Test Bank for Understanding Medical-Surgical Nursing 5th Edition By Holly K. Stromberg Newest Version 2023.

Test Bank for Understanding Medical-Surgical Nursing 5th Edition By Holly K. Stromberg Newest Version 2023. unit ONE Understanding Health Care Issues CHECKLIST FOR LEARNING SUCCESS Critical Thinking Critical thinking traits Knowledge base Critical thinking skills Problem solving Role of the LPN/LVN Nursing process Data collection Documentation of data Nursing diagnosis Planning care Prioritizing care Identifying interventions Implementation Evaluation Evidence-Based Practice Evidence-based practice Use of evidence-based practice Identifying evidence Evidence-based practice process Six steps of evidencebased practice Evidence-based practice, quality and safety Quality and Safety Education for Nurses (QSEN) project Joint Commission‘s 2014 National Patient Safety Goals Issues Health care delivery Economic issues Nursing/health team Leadership in nursing practice Career opportunities Ethics and values Ethical obligations and nursing Nursing code of ethics Building blocks of ethics Ethical theories Ethical decision making Legal concepts HIPAA Nursing liability and the law Cultural Influences Cultural diversity Communication Space Time orientation Social organization Environmental control Health care providers Biological variations Death and dying Cultural groups Culturally competent care Alternative/Complementary Alternative versus complementary therapies Allopathic/Western medicine Ayurveda Chinese medicine Chiropractic Homeopathy Naturopathy American Indian medicine Osteopathy Herbal therapy Relaxation therapies Massage therapy Aquatherapy Heat and cold Safety/effectiveness Role of LPN/LVN Test Bank for Understanding Medical-Surgical Nursing 5th Edition latest update 2023 Critical Thinking and the Nursing Process VOCABULARY Define the following terms and use them in sentences. Nursing process Definition: Sentence: Critical thinking Definition: Sentence: Assessment Definition: Sentence: Objective data Definition: Sentence: Subjective data Definition: Sentence: Nursing diagnosis Definition: Sentence: Evaluation Definition: Sentence: Vigilance Definition: Sentence: 2 1 Test Bank for Understanding Medical-Surgical Nursing 5th Edition latest update 2023 SUBJECTIVE AND OBJECTIVE DATA Identify the following data as subjective (symptom) or objective (sign). Chapter 1 Critical Thinking and the Nursing Process 3 12. Serum potassium 3.6 mEq/L 13. Palpitations (feeling of racing heart) 14. Blood pressure 130/82 mm Hg 1. Pain 2. Shortness of breath 3. Edema (swelling) 4. Capillary refill 2 seconds 5. Nausea 6. Vomiting 7. Dizziness 8. Cyanosis 9. Numbness 10. Indigestion 11. Pale 15. White blood cell count 7000/mm3 CRITICAL THINKING Sometimes cognitive maps are used to organize thinking. Look at samples in any of the Function and Assessment chapters under Aging Changes. Some of the workbook chapters will ask you to make a cognitive map, so here is an opportunity to practice. Consider a time when you have had a headache or other discomfort. Fill in the spaces with information related to the WHAT‘S UP? questions. See Chapter 1 Answers for one patient‘s responses. Once you have the questions answered, you could go even further and make links with possible interventions. There is no one right way to make a cognitive map—use your imagination! Choose the best answer unless directed otherwise. 1. Which one of the following is a nursing diagnosis? 1. Peptic ulcer 2. Pneumonia 3. Ineffective airway clearance 4. Myocardial infarction 2. Which one of the following is a medical diagnosis? 1. Hiatal hernia 2. Impaired mobility 3. Powerlessness 4. Anxiety 3. An LPN wishes to learn why a patient‘s lung sounds have crackles and questions the physician during morning rounds. Which critical thinking attitude is the nurse exhibiting? 1. Intellectual humility 2. Intellectual sense of justice 3. Intellectual empathy 4. Intellectual integrity REVIEW QUESTIONS—CONTENT REVIEW Patient's perception Where is it? Quality Aggravating and alleviating factors Headache Useful other data Severity Timing Test Bank for Understanding Medical-Surgical Nursing 5th Edition latest update 2023 4 UNITONEUnderstanding Health Care Issues 4. The LVN is caring for a patient with diabetes. In what order should the nurse carry out the nursing process? Place all steps in correct sequential order. 