Medical Surgical Nursing in Canada 5th
Edition Chapter 1-72 Complete Guide New
Brand
___________________________________________________________________________________-
Which of the following is an example of a correctly written nursing diagnosis statement?
a. Altered tissue perfusion related to heart failure
b. Risk for impaired tissue integrity related to sacral redness
c. Ineffective coping related to insufficient sense of control
d. Altered urinary elimination related to urinary tract infection
c. Ineffective coping related to insufficient sense of control
Which of the following includes the components required for a complete nursing diagnosis
statement?
a. A problem and the suggested patient goals or outcomes
b. A problem, its cause, and objective data that support the problem
c. A problem with all its possible causes and the planned interventions
d. A problem with its etiology and the signs and symptoms of the problem
d. A problem with its etiology and the signs and symptoms of the problem
Which of the following refers to a situation that results in unintended harm to the patient and
is related to the care or services provided rather than the patient's medical condition?
a. Negligence
b. Adverse event
c. Incident report
d. Nonmaleficence
b. Adverse event
Which of these nursing actions for the patient with heart failure is appropriate for the nurse to
delegate to experienced unregulated care providers?
a. Assess for shortness of breath or fatigue after ambulation.
b. Instruct the patient about the need to alternate activity and rest.
c. Obtain the patient's blood pressure and pulse rate after ambulation.
d. Determine whether the patient is ready to increase the activity level.
c. Obtain the patient's blood pressure and pulse rate after ambulation.
Which action by a newly graduated RN working on the postsurgical unit indicates that more
education about delegation and assignment is needed?
a. The nurse delegates measurement of patient oral intake and urine output to an
unregulated care provider.
,b. The nurse delegates assessment of a patient's bowel sounds to an experienced
unregulated care provider.
c. The nurse assigns an LPN/RPN to administer oral medications to several patients.
d. The nurse assigns a "float" RN from pediatrics to care for a patient with diabetes.
b. The nurse delegates assessment of a patient's bowel sounds to an experienced
unregulated care provider.
Which of the following terms refer to characteristics of a group whose members share a
common social, cultural, linguistic, or religious heritage?
a. Diversity
b. Ethnicity
c. Ethnocentrism
d. Cultural imposition
b. Ethnicity
The nurse is caring for Indigenous patients in a community clinic setting. Which of the
following would the nurse include when developing strategies to decrease health care
disparities?
a. Improve public transportation.
b. Obtain low-cost medications.
c. Update equipment and supplies for the clinic.
d. Educate staff about Indigenous health beliefs.
d. Educate staff about Indigenous health beliefs.
A family member of an elderly Hispanic patient admitted to the hospital tells the nurse that the
patient has traditional beliefs about health and illness. Which of the following actions is most
appropriate for the nurse in this situation?
a. Avoid asking any questions unless the patient initiates conversation.
b. Ask the patient whether it is important that cultural healers are contacted.
c. Explain the usual hospital routines for meal times, care, and family visits.
d. Obtain further information about the patient's cultural beliefs from the daughter.
b. Ask the patient whether it is important that cultural healers are contacted.
When caring for an Indigenous patient, which of the following actions is the best initial
approach in relation to eye contact for the nurse to take?
a. Avoid all eye contact with the patient.
b. Observe the patient's use of eye contact.
c. Look directly at the patient when interacting.
d. Ask the family about the patient's cultural belie
b. Observe the patient's use of eye contact.
According to the ABC(DE)s of cultural competence, awareness of and sensitivity to cultural
values is in which of the following domains?
a. Skills domain
,b. Affective domain
c. Knowledge domain
d. Behavioural domain
b. Affective domain
Which of the following actions represent the best example of culturally appropriate nursing
care when caring for a newly admitted patient?
a. Have family members provide most of the patient's personal care.
b. Maintain a personal space of at least 0.5 metres when assessing the patient.
c. Ask permission before touching a patient during the physical assessment.
d. Consider the patient's ethnicity as the most important factor in planning care
c. Ask permission before touching a patient during the physical assessment.
Which of the following question formats is the most appropriate for the nurse to ask when
communicating with a patient that has limited English proficiency?
a. Are you tired and in discomfort?
b. You have taken your pills right?
c. Are you alright?
d. Are you in pain?
d. Are you in pain?
Equity in health care is concerned with creating equal opportunities for good health for
everyone in which of the following ways? (Select all that apply.)
a. Decrease negative effect of social determinants of health.
b. Increase awareness of acute care programs.
c. Enhance access to services.
d. Reduce exclusion.
e. Decrease nonmodifiable risk factors.
Decrease negative effect of social determinants of health.
c. Enhance access to services.
d. Reduce exclusion.
Which of the following characteristics represent the affective domain of the ABCs of cultural
competence? (Select all that apply.)
a. Openness
b. Desire to learn
c. Respect for others
d. Promote health literacy
e. Support informed patient choice
Openness
b. Desire to learn
c. Respect for others
, A client with newly diagnosed breast cancer has a nursing diagnosis of deficient knowledge
related to insufficient information (about breast cancer). When the nurse is planning teaching
for the client, which is the most important initial learning goal?
a. The client will select the most appropriate breast cancer therapy.
b. The client will state ways of preventing the recurrence of the tumour.
c. The client will demonstrate coping skills needed to manage the disease.
d. The client will choose methods to minimize adverse effects of treatment.
The client will select the most appropriate breast cancer therapy.
After the nurse implements diet instruction for a client with heart disease, the client can
explain the information but fails to make the recommended dietary changes. Which of the
following statements reflects the correct evaluation of the intervention?
a. Learning did not occur because the client's behaviour did not change.
b. Choosing not to follow the diet is the behaviour that resulted from learning.
c. The nursing responsibility for helping the client make