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