that\ arise\ in\ the\ context\ of\ health\ care.
DIF: Cognitive\ Level:\ Knowledge REF:\ \ p.\ 4 OBJ:\ 3
TOP:\ Bioethics KEY:\ Nursing\ Process\ Step:\ N/A MSC:\ NCLEX:\ N/A
4. Place\ the\ corresponding\ letter\ to\ each\ stage\ of\ conflict\ in\ the\ correct\ order.\
\(Place\ the\ events\ in\ the\ appropriate\ sequence\ with\ capital\ letters.\ Do\ not\ separate\
answers\ with\ a\ space\ or\ punctuation.\ Example:\ ABCD.)
a. Outcomes
b. Conceptualization
c. Frustration
d. Action
ANS:
CBDA
The\stages\ of\ conflict\ in\ order\ are\ frustration,\ conceptualization,\ action,\ and\ outcomes.
DIF: Cognitive\ Level:\ Comprehension REF:\ \ p.\ 7 OBJ:\ 7
TOP:\ Conflict KEY:\ Nursing\ Process\ Step:\ N/A MSC:\ NCLEX:\ N/A
5. Place\ the\ corresponding\ letter\ to\ each\ key\ step\ in\ solving\ an\ ethical\ dilemma\ in\ the\ correct\
order. (Place\ the\ events\ in\ the\ appropriate\ sequence.\ Do\ not\ separate\ answers\
with\ a\ space\ or\ punctuation.\ Example:\ ABCD.)
a. Negotiate\ a\ plan.
b. Clarify\ values.
c. Ask\ if\ it\ is\ an\ ethical\ dilemma.