Test Bank for Medical-Surgical Nursing 8th Edition Linton
Chapter 01: Aspects of Medical-Surgical Nursing
Linton: Medical-Surgical Nursing, 8th Edition
MULTIPLE CHOICE
1. Which item in a medical record provides direction for
individualized care and assures the delivery of accurate, safe
care through a definitive pathway that promotes the client’s
and thesupport persons’ progress toward positive outcomes?
a. Physician’s orders
b. Progress notes
c. Nursing care plan
d. Client health history
ANS: C
The nursing care plan provides direction for individualized
care and assures the delivery ofaccurate, 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
ANS: 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 answerable for all actions and the possibility
of being called on to explain or justify them. Which term best describes this concept?
a. Reliability
b. Maturity
c. Accountability
d. Liability
ANS: C
Accountability means that a person is answerable for his or her actions and may be called on
to explain or justify them.
1
, DIF: Cognitive Level: Knowledge OBJ: 1 TOP: Accountability
KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity: Reduction of Risk
MULTIPLE RESPONSE
1. Which modes of conflict resolution should be addressed when providing an inserviceabout
conflict resolution? (Select all that apply.)
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
ANS: B, C, D, E, F
The modes of conflict resolution include accommodation, collaboration, compromise,
avoidance, and competition.
DIF: Cognitive Level: Knowledge OBJ: 5 TOP: ConflictResolution
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
ANS: 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.
ANS:
Communication
Communication is defined as the process by which information is exchanged between
individuals verbally, nonverbally, and/or in writing or through information technology.
2
, DIF: Cognitive Level: Knowledge
jh OBJ: 2 jh j h
TOP: Communication KEY: Nursing Process Step: N/A
jh jh j h jh jh jh MSC: NCLEX: N/A jh jh
2.
is the collection and processing of relevant data for the purpose of appraising the cl
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
ient’s health status.
jh jh
ANS:
Assessment
Assessment is the collection and processing of relevant data for the purpose of appraising the cli
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
ent’s health status.
jh jh
DIF: Cognitive Level: Knowledge
jh OBJ: 1 jh j h
TOP: Assessment KEY: Nursing Process Step: N/A
jh jh j h jh jh jh
MSC: NCLEX: N/A
jh jh
3. is concerned with the ethical questions that arise in the context of health care.
jh jh jh jh jh jh jh jh jh jh jh jh jh
ANS:
Bioethics
Bioethics is concerned with the ethical questions that arise in the context of health care.
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
DIF: Cognitive Level: Knowledge
jh OBJ: 3 jh j h
TOP: Bioethics KEY: Nursing Process Step: N/A
jh jh j h jh jh jh
MSC: NCLEX: N/A
jh jh
3
, Chapter 02: Medical- jh jh
Surgical Practice Settings Linton: Medical-
jh jh jh jh
Surgical Nursing, 8th Edition
jh jh jh
MULTIPLE CHOICE jh
1. While a home health nurse is making the entry to a service assessment on a homebound pat
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
ient, the spouse of the patient asks whether Medicare will cover the patient’s ventilator thera
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
py and insulin injections. Which response by the nurse is the best response?
jh jh jh jh jh jh jh jh jh jh jh jh
a. “Yes, Medicare will cover both the ventilator therapy and the insulininjections.”
jh jh jh jh jh jh jh jh jh jh jh
b. “No, Medicare will not cover either of these ongoingtherapies.”jh jh jh jh jh jh jh jh jh
c. “Medicare will cover the ventilator therapy, but it does not cover the insulin in jh jh jh jh jh jh jh jh jh jh jh jh jh
jections.”
d. “Medicare will cover the ongoing insulin therapy, but it does not cover ahighly t jh jh jh jh jh jh jh jh jh jh jh jh jh
echnical skill such as ventilator therapy.” jh jh jh jh jh
ANS: C j h
Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that can
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
be taught to the family or the patient are not covered.
jh jh jh jh jh jh jh jh jh jh
DIF: Cognitive Level: Application jh jh
OBJ: 3 TOP: Medicare Coverage for Home
jh jh jh jh jh jh jh
Health
KEY: Nursing Process Step: Implementation
jh jh jh jh
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
jh jh jh jh jh jh jh
2. The wife of a patient asks the nurse whether her husband would be considered for placement in
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
a skilled nursing care facility when he is discharged from the general hospital. The patient is in
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
continent, has mild dementia but is able to ambulate with a walker, and must have helpto eat an
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
d dress himself. Which is the most appropriate response?
jh jh jh jh jh jh jh jh
a. “Yes, your husband would qualify for a skilled care facility because of his inability to
jh jh jh jh jh jh jh jh jh jh jh jh jh jh j
feed and dress himself.”
h jh jh jh
b. “No, your husband’s disabilities would not qualify him for a skilledfacility.”
jh jh jh jh jh jh jh jh jh jh jh
c. “Yes, your husband qualifies for placement in a skilled care facility because of his d
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
ementia.”
d. “Yes, anyone who is willing to pay can be placed in a skilled nursingfacility.”
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
ANS: B j h
Placement in a skilled nursing facility must be authorized by a physician. A clear need for reha
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
bilitation must be evident, or severe deficits in self- jh jh jh jh jh jh jh jh
care that have a potential for improvement and require the services of a registered nurse, a physi
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
cal therapist, or a speech therapist must exist.
jh jh jh jh jh jh jh
DIF: Cognitive Level: Analysis OBJ: 9 jh jh jh
TOP: Placement Qualifications for Skilled Nursing Facility
jh jh jh jh jh jh jh
KEY: Nursing Process Step: Implementation
jh jh jh jh
MSC: NCLEX: Safe, Effective Care Environment
jh jh jh jh jh
3. A nurse has noted that a newly admitted resident to an extended care facility stays in her room,
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
does not take active part in activities, and leaves the meal table after having eaten very little. W
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
hich type of relocation response is the resident exhibiting?
jh jh jh jh jh jh jh jh
a. regression.
4
Chapter 01: Aspects of Medical-Surgical Nursing
Linton: Medical-Surgical Nursing, 8th Edition
MULTIPLE CHOICE
1. Which item in a medical record provides direction for
individualized care and assures the delivery of accurate, safe
care through a definitive pathway that promotes the client’s
and thesupport persons’ progress toward positive outcomes?
a. Physician’s orders
b. Progress notes
c. Nursing care plan
d. Client health history
ANS: C
The nursing care plan provides direction for individualized
care and assures the delivery ofaccurate, 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
ANS: 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 answerable for all actions and the possibility
of being called on to explain or justify them. Which term best describes this concept?
a. Reliability
b. Maturity
c. Accountability
d. Liability
ANS: C
Accountability means that a person is answerable for his or her actions and may be called on
to explain or justify them.
1
, DIF: Cognitive Level: Knowledge OBJ: 1 TOP: Accountability
KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity: Reduction of Risk
MULTIPLE RESPONSE
1. Which modes of conflict resolution should be addressed when providing an inserviceabout
conflict resolution? (Select all that apply.)
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
ANS: B, C, D, E, F
The modes of conflict resolution include accommodation, collaboration, compromise,
avoidance, and competition.
DIF: Cognitive Level: Knowledge OBJ: 5 TOP: ConflictResolution
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
ANS: 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.
ANS:
Communication
Communication is defined as the process by which information is exchanged between
individuals verbally, nonverbally, and/or in writing or through information technology.
2
, DIF: Cognitive Level: Knowledge
jh OBJ: 2 jh j h
TOP: Communication KEY: Nursing Process Step: N/A
jh jh j h jh jh jh MSC: NCLEX: N/A jh jh
2.
is the collection and processing of relevant data for the purpose of appraising the cl
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
ient’s health status.
jh jh
ANS:
Assessment
Assessment is the collection and processing of relevant data for the purpose of appraising the cli
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
ent’s health status.
jh jh
DIF: Cognitive Level: Knowledge
jh OBJ: 1 jh j h
TOP: Assessment KEY: Nursing Process Step: N/A
jh jh j h jh jh jh
MSC: NCLEX: N/A
jh jh
3. is concerned with the ethical questions that arise in the context of health care.
jh jh jh jh jh jh jh jh jh jh jh jh jh
ANS:
Bioethics
Bioethics is concerned with the ethical questions that arise in the context of health care.
