Chapter 01: Aspects of Medical-Surgical Nursing
z z z z z
Linton: Medical-Surgical Nursing, 7th Edition
z z z z
MULTIPLEzCHOICE
1. Whatzprovideszdirectionzforzindividualizedzcarezandzassureszthezdeliveryzofzaccurate,zsafezc
arezthroughzazdefinitivezpathwayzthatzpromoteszthezclient’szandzthezsupportzpersons’zprogre
ssztowardzpositivezoutcomes?
a. Physician’szorders
b. Progressznotes
c. Nursingzcarezplan
d. Clientzhealthzhistory
ANS:z C
Theznursingzcarezplanzprovideszdirectionzforzindividualizedzcarezandzassureszthezdeliveryzofzaccur
ate,zsafezcarezthroughzazdefinitivezpathwayzthatzpromoteszthezclient’szandzthezsupportzpersons’zpr
ogressztowardzpositivezoutcomes.
DIF: CognitivezLevel:zComprehension REF:z z p.z2 OBJ:z 1
TOP:z NursingzCarezPlan
KEY:zNursingzProcesszStep:zPlanningz
MSC:z NCLEX:zPhysiologicalzIntegrity:zReductionzofzRisk
2. Theznurseziszperformingzbehaviorszandzactionszthatzassistzclientszandzsignificantzotherszinzm
eetingztheirzneedszandzthezidentifiedzoutcomeszofzthezplanzofzcare.zWhatziszthezcorrectztermz
forztheseznursingzbehaviors?
a. Assessments
b. Interventions
c. Planning
d. Evaluation
ANS:z B
Caringzinterventionszarezthoseznursingzbehaviorszandzactionszthatzassistzclientszandzsignifican
tzotherszinzmeetingztheirzneedszandzthezidentifiedzoutcomeszofzthezplanzofzcare.
DIF: CognitivezLevel:zComprehension REF:z z p.z3 OBJ:z 1
TOP:z Interventions
KEY:zNursingzProcesszStep:zPlanningz
MSC:z NCLEX:zPhysiologicalzIntegrity:zReductionzofzRisk
3. Theznursezunderstandszthezimportancezofzbeingzanswerablezforzallzactionszandzthezpossi
bilityzofzbeingzcalledzonztozexplainzorzjustifyzthem.zWhatztermzbestzdescribeszthiszconcep
t?
a. Reliability
b. Maturity
c. Accountability
d. Liability
ANS:z C
Accountabilityzmeanszthatzazpersonziszanswerablezforzhiszorzherzactionszandzmayzbezcalledzonzt
ozexplainzorzjustifyzthem.
DIF: CognitivezLevel:zComprehension REF:z z pp.z6-7 OBJ:z 3z|z5z |z7
, TOP:z Accountability
KEY:zNursingzProcesszStep:zN/Az
MSC:z NCLEX:zPhysiologicalzIntegrity:zReductionzofzRisk
MULTIPLEzRESPONSE
1. Theznursezmanagerziszprovidingzanzinservicezaboutzconflictzresolution.zWhatzmodeszofzc
onflictzresolutionzshouldzbezaddressed?z(Selectzallzthatzapply.)
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
ANS:z B,zC,zD,zE,zF
Thezmodeszofzconflictzresolutionzincludezaccommodation,zcollaboration,zcompromise,zavoidance
,zandzcompetition.
DIF: CognitivezLevel:zKnowledge REF:z p.z7|p.z8|Tablez1.1
OBJ:z 7 TOP:z ConflictzResolution
KEY:zNursingzProcesszStep:zN/A
MSC:z NCLEX:zN/A
2. Whatzarezthezcharacteristicszofzanzeffectivezleader?z(Selectzallzthatzapply.)
a. Effectivezcommunication
b. Rigidzruleszandzregulations
c. Delegateszappropriately
d. Actszaszazrolezmodel
e. Consistentlyzhandleszconflict
f. Focuseszonzindividualzdevelopment
ANS:z A,zC,zD,zE
Characteristicszofzanzeffectivezleaderzincludezeffectivezcommunication,zconsistencyzinzmana
gingzconflict,zknowledgezandzcompetencyzinzallzaspectszofzdeliveryzofzcare,zeffectivezrolezmo
delzforzstaff,zuseszparticipatoryzapproachzinzdecisionzmaking,zshowszappreciationzforzazjobzw
ellzdone,zdelegateszworkzappropriately,zsetszobjectiveszandzguideszstaff,zdisplayszcaring,zunde
rstanding,zandzempathyzforzothers,zmotivateszandzempowerszothers,ziszproactivezandzflexible
,zandzfocuseszonzteamzdevelopment.
DIF: CognitivezLevel:zComprehension REF:z z p.z6 OBJ:z 5
TOP:z Leadership KEY:z NursingzProcesszStep:zN/A MSC:z NCLEX:zN/A
COMPLETION
1. iszdefinedzaszthezprocesszbyzwhichzinformationziszexchangedzbetweenzindivi
dualszverbally,znonverbally,zand/orzinzwritingzorzthroughzinformationztechnology.
ANS:
Communication
, Communicationziszdefinedzaszthezprocesszbyzwhichzinformationziszexchangedzbetweenzindividual
szverbally,znonverbally,zand/orzinzwritingzorzthroughzinformationztechnology.
DIF: CognitivezLevel:zKnowledge REF:z p.z2
OBJ:z2zTOP:z Communication
KEY:zNursingzProcesszStep:zN/AzMSC:z NCLEX:zN/A
2. iszthezcollectionzandzprocessingzofzrelevantzdatazforzthezpurposezofzappraisingzth
ezclient’szhealthzstatus.
ANS:
Assessment
Assessmentziszthezcollectionzandzprocessingzofzrelevantzdatazforzthezpurposezofzappraisingzthe
zclient’szhealthzstatus.
DIF: CognitivezLevel:zKnowledge REF:z z p.z2 OBJ:z 1z|z z 2
TOP:z Assessment KEY:z NursingzProcesszStep:zN/A MSC:z NCLEX:zN/A
3. iszconcernedzwithzthezethicalzquestionszthatzarisezinzthezcontextzofzhealthzcare.
ANS:
Bioethics
Bioethicsziszconcernedzwithzthezethicalzquestionszthatzarisezinzthezcontextzofzhealthzcare.
DIF: CognitivezLevel:zKnowledge REF:z z p.z4 OBJ:z 3
TOP:z Bioethics KEY:z NursingzProcesszStep:zN/A MSC:z NCLEX:zN/A
4. Placezthezcorrespondingzletterztozeachzstagezofzconflictzinzthezcorrectzorder.z
(Placezthezeventszinzthezappropriatezsequencezwithzcapitalzletters.zDoznotzseparatezanswe
z
rszwithzazspacezorzpunctuation.zExample:zABCD.)
a. Outcomes
b. Conceptualization
c. Frustration
d. Action
ANS:
CBDA
Thezstageszofzconflictzinzorderzarezfrustration,zconceptualization,zaction,zandzoutcomes.
DIF: CognitivezLevel:zComprehension REF:z z p.z7 OBJ:z 7
TOP:z Conflict KEY:z NursingzProcesszStep:zN/A MSC:z NCLEX:zN/A
5. Placezthezcorrespondingzletterztozeachzkeyzstepzinzsolvingzanzethicalzdilemmazinzthezcorrectzor
der.
(Placezthezeventszinzthezappropriatezsequence.zDoznotzseparatezanswerszw
ithzazspacezorzpunctuation.zExample:zABCD.)
a. Negotiatezazplan.
b. Clarifyzvalues.
c. Askzifzitziszanzethicalzdilemma.
, d. Verbalizezthezproblem.
e. Gatherzinformation.
f. Identifyzpossiblezcourseszofzaction.
g. Evaluatezthezplanzoverztime.
ANS:
CEBDFAG
Thezkeyzstepzofzsolvingzanzethicalzdilemmazinzorderzarezaskzthezquestion,ziszitzanzethicalzdilem
ma,zgatherzinformation,zclarifyzvalues,zverbalizezthezproblem,zidentifyzpossiblezcoursezofzact
ion,znegotiatezazplan,zandzevaluatezthezplanzoverztime.
