Test Bank For Medical_Surgical_Nursing_8th_Edition
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Mary_Ann -Linton
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Chapter 1: Aspects of Medical-Surgical Nursing
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T Linton: Medical-Surgical Nursing, 8th Edition
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1. Choose an item in a medical record that provides direction for L
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Tindividualized care and assures the delivery of accurate, safe L
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care through a definitive pathway that promotes the client’s
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and the support persons’ progress toward positive outcomes?
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a. Physician’s orders T L
b. Progress notes L
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c. Nursing care plan L
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d. Client health history T L T L
The The Answer iswer is: C
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The nursing care plan provides direction for individualized
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care and assures the delivery of accurate, safe care through a
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definitive pathway that promotes the client’s and the support
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persons’ progress toward positive outcomes.
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DIF: Cognitive Level: Comprehension OBJ: 1 T L L
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KEY: Nursing Process Step: Planning
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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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Tmeeting their needs and the identified outcomes of the plan of care. Which term is correct for
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these nursing behaviors?
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a. Assessments
b. Interventions
c. Planning
d. Evaluation
The The Answer iswer is: B
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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 of the plan of care.
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DIF: Cognitive Level: Knowledge OBJ: 1 T L L
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KEY: Nursing Process Step: Planning
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MSC: NCLEX: Physiological Integrity: Reduction of Risk
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3. The nurse understands the importance of being The The Answer iswer iswerable for all actions and the
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T of being called on to explain or justify them. Which term best describes this concept?
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a. Reliability
b. Maturity
c. Accountability
d. Liability
The The Answer iswer is: C
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Accountability meThe The Answer iswer is that a person is The The Answer iswer iswerable for his or to L
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explain or justify them.
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DIF: Cognitive Level: Knowledge T L L
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KEY: Nursing Process Step: N/A
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, MSC: NCLEX: Physiological Integrity: Reduction of Risk
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MULTIPLE RESPONSE T L
1. Which modes of conflict resolution should be addressed when providing an inservice about
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T conflict resolution? (Select all that apply.) L
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a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
The The Answer iswer is: B, C, D, E, F
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The modes of conflict resolution include accommodation, collaboration, compromise,
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avoidance, and competition.
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DIF: Cognitive Level: Knowledge T L L
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KEY: Nursing Process Step: N/A
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2. Which characteristics describe an effective leader? (Select all that apply.)
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a. Effective communication L
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b. Rigid rules and regulations T L L
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c. Delegates appropriately L
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d. Acts as a role model L
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e. Consistently handles conflict L
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f. Focuses on individual development L
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The The Answer iswer is: A, C, D, E
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Characteristics of an effective leader include effective communication, consistency in L
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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 for a job
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well done, delegates work appropriately, sets objectives and guides staff, displays caring,
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understanding, and empathy for others, motivates and empowers others, is proactive and
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flexible, and focuses on team development.
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DIF: Cognitive Level: Comprehension T L L
T OBJ: 5 TOP: Leadership T L L
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KEY: Nursing Process Step: N/A
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COMPLETION
1. is defined as the process by which information is exchanged between individuals L
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The The Answer iswer is:
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Communication
Communication is defined as the process by which information is exchanged between T L T L T L T L L
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individuals verbally, nonverbally, and/or in writing or through information technology.
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, DIF: Cognitive Level: Knowledge T L L
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KEY: Nursing Process Step: N/A
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2. is the collection and processing of relevant data for the purpose of appraising the
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The The Answer iswer is:
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Assessment
Assessment is the collection and processing of relevant data for the purpose of appraising the
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client’s health status.
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DIF: Cognitive Level: Knowledge T L L
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KEY: Nursing Process Step: N/A
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3. is concerned with the ethical questions that arise in the context of health care.
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The The Answer iswer is:
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Bioethics
Bioethics is concerned with the ethical questions that arise in the context of health care.
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DIF: Cognitive Level: Knowledge T L L
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KEY: Nursing Process Step: N/A
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3
, Chapter 02: Medical-Surgical Practice Settings
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Linton: Medical-Surgical Nursing, 8th Edition
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MULTIPLE CHOICE T L
1. While a home health nurse is making the entry to a service assessment on a homebound
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patient, the spouse of the patient asks whether Medicare will cover the patient’s ventilator
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therapy and insulin injections. Which response by the nurse is the best response?
