UNDERSTANDING MEDICAL SURGICAL
NURSING FINAL PAPER COMPLETE
QUESTIONS AND ACCURATE SOLUTIONS
STUDY GUIDE
●● Values of AMSN
Answer: -Engage in ongoing professional development
-Use EBP
-Speak w/a unified voice
-Serve as leaders on health-care teams
-Have the necessary resources to deliver excellent care
-Practice in a healthy work environment
●● Strategic Message of AMSN
Answer: -Improving patient care
-Developing personally and professionally
-Advocating for the specialty of med-surg nursing
-Connection w/other nurses who share their compassion and
commitment
●● American Nurse Credentialing Center (ANCC)
,Answer: can certify nurses in med-surg
●● ANCC's Magnet Recognition Program
Answer: awarded to health-care facilities that demonstrate excellence in
the recruitment, recognition, and retention of nursing staff as well as
excellence in patient care and quality
●● Certified Medical-Surgical Registered Nurse (CMSRN)
Answer: RN who is credentialed in med-surg, entitled to the credential
of Registered Nurse-Board Certified (RN-BC)
often in the role of care coordinator
Primary direct care provider in acute care setting- often the KEY to
communication between various HC members
****Higher patient acuity and increased complexity of pts care needs
accompanied by shorter lengths of stay in acute care place RN in vital
role of ensuring the pts are prepared for transitions to different levels of
care. Facilitating the pts and family understanding of TX plan and
discharge teaching
●● Domains of Nursing Practice for Med-Surg Certification
Answer: 1. Helping role
,2. Teaching-Coaching Function
3. Diagnostic and Patient Monitoring
4. Effective Management of Rapidly Changing Situations
5. Administering and Monitoring Therapeutic Interventions and
Regimens
6. Monitoring and Ensuring the Quality of Health-Care Practices
7. Organizational and Work Role Competencies
●● Evidence-based nursing practice
Answer: problem-solving approach to health-care delivery, nursing care
practices, and protocols--based upon the best evidence from research
studies and the expertise of clinicians
1. Develop the question
2. Search and collate the best evidence
3. Evaluate the quality of the evidence
4. Integrate evidence into practice
5. Evaluate outcomes of practice change
6. Disseminate the evidence
●● Evaluating Levels of Evidence
Answer: Lv 1 is the highest level of evidence
, Lv 1 Evidence from systematic reviews of randomized controlled studies
(RCT)
Lv 2 Evidence from at least 1 RCT
Lv 3 Evidence from quasi-experimental studies
Lv 4 Evidence from case-control and cohort studies
Lv 5 Evidence from systematic reviews of descriptive or qualitative
studies
Lv 6 Evidence from a single descriptive or qualitative study
Lv 7 Evidence from expert individual authorities or comments
●● Cohort studies
Answer: Lv 4- use a group of people (cohort) who are initially free of
disease and are then followed over a period of time to examine whether
the development of new cases differs between those with and without
exposure to some type of disease, environmental hazard, etc
●● Case control study
Answer: Lv 4-includes two groups, those with a specific disorder and
those w/o---then compares the two groups
●● Quasi-Experimental Studies
Answer: Lv 3- use control and experimental groups but lacks the random
assignment of participants