1. Implement plan of care 2. Assist with evaluation 3. Collect data 4. Assist with development of nursing diagnoses 5. Assist with planning of outcomes and interventions 5. Which of the following statements best defines critical thinking? 1. Orderly, goal-directed thinking 2. Clear thinking during critical situations 3. Constructive feedback about nursing actions 4. Critical evaluation of patient responses to care Choose the best answer unless directed otherwise. 6. The LPN is reviewing the nursing care plan for a patient with acute pain related to a fractured ankle. Which of the following would determine whether the care plan is effective? 1. Assessment of the patient‘s ability to walk 2. Evaluation of the patient‘s fracture on X-ray 3. Elevating the patient‘s foot on two pillows 4. Evaluation of the patient‘s pain rating on a 10-point scale. 7. A patient with a history of cardiac disease reports a feeling of tightness in the chest that radiates down the left arm. Which of the following actions by the LPN should be carried out immediately? 1. Check the patient‘s vital signs. 2. Formulate nursing diagnoses related to an acute myocardial infarction. 3. Determine the patient‘s outcome after nitroglycerin has been administered. 4. Plan interventions to reduce long-term cardiac damage. 8. The LPN is documenting patient data. Which of the following should the nurse document under objective data? 1. Denies nausea 2. Shortness of breath 3. Heart rate 72 beats per minute 4. Midsternal chest pain 9. A patient is admitted with chest pain, which has resolved. The patient states, ―I hope I can live a normal life.‖ According to Maslow‘s hierarchy of needs, which of the following levels is best reflected by this statement? 1. Physiological needs 2. Safety and security 3. Love and belonging 4. Self-esteem 10. A patient has a nursing diagnosis of impaired swallowing related to muscle weakness as evidenced by drooling, coughing, and choking. Which of the following outcomes is appropriate for this patient‘s nursing diagnosis? 1. Improved airway clearance within 8 hours as evidenced by clear lung sounds and productive cough 2. Baseline body weight maintained as evidenced by no weight loss 3. Improved muscle strength as evidenced by ability to sit up while eating 4. Improved swallowing within 48 hours as evidenced by no coughing or choking 11. The LPN is providing care for a patient with a medical diagnosis of congestive heart failure who is very short of breath. Which of the following is a nursing diagnosis that is correctly stated in the PES (problem, etiology, and signs and symptoms) format? 1. Deficient knowledge related to disease process and self-care for shortness of breath 2. Impaired gas exchange related to excess interstitial fluid as evidenced by respiratory rate of 32 per minute and patient stating he feels short of breath 3. Congestive heart failure related to decreased cardiac output as evidenced by abnormal arterial blood gasses 4. Acute dyspnea related to congestive heart failure as evidenced by swollen lower extremities and confusion. REVIEW QUESTIONS—TEST PREPARATION Test Bank for Understanding Medical-Surgical Nursing 5th Edition latest update 2023 Evidence-Based Practice 2 VOCABULARY Define the following terms. 1. Evidence-based practice 2. Randomized controlled trials 3. Research 4. Systematic review EVIDENCE-BASED PRACTICE 1. Evidence is the of effectiveness behind nursing practice. 2. It is important for the in which the evidence will be used to be considered. 3. Evidence-based practice (EBP) is a complex but important, necessary process to facilitate care and optimal patient outcomes. 4. Evidence-based practice is used by nurses to give the best possible. 9. Patient-centered care meets the needs and preferred schedules. 10. Evidence is the core that directs safe, quality-driven, excellent patient care. CRITICAL THINKING Read the following case study and answer the questions. Nurses on a surgical unit were interested in knowing if music would reduce the preoperative anxiety of patients on their unit. 1. How are these nurses contributing to quality care? 5. Level I is the evidence and is an analysis of many controlled trials. 6. Nurses will know from measured that they are giving the best care possible. 2. What should the nurses do to begin the process? 7. Evidence-based practice is considered the standard of health care. 8. The Quality and Safety Education for Nurses (QSEN) project focuses on education that promotes the continual improvement of quality and safety in patient care. 3. What are some examples of resources that can be used to find evidence? 