Medical-Surgical Nursing: Making Connections to Practice 2nd Edition Hoffman Sullivan
Test Bank
, Medical-Surgical Nursing: Making Connections to Practice 2nd Edition Hoffman Sullivan
Test Bank
ISBN-10:0803677073 ISBN-13:9780803677074
Table of Contents
1. Foundations for Medical-Surgical Nursing
2. Interprofessional Collaboration and Care Coordination
3. Cultural Considerations
4. Ethical Concepts
5. Palliative Care and End-of-Life Issues
6. Geriatric Implications for Medical-Surgical Nursing
7. Oxygen Therapy Management
8. Fluid and Electrolyte Management
9. Acid-Base Balance
10. Overview of Infusion Therapies
11. Pain Management
12. Complementary and Alternative Care Initiatives
13. Overview of Cancer Care
14. Overview of Shock and Sepsis
15. Priorities for the Preoperative Patient
16. Priorities for the Intraoperative Patient
17. Priorities for the Postoperative Patient
18. Assessment of Immune Function
19. Coordinating Care for Patients With Immune Disorders
20. Coordinating Care for Patients With Connective Tissue Disorders
21. Coordinating Care for Patients With Multidrug-Resistant
Organism Infectious Disorders
22. Coordinating Care for Patients With HIV
23. Assessment of Respiratory Function
24. Coordinating Care for Patients With Infectious Respiratory Disorders
25. Coordinating Care for Patients With Upper Airway Disorders
26. Coordinating Care for Patients With Lower Airway Disorders
27. Coordinating Care for Critically Ill Patients With Respiratory Dysfunction
28. Assessment of Cardiovascular Function
29. Coordinating Care for Patients With Cardiac Dysrhythmia
30. Coordinating Care for Patients With Cardiac Disorders
31. Coordinating Care for Patients With Vascular Disorders
32. Coordinating Care for Critically Ill Patients With Cardiovascular
Dysfunction
a. Unit VII Promoting Health in Patients With Hematological Disorders
33. Assessment of Hematological Function
34. Coordinating Care for Patients With Hematological Disorders
35. Assessment of Neurological Function
,36 Coordinating Care for Patients With Brain Disorders
37 Coordinating Care for Patients With Spinal Cord Disorders
38 Coordinating Care for Patients With Peripheral Nervous System Disorders
39 Coordinating Care for Critically Ill Patients With Neurological Dysfunction
40 Assessment of Endocrine Function
41 Coordinating Care for Patients With Pituitary Disorders
42 Coordinating Care for Patients With Adrenal Disorders
43 Coordinating Care for Patients With Thyroid and Parathyroid Disorders
44 Coordinating Care for Patients With Diabetes Mellitus
45 Assessment of Visual Function
46 Coordinating Care for Patients With Visual Disorders
47 Assessment of Auditory Function
48 Coordinating Care for Patients With Hearing Disorders
49 Assessment of Integumentary Function
50 Coordinating Care for Patients With Skin Disorders
51 Coordinating Care for Patients With Burns
52 Assessment of Musculoskeletal Function
53 Coordinating Care for Patients With Musculoskeletal Disorders
54 Coordinating Care for Patients With Musculoskeletal Trauma
55 Assessment of Gastrointestinal Function
56 Coordinating Care for Patients With Oral and Esophageal Disorders
57 Coordinating Care for Patients With Stomach Disorders
58 Coordinating Care for Patients With Intestinal Disorders
59 Coordinating Care for Patients With Hepatic Disorders
60 Coordinating Care for Patients With Biliary and Pancreatic Disorders
61 Assessment of Renal and Urinary Function
62 Coordinating Care for Patients With Renal Disorders
63 Coordinating Care for Patients With Urinary Disorders
64 Assessment of Reproductive Function
65 Coordinating Care for Female Patients With Reproductive and Breast
Disorders
66 Coordinating Care for Male Patients With Reproductive and
Breast Disorders
67 Coordinating Care for Patients With Sexually Transmitted Infection
68 Managing Care for the Adult Patient With Obesity
69 Substance Use Disorders in the Adult Population
70 Emergency, Trauma, and Environmental Injuries
71 Disasters, Mass Casualty Incidents, and Complex Emergencies
, TEST BANK FOR MEDICAL SURGICAL NURSING 2ND EDITION BY HOFFMAN
Chapter 1: Foundations for Medical-Surgical Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The medical-surgical nurse identifies a clinical practice issue and wants to determine if there is sufficient evidence
to support a change in practice. Which type of study provides the strongest evidence to
support a practice change?
