Alexanders Care of the Patient in Surgery 16th Edition

Chapter 01: Concepts Basic to Perioperative Nursing Rothrock: Alexander’s Care of the Patient in Surgery, 16th Edition MULTIPLE CHOICE 1. The Perioperative Patient Focused Model presents key components of nursing influence that guide patient care. Select the statement that best describes the dynamic relationship within the model. a. The patient experience and the nursing presence are in continuous interaction. b. Structure, process, and outcome are the foundation domains of the model. c. The perioperative nurse is the central dynamic core of the model. d. The interrelated nursing process rings bind the patient to the model. ANS: A The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing diagnoses, nursing interventions, and patient outcomes. These domains are in continuous interaction with the health system that encircles the focus of perioperative nursing practice—the patient. 2. The Association of PeriOperative Registered Nurses’ (AORN) Standards of Perioperative Nursing describes nursing interactions, interventions, and activities with patients. This is based on which standards category? a. Evidence-based b. Process c. Outcome d. Structural ANS: B Process standards relate to nursing activities, interventions, and interactions. They are used to explicate clinical, professional, and quality objectives in perioperative nursing. 3. Which order best describes the process used to implement evidence-based professional nursing? a. Literature search, theory review, data analysis, policy development b. Regional survey, literature search, meta-analysis, practice change c. Identify problem, scientific evidence, develop policy, evaluate outcome d. Identify issue, analyze scientific evidence, implement change, evaluate process ANS: D Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect and evaluate the best evidence to design and implement a practice change, and to evaluate the process. 4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for their unit. The best process to gather scientific information is to: a. conduct a survey of skin prep policies at the next AORN chapter meeting. b. review their surgical site infection data from the last 6 months. c. conduct a literature search on antimicrobial agents and infection prevention. d. review the scientific literature from the leading manufacturers of prep solutions. ANS: C Perioperative nurses have an ethical responsibility to review practices and to modify them based on the best available scientific evidence. Using research to guide practice is called evidence-based practice (EBP).