Chapter 15: Specimen Collection and Diagnostic Testing Cooper and Gosnell: Foundations of Nursing, 7th Edition

MULTIPLE CHOICE 1. New physician orders are transcribed for a patient to receive a colonoscopy. What must be completed before the colonoscopy to indicate the patient has been given full knowledge about what will be done along with its risks and complications? a. Patients’ rights b. Advance directive c. Informed consent d. Patient protection ANS: C Informed consent states that the patient must fully understand and be aware of the risks and complications of what is to be done. DIF: Cognitive Level: Comprehension REF: Page OBJ: 1 TOP: Proper preparation KEY: Nursing Process Step: Planning MSC: NCLEX: Safe, Effective Care Environment 2. The nurse is preparing a patient for a diagnostic examination. What can the nurse implement to assist with reducing anxiety? a. Explain the costs of the examination b. Demonstrate use of equipment c. Answer questions for clarification d. Fill out required paperwork ANS: C The nurse must be prepared to answer questions that the patient may have to reduce anxiety and give valid information. DIF: Cognitive Level: Application REF: Page OBJ: 2 TOP: Proper preparation KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 3. A patient is required to provide a sample of body excretions per physician order. What action can the nurse take when providing proper instructions to lessen the patient’s embarrassment? a. Instruct patient to provide the specimen behind a screen. b. Instruct patient to obtain his or her own specimen. c. Instruct patient to return later when he or she is more comfortable. d. Instruct patient to use a CNA for assistance to obtain the specimen. ANS: B With proper instruction, many patients may obtain their own specimen. DIF: Cognitive Level: Application REF: Page 493 OBJ: 3 TOP: Specimen collection KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity