CH. 1 AND CH. 2 MEDICAL-SURGICAL
NURSING: MAKING CONNECTIONS TO
PRACTICE UNIT 2 OF C471QUESTIONS
AND CORRECT ANSWERS A GRADED
Academy aof aMedical-Surgical aNursing a(AMSN) a- acorrect aAnswers a✔✔ a-
professional aorganization afor amed-surg aRN; amission ais atoo a"promote aexcellence ain
amed-surg anursing"
Values aof aAMSN a- acorrect aAnswers a✔✔ a--Engage ain aongoing aprofessional
adevelopment
-Use aEBP
-Speak aw/a aunified avoice
-Serve aas aleaders aon ahealth-care ateams
-Have athe anecessary aresources ato adeliver aexcellent acare
-Practice ain aa ahealthy awork aenvironment
Strategic aMessage aof aAMSN a- acorrect aAnswers a✔✔ a--Improving apatient acare
-Developing apersonally aand aprofessionally
-Advocating afor athe aspecialty aof amed-surg anursing
-Connection aw/other anurses awho ashare atheir acompassion aand acommitment
American aNurse aCredentialing aCenter a(ANCC) a- acorrect aAnswers a✔✔ a-can acertify
anurses ain amed-surg
ANCC's aMagnet aRecognition aProgram a- acorrect aAnswers a✔✔ a-awarded ato ahealth-
care afacilities athat ademonstrate aexcellence ain athe arecruitment, arecognition, aand
aretention aof anursing astaff aas awell aas aexcellence ain apatient acare aand aquality
Certified aMedical-Surgical aRegistered aNurse a(CMSRN) a- acorrect aAnswers a✔✔ a-RN
awho ais acredentialed ain amed-surg, aentitled ato athe acredential aof aRegistered aNurse-
Board aCertified a(RN-BC)
often ain athe arole aof acare acoordinator
Primary adirect acare aprovider ain aacute acare asetting- aoften athe aKEY ato
acommunication abetween avarious aHC amembers
,****Higher apatient aacuity aand aincreased acomplexity aof apts acare aneeds
aaccompanied aby ashorter alengths aof astay ain aacute acare aplace aRN ain avital arole aof
aensuring athe apts aare aprepared afor atransitions ato adifferent alevels aof acare.
aFacilitating athe apts aand afamily aunderstanding aof aTX aplan aand adischarge ateaching
Domains aof aNursing aPractice afor aMed-Surg aCertification a- acorrect aAnswers a✔✔ a-1.
aHelping arole
2. aTeaching-Coaching aFunction
3. aDiagnostic aand aPatient aMonitoring
4. aEffective aManagement aof aRapidly aChanging aSituations
5. aAdministering aand aMonitoring aTherapeutic aInterventions aand aRegimens
6. aMonitoring aand aEnsuring athe aQuality aof aHealth-Care aPractices
7. aOrganizational aand aWork aRole aCompetencies
Evidence-based anursing apractice a- acorrect aAnswers a✔✔ a-problem-solving aapproach
ato ahealth-care adelivery, anursing acare apractices, aand aprotocols--based aupon athe
abest aevidence afrom aresearch astudies aand athe aexpertise aof aclinicians
1. aDevelop athe aquestion
2. aSearch aand acollate athe abest aevidence
3. aEvaluate athe aquality aof athe aevidence
4. aIntegrate aevidence ainto apractice
5. aEvaluate aoutcomes aof apractice achange
6. aDisseminate athe aevidence
Evaluating aLevels aof aEvidence a- acorrect aAnswers a✔✔ a-Lv a1 ais athe ahighest alevel
aof aevidence
Lv a1 aEvidence afrom asystematic areviews aof arandomized acontrolled astudies a(RCT)
Lv a2 aEvidence afrom aat aleast a1 aRCT
Lv a3 aEvidence afrom aquasi-experimental astudies
Lv a4 aEvidence afrom acase-control aand acohort astudies
Lv a5 aEvidence afrom asystematic areviews aof adescriptive aor aqualitative astudies
Lv a6 aEvidence afrom aa asingle adescriptive aor aqualitative astudy
Lv a7 aEvidence afrom aexpert aindividual aauthorities aor acomments
Cohort astudies a- acorrect aAnswers a✔✔ a-Lv a4- ause aa agroup aof apeople a(cohort)
awho aare ainitially afree aof adisease aand aare athen afollowed aover aa aperiod aof atime ato
aexamine awhether athe adevelopment aof anew acases adiffers abetween athose awith aand
awithout aexposure ato asome atype aof adisease, aenvironmental ahazard, aetc
Case acontrol astudy a- acorrect aAnswers a✔✔ a-Lv a4-includes atwo agroups, athose awith
aa aspecific adisorder aand athose aw/o---then acompares athe atwo agroups
, Quasi-Experimental aStudies a- acorrect aAnswers a✔✔ a-Lv a3- ause acontrol aand
aexperimental agroups abut alacks athe arandom aassignment aof aparticipants
Randomized aControlled aStudies a- acorrect aAnswers a✔✔ a-Lv a1 aand aLv a2 a-Gold
astandard aof aresearch- ainclude adata afrom aselected astudies athat arandomly aassigned
aparticipants ato acontrol aand aand aexperimental agroups
Systematic areview a- acorrect aAnswers a✔✔ a-a atype aof aliterature areview athat auses
asystematic amethods ato acollect asecondary adata, acritically aappraise aresearch
astudies, aand asynthesize afindings aqualitatively aor aquantitatively. a... aThey aare
adesigned ato aprovide aa acomplete, aexhaustive asummary aof acurrent aevidence
arelevant ato aa aresearch aquestion
Institute aof aMedicine a(IOM) a- acorrect aAnswers a✔✔ a-A anonprofit aorganization
aestablished ain a1970 aas aa acomponent aof athe aUS aNational aAcademy aof aSciences
athat aworks aoutside athe aframework aof agovernment ato aprovide aevidence-based
aresearch aand arecommendations afor apublic ahealth aand ascience apolicy.