DIF: CognitivezLevel:zAnalysis REF:z p.z4
OBJ:z3zTOP:z EthicalzDilemma
KEY:zNursingzProcesszStep:zN/AzMSC:z NCLEX:zN/A
z z z z z
Linton: Medical-Surgical Nursing, 7th Edition
z z z z
MULTIPLEzCHOICE
1. Whatzprovideszdirectionzforzindividualizedzcarezandzassureszthezdeliveryzofzaccurate,zsafezc
arezthroughzazdefinitivezpathwayzthatzpromoteszthezclient’szandzthezsupportzpersons’zprogre
ssztowardzpositivezoutcomes?
a. Physician’szorders
b. Progressznotes
c. Nursingzcarezplan
d. Clientzhealthzhistory
ANS:z C
Theznursingzcarezplanzprovideszdirectionzforzindividualizedzcarezandzassureszthezdeliveryzofzaccur
ate,zsafezcarezthroughzazdefinitivezpathwayzthatzpromoteszthezclient’szandzthezsupportzpersons’zpr
ogressztowardzpositivezoutcomes.
DIF: CognitivezLevel:zComprehension REF:z z p.z2 OBJ:z 1
TOP:z NursingzCarezPlan
KEY:zNursingzProcesszStep:zPlanningz
MSC:z NCLEX:zPhysiologicalzIntegrity:zReductionzofzRisk
2. Theznurseziszperformingzbehaviorszandzactionszthatzassistzclientszandzsignificantzotherszinzm
eetingztheirzneedszandzthezidentifiedzoutcomeszofzthezplanzofzcare.zWhatziszthezcorrectztermz
forztheseznursingzbehaviors?
a. Assessments
b. Interventions
c. Planning
d. Evaluation
ANS:z B
Caringzinterventionszarezthoseznursingzbehaviorszandzactionszthatzassistzclientszandzsignifican
tzotherszinzmeetingztheirzneedszandzthezidentifiedzoutcomeszofzthezplanzofzcare.
DIF: CognitivezLevel:zComprehension REF:z z p.z3 OBJ:z 1
TOP:z Interventions
KEY:zNursingzProcesszStep:zPlanningz
MSC:z NCLEX:zPhysiologicalzIntegrity:zReductionzofzRisk
3. Theznursezunderstandszthezimportancezofzbeingzanswerablezforzallzactionszandzthezpossi
bilityzofzbeingzcalledzonztozexplainzorzjustifyzthem.zWhatztermzbestzdescribeszthiszconcep
t?
a. Reliability
b. Maturity
c. Accountability
d. Liability
ANS:z C
Accountabilityzmeanszthatzazpersonziszanswerablezforzhiszorzherzactionszandzmayzbezcalledzonzt
ozexplainzorzjustifyzthem.
DIF: CognitivezLevel:zComprehension REF:z z pp.z6-7 OBJ:z 3z|z5z |z7
, TOP:z Accountability
KEY:zNursingzProcesszStep:zN/Az
MSC:z NCLEX:zPhysiologicalzIntegrity:zReductionzofzRisk
MULTIPLEzRESPONSE
1. Theznursezmanagerziszprovidingzanzinservicezaboutzconflictzresolution.zWhatzmodeszofzc
onflictzresolutionzshouldzbezaddressed?z(Selectzallzthatzapply.)
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
ANS:z B,zC,zD,zE,zF
Thezmodeszofzconflictzresolutionzincludezaccommodation,zcollaboration,zcompromise,zavoidance
,zandzcompetition.
DIF: CognitivezLevel:zKnowledge REF:z p.z7|p.z8|Tablez1.1
OBJ:z 7 TOP:z ConflictzResolution
KEY:zNursingzProcesszStep:zN/A
MSC:z NCLEX:zN/A
2. Whatzarezthezcharacteristicszofzanzeffectivezleader?z(Selectzallzthatzapply.)
a. Effectivezcommunication
b. Rigidzruleszandzregulations
c. Delegateszappropriately
d. Actszaszazrolezmodel
e. Consistentlyzhandleszconflict
f. Focuseszonzindividualzdevelopment
ANS:z A,zC,zD,zE
Characteristicszofzanzeffectivezleaderzincludezeffectivezcommunication,zconsistencyzinzmana
gingzconflict,zknowledgezandzcompetencyzinzallzaspectszofzdeliveryzofzcare,zeffectivezrolezmo
delzforzstaff,zuseszparticipatoryzapproachzinzdecisionzmaking,zshowszappreciationzforzazjobzw
ellzdone,zdelegateszworkzappropriately,zsetszobjectiveszandzguideszstaff,zdisplayszcaring,zunde
rstanding,zandzempathyzforzothers,zmotivateszandzempowerszothers,ziszproactivezandzflexible
,zandzfocuseszonzteamzdevelopment.
