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Chapter 1: Aspects of Medical-Surgical Nursing
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YFT Linton: Medical-Surgical Nursing, 8th Edition
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1. Choose an item in a medical record that provides direction L
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for individualized care and assures the delivery of accurate,
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safe care through a definitive pathway that promotes the
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client’s and the support persons’ progress toward positive
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outcomes?
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a. Physician’s orders L
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b. Progress notes L
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c. Nursing care plan L
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d. Client health history YFTL YFT L
The The Answer iswer is:
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The nursing care plan provides direction for individualized
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care and assures the delivery of accurate, safe care through a
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definitive pathway that promotes the client’s and the support
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persons’ progress toward positive outcomes.
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DIF: Cognitive Level: Comprehension OBJ: 1 YF TL Y FT L Y F T L TOP: Nursing Care Plan YFT L L
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KEY: Nursing Process Step: Planning
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MSC: NCLEX: Physiological Integrity: Reduction of Risk
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2. The nurse is performing behaviors and actions that assist clients and significant others in
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meeting their needs and the identified outcomes of the plan of care. Which term is correct
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for these nursing behaviors?
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a. Assessments
b. Interventions
c. Planning
d. Evaluation
The The Answer iswer is: B
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Caring interventions are those nursing behaviors and actions that assist clients and significant
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others in meeting their needs and the identified outcomes of the plan of care.
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DIF: Cognitive Level: Knowledge OBJ: 1 YF TL Y FT L Y F T L TOP: Interventions L
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KEY: Nursing Process Step: Planning
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MSC: NCLEX: Physiological Integrity: Reduction of Risk
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3. The nurse understands the importance of being The The Answer iswer iswerable for all actions and
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the of being called on to explain or justify them. Which term best describes this concept?
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a. Reliability
b. Maturity
c. Accountability
d. Liability
The The Answer iswer is: C
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Accountability meThe The Answer iswer is that a person is The The Answer iswer iswerable for his or L
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to explain or justify them.
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DIF: Cognitive Level: Knowledge YF TL Y FT L OBJ: Y F T L 1 TOP: Accountability L
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KEY: Nursing Process Step: N/A
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, MSC: NCLEX: Physiological Integrity: Reduction of Risk
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MULTIPLE RESPONSE YFT L
1. Which modes of conflict resolution should be addressed when providing an inservice about
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a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
The The Answer iswer is: B, C, D, E, F
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The modes of conflict resolution include accommodation, collaboration, compromise,
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avoidance, and competition.
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DIF: Cognitive Level: Knowledge YF TL Y FT L OBJ: 5 TOP: Conflict Resolution Y F T L L
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KEY: Nursing Process Step: N/A
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2. Which characteristics describe an effective leader? (Select all that apply.)
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a. Effective communication L
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b. Rigid rules and regulations YFTL YFT L L
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c. Delegates appropriately YFT L
d. Acts as a role model L
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e. Consistently handles conflict L
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f. Focuses on individual development YFT L YFT L Y F T L
The The Answer iswer is: A, C, D, E
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Characteristics of an effective leader include effective communication, consistency in YF T L Y FT L YF T L Y FT L YF T L L
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managing conflict, knowledge and competency in all aspects of delivery of care, effective
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role model for staff, uses participatory approach in decision making, shows appreciation
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for a job well done, delegates work appropriately, sets objectives and guides staff,
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displays caring, understanding, and empathy for others, motivates and empowers others, is
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proactive and flexible, and focuses on team development.
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DIF: Cognitive Level: Comprehension YF TL Y FT L OBJ: 5 TOP: Leadership Y F T L L
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KEY: Nursing Process Step: N/A
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COMPLETION
1. is defined as the process by which information is exchanged between individuals YFT L YFTL L
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YFT L verbally, nonverbally, and/or in writing or through information technology.
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The The Answer iswer is:
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Communication
Communication is defined as the process by which information is exchanged between Y FT L YF T L YFT L YF T L Y FT L L
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individuals verbally, nonverbally, and/or in writing or through information technology.
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2
, DIF: Cognitive Level: Knowledge YF TL Y FT L OBJ: 2 TOP: Communication
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KEY: Nursing Process Step: N/A
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2. is the collection and processing of relevant data for the purpose of appraising the
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YFT client’s health status.
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The The Answer iswer is:
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Assessment
Assessment is the collection and processing of relevant data for the purpose of appraising the
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client’s health status.
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DIF: Cognitive Level: Knowledge YF TL Y FT L OBJ: 1 TOP: Assessment
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KEY: Nursing Process Step: N/A
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3. is concerned with the ethical questions that arise in the context of health care.
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The The Answer iswer is:
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Bioethics
Bioethics is concerned with the ethical questions that arise in the context of health care.
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DIF: Cognitive Level: Knowledge YF TL Y FT L OBJ: 3 TOP: Bioethics
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KEY: Nursing Process Step: N/A
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, Chapter 02: Medical-Surgical Practice Settings
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Linton: Medical-Surgical Nursing, 8th
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Edition
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MULTIPLE CHOICE YFT L
1. While a home health nurse is making the entry to a service assessment on a
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homebound patient, the spouse of the patient asks whether Medicare will cover the
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patient’s ventilator therapy and insulin injections. Which response by the nurse is the
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best response?
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a. “Yes, Medicare will cover both the ventilator therapy and the insulin injections.” YFT L YFT L YFT L L
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b. “No, Medicare will not cover either of these ongoing therapies.” L
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c. “Medicare will cover the ventilator therapy, but it does not cover the insulin YFT L YFT L L
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injections.” YFT L
d. “Medicare will cover the ongoing insulin therapy, but it does not cover a highly YFT L YFT L YFT L YFT L L
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technical skill such as ventilator therapy.”
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The The Answer iswer is: YFT L YFT L YF T L YF T L Y F T L C
Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that L
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can be taught to the family or the patient are not covered.
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DIF: Cognitive Level: Application OBJ: 3 YF T L Y FT L T
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TOP: Medicare Coverage for Home Health
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KEY: Nursing Process Step: Implementation YFT L YFT L Y FT L Y FT L
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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2. The wife of a patient asks the nurse whether her husband would be considered for
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placement in a skilled nursing care facility when he is discharged from the general
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hospital. The patient is incontinent, has mild dementia but is able to ambulate with a
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walker, and must have help to eat and dress himself. Which is the most appropriate
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response?
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a. “Yes, your husband would qualify for a skilled care facility because of his inability YFT L L
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to feed and dress himself.”
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b. “No, your husband’s disabilities would not qualify him for a skilled facility.” L
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c. “Yes, your husband qualifies for placement in a skilled care facility because of his YFT L L
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dementia.” YFT L
d. “Yes, anyone who is willing to pay can be placed in a skilled nursing facility.” YFT L L
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The The Answer iswer is: YFT L YFT L YF T L YF T L Y F T L B
Placement in a skilled nursing facility must be authorized by a physician. A clear need for YFT L YF T L Y FT L Y FT L L
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rehabilitation must be evident, or severe deficits in self-care that have a potential for
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improvement and require the services of a registered nurse, a physical therapist, or a speech
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therapist must exist.
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DIF: Cognitive Level: Analysis OBJ: 9 YFTL YFT L YFT L
TOP: Placement Qualifications for Skilled Nursing Facility
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment YFT L YF T L YFT L Y FT L YFT L
3. A nurse has noted that a newly admitted resident to an extended care facility stays in her
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room, does not take active part in activities, and leaves the meal table after having eaten
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very little. Which type of relocation response is the resident exhibiting?
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a. regression.
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