Randomized control study
Quasi-experimental study
Case-control study
Cohort study
____ 2. The medical-surgical unit recently implemented a patient-centered care model. Which action implemented by
the nurse supports this model? 1) Evaluating care 3) Diagnosing problems 4) Providing compassion
2) Assessing needs N
____ 3. Which action should the nurse implement when providing patient care in order to support The Joint
Commission’s (TJC) National Patient Safety Goals (NPSG)?
Silencing a cardiorespiratory monitor
Identifying each patient using one source
Determining patient safety issues upon admission
Decreasing the amount of pain medication administered
____ 4. Which interprofessional role does the nurse often assume when providing patient care in an acute care setting?
Social worker
Client advocate
Care coordinator
Massage therapist
____ 5. The medical-surgical nurse wants to determine if a policy change is needed for an identified clinical problem. Which is
the first action the nurse should implement?
Developing a question
Disseminating the findings
Conducting a review of the literature
Evaluating outcomes of practice change
TESTBANKWORLD.ORG
TEST BANK FOR MEDICAL SURGICAL NURSING 2ND EDITION BY HOFFMAN
____ 6. The nurse is evaluating the level of evidence found during a recent review of the literature. Which evidence carries
the lowest level of support for a practice change?
Level IV
Level V
Level VI
Level VII
____ 7. The nurse is reviewing evidence from a quasi-experimental research study. Which level of evidence should the nurse
identify for this research study?
, LeveltI
LeveltII
LeveltIII
LeveltIV
____t8.tWhichtleveltoftevidencetshouldtthetnursetidentifytwhentreviewingtevidencetfromtatsingletdescriptivetresearchtstudy?
LeveltIV
LeveltV
LeveltVI
LeveltVII
____t9.tWhichtstatementtshouldtthetnursetmaketwhentcommunicatingtthet“S”tintthetSBARtapproachtforteffective
communication?
“Thetpatienttpresentedttotthetemergencytdepartmenttatt0200twithtlowertlefttabdo
minaltpain.”
“Thetpatienttratedtthetpaintupontadmissiontastat9tontat10-pointtnumerictscale.”
N
“Thetpatientthastnotsignificanttissuestintthetmedicalthistory.”
“Thetpatienttwastgiventatprescribedtopioidtanalgesictatt0300.”
____t10.tThetstafftnursetistcommunicatingtwithtthetchangetnursetabouttthetchangetoftstatustoftthetpatient.tThetnursetwould
beginthertcommunicationtwithtwhichtstatementtiftcorrectlytusingtthetSBARtformat?
“Thetpatient’stheartratetist110.”
“Itthinktthistpatienttneedsttotbettransferredttotthetcriticaltcaretunit.”
“Thetpatienttistat68-year-oldtmaletpatienttadmittedtlasttnight.”
“Thetpatienttistcomplainingtoftchesttpain.”
____t11.tWhichtnursingtactiontexemplifiestthetQualitytandtSafetytEducationtfortNursingt(QSEN)tcompetencytoftsafety?
Advocatingtfortatpatienttwhotistexperiencingtpain
Consideringtthetpatient’stculturetwhentplanningtcare
Evaluatingtpatienttlearningtstyletpriorttotimplementingtdischargetinstructions
Assessingtthetrighttdrugtpriorttotadministeringtatprescribedtpatienttmedication
____t12.tWhichttypetoftnursingtistthetroottoftalltothertnursingtpracticetareas?
Pediatrictnursing
Geriatrictnursing
Medical-surgicaltnursing
Mentalthealth-psychiatrictnursing
____t13.tWhichtdidtthetNursingtExecutivetCentertoftThetAdvisorytBoardtidentifytastantacademic-practicetgaptfortnew
graduatetnurses?
Patienttadvocacy
Patientteducation
, Diseasetpathophysiology
Therapeutictcommunication
____t14.tWhichqstatementqregardingqthequseqofqtheqnursingqprocessqinqclinicalqpracticeqisqaccurate?q1)
“Theqnursingqprocessqisqcloselyqrelatedqtoqclinicalqdecision-making.”
“Theqnursingqprocessqisqusedqbyqallqmembersqofqtheqinterprofessionalqteamqtoqplanqcare.”q3
)q“Theqnursingqprocessqhasq4qbasicqsteps:qassessment,qplanning,qimplementation,
evaluation.”
“Theqnursingqprocessqisqbeingqreplacedqbyqtheqimplementationqofqevidence-basedqpractice.”
____q15.qWhichqisqtheqbasisqofqnursingqcareqpracticesqandqprotocols?
Assessment
Evaluation
Diagnosis
Research
____q16.qWhichqisqaqcommonqthemeqregardingqpatientqdissatisfactionqrelatedqtoqcareqprovidedqinqtheqhospitalqsetting?q1)
Spaceqinqhospitalqrooms
Medicationsqreceivedqtoqtreatqpain
Timeqspentqwithqtheqhealth-careqteam
Poorqqualityqfoodqreceivedqfromqdietary
____q17.qTheqnurseqmanagerqisqpreparingqaqmedical-surgicalqunitqforqTheqJointqCommissionq(TJC)qvisitqWithqtheqnurse
managerqpresentingqstaffqeducationqfocusingqonqTJCqbenchmarks,qwhichqofqtheqfollowingqtopicsqwoul
dqbeqmostqappropriate?
1)qImplementationqofqevidence-basedqpractice
N
Implementationqofqpatient-centeredqcare
Implementationqofqmedicalqasepsisqpractices
Implementationqofqinterprofessionalqcare
____q18.qWhichqaspectqofqpatient-
centeredqcareqshouldqtheqnurseqmanagerqevaluateqpriorqtoqTheqJointqCommissionqsiteqvisitqfor
accreditation?
Visitationqrights
Educationqlevelqofqstaff
Fallqpreventionqprotocol
Infectionqcontrolqpractices
____q19.qTheqmedical-surgicalqnurseqisqprovidingqpatientqcare.qWhichqcircumstanceqwouldqnecessitateqtheqnurse
verifyingqtheqpatient’sqidentificationqusingqatqleastqtwoqsources?
Priorqtoqdeliveringqaqmealqtray
Priorqtoqpassiveqrangeqofqmotion
Priorqtoqmedicationqadministration
Priorqtoqdocumentingqinqtheqmedicalqrecord
____q20.qTheqnurseqisqprovidingqcareqtoqseveralqpatientsqonqaqmedical-surgicalqunit.qWhichqsituationqwouldqnecessitateqthe
nurseqtoquseqSBARqduringqtheqhand-offqprocess?
Woundqcare
Dischargeqtoqhome
Transferqtoqradiology
Medicationqeducation
MultipleqResponse
Identifyqoneqorqmoreqchoicesqthatqbestqcompleteqtheqstatementqorqanswerqtheqquestion.
,____q21.qTheqstaffqnurseqisqteachingqaqgroupqofqstudentqnursesqtheqsituationsqthatqnecessitateqhand-
offqcommunication.qWhich
studentqresponsesqindicateqtheqneedqforqfurtherqeducationqrelatedqtoqthisqprocedure?qSelectqallqthatqapply.
“Aqhand-offqisqrequiredqpriorqtoqadministeringqaqmedication.”
“Aqhand-offqisqrequiredqduringqchangeqofqshift.”
“Aqhand-offqisqrequiredqforqaqpatientqisqtransferredqtoqtheqsurgicalqsuite.”
“Aqhand-offqisqrequiredqwheneverqtheqnurseqreceivesqaqnewqpatientqassignment.”
“Aqhand-offqisqrequiredqpriorqtoqfamilyqvisitation.”
____q22.qWhichqactionsqbyqtheqnurseqenhanceqpatientqsafetyqduringqmedicationqadministration?qSelectqallqthatqapply.q1)
Answeringqtheqcallqbellqwhileqtransportingqmedicationsqforqaqdifferentqpatient
Identifyingqtheqpatientqusingqtwoqsourcesqpriorqtoqadministeringqtheqmedication
Holdingqaqmedicationqifqtheqpatient’sqdiagnosisqdoesqnotqsupportqitsquse
Administeringqtheqmedicationqtwoqhoursqafterqtheqscheduledqtime
Havingqanotherqnurseqverifyqtheqprescribedqdoseqofqinsulinqtheqpatientqisqtoqreceive
____q23.qTheqmedical-surgicalqnurseqassumesqcareqforqaqpatientqwhoqisqreceivingqcontinuousqcardiopulmonary
monitoring.qWhichqactionsqbyqtheqnurseqenhanceqsafetyqforqthisqpatient?qSelectqallqthatqapply.q1)
Silencingqtheqalarmqduringqfamilyqvisitation
Assessingqtheqalarmqparametersqatqtheqstartqofqtheqshift
Respondingqtoqtheqalarmqinqaqtimelyqfashion
Decreasingqtheqalarmqvolumeqtoqenhanceqrestfulqsleep
Adjustingqalarmqparametersqbasedqonqspecifiedqpractitionerqprescription
N
____q24.qTheqnurseqisqplanningqanqinterprofessionalqcareqconferenceqforqaqpatientqwhoqisqapproachingqdischargeqfromqqthe
hospital.qWhichqmembersqofqtheqinterprofessionalqteamqshouldqtheqnurseqinviteqtoqattend?qSelectqallqthatqapply.
