Test Bank for Medical-Surgical Nursing 8th
Edition Linton
Chapter 01: Aspects of Medical-Surgical Nursing
Linton: Medical-Surgical Nursing, 8th Edition
S
MULTIPLE CHOICE
1. Which item in a medical record provides direction for
E
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?
C
a. Physician’s orders
b. Progress notes
c. Nursing care plan
E
d. Client health history
ANS: C
I
The nursing care plan provides direction for individualized
P
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.
G
DIF: Cognitive Level: Comprehension OBJ: 1 TOP: Nursing Care Plan
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Reduction of Risk
N
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
I
these nursing behaviors?
S
a. Assessments
b. Interventions
c. Planning
R
d. Evaluation
ANS: B
U
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.
N
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 inservice about
conflict resolution? (Select all that apply.)
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
S
e. Collaboration
f. Competition
E
ANS: B, C, D, E, F
The modes of conflict resolution include accommodation, collaboration, compromise,
avoidance, and competition.
C
DIF: Cognitive Level: Knowledge OBJ: 5 TOP: Conflict Resolution
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
E
2. Which characteristics describe an effective leader? (Select all that apply.)
a. Effective communication
I
b. Rigid rules and regulations
P
c. Delegates appropriately
d. Acts as a role model
G
e. Consistently handles conflict
f. Focuses on individual development
ANS: A, C, D, E
N
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
I
well done, delegates work appropriately, sets objectives and guides staff, displays caring,
S
understanding, and empathy for others, motivates and empowers others, is proactive and
flexible, and focuses on team development.
R
DIF: Cognitive Level: Comprehension OBJ: 5 TOP: Leadership
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
U
COMPLETION
1. is defined as the process by which information is exchanged between individuals
N
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 OBJ: 2 TOP: Communication
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
2. is the collection and processing of relevant data for the purpose of appraising the
client’s health status.
ANS:
Assessment
Assessment is the collection and processing of relevant data for the purpose of appraising the
client’s health status.
S
DIF: Cognitive Level: Knowledge OBJ: 1 TOP: Assessment
E
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
3. is concerned with the ethical questions that arise in the context of health care.
C
ANS:
Bioethics
E
Bioethics is concerned with the ethical questions that arise in the context of health care.
I
DIF: Cognitive Level: Knowledge OBJ: 3 TOP: Bioethics
P
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
G
I N
S
R
U
N
3
, Chapter 02: Medical-Surgical Practice Settings
Linton: Medical-Surgical Nursing, 8th Edition
MULTIPLE CHOICE
1. While a home health nurse is making the entry to a service assessment on a homebound
patient, the spouse of the patient asks whether Medicare will cover the patient’s ventilator
therapy and insulin injections. Which response by the nurse is the best response?
a. “Yes, Medicare will cover both the ventilator therapy and the insulin injections.”
S
b. “No, Medicare will not cover either of these ongoing therapies.”
c. “Medicare will cover the ventilator therapy, but it does not cover the insulin
injections.”
E
d. “Medicare will cover the ongoing insulin therapy, but it does not cover a highly
technical skill such as ventilator therapy.”
C
ANS: C
Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that
can be taught to the family or the patient are not covered.
E
DIF: Cognitive Level: Application OBJ: 3
TOP: Medicare Coverage for Home Health
I
KEY: Nursing Process Step: Implementation
P
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The wife of a patient asks the nurse whether her husband would be considered for placement
G
in a skilled nursing care facility when he is discharged from the general hospital. The patient
is incontinent, has mild dementia but is able to ambulate with a walker, and must have help to
eat and dress himself. Which is the most appropriate response?
N
a. “Yes, your husband would qualify for a skilled care facility because of his inability
to feed and dress himself.”
b. “No, your husband’s disabilities would not qualify him for a skilled facility.”
I
c. “Yes, your husband qualifies for placement in a skilled care facility because of his
S
dementia.”
d. “Yes, anyone who is willing to pay can be placed in a skilled nursing facility.”
R
ANS: B
Placement in a skilled nursing facility must be authorized by a physician. A clear need for
rehabilitation must be evident, or severe deficits in self-care that have a potential for
U
improvement and require the services of a registered nurse, a physical therapist, or a speech
therapist must exist.
DIF: Cognitive Level: Analysis OBJ: 9
N
TOP: Placement Qualifications for Skilled Nursing Facility
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
3. A nurse has noted that a newly admitted resident to an extended care facility stays in her
room, does not take active part in activities, and leaves the meal table after having eaten very
little. Which type of relocation response is the resident exhibiting?
a. regression.
4
Edition Linton
Chapter 01: Aspects of Medical-Surgical Nursing
Linton: Medical-Surgical Nursing, 8th Edition
S
MULTIPLE CHOICE
1. Which item in a medical record provides direction for
E
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?
C
a. Physician’s orders
b. Progress notes
c. Nursing care plan
E
d. Client health history
ANS: C
I
The nursing care plan provides direction for individualized
P
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.
G
DIF: Cognitive Level: Comprehension OBJ: 1 TOP: Nursing Care Plan
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Reduction of Risk
N
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
I
these nursing behaviors?
S
a. Assessments
b. Interventions
c. Planning
R
d. Evaluation
ANS: B
U
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.
N
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 inservice about
conflict resolution? (Select all that apply.)
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
S
e. Collaboration
f. Competition
E
ANS: B, C, D, E, F
The modes of conflict resolution include accommodation, collaboration, compromise,
avoidance, and competition.
C
DIF: Cognitive Level: Knowledge OBJ: 5 TOP: Conflict Resolution
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
E
2. Which characteristics describe an effective leader? (Select all that apply.)
a. Effective communication
I
b. Rigid rules and regulations
P
c. Delegates appropriately
d. Acts as a role model
G
e. Consistently handles conflict
f. Focuses on individual development
ANS: A, C, D, E
N
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
I
well done, delegates work appropriately, sets objectives and guides staff, displays caring,
S
understanding, and empathy for others, motivates and empowers others, is proactive and
flexible, and focuses on team development.
R
DIF: Cognitive Level: Comprehension OBJ: 5 TOP: Leadership
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
U
COMPLETION
1. is defined as the process by which information is exchanged between individuals
N
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 OBJ: 2 TOP: Communication
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
2. is the collection and processing of relevant data for the purpose of appraising the
client’s health status.
ANS:
Assessment
Assessment is the collection and processing of relevant data for the purpose of appraising the
client’s health status.
S
DIF: Cognitive Level: Knowledge OBJ: 1 TOP: Assessment
E
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
3. is concerned with the ethical questions that arise in the context of health care.
C
ANS:
Bioethics
E
Bioethics is concerned with the ethical questions that arise in the context of health care.
I
DIF: Cognitive Level: Knowledge OBJ: 3 TOP: Bioethics
P
KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
G
I N
S
R
U
N
3
, Chapter 02: Medical-Surgical Practice Settings
Linton: Medical-Surgical Nursing, 8th Edition
MULTIPLE CHOICE
1. While a home health nurse is making the entry to a service assessment on a homebound
patient, the spouse of the patient asks whether Medicare will cover the patient’s ventilator
therapy and insulin injections. Which response by the nurse is the best response?
a. “Yes, Medicare will cover both the ventilator therapy and the insulin injections.”
S
b. “No, Medicare will not cover either of these ongoing therapies.”
c. “Medicare will cover the ventilator therapy, but it does not cover the insulin
injections.”
E
d. “Medicare will cover the ongoing insulin therapy, but it does not cover a highly
technical skill such as ventilator therapy.”
C
ANS: C
Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that
can be taught to the family or the patient are not covered.
E
DIF: Cognitive Level: Application OBJ: 3
TOP: Medicare Coverage for Home Health
I
KEY: Nursing Process Step: Implementation
P
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The wife of a patient asks the nurse whether her husband would be considered for placement
G
in a skilled nursing care facility when he is discharged from the general hospital. The patient
is incontinent, has mild dementia but is able to ambulate with a walker, and must have help to
eat and dress himself. Which is the most appropriate response?
N
a. “Yes, your husband would qualify for a skilled care facility because of his inability
to feed and dress himself.”
b. “No, your husband’s disabilities would not qualify him for a skilled facility.”
I
c. “Yes, your husband qualifies for placement in a skilled care facility because of his
S
dementia.”
d. “Yes, anyone who is willing to pay can be placed in a skilled nursing facility.”
R
ANS: B
Placement in a skilled nursing facility must be authorized by a physician. A clear need for
rehabilitation must be evident, or severe deficits in self-care that have a potential for
U
improvement and require the services of a registered nurse, a physical therapist, or a speech
therapist must exist.
DIF: Cognitive Level: Analysis OBJ: 9
N
TOP: Placement Qualifications for Skilled Nursing Facility
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
3. A nurse has noted that a newly admitted resident to an extended care facility stays in her
room, does not take active part in activities, and leaves the meal table after having eaten very
little. Which type of relocation response is the resident exhibiting?
a. regression.
4