DIF: CognitivezLevel:zComprehension REF:z z p.z6 OBJ:z 5
TOP:z Leadership KEY:z NursingzProcesszStep:zN/A MSC:z NCLEX:zN/A
COMPLETION
1. iszdefinedzaszthezprocesszbyzwhichzinformationziszexchangedzbetweenzindivi
dualszverbally,znonverbally,zand/orzinzwritingzorzthroughzinformationztechnology.
ANS:
Communication
, Communicationziszdefinedzaszthezprocesszbyzwhichzinformationziszexchangedzbetweenzindividual
szverbally,znonverbally,zand/orzinzwritingzorzthroughzinformationztechnology.
DIF: CognitivezLevel:zKnowledge REF:z p.z2
OBJ:z2zTOP:z Communication
KEY:zNursingzProcesszStep:zN/AzMSC:z NCLEX:zN/A
2. iszthezcollectionzandzprocessingzofzrelevantzdatazforzthezpurposezofzappraisingzth
ezclient’szhealthzstatus.
ANS:
Assessment
Assessmentziszthezcollectionzandzprocessingzofzrelevantzdatazforzthezpurposezofzappraisingzthe
zclient’szhealthzstatus.
DIF: CognitivezLevel:zKnowledge REF:z z p.z2 OBJ:z 1z|z z 2
TOP:z Assessment KEY:z NursingzProcesszStep:zN/A MSC:z NCLEX:zN/A
3. iszconcernedzwithzthezethicalzquestionszthatzarisezinzthezcontextzofzhealthzcare.
ANS:
Bioethics
Bioethicsziszconcernedzwithzthezethicalzquestionszthatzarisezinzthezcontextzofzhealthzcare.
DIF: CognitivezLevel:zKnowledge REF:z z p.z4 OBJ:z 3
TOP:z Bioethics KEY:z NursingzProcesszStep:zN/A MSC:z NCLEX:zN/A
4. Placezthezcorrespondingzletterztozeachzstagezofzconflictzinzthezcorrectzorder.z
(Placezthezeventszinzthezappropriatezsequencezwithzcapitalzletters.zDoznotzseparatezanswe
z
rszwithzazspacezorzpunctuation.zExample:zABCD.)
a. Outcomes
b. Conceptualization
c. Frustration
d. Action
ANS:
CBDA
Thezstageszofzconflictzinzorderzarezfrustration,zconceptualization,zaction,zandzoutcomes.
DIF: CognitivezLevel:zComprehension REF:z z p.z7 OBJ:z 7
TOP:z Conflict KEY:z NursingzProcesszStep:zN/A MSC:z NCLEX:zN/A
5. Placezthezcorrespondingzletterztozeachzkeyzstepzinzsolvingzanzethicalzdilemmazinzthezcorrectzor
der.
(Placezthezeventszinzthezappropriatezsequence.zDoznotzseparatezanswerszw
ithzazspacezorzpunctuation.zExample:zABCD.)
a. Negotiatezazplan.
b. Clarifyzvalues.
c. Askzifzitziszanzethicalzdilemma.
, d. Verbalizezthezproblem.
e. Gatherzinformation.
f. Identifyzpossiblezcourseszofzaction.
g. Evaluatezthezplanzoverztime.
ANS:
CEBDFAG
Thezkeyzstepzofzsolvingzanzethicalzdilemmazinzorderzarezaskzthezquestion,ziszitzanzethicalzdilem
ma,zgatherzinformation,zclarifyzvalues,zverbalizezthezproblem,zidentifyzpossiblezcoursezofzact
ion,znegotiatezazplan,zandzevaluatezthezplanzoverztime.
DIF: CognitivezLevel:zAnalysis REF:z p.z4
OBJ:z3zTOP:z EthicalzDilemma
KEY:zNursingzProcesszStep:zN/AzMSC:z NCLEX:zN/A
