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Chapter 01: Aspects of Medical-Surgical Nursing
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. What provides direction for individualized care and assures the delivery of accurate, safe
care through a definitive pathway that promotes the client’s and the support 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 of
accurate, safe care through a definitive pathway that promotes the client’s and the support
persons’ progress toward positive outcomes.
DIF: Cognitive Level: Comprehension REF: p. 2 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. What is the correct
term 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: Comprehension REF: p. 3 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. What 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.
DIF: Cognitive Level: Comprehension REF: pp. 6-7 OBJ: 3 | 5 | 7
TOP: Accountability KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity: Reduction of Risk
MULTIPLE RESPONSE
1. The nurse manager is providing an inservice about conflict resolution. What modes of
conflict resolution should be addressed? (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 REF: p. 7|p. 8|Table 1.1
OBJ: 7 TOP: Conflict Resolution KEY: Nursing Process Step:
N/A
MSC: NCLEX: N/A
2. What are the characteristics of 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 REF: p. 6 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.
DIF: Cognitive Level: Knowledge REF: p. 2 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.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1 | 2
TOP: Assessment KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
3. is concerned swith sthe sethical squestions sthat sarise sin sthe scontext sof shealth scare.
ANS:
Bioethics
Bioethics sis sconcerned swith sthe sethical squestions sthat sarise sin sthe scontext sof shealth scare.
DIF: Cognitive sLevel: sKnowledge REF: s s p. s4 OBJ: s 3
TOP: s Bioethics KEY: s Nursing sProcess sStep: sN/A MSC: s NCLEX: sN/A
4. Place sthe scorresponding sletter sto seach sstage sof sconflict sin sthe scorrect sorder. s
s(Place sthe sevents sin sthe sappropriate ssequence swith scapital sletters. sDo snot
sseparate sanswers swith sa sspace sor spunctuation. sExample: sABCD.)
a. Outcomes
b. Conceptualization
c. Frustration
d. Action
, ANS:
CBDA
The sstages sof sconflict sin sorder sare sfrustration, sconceptualization, saction, sand soutcomes.
DIF: Cognitive sLevel: sComprehension REF: s s p. s7 OBJ: s 7
TOP: s Conflict KEY: s Nursing sProcess sStep: sN/A MSC: s NCLEX: sN/A
5. Place sthe scorresponding sletter sto seach skey sstep sin ssolving san sethical sdilemma sin sthe
scorrect
order. (Place sthe sevents sin sthe sappropriate ssequence. sDo snot sseparate
sanswers swith sa sspace sor spunctuation. sExample: sABCD.)
a. Negotiate sa splan.
b. Clarify svalues.
c. Ask sif sit sis san sethical sdilemma.
d. Verbalize sthe sproblem.
e. Gather sinformation.
f. Identify spossible scourses sof saction.
g. Evaluate sthe splan sover stime.
ANS:
CEBDFAG
The skey sstep sof ssolving san sethical sdilemma sin sorder sare sask sthe squestion, sis sit san
sethical sdilemma, sgather sinformation, sclarify svalues, sverbalize sthe sproblem, sidentify
spossible scourse sof saction, snegotiate sa splan, sand sevaluate sthe splan sover stime.
DIF: Cognitive sLevel: sAnalysis REF: s p. s4 OBJ: s3
sTOP: s Ethical sDilemma KEY: sNursing sProcess sStep:
sN/A sMSC: s NCLEX: sN/A
Chapter s02: sMedical-Surgical sPractice sSettings
sLinton: sMedical-Surgical sNursing, s7th sEdition
MULTIPLE sCHOICE
1. While sa shome shealth snurse sis smaking sthe sentry sto sa sservice sassessment son sa
shomebound spatient, sthe sspouse sof sthe spatient sasks swhether sMedicare swill scover sthe
spatient’s sventilator stherapy sand sinsulin sinjections. sWhat sis sthe sbest sresponse sby sthe
snurse?
a. “Yes, sMedicare swill scover sboth sthe sventilator stherapy sand sthe sinsulin sinjections.”
b. “No, sMedicare swill snot scover seither sof sthese songoing stherapies.”
c. “Medicare swill scover sthe sventilator stherapy, sbut sit sdoes snot scover sthe
sinsulin sinjections.”
d. “Medicare swill scover sthe songoing sinsulin stherapy, sbut sit sdoes snot scover sa
shighly stechnical sskill ssuch sas sventilator stherapy.”
ANS: s C