Physician
Pharmacist
Unitqsecretary
Socialqworker
Homeqcareqaide
____q25.qTheqnurseqmanagerqwantsqtoqdesignateqaqmemberqofqtheqnursingqteamqasqtheqcareqcoordinatorqforqaqpatientqwhoqwill
requireqsignificantqcareqduringqtheqhospitalization.qWhichqskillsqshouldqthisqnurseqpossessqinqorderqtoqas
sumeqthisqrole?qSelectqallqthatqapply.
Effectiveqclinicalqreasoning
Effectiveqcommunicationqskills
Effectiveqinfectionqcontrolqprocedures
Effectiveqdocumentation
Effectiveqintravenousqskills
, Chapter 1: Foundations for Medical-
q q q q
Surgical Nursing Answer Section
q q q
MULTIPLEqCHOICE
1.qANS:q1
Chapterqnumberqandqtitle:q1,qFoundationsqforqMedicalqSurgicalqPractice
Chapterqlearningqobjective:qDiscussingqtheqincorporationqofqevidence-
basedqpracticesqintoqmedical-surgicalqnursing
Chapterqpageqreference:q003-004
Heading:qEvidence-BasedqNursingqCare
IntegratedqProcesses:qNursingqProcess:qPlanning
ClientqNeed:qSafeqandqEffectiveqCareqEnvironment/ManagementqofqCare
Cognitiveqlevel:qComprehensionq[Understanding]
Concept:qEvidence-BasedqPractice
Difficulty:qEasy
Feedback
Systematicqreviewsqofqrandomizedqcontrolqstudiesq(LevelqI)qareqtheqhighestqlevelqofqevide
nceqbecauseqtheyqincludeqdataqfromqselectedqstudiesqthatqrandomlyqassigned
participantsqtoqcontrolqandqexperimentalqgroups.qTheqlowerqtheqnumericalqratingqofqthe
qlevelqofqevidenceqindicatesqtheqhighestqlevelqofqevidence;qtherefore,qthisqtypeqofqstudy
providesqtheqstrongestqevidenceqtoqsupportqaqpracticeqchange.
Quasi-experimentalqstudiesqareqconsideredqLevelqIII;qtherefore,qthisqstudyqdoesqnot
provideqtheqstrongestqevidenceqtoqsupportqaqpracticeqchange.
Case-
controlqstudiesqareqconsideredqLevelqIV;qtherefore,qthisqstudyqdoesqnotqprovi
deqtheqstrongestqevidenceqtoqsupportqaqpracticeqchange.
CohortqstudiesqareqconsideredqLevelqIV;qtherefore,qthisqstudyqdoesqnotqpro
videqtheqstrongestqevidenceqtoqsupportqaqpracticeqchange.
PTS:q1qCON:qEvidence-BasedqPractice
2.qANS:q4
Chapterqnumberqandqtitle:q1,qFoundationsqofqMedical-SurgicalqPractice
Chapterqlearningqobjective:qExplainingqtheqimportanceqofqpatient-
centeredqcareqinqtheqmanagementqofqmedicalqsurgicalqpatients
Chapterqpageqreference:q004-005
Heading:qPatient-CenteredqCareqinqtheqMedical-SurgicalqSetting
IntegratedqProcesses:qCaring
ClientqNeed:qPsychosocialqIntegrity
Cognitiveqlevel:qApplicationq[Applying]
Concept:qNursingqRoles
Difficulty:qModerate
Feedback
Evaluationqisqaqstepqinqtheqnursingqprocess;qhowever,qthisqisqnotqanqactionqthatqsup
portsqtheqpatient-centeredqcareqmodel.
Assessmentqisqaqstepqinqtheqnursingqprocess;qhowever,qthisqisqnotqanqactionqthatqsu
pportsqtheqpatient-centeredqcareqmodel.
Diagnosisqisqaqstepqinqtheqnursingqprocess;qhowever,qthisqisqnotqanqactionqthatqsup
portsqtheqpatient-centeredqcareqmodel.
Test Bank
, Medical-Surgical Nursing: Making Connections to Practice 2nd Edition Hoffman Sullivan
Test Bank
ISBN-10:0803677073 ISBN-13:9780803677074
Table of Contents
1. Foundations for Medical-Surgical Nursing
2. Interprofessional Collaboration and Care Coordination
3. Cultural Considerations
4. Ethical Concepts
5. Palliative Care and End-of-Life Issues
6. Geriatric Implications for Medical-Surgical Nursing
7. Oxygen Therapy Management
8. Fluid and Electrolyte Management
9. Acid-Base Balance
10. Overview of Infusion Therapies
11. Pain Management
12. Complementary and Alternative Care Initiatives
13. Overview of Cancer Care
14. Overview of Shock and Sepsis
15. Priorities for the Preoperative Patient
16. Priorities for the Intraoperative Patient
17. Priorities for the Postoperative Patient
18. Assessment of Immune Function
19. Coordinating Care for Patients With Immune Disorders
20. Coordinating Care for Patients With Connective Tissue Disorders
21. Coordinating Care for Patients With Multidrug-Resistant
Organism Infectious Disorders
22. Coordinating Care for Patients With HIV
23. Assessment of Respiratory Function
24. Coordinating Care for Patients With Infectious Respiratory Disorders
25. Coordinating Care for Patients With Upper Airway Disorders
26. Coordinating Care for Patients With Lower Airway Disorders
27. Coordinating Care for Critically Ill Patients With Respiratory Dysfunction
28. Assessment of Cardiovascular Function
29. Coordinating Care for Patients With Cardiac Dysrhythmia
30. Coordinating Care for Patients With Cardiac Disorders
31. Coordinating Care for Patients With Vascular Disorders
32. Coordinating Care for Critically Ill Patients With Cardiovascular
Dysfunction
a. Unit VII Promoting Health in Patients With Hematological Disorders
33. Assessment of Hematological Function
34. Coordinating Care for Patients With Hematological Disorders
35. Assessment of Neurological Function
,36 Coordinating Care for Patients With Brain Disorders
37 Coordinating Care for Patients With Spinal Cord Disorders
38 Coordinating Care for Patients With Peripheral Nervous System Disorders
39 Coordinating Care for Critically Ill Patients With Neurological Dysfunction
40 Assessment of Endocrine Function
41 Coordinating Care for Patients With Pituitary Disorders
42 Coordinating Care for Patients With Adrenal Disorders
43 Coordinating Care for Patients With Thyroid and Parathyroid Disorders
44 Coordinating Care for Patients With Diabetes Mellitus
45 Assessment of Visual Function
46 Coordinating Care for Patients With Visual Disorders
47 Assessment of Auditory Function
48 Coordinating Care for Patients With Hearing Disorders
49 Assessment of Integumentary Function
50 Coordinating Care for Patients With Skin Disorders
51 Coordinating Care for Patients With Burns
52 Assessment of Musculoskeletal Function
53 Coordinating Care for Patients With Musculoskeletal Disorders
54 Coordinating Care for Patients With Musculoskeletal Trauma
55 Assessment of Gastrointestinal Function
56 Coordinating Care for Patients With Oral and Esophageal Disorders
57 Coordinating Care for Patients With Stomach Disorders
58 Coordinating Care for Patients With Intestinal Disorders
59 Coordinating Care for Patients With Hepatic Disorders
60 Coordinating Care for Patients With Biliary and Pancreatic Disorders
61 Assessment of Renal and Urinary Function
62 Coordinating Care for Patients With Renal Disorders
63 Coordinating Care for Patients With Urinary Disorders
64 Assessment of Reproductive Function
65 Coordinating Care for Female Patients With Reproductive and Breast
Disorders
66 Coordinating Care for Male Patients With Reproductive and
Breast Disorders
67 Coordinating Care for Patients With Sexually Transmitted Infection
68 Managing Care for the Adult Patient With Obesity
69 Substance Use Disorders in the Adult Population
70 Emergency, Trauma, and Environmental Injuries
71 Disasters, Mass Casualty Incidents, and Complex Emergencies
, TEST BANK FOR MEDICAL SURGICAL NURSING 2ND EDITION BY HOFFMAN
Chapter 1: Foundations for Medical-Surgical Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The medical-surgical nurse identifies a clinical practice issue and wants to determine if there is sufficient evidence
to support a change in practice. Which type of study provides the strongest evidence to
support a practice change?
Randomized control study
Quasi-experimental study
Case-control study
Cohort study
____ 2. The medical-surgical unit recently implemented a patient-centered care model. Which action implemented by
the nurse supports this model? 1) Evaluating care 3) Diagnosing problems 4) Providing compassion
2) Assessing needs N
____ 3. Which action should the nurse implement when providing patient care in order to support The Joint
Commission’s (TJC) National Patient Safety Goals (NPSG)?
Silencing a cardiorespiratory monitor
Identifying each patient using one source
Determining patient safety issues upon admission
Decreasing the amount of pain medication administered
____ 4. Which interprofessional role does the nurse often assume when providing patient care in an acute care setting?
Social worker
Client advocate
Care coordinator
Massage therapist
____ 5. The medical-surgical nurse wants to determine if a policy change is needed for an identified clinical problem. Which is
the first action the nurse should implement?
Developing a question
Disseminating the findings
Conducting a review of the literature
Evaluating outcomes of practice change
TESTBANKWORLD.ORG
TEST BANK FOR MEDICAL SURGICAL NURSING 2ND EDITION BY HOFFMAN
____ 6. The nurse is evaluating the level of evidence found during a recent review of the literature. Which evidence carries
the lowest level of support for a practice change?
Level IV
Level V
Level VI
Level VII
____ 7. The nurse is reviewing evidence from a quasi-experimental research study. Which level of evidence should the nurse
identify for this research study?
, LeveltI
LeveltII
LeveltIII
LeveltIV
____t8.tWhichtleveltoftevidencetshouldtthetnursetidentifytwhentreviewingtevidencetfromtatsingletdescriptivetresearchtstudy?
LeveltIV
LeveltV
LeveltVI
LeveltVII
____t9.tWhichtstatementtshouldtthetnursetmaketwhentcommunicatingtthet“S”tintthetSBARtapproachtforteffective
communication?
“Thetpatienttpresentedttotthetemergencytdepartmenttatt0200twithtlowertlefttabdo
minaltpain.”
“Thetpatienttratedtthetpaintupontadmissiontastat9tontat10-pointtnumerictscale.”
N
“Thetpatientthastnotsignificanttissuestintthetmedicalthistory.”
“Thetpatienttwastgiventatprescribedtopioidtanalgesictatt0300.”
____t10.tThetstafftnursetistcommunicatingtwithtthetchangetnursetabouttthetchangetoftstatustoftthetpatient.tThetnursetwould
beginthertcommunicationtwithtwhichtstatementtiftcorrectlytusingtthetSBARtformat?
“Thetpatient’stheartratetist110.”
“Itthinktthistpatienttneedsttotbettransferredttotthetcriticaltcaretunit.”
“Thetpatienttistat68-year-oldtmaletpatienttadmittedtlasttnight.”
“Thetpatienttistcomplainingtoftchesttpain.”
____t11.tWhichtnursingtactiontexemplifiestthetQualitytandtSafetytEducationtfortNursingt(QSEN)tcompetencytoftsafety?
Advocatingtfortatpatienttwhotistexperiencingtpain
Consideringtthetpatient’stculturetwhentplanningtcare
Evaluatingtpatienttlearningtstyletpriorttotimplementingtdischargetinstructions
Assessingtthetrighttdrugtpriorttotadministeringtatprescribedtpatienttmedication
____t12.tWhichttypetoftnursingtistthetroottoftalltothertnursingtpracticetareas?
Pediatrictnursing
Geriatrictnursing
Medical-surgicaltnursing
Mentalthealth-psychiatrictnursing
____t13.tWhichtdidtthetNursingtExecutivetCentertoftThetAdvisorytBoardtidentifytastantacademic-practicetgaptfortnew
graduatetnurses?
Patienttadvocacy
Patientteducation
, Diseasetpathophysiology
Therapeutictcommunication
____t14.tWhichqstatementqregardingqthequseqofqtheqnursingqprocessqinqclinicalqpracticeqisqaccurate?q1)
“Theqnursingqprocessqisqcloselyqrelatedqtoqclinicalqdecision-making.”
“Theqnursingqprocessqisqusedqbyqallqmembersqofqtheqinterprofessionalqteamqtoqplanqcare.”q3
)q“Theqnursingqprocessqhasq4qbasicqsteps:qassessment,qplanning,qimplementation,
evaluation.”
“Theqnursingqprocessqisqbeingqreplacedqbyqtheqimplementationqofqevidence-basedqpractice.”
____q15.qWhichqisqtheqbasisqofqnursingqcareqpracticesqandqprotocols?
Assessment
Evaluation
Diagnosis
Research
____q16.qWhichqisqaqcommonqthemeqregardingqpatientqdissatisfactionqrelatedqtoqcareqprovidedqinqtheqhospitalqsetting?q1)
Spaceqinqhospitalqrooms
Medicationsqreceivedqtoqtreatqpain
Timeqspentqwithqtheqhealth-careqteam
Poorqqualityqfoodqreceivedqfromqdietary
____q17.qTheqnurseqmanagerqisqpreparingqaqmedical-surgicalqunitqforqTheqJointqCommissionq(TJC)qvisitqWithqtheqnurse
managerqpresentingqstaffqeducationqfocusingqonqTJCqbenchmarks,qwhichqofqtheqfollowingqtopicsqwoul
dqbeqmostqappropriate?
1)qImplementationqofqevidence-basedqpractice
N
Implementationqofqpatient-centeredqcare
Implementationqofqmedicalqasepsisqpractices
Implementationqofqinterprofessionalqcare
____q18.qWhichqaspectqofqpatient-
centeredqcareqshouldqtheqnurseqmanagerqevaluateqpriorqtoqTheqJointqCommissionqsiteqvisitqfor
accreditation?
Visitationqrights
Educationqlevelqofqstaff
Fallqpreventionqprotocol
Infectionqcontrolqpractices
____q19.qTheqmedical-surgicalqnurseqisqprovidingqpatientqcare.qWhichqcircumstanceqwouldqnecessitateqtheqnurse
verifyingqtheqpatient’sqidentificationqusingqatqleastqtwoqsources?
Priorqtoqdeliveringqaqmealqtray
Priorqtoqpassiveqrangeqofqmotion
Priorqtoqmedicationqadministration
Priorqtoqdocumentingqinqtheqmedicalqrecord
____q20.qTheqnurseqisqprovidingqcareqtoqseveralqpatientsqonqaqmedical-surgicalqunit.qWhichqsituationqwouldqnecessitateqthe
nurseqtoquseqSBARqduringqtheqhand-offqprocess?
Woundqcare
Dischargeqtoqhome
Transferqtoqradiology
Medicationqeducation
MultipleqResponse
Identifyqoneqorqmoreqchoicesqthatqbestqcompleteqtheqstatementqorqanswerqtheqquestion.
,____q21.qTheqstaffqnurseqisqteachingqaqgroupqofqstudentqnursesqtheqsituationsqthatqnecessitateqhand-
offqcommunication.qWhich
studentqresponsesqindicateqtheqneedqforqfurtherqeducationqrelatedqtoqthisqprocedure?qSelectqallqthatqapply.
“Aqhand-offqisqrequiredqpriorqtoqadministeringqaqmedication.”
“Aqhand-offqisqrequiredqduringqchangeqofqshift.”
“Aqhand-offqisqrequiredqforqaqpatientqisqtransferredqtoqtheqsurgicalqsuite.”
“Aqhand-offqisqrequiredqwheneverqtheqnurseqreceivesqaqnewqpatientqassignment.”
“Aqhand-offqisqrequiredqpriorqtoqfamilyqvisitation.”
____q22.qWhichqactionsqbyqtheqnurseqenhanceqpatientqsafetyqduringqmedicationqadministration?qSelectqallqthatqapply.q1)
Answeringqtheqcallqbellqwhileqtransportingqmedicationsqforqaqdifferentqpatient
Identifyingqtheqpatientqusingqtwoqsourcesqpriorqtoqadministeringqtheqmedication
Holdingqaqmedicationqifqtheqpatient’sqdiagnosisqdoesqnotqsupportqitsquse
Administeringqtheqmedicationqtwoqhoursqafterqtheqscheduledqtime
Havingqanotherqnurseqverifyqtheqprescribedqdoseqofqinsulinqtheqpatientqisqtoqreceive
____q23.qTheqmedical-surgicalqnurseqassumesqcareqforqaqpatientqwhoqisqreceivingqcontinuousqcardiopulmonary
monitoring.qWhichqactionsqbyqtheqnurseqenhanceqsafetyqforqthisqpatient?qSelectqallqthatqapply.q1)
Silencingqtheqalarmqduringqfamilyqvisitation
Assessingqtheqalarmqparametersqatqtheqstartqofqtheqshift
Respondingqtoqtheqalarmqinqaqtimelyqfashion
Decreasingqtheqalarmqvolumeqtoqenhanceqrestfulqsleep
Adjustingqalarmqparametersqbasedqonqspecifiedqpractitionerqprescription
N
____q24.qTheqnurseqisqplanningqanqinterprofessionalqcareqconferenceqforqaqpatientqwhoqisqapproachingqdischargeqfromqqthe
hospital.qWhichqmembersqofqtheqinterprofessionalqteamqshouldqtheqnurseqinviteqtoqattend?qSelectqallqthatqapply.
