Chapter 01: Aspects of Medical-Surgical Nursing
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WWW.THENURSINGMASTERY.COM
,j Linton: Medical-Surgical Nursing, 8th Edition
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MULTIPLE CHOICE j
1. What provides direction for individualized care and assures the delivery of accurate, safe
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care through a definitive pathway that promotes the client’s and the support persons’
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progress toward positive outcomes?
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a. Physician’s orders j
b. Progress notes j
c. Nursing care plan j j
d. Client health history j j
ANS: C j
The nursing care plan provides direction for individualized care and assures the delivery of
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accurate, safe care through a definitive pathway that promotes the client’s and the support
j j j j j j j j j j j j j j
persons’ progress toward positive outcomes.
j j j j j
DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: 1 j j j j j j j
TOP: Nursing Care Plan j KEY: Nursing Process Step: Planning j j j j j j
MSC: NCLEX: Physiological Integrity: Reduction of Risk
j j j j j j j
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. What is the correct
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term for these nursing behaviors?
j j j j j
a. Assessments
b. Interventions
c. Planning
d. Evaluation
ANS: B j
Caring interventions are those nursing behaviors and actions that assist clients and
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significant others in meeting their needs and the identified outcomes of the plan of care.
j j j j j j j j j j j j j j j
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 1 j j j j j j j
TOP: Interventions j KEY: Nursing Process Step: Planning j j j j
MSC: NCLEX: Physiological Integrity: Reduction of Risk
j j j j j j j
3. The nurse understands the importance of being answerable for all actions and the
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possibility of being called on to explain or justify them. What term best describes this
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concept?
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a. Reliability
b. Maturity
c. Accountability
d. Liability
ANS: C j
Accountability means that a person is answerable for his or her actions and may be called on
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to explain or justify them.
j j j j j
DIF: Cognitive Level: Comprehension j j REF: pp. 6-7 j j j OBJ: 3 | 5 | 7 j j j j j j
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, TOP: Accountability j KEY: Nursing Process Step: N/A j j j j
MSC: NCLEX: Physiological Integrity: Reduction of Risk
j j j j j j j
MULTIPLE RESPONSE j
1. The nurse manager is providing an inservice about conflict resolution. What modes of
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conflict resolution should be addressed? (Select all that apply.)
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a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
ANS: B, C, D, E, F j j j j j
The modes of conflict resolution include accommodation, collaboration, compromise,
j j j j j j j j
avoidance, and competition.
j j j
DIF: Cognitive Level: Knowledge REF: p. 7|p. 8|Table 1.1 j j j j j j
OBJ: 7 TOP: Conflict Resolution
j KEY: Nursing Process Step: j j j j j
N/A
j
MSC: NCLEX: N/A j j
2. What are the characteristics of an effective leader? (Select all that apply.)
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a. Effective communication j
b. Rigid rules and regulations j j j
c. Delegates appropriately j
d. Acts as a role model j j j j
e. Consistently handles conflict j j
f. Focuses on individual development j j j
ANS: A, C, D, E j j j j
Characteristics of an effective leader include effective communication, consistency in j j j j j j j j j
managing conflict, knowledge and competency in all aspects of delivery of care, effective
j j j j j j j j j j j j j
role model for staff, uses participatory approach in decision making, shows appreciation for
j j j j j j j j j j j j j
a job well done, delegates work appropriately, sets objectives and guides staff, displays
j j j j j j j j j j j j j
caring, understanding, and empathy for others, motivates and empowers others, is proactive
j j j j j j j j j j j j
and flexible, and focuses on team development.
j j j j j j j
DIF: Cognitive Level: Comprehension REF: p. 6 j j j j j OBJ: 5 j j
TOP: Leadership KEY: Nursing Process Step: N/A
j j j j j MSC: NCLEX: N/A j j
COMPLETION
1. is defined as the process by which information is exchanged between j j j j j j j j j j
individuals verbally, nonverbally, and/or in writing or through information technology.
j j j j j j j j j j
ANS:
Communication
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, Communication is defined as the process by which information is exchanged between j j j j j j j j j j j
individuals verbally, nonverbally, and/or in writing or through information technology.
j j j j j j j j j j
DIF: Cognitive Level: Knowledge j j REF: p. 2 OBJ: 2 j j j
TOP: Communication
j j KEY: Nursing Process Step: N/A
j j j j
MSC: NCLEX: N/A
j j j
2. is the collection and processing of relevant data for the purpose of appraising
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the client’s health status.
j j j j
ANS:
Assessment
Assessment is the collection and processing of relevant data for the purpose of appraising the
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client’s health status.
j j j
DIF: Cognitive Level: Knowledge REF: p. 2 j j j j j OBJ: 1 | 2 j j j j j
TOP: Assessment KEY: Nursing Process Step: N/A
j j j j j MSC: NCLEX: N/A j j
3. is concerned with the ethical questions that arise in the context of health care.
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ANS:
Bioethics
Bioethics is concerned with the ethical questions that arise in the context of health care.
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DIF: Cognitive Level: Knowledge REF: p. 4 j j j j j OBJ: 3 j j
TOP: Bioethics KEY: Nursing Process Step: N/A
j j j j j MSC: NCLEX: N/A j j
4. Place the corresponding letter to each stage of conflict in the correct order.
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(Place the events in the appropriate sequence with capital letters. Do not separate
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answers with a space or punctuation. Example: ABCD.)
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a. Outcomes
b. Conceptualization
c. Frustration
d. Action
ANS:
CBDA
The stages of conflict in order are frustration, conceptualization, action, and outcomes.
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DIF: Cognitive Level: Comprehension REF: p. 7 j j j j j OBJ: 7 j j
TOP: Conflict KEY: Nursing Process Step: N/A
j j j j j MSC: NCLEX: N/A j j
5. Place the corresponding letter to each key step in solving an ethical dilemma in the correct
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order.
j j (Place the events in the appropriate sequence. Do not separate answers j j j j j j j j j j
with a space or punctuation. Example: ABCD.)
j j j j j j j
a. Negotiate a plan. j j
b. Clarify values. j
c. Ask if it is an ethical dilemma.
j j j j j j
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j j j j j
WWW.THENURSINGMASTERY.COM
,j Linton: Medical-Surgical Nursing, 8th Edition
j j j j
MULTIPLE CHOICE j
1. What provides direction for individualized care and assures the delivery of accurate, safe
j j j j j j j j j j j j
care through a definitive pathway that promotes the client’s and the support persons’
j j j j j j j j j j j j j
progress toward positive outcomes?
j j j j
a. Physician’s orders j
b. Progress notes j
c. Nursing care plan j j
d. Client health history j j
ANS: C j
The nursing care plan provides direction for individualized care and assures the delivery of
j j j j j j j j j j j j j
accurate, safe care through a definitive pathway that promotes the client’s and the support
j j j j j j j j j j j j j j
persons’ progress toward positive outcomes.
j j j j j
DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: 1 j j j j j j j
TOP: Nursing Care Plan j KEY: Nursing Process Step: Planning j j j j j j
MSC: NCLEX: Physiological Integrity: Reduction of Risk
j j j j j j j
2. The nurse is performing behaviors and actions that assist clients and significant others in
j j j j j j j j j j j j j
meeting their needs and the identified outcomes of the plan of care. What is the correct
j j j j j j j j j j j j j j j j
term for these nursing behaviors?
j j j j j
a. Assessments
b. Interventions
c. Planning
d. Evaluation
ANS: B j
Caring interventions are those nursing behaviors and actions that assist clients and
j j j j j j j j j j j
significant others in meeting their needs and the identified outcomes of the plan of care.
j j j j j j j j j j j j j j j
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 1 j j j j j j j
TOP: Interventions j KEY: Nursing Process Step: Planning j j j j
MSC: NCLEX: Physiological Integrity: Reduction of Risk
j j j j j j j
3. The nurse understands the importance of being answerable for all actions and the
j j j j j j j j j j j j
possibility of being called on to explain or justify them. What term best describes this
j j j j j j j j j j j j j j j
concept?
j
a. Reliability
b. Maturity
c. Accountability
d. Liability
ANS: C j
Accountability means that a person is answerable for his or her actions and may be called on
j j j j j j j j j j j j j j j j
to explain or justify them.
j j j j j
DIF: Cognitive Level: Comprehension j j REF: pp. 6-7 j j j OBJ: 3 | 5 | 7 j j j j j j
WWW.THENURSINGMASTERY.COM
, TOP: Accountability j KEY: Nursing Process Step: N/A j j j j
MSC: NCLEX: Physiological Integrity: Reduction of Risk
j j j j j j j
MULTIPLE RESPONSE j
1. The nurse manager is providing an inservice about conflict resolution. What modes of
j j j j j j j j j j j j
conflict resolution should be addressed? (Select all that apply.)
