9th Edition Key Points-Chapter 01:
Overview of Professional Nursing
Concepts for Medical-Surgical Nursing
2024
The scope of medical-surgical nursing, sometimes called adult health nursing, is to : -CORRECT ANS-
promote health and prevent illness or injury in patients from 18 years of age to older than 100 years of
age.
Medical-surgical nursing requires special knowledge and clinical skills to meet the needs of: -CORRECT
ANS-adult patients in a variety of settings across the continuum.
Patients are recipients of care in: -CORRECT ANS-mutually trusting relationships with nurses and other
members of the health care team.
Medical-surgical nurses focus on meeting the basic needs (concepts) of adult patient in the areas of: -
CORRECT ANS-1. fluid and electrolyte balance
2. protection
3. oxygenation and tissue perfusion
4. mobility
5. sensation
6. cognition
7. nutrition
8. metabolism and bowel elimination
9. sexuality—to provide a holistic approach to patient care.
The nurse can function in various roles as a: -CORRECT ANS-care coordinator, transition manager,
caregiver, patient educator, leader, and patient and family advocate.
, To function in these roles, nurses need to have: -CORRECT ANS-the knowledge, skills, and attitudes
/KSA's, to keep patients and their families safe.
Nurses play a major role in coordinating care with: -CORRECT ANS-the interprofessional team to
promote safe, quality care.
The Joint Commission /TJC requires that healthcare organizations create a culture of: -CORRECT ANS-
SAFETY and encourage patients and families to become safety partners in protecting patients from
harm.
National Patient Safety Goals /NPSGs address: -CORRECT ANS-high-risk issues such as drug
administration, fall reduction, pressure ulcer prevention, infection prevention, and communication
among health care team members.
Sentinel events are a -CORRECT ANS-severe variation in the standard of care caused by human or system
error and results in an avoidable patient death or major harm and are always reported.
The six core competencies for health care professionals based on research by the Institute of Medicine
and Quality and Safety Education for Nurses are: -CORRECT ANS-PATIENT-CENTERED CARE, TEAMWORK
AND COLLABORATION, EVIDENCE-BASED PRACTICE, QUALITY IMPROVEMENT, INFORMATICS AND
TECHNOLOGY, and SAFETY.
Nurses, as advocates for: -CORRECT ANS-the patient and family, teach them how to be empowered and
have more control over their care.
Characteristics of patient-centered care include: -CORRECT ANS-respect values, preferences, and needs,
coordination of care, information, communication, and education, comfort, emotional support,
involvement of family and friends, transition and continuity, and access to care.
Nurses function as coordinators of care by: -CORRECT ANS-communicating and collaborating with
members of the health care team.