Physician
Pharmacist
Unitqsecretary
Socialqworker
Homeqcareqaide
____q25.qTheqnurseqmanagerqwantsqtoqdesignateqaqmemberqofqtheqnursingqteamqasqtheqcareqcoordinatorqforqaqpatientqwhoqwill
requireqsignificantqcareqduringqtheqhospitalization.qWhichqskillsqshouldqthisqnurseqpossessqinqorderqtoqas
sumeqthisqrole?qSelectqallqthatqapply.
Effectiveqclinicalqreasoning
Effectiveqcommunicationqskills
Effectiveqinfectionqcontrolqprocedures
Effectiveqdocumentation
Effectiveqintravenousqskills
, Chapter 1: Foundations for Medical-
q q q q
Surgical Nursing Answer Section
q q q
MULTIPLEqCHOICE
1.qANS:q1
Chapterqnumberqandqtitle:q1,qFoundationsqforqMedicalqSurgicalqPractice
Chapterqlearningqobjective:qDiscussingqtheqincorporationqofqevidence-
basedqpracticesqintoqmedical-surgicalqnursing
Chapterqpageqreference:q003-004
Heading:qEvidence-BasedqNursingqCare
IntegratedqProcesses:qNursingqProcess:qPlanning
ClientqNeed:qSafeqandqEffectiveqCareqEnvironment/ManagementqofqCare
Cognitiveqlevel:qComprehensionq[Understanding]
Concept:qEvidence-BasedqPractice
Difficulty:qEasy
Feedback
Systematicqreviewsqofqrandomizedqcontrolqstudiesq(LevelqI)qareqtheqhighestqlevelqofqevide
nceqbecauseqtheyqincludeqdataqfromqselectedqstudiesqthatqrandomlyqassigned
participantsqtoqcontrolqandqexperimentalqgroups.qTheqlowerqtheqnumericalqratingqofqthe
qlevelqofqevidenceqindicatesqtheqhighestqlevelqofqevidence;qtherefore,qthisqtypeqofqstudy
providesqtheqstrongestqevidenceqtoqsupportqaqpracticeqchange.
Quasi-experimentalqstudiesqareqconsideredqLevelqIII;qtherefore,qthisqstudyqdoesqnot
provideqtheqstrongestqevidenceqtoqsupportqaqpracticeqchange.
Case-
controlqstudiesqareqconsideredqLevelqIV;qtherefore,qthisqstudyqdoesqnotqprovi
deqtheqstrongestqevidenceqtoqsupportqaqpracticeqchange.
CohortqstudiesqareqconsideredqLevelqIV;qtherefore,qthisqstudyqdoesqnotqpro
videqtheqstrongestqevidenceqtoqsupportqaqpracticeqchange.
PTS:q1qCON:qEvidence-BasedqPractice
2.qANS:q4
Chapterqnumberqandqtitle:q1,qFoundationsqofqMedical-SurgicalqPractice
Chapterqlearningqobjective:qExplainingqtheqimportanceqofqpatient-
centeredqcareqinqtheqmanagementqofqmedicalqsurgicalqpatients
Chapterqpageqreference:q004-005
Heading:qPatient-CenteredqCareqinqtheqMedical-SurgicalqSetting
IntegratedqProcesses:qCaring
ClientqNeed:qPsychosocialqIntegrity
Cognitiveqlevel:qApplicationq[Applying]
Concept:qNursingqRoles
Difficulty:qModerate
Feedback
Evaluationqisqaqstepqinqtheqnursingqprocess;qhowever,qthisqisqnotqanqactionqthatqsup
portsqtheqpatient-centeredqcareqmodel.
Assessmentqisqaqstepqinqtheqnursingqprocess;qhowever,qthisqisqnotqanqactionqthatqsu
pportsqtheqpatient-centeredqcareqmodel.
Diagnosisqisqaqstepqinqtheqnursingqprocess;qhowever,qthisqisqnotqanqactionqthatqsup
portsqtheqpatient-centeredqcareqmodel.