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a. “Yes, Medicare will cover both the ventilator therapy and the insulin injections.” L
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b. “No, Medicare will not cover either of these ongoing therapies.” L
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c. “Medicare will cover the ventilator therapy, but it does not cover the insulin L
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injections.” L
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d. “Medicare will cover the ongoing insulin therapy, but it does not cover a highly L
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technical skill such as ventilator therapy.”
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The The Answer iswer is: C
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Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that L
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can be taught to the family or the patient are not covered.
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DIF: Cognitive Level: Application OBJ: 3 T L L
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TOP: Medicare Coverage for Home Health
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KEY: Nursing Process Step: Implementation L
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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2. The wife of a patient asks the nurse whether her husband would be considered for placement
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Tin a skilled nursing care facility when he is discharged from the general hospital. The patient
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Tis incontinent, has mild dementia but is able to ambulate with a walker, and must have help to
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eat and dress himself. Which is the most appropriate response?
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a. “Yes, your husband would qualify for a skilled care facility because of his inability to L
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feed and dress himself.”
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b. “No, your husband’s disabilities would not qualify him for a skilled facility.” L
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c. “Yes, your husband qualifies for placement in a skilled care facility because of his L
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dementia.” L
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d. “Yes, anyone who is willing to pay can be placed in a skilled nursing facility.” L
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The The Answer iswer is: B
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Placement in a skilled nursing facility must be authorized by a physician. A clear need for L
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rehabilitation must be evident, or severe deficits in self-care that have a potential for
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improvement and require the services of a registered nurse, a physical therapist, or a speech
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therapist must exist.
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DIF: Cognitive Level: Analysis OBJ: 9 T L L
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TOP: Placement Qualifications for Skilled Nursing Facility
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment T L T L T L T L L
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3. A nurse has noted that a newly admitted resident to an extended care facility stays in her
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room, does not take active part in activities, and leaves the meal table after having eaten very
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Tlittle. Which type of relocation response is the resident exhibiting?
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a. regression.
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Mary_Ann -Linton
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Chapter 1: Aspects of Medical-Surgical Nursing
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T Linton: Medical-Surgical Nursing, 8th Edition
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1. Choose an item in a medical record that provides direction for L
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Tindividualized care and assures the delivery of accurate, safe L
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care through a definitive pathway that promotes the client’s
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and the support persons’ progress toward positive outcomes?
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a. Physician’s orders T L
b. Progress notes L
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c. Nursing care plan L
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d. Client health history T L T L
The The Answer iswer is: C
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The nursing care plan provides direction for individualized
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care and assures the delivery of accurate, safe care through a
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definitive pathway that promotes the client’s and the support
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persons’ progress toward positive outcomes.
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DIF: Cognitive Level: Comprehension OBJ: 1 T L L
T T L TOP: Nursing Care Plan L
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KEY: Nursing Process Step: Planning
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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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Tmeeting their needs and the identified outcomes of the plan of care. Which term is correct for
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these nursing behaviors?
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a. Assessments
b. Interventions
c. Planning
d. Evaluation
The The Answer iswer is: B
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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 of the plan of care.
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DIF: Cognitive Level: Knowledge OBJ: 1 T L L
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KEY: Nursing Process Step: Planning
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MSC: NCLEX: Physiological Integrity: Reduction of Risk
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3. The nurse understands the importance of being The The Answer iswer iswerable for all actions and the
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T of being called on to explain or justify them. Which term best describes this concept?
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a. Reliability
b. Maturity
c. Accountability
d. Liability
The The Answer iswer is: C
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Accountability meThe The Answer iswer is that a person is The The Answer iswer iswerable for his or to L
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explain or justify them.
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DIF: Cognitive Level: Knowledge T L L
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KEY: Nursing Process Step: N/A
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1
, MSC: NCLEX: Physiological Integrity: Reduction of Risk
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MULTIPLE RESPONSE T L
1. Which modes of conflict resolution should be addressed when providing an inservice about
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T conflict resolution? (Select all that apply.) L
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a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
The The Answer iswer is: B, C, D, E, F
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The modes of conflict resolution include accommodation, collaboration, compromise,
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avoidance, and competition.