To aERR ais aHuman- aReport
-between a44000-98000 adeaths aoccurred ain athe aUS adue ato apreventable amedical
aerrors
-40000 aincidences aper aday ain aUS aresulted ain apt aharm
--**-- aineffective acommunication aamong ainterprofessional ahealth acare ateam
aidentified ain aa aroot acause aanalysis
Hospital aConsumer aAssessment aof aHealthcare aProviders aand aSystems a(HCAHPS)
a- acorrect aAnswers a✔✔ a-provides aa astandardized aapproach ato acollect adata afrom
apts aabout atheir aexperiences ain ahospitals a
-Communication aw/ aproviders
-communication aw/ anurses
-responsiveness aof ahospital astaff
-pain amanagement
-communication aabout amedications
-discharge ainformation
-cleanliness aof athe ahospital aenvironment
-quietness aof athe ahospital aenvironment
-transition aof acare
Beryl aInstitute a- acorrect aAnswers a✔✔ a-organization athat afosters apt acentered acare
athrough athe a"pt aexperience" athat ais ainfluenced aby aall athe ainteractions aand
aexperiences aencountered, abased aupon athe aorganizations's aculture aand apractices
Medical-Surgical aNursing aCertification aBoard a(MSNCB) a- acorrect aAnswers a✔✔ a-
Organization awhich acertifies aeligible amed-surg aRN awho ameet aspecific arequirements
NURSING: MAKING CONNECTIONS TO
PRACTICE UNIT 2 OF C471QUESTIONS
AND CORRECT ANSWERS A GRADED
Academy aof aMedical-Surgical aNursing a(AMSN) a- acorrect aAnswers a✔✔ a-
professional aorganization afor amed-surg aRN; amission ais atoo a"promote aexcellence ain
amed-surg anursing"
Values aof aAMSN a- acorrect aAnswers a✔✔ a--Engage ain aongoing aprofessional
adevelopment
-Use aEBP
-Speak aw/a aunified avoice
-Serve aas aleaders aon ahealth-care ateams
-Have athe anecessary aresources ato adeliver aexcellent acare
-Practice ain aa ahealthy awork aenvironment
Strategic aMessage aof aAMSN a- acorrect aAnswers a✔✔ a--Improving apatient acare
-Developing apersonally aand aprofessionally
-Advocating afor athe aspecialty aof amed-surg anursing
-Connection aw/other anurses awho ashare atheir acompassion aand acommitment
American aNurse aCredentialing aCenter a(ANCC) a- acorrect aAnswers a✔✔ a-can acertify
anurses ain amed-surg
ANCC's aMagnet aRecognition aProgram a- acorrect aAnswers a✔✔ a-awarded ato ahealth-
care afacilities athat ademonstrate aexcellence ain athe arecruitment, arecognition, aand
aretention aof anursing astaff aas awell aas aexcellence ain apatient acare aand aquality
Certified aMedical-Surgical aRegistered aNurse a(CMSRN) a- acorrect aAnswers a✔✔ a-RN
awho ais acredentialed ain amed-surg, aentitled ato athe acredential aof aRegistered aNurse-
Board aCertified a(RN-BC)
often ain athe arole aof acare acoordinator
Primary adirect acare aprovider ain aacute acare asetting- aoften athe aKEY ato
acommunication abetween avarious aHC amembers
,****Higher apatient aacuity aand aincreased acomplexity aof apts acare aneeds
aaccompanied aby ashorter alengths aof astay ain aacute acare aplace aRN ain avital arole aof
aensuring athe apts aare aprepared afor atransitions ato adifferent alevels aof acare.
aFacilitating athe apts aand afamily aunderstanding aof aTX aplan aand adischarge ateaching
Domains aof aNursing aPractice afor aMed-Surg aCertification a- acorrect aAnswers a✔✔ a-1.
aHelping arole
2. aTeaching-Coaching aFunction
3. aDiagnostic aand aPatient aMonitoring
4. aEffective aManagement aof aRapidly aChanging aSituations
5. aAdministering aand aMonitoring aTherapeutic aInterventions aand aRegimens
6. aMonitoring aand aEnsuring athe aQuality aof aHealth-Care aPractices
7. aOrganizational aand aWork aRole aCompetencies
Evidence-based anursing apractice a- acorrect aAnswers a✔✔ a-problem-solving aapproach
ato ahealth-care adelivery, anursing acare apractices, aand aprotocols--based aupon athe
abest aevidence afrom aresearch astudies aand athe aexpertise aof aclinicians
1. aDevelop athe aquestion
2. aSearch aand acollate athe abest aevidence
3. aEvaluate athe aquality aof athe aevidence
4. aIntegrate aevidence ainto apractice
5. aEvaluate aoutcomes aof apractice achange
6. aDisseminate athe aevidence
Evaluating aLevels aof aEvidence a- acorrect aAnswers a✔✔ a-Lv a1 ais athe ahighest alevel
aof aevidence
Lv a1 aEvidence afrom asystematic areviews aof arandomized acontrolled astudies a(RCT)
Lv a2 aEvidence afrom aat aleast a1 aRCT
Lv a3 aEvidence afrom aquasi-experimental astudies
Lv a4 aEvidence afrom acase-control aand acohort astudies
Lv a5 aEvidence afrom asystematic areviews aof adescriptive aor aqualitative astudies
Lv a6 aEvidence afrom aa asingle adescriptive aor aqualitative astudy
Lv a7 aEvidence afrom aexpert aindividual aauthorities aor acomments
Cohort astudies a- acorrect aAnswers a✔✔ a-Lv a4- ause aa agroup aof apeople a(cohort)
awho aare ainitially afree aof adisease aand aare athen afollowed aover aa aperiod aof atime ato
aexamine awhether athe adevelopment aof anew acases adiffers abetween athose awith aand
awithout aexposure ato asome atype aof adisease, aenvironmental ahazard, aetc
Case acontrol astudy a- acorrect aAnswers a✔✔ a-Lv a4-includes atwo agroups, athose awith
aa aspecific adisorder aand athose aw/o---then acompares athe atwo agroups
, Quasi-Experimental aStudies a- acorrect aAnswers a✔✔ a-Lv a3- ause acontrol aand
aexperimental agroups abut alacks athe arandom aassignment aof aparticipants
Randomized aControlled aStudies a- acorrect aAnswers a✔✔ a-Lv a1 aand aLv a2 a-Gold
astandard aof aresearch- ainclude adata afrom aselected astudies athat arandomly aassigned
aparticipants ato acontrol aand aand aexperimental agroups
Systematic areview a- acorrect aAnswers a✔✔ a-a atype aof aliterature areview athat auses
asystematic amethods ato acollect asecondary adata, acritically aappraise aresearch
astudies, aand asynthesize afindings aqualitatively aor aquantitatively. a... aThey aare
adesigned ato aprovide aa acomplete, aexhaustive asummary aof acurrent aevidence
arelevant ato aa aresearch aquestion
Institute aof aMedicine a(IOM) a- acorrect aAnswers a✔✔ a-A anonprofit aorganization
aestablished ain a1970 aas aa acomponent aof athe aUS aNational aAcademy aof aSciences
athat aworks aoutside athe aframework aof agovernment ato aprovide aevidence-based
aresearch aand arecommendations afor apublic ahealth aand ascience apolicy.
To aERR ais aHuman- aReport
-between a44000-98000 adeaths aoccurred ain athe aUS adue ato apreventable amedical
aerrors
-40000 aincidences aper aday ain aUS aresulted ain apt aharm
--**-- aineffective acommunication aamong ainterprofessional ahealth acare ateam
aidentified ain aa aroot acause aanalysis
Hospital aConsumer aAssessment aof aHealthcare aProviders aand aSystems a(HCAHPS)
a- acorrect aAnswers a✔✔ a-provides aa astandardized aapproach ato acollect adata afrom
apts aabout atheir aexperiences ain ahospitals a
-Communication aw/ aproviders
-communication aw/ anurses
-responsiveness aof ahospital astaff
-pain amanagement
-communication aabout amedications
-discharge ainformation
-cleanliness aof athe ahospital aenvironment
-quietness aof athe ahospital aenvironment
-transition aof acare
Beryl aInstitute a- acorrect aAnswers a✔✔ a-organization athat afosters apt acentered acare
athrough athe a"pt aexperience" athat ais ainfluenced aby aall athe ainteractions aand
aexperiences aencountered, abased aupon athe aorganizations's aculture aand apractices
Medical-Surgical aNursing aCertification aBoard a(MSNCB) a- acorrect aAnswers a✔✔ a-
Organization awhich acertifies aeligible amed-surg aRN awho ameet aspecific arequirements