j j j j j j j j j
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
ANS: B, C, D, E, F j j j j j
The modes of conflict resolution include accommodation, collaboration, compromise,
j j j j j j j j
avoidance, and competition.
j j j
DIF: Cognitive Level: Knowledge REF: p. 7|p. 8|Table 1.1 j j j j j j
OBJ: 7 TOP: Conflict Resolution
j KEY: Nursing Process Step: j j j j j
N/A
j
MSC: NCLEX: N/A j j
2. What are the characteristics of an effective leader? (Select all that apply.)
j j j j j j j j j j j
a. Effective communication j
b. Rigid rules and regulations j j j
c. Delegates appropriately j
d. Acts as a role model j j j j
e. Consistently handles conflict j j
f. Focuses on individual development j j j
ANS: A, C, D, E j j j j
Characteristics of an effective leader include effective communication, consistency in j j j j j j j j j
managing conflict, knowledge and competency in all aspects of delivery of care, effective
j j j j j j j j j j j j j
role model for staff, uses participatory approach in decision making, shows appreciation for
j j j j j j j j j j j j j
a job well done, delegates work appropriately, sets objectives and guides staff, displays
j j j j j j j j j j j j j
caring, understanding, and empathy for others, motivates and empowers others, is proactive
j j j j j j j j j j j j
and flexible, and focuses on team development.
j j j j j j j
DIF: Cognitive Level: Comprehension REF: p. 6 j j j j j OBJ: 5 j j
TOP: Leadership KEY: Nursing Process Step: N/A
j j j j j MSC: NCLEX: N/A j j
COMPLETION
1. is defined as the process by which information is exchanged between j j j j j j j j j j
individuals verbally, nonverbally, and/or in writing or through information technology.
j j j j j j j j j j
ANS:
Communication
WWW.THENURSINGMASTERY.COM
, Communication is defined as the process by which information is exchanged between j j j j j j j j j j j
individuals verbally, nonverbally, and/or in writing or through information technology.
j j j j j j j j j j
DIF: Cognitive Level: Knowledge j j REF: p. 2 OBJ: 2 j j j
TOP: Communication
j j KEY: Nursing Process Step: N/A
j j j j
MSC: NCLEX: N/A
j j j
2. is the collection and processing of relevant data for the purpose of appraising
j j j j j j j j j j j j
the client’s health status.
j j j j
ANS:
Assessment
Assessment is the collection and processing of relevant data for the purpose of appraising the
j j j j j j j j j j j j j j
client’s health status.
j j j
DIF: Cognitive Level: Knowledge REF: p. 2 j j j j j OBJ: 1 | 2 j j j j j
TOP: Assessment KEY: Nursing Process Step: N/A
j j j j j MSC: NCLEX: N/A j j
3. is concerned with the ethical questions that arise in the context of health care.
j j j j j j j j j j j j j
ANS:
Bioethics
Bioethics is concerned with the ethical questions that arise in the context of health care.
j j j j j j j j j j j j j j
DIF: Cognitive Level: Knowledge REF: p. 4 j j j j j OBJ: 3 j j
TOP: Bioethics KEY: Nursing Process Step: N/A
j j j j j MSC: NCLEX: N/A j j
4. Place the corresponding letter to each stage of conflict in the correct order.
j j j j j j j j j j j j j
(Place the events in the appropriate sequence with capital letters. Do not separate
j j j j j j j j j j j j j
answers with a space or punctuation. Example: ABCD.)
j j j j j j j j
a. Outcomes
b. Conceptualization
c. Frustration
d. Action
ANS:
CBDA
The stages of conflict in order are frustration, conceptualization, action, and outcomes.
j j j j j j j j j j j
DIF: Cognitive Level: Comprehension REF: p. 7 j j j j j OBJ: 7 j j
TOP: Conflict KEY: Nursing Process Step: N/A
j j j j j MSC: NCLEX: N/A j j
5. Place the corresponding letter to each key step in solving an ethical dilemma in the correct
j j j j j j j j j j j j j j j
order.
j j (Place the events in the appropriate sequence. Do not separate answers j j j j j j j j j j
with a space or punctuation. Example: ABCD.)
j j j j j j j
a. Negotiate a plan. j j
b. Clarify values. j
c. Ask if it is an ethical dilemma.
j j j j j j
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