5 Test Bank for Understanding Medical-Surgical Nursing 5th Edition latest update 2023 6 UNITONEUnderstanding Health Care Issues 4. The nurses found Level I research studies that showed music therapy could be beneficial in reducing anxiety. What step should the nurses take next? 5. The planned intervention was implemented, data were collected during the implementation, and now the pilot study has ended. What step should the nurses take next? Choose the best answer unless directed otherwise. 1. Which of the following is considered significant evidence to guide nursing care? 1. Research studies that are quasi-experimental 2. Cochrane Reviews 3. Nursing information from the Internet 4. The opinion of a nationally known nursing expert 2. A nurse would like to find other studies on wound care that might be relevant to how wound care is done. Which of the following would be the best for searching for nursing articles on wound care? 1. CINAHL 2. Medline 3. Cochrane Review 4. PubMed 3. A nurse on the safety committee is assigned to review the current National Patient Safety Goals. In which of these ways will the nurse find the goals? 1. Review Joanna Briggs Best Practices. 2. Review a fundamentals nursing textbook. 3. Go to . 4. Search Cochrane Reviews. 4. Which of the following best describes a randomized clinical trial (RCT)? 1. An observational study designed to collect subjective data 2. An experimental study in which multiple factors affecting the results are controlled 3. A specific design categorizing modifiable and nonmodifiable risk factors 4. Tracking of disease occurrence over a set period of time 5. Evidence-based practice most often begins with which of the following? 1. Asking how to solve a clinical problem 2. Initiating a literature search 3. Analyzing available evidence 4. Measuring baseline outcomes Choose the best answer unless directed otherwise. 6. The nurse is reviewing the patient‘s plan of care and ordered treatments. Which of the following is an independent nursing intervention? Select all that apply. 1. Giving Tylenol 650 milligrams orally every 4 hours as needed (prn) 2. Assisting patient to position of comfort 3. Giving hand massage daily 4. Initiating high-risk fall protocol 5. Placing call button within reach at all times 6. Teaching deep breathing and relaxation techniques as needed 7. A nurse on the research committee is assigned to review the best evidence on patient centered bathing. Which of the following kinds of evidence would the nurse select for Level I research? Select all that apply. 1. A Cochrane review 2. One RCT 3. Four quasi-experimental studies that show similar results 4. The opinion of a national nursing expert on the subject 5. A Joanna Briggs Best Practice Review REVIEW QUESTIONS—TEST PREPARATION REVIEW QUESTIONS—CONTENT REVIEW Test Bank for Understanding Medical-Surgical Nursing 5th Edition latest update 2023 8. The nurse will include which of the following in applying the process of evidence-based practice to patient centered care? Select all that apply. 1. Evaluate the change. 2. Determine current practice. 3. Ask a burning question. 4. Know how to conduct an RCT. 5. Search for the best available evidence. 6. Make it happen. 9. The nurse provides care for residents on an Alzheimer‘s unit and is working with family members of a 67-year-old patient who was recently admitted. Which of the following statements reveals the nurse‘s awareness of evidence-based reality orientation practice? 1. ―Patients on this unit are generally very sweet, so your loved one will quickly fit right in.‖ 2. ―Our dietician provides high-protein snacks twice daily to help prevent brain degeneration.‖ 3. ―You‘ll notice clocks, calendars, and the use of patient pictures in the hallways to help residents stay oriented.‖ 4. ―Alzheimer‘s is a devastating disease, so it is mandatory that family members participate in our weekly support groups.‖ Chapter 2 Evidence-Based Practice 7 10. A nurse investigating the effect of 12-hour shifts on medication errors identifies 962 articles published on the topic of 12-hour shifts in the past 5 years. Which action should the nurse take next? 1. Find out how many of the articles can be found at the institution. 2. Request all 962 articles and determine their validity. 3. Limit the request to articles published in the past 3 years. 4. Narrow the search to identify which articles discuss medication errors.