Test Bank For Medical_Surgical_Nursing_8th_Edition Mary_Ann -Linton

Chapter 1: Aspects of Medical-Surgical Nursing Linton: Medical-Surgical Nursing, 8th Edition 1. Choose an item in a medical record that 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 The The Answer iswer is: 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 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. Which term is correct for these nursing behaviors? a. Assessments b. Interventions c. Planning d. Evaluation The The Answer iswer is: 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: Knowledge OBJ: 1 TOP: Interventions KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Reduction of Risk 3. The nurse understands the importance of being The The Answer iswer iswerable for all actions and theof being called on to explain or justify them. Which term best describes this concept? a. Reliability b. Maturity c. Accountability d. Liability The The Answer iswer is: C Accountability meThe The Answer iswer is that a person is The The Answer iswer iswerable for his orto explain or justify them. DIF: Cognitive Level: Knowledge OBJ: 1 TOP: Accountability KEY: Nursing Process Step: N/A Test Bank For Medical_Surgical_Nursing_8th_Edition Mary_Ann -Linton 2 MSC: NCLEX: Physiological Integrity: Reduction of Risk MULTIPLE RESPONSE 1. Which modes of conflict resolution should be addressed when providing an inservice about conflict resolution? (Select all that apply.) a. Suppression b. Accommodation c. Compromise d. Avoidance e. Collaboration f. Competition The The Answer iswer is: B, C, D, E, F The modes of conflict resolution include accommodation, collaboration, compromise, avoidance, and competition. DIF: Cognitive Level: Knowledge OBJ: 5 TOP: Conflict Resolution KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. Which characteristics describe 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 The The Answer iswer is: 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 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. The The Answer iswer is: Communication Communication is defined as the process by which information is exchanged between individuals verbally, nonverbally, and/or in writing or through information technology. 3 DIF: Cognitive Level: Knowledge 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. The The Answer iswer is: Assessment Assessment is the collection and processing of relevant data for the purpose of appraising the client’s health status. DIF: Cognitive Level: Knowledge OBJ: 1 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. The The Answer iswer is: Bioethics Bioethics is concerned with the ethical questions that arise in the context of health care. DIF: Cognitive Level: Knowledge OBJ: 3 TOP: Bioethics KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 4 Chapter 02: Medical-Surgical Practice Settings Linton: Medical-Surgical Nursing, 8th Edition MULTIPLE CHOICE 1. While a home health nurse is making the entry to a service assessment on a homebound patient, the spouse of the patient asks whether Medicare will cover the patient’s ventilator therapy and insulin injections. Which response by the nurse is the best response? a. “Yes, Medicare will cover both the ventilator therapy and the insulin injections.” b. “No, Medicare will not cover either of these ongoing therapies.” c. “Medicare will cover the ventilator therapy, but it does not cover the insulin injections.” d. “Medicare will cover the ongoing insulin therapy, but it does not cover a highly technical skill such as ventilator therapy.” The The Answer iswer is: C Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that can be taught to the family or the patient are not covered. DIF: Cognitive Level: Application OBJ: 3 TOP: Medicare Coverage for Home Health KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 2. The wife of a patient asks the nurse whether her husband would be considered for placement in a skilled nursing care facility when he is discharged from the general hospital. The patient is incontinent, has mild dementia but is able to ambulate with a walker, and must have help to eat and dress himself. Which is the most appropriate response? a. “Yes, your husband would qualify for a skilled care facility because of his inability to feed and dress himself.” b. “No, your husband’s disabilities would not qualify him for a skilled facility.” c. “Yes, your husband qualifies for placement in a skilled care facility because of his dementia.” d. “Yes, anyone who is willing to pay can be placed in a skilled nursing facility.” The The Answer iswer is: B Placement in a skilled nursing facility must be authorized by a physician. A clear need for rehabilitation must be evident, or severe deficits in self-care that have a potential for improvement and require the services of a registered nurse, a physical therapist, or a speech therapist must exist. DIF: Cognitive Level: Analysis OBJ: 9 TOP: Placement Qualifications for Skilled Nursing Facility KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment 3. A nurse has noted that a newly admitted resident to an extended care facility stays in her room, does not take active part in activities, and leaves the meal table after having eaten very little. Which type of relocation response is the resident exhibiting? a. regression. 5 b. social withdrawal. c. depersonalization. d. passive aggressive. The The Answer iswer is: B Social withdrawal is a frequent response to relocation. DIF: Cognitive Level: Comprehension OBJ: 10 TOP: Relocation Response KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 4. A nurse clarifies to a new patient in a rehabilitation center what rehabilitation meThe The Answer iswestatement made by the patient indicates a correct understanding? a. “I will return to my previous level of functioning.” b. “I will be counseled into a new career.” c. “I will develop better coping skills to accept his disability.” d. “I will attain the greatest degree of independence possible.” The The Answer iswer is: D