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DIF: Cognitive Level: Knowledge T L L
T OBJ: 5 TOP: Conflict Resolution T L L
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KEY: Nursing Process Step: N/A
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2. Which characteristics describe an effective leader? (Select all that apply.)
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a. Effective communication L
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b. Rigid rules and regulations T L L
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c. Delegates appropriately L
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d. Acts as a role model L
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e. Consistently handles conflict L
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f. Focuses on individual development L
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The The Answer iswer is: A, C, D, E
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Characteristics of an effective leader include effective communication, consistency in L
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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 for a job
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well done, delegates work appropriately, sets objectives and guides staff, displays caring,
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understanding, and empathy for others, motivates and empowers others, is proactive and
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flexible, and focuses on team development.
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DIF: Cognitive Level: Comprehension T L L
T OBJ: 5 TOP: Leadership T L L
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KEY: Nursing Process Step: N/A
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COMPLETION
1. is defined as the process by which information is exchanged between individuals L
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T verbally, nonverbally, and/or in writing or through information technology.
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The The Answer iswer is:
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Communication
Communication is defined as the process by which information is exchanged between T L T L T L T L L
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individuals verbally, nonverbally, and/or in writing or through information technology.
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2
, DIF: Cognitive Level: Knowledge T L L
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KEY: Nursing Process Step: N/A
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2. is the collection and processing of relevant data for the purpose of appraising the
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The The Answer iswer is:
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Assessment
Assessment is the collection and processing of relevant data for the purpose of appraising the
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client’s health status.
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DIF: Cognitive Level: Knowledge T L L
T OBJ: 1 TOP: Assessment
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KEY: Nursing Process Step: N/A
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3. is concerned with the ethical questions that arise in the context of health care.
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The The Answer iswer is:
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Bioethics
Bioethics is concerned with the ethical questions that arise in the context of health care.
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DIF: Cognitive Level: Knowledge T L L
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KEY: Nursing Process Step: N/A
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, Chapter 02: Medical-Surgical Practice Settings
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Linton: Medical-Surgical Nursing, 8th Edition
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MULTIPLE CHOICE T L
1. While a home health nurse is making the entry to a service assessment on a homebound
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patient, the spouse of the patient asks whether Medicare will cover the patient’s ventilator
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therapy and insulin injections. Which response by the nurse is the best response?
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a. “Yes, Medicare will cover both the ventilator therapy and the insulin injections.” L
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b. “No, Medicare will not cover either of these ongoing therapies.” L
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c. “Medicare will cover the ventilator therapy, but it does not cover the insulin L
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injections.” L
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d. “Medicare will cover the ongoing insulin therapy, but it does not cover a highly L
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technical skill such as ventilator therapy.”
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The The Answer iswer is: C
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Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that L
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can be taught to the family or the patient are not covered.
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DIF: Cognitive Level: Application OBJ: 3 T L L
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TOP: Medicare Coverage for Home Health
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KEY: Nursing Process Step: Implementation L
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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2. The wife of a patient asks the nurse whether her husband would be considered for placement
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Tin a skilled nursing care facility when he is discharged from the general hospital. The patient
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Tis incontinent, has mild dementia but is able to ambulate with a walker, and must have help to
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eat and dress himself. Which is the most appropriate response?
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a. “Yes, your husband would qualify for a skilled care facility because of his inability to L
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feed and dress himself.”
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b. “No, your husband’s disabilities would not qualify him for a skilled facility.” L
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c. “Yes, your husband qualifies for placement in a skilled care facility because of his L
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dementia.” L
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d. “Yes, anyone who is willing to pay can be placed in a skilled nursing facility.” L
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The The Answer iswer is: B
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Placement in a skilled nursing facility must be authorized by a physician. A clear need for L
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rehabilitation must be evident, or severe deficits in self-care that have a potential for
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improvement and require the services of a registered nurse, a physical therapist, or a speech
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therapist must exist.
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DIF: Cognitive Level: Analysis OBJ: 9 T L L
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TOP: Placement Qualifications for Skilled Nursing Facility
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment T L T L T L T L L
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3. A nurse has noted that a newly admitted resident to an extended care facility stays in her
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room, does not take active part in activities, and leaves the meal table after having eaten very
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Tlittle. Which type of relocation response is the resident exhibiting?
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a. regression.
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