answers 2024
Which factors have led to the expansion of medical-surgical nursing from
traditional acute care facilities to other settings? (Select all that apply.)
A. Increases in healthcare complexity
B. Shortage of registered nurses
C. Changes in insurance coverage
D. Shortened hospital lengths of stay
E. Low salaries for registered nurses in hospitals - ANSWER- A. Increases in
healthcare complexity
C. Changes in insurance coverage
D. Shortened hospital lengths of stay
In designing an evidence-based practice guideline for a medical-surgical unit,
which source provides the most reliable information?
A. Content from a textbook
B. Manuscript in a nursing journal
C. Results from research studies
D. Information from a professional activity - ANSWER- C. Results from research
studies
The medical-surgical nurse needs to be knowledgeable of which organization that
scores patient-centered care via a telephone survey of selected patients after
discharge?
A. The Joint Commission
B. The Beryl Institute
C. The Carnegie Institute
D. The Hospital Consumer Assessment of Healthcare Providers and Systems -
ANSWER- D. The Hospital Consumer Assessment of Healthcare Providers and
Systems
The medical-surgical nurse implements SBAR to promote effectiveness in which
aspect of quality and safety in patient care?
A. Surveillance
,B. Communication
C. Organization
D. Cost-effectiveness - ANSWER- B. Communication
Which outcome of interprofessional teams is associated with an increased focus
on educating health professional students together?
A. Decreased hospital costs
B. Increased safety and quality
C. Decreased length of stay
D. Increased patient satisfaction - ANSWER- B. Increased safety and quality
Which phase of care is most critical for medical-surgical patients?
A. Acute hospital phase
B. Prehospital care phase
C. Transition phase
D. Discharge phase - ANSWER- C. Transition phase
What is considered the hospital's span of responsibility for the patient?
A. Admission to discharge
B. Admission to 30 days post-discharge
C. Admission to 15 days post-discharge
D. Admission to full recovery - ANSWER- B. Admission to 30 days post-discharge
What is the focus of transitional care programs? (Select all that apply.)
A. Supporting the patient after hospital discharge
B. Coaching and teaching to enhance patient understanding
C. Providing patient-centered discharge instructions
D. Ensuring evidence-based medical therapy
E. Providing adequate pain control during hospitalization - ANSWER- A.
Supporting the patient after hospital discharge
B. Coaching and teaching to enhance patient understanding
C. Providing patient-centered discharge instructions
What roles does the nurse have in transitional care programs? (Select all that
apply.)
A. Directing patient care in the inpatient setting
B. Coaching the patient after discharge
C. Managing chronic conditions after discharge
D. Directing patient care in the clinic setting
E. Assessing the patient's risk for readmission - ANSWER- B. Coaching the
patient after discharge
, C. Managing chronic conditions after discharge
E. Assessing the patient's risk for readmission
Which statement by the nurse indicates an understanding of the benefits of
multidisciplinary care? (Select all that apply.)
A. "I'm glad the social worker can focus on finding a placement for this patient."
B. "I don't have time for this teaching; the nutritionist can go over dietary plans."
C. "The occupational therapy evaluation made it clear there are more issues with
activities of daily living (ADLs) to resolve before this patient can be discharged."
D. "I'm not worried about length of stay. The bean counters can deal with that."
E. "Discharge planning is much easier when we talk about it together as a team."
- ANSWER- A. "I'm glad the social worker can focus on finding a placement for
this patient."
C. "The occupational therapy evaluation made it clear there are more issues with
activities of daily living (ADLs) to resolve before this patient can be discharged."
E. "Discharge planning is much easier when we talk about it together as a team."
Which statement by the nurse about discharge planning indicates understanding
about the role of the multidisciplinary team?
A. "This patient had a fairly uncomplicated hospital admission. There's no need
to involve the team in this discharge plan."
B. "Our physical therapist is busy today. I'll take care of the physical therapy
evaluation."
C. "Let's make sure we are all in agreement about the discharge plans for this
patient in multidisciplinary rounds today."
D. "We need this bed for an emergency admission. I'm okay with discharging this
patient before the occupational therapy evaluation." - ANSWER- C. "Let's make
sure we are all in agreement about the discharge plans for this patient in
multidisciplinary rounds today."
The nurse is caring for a patient who has experienced a CVA. Which ICT members
should be involved in this patient's care? (Select all that apply.)
A. Occupational therapist
B. Physical therapist
C. Physician
D. Case manager
E. Legal counsel - ANSWER- A. Occupational therapist
B. Physical therapist
C. Physician
D. Case manager