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
DIF: Cognitive Level: Knowledge
jh OBJ: 3 jh j h
TOP: Bioethics KEY: Nursing Process Step: N/A
jh jh j h jh jh jh
MSC: NCLEX: N/A
jh jh
3
, Chapter 02: Medical- jh jh
Surgical Practice Settings Linton: Medical-
jh jh jh jh
Surgical Nursing, 8th Edition
jh jh jh
MULTIPLE CHOICE jh
1. While a home health nurse is making the entry to a service assessment on a homebound pat
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
ient, the spouse of the patient asks whether Medicare will cover the patient’s ventilator thera
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
py and insulin injections. Which response by the nurse is the best response?
jh jh jh jh jh jh jh jh jh jh jh jh
a. “Yes, Medicare will cover both the ventilator therapy and the insulininjections.”
jh jh jh jh jh jh jh jh jh jh jh
b. “No, Medicare will not cover either of these ongoingtherapies.”jh jh jh jh jh jh jh jh jh
c. “Medicare will cover the ventilator therapy, but it does not cover the insulin in jh jh jh jh jh jh jh jh jh jh jh jh jh
jections.”
d. “Medicare will cover the ongoing insulin therapy, but it does not cover ahighly t jh jh jh jh jh jh jh jh jh jh jh jh jh
echnical skill such as ventilator therapy.” jh jh jh jh jh
ANS: C j h
Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that can
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
be taught to the family or the patient are not covered.
jh jh jh jh jh jh jh jh jh jh
DIF: Cognitive Level: Application jh jh
OBJ: 3 TOP: Medicare Coverage for Home
jh jh jh jh jh jh jh
Health
KEY: Nursing Process Step: Implementation
jh jh jh jh
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
jh jh jh jh jh jh jh
2. The wife of a patient asks the nurse whether her husband would be considered for placement in
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
a skilled nursing care facility when he is discharged from the general hospital. The patient is in
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
continent, has mild dementia but is able to ambulate with a walker, and must have helpto eat an
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
d dress himself. Which is the most appropriate response?
jh jh jh jh jh jh jh jh
a. “Yes, your husband would qualify for a skilled care facility because of his inability to
jh jh jh jh jh jh jh jh jh jh jh jh jh jh j
feed and dress himself.”
h jh jh jh
b. “No, your husband’s disabilities would not qualify him for a skilledfacility.”
jh jh jh jh jh jh jh jh jh jh jh
c. “Yes, your husband qualifies for placement in a skilled care facility because of his d
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
ementia.”
d. “Yes, anyone who is willing to pay can be placed in a skilled nursingfacility.”
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
ANS: B j h
Placement in a skilled nursing facility must be authorized by a physician. A clear need for reha
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
bilitation must be evident, or severe deficits in self- jh jh jh jh jh jh jh jh
care that have a potential for improvement and require the services of a registered nurse, a physi
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
cal therapist, or a speech therapist must exist.
jh jh jh jh jh jh jh
DIF: Cognitive Level: Analysis OBJ: 9 jh jh jh
TOP: Placement Qualifications for Skilled Nursing Facility
jh jh jh jh jh jh jh
KEY: Nursing Process Step: Implementation
jh jh jh jh
MSC: NCLEX: Safe, Effective Care Environment
jh jh jh jh jh
3. A nurse has noted that a newly admitted resident to an extended care facility stays in her room,
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
does not take active part in activities, and leaves the meal table after having eaten very little. W
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
hich type of relocation response is the resident exhibiting?
jh jh jh jh jh jh jh jh
a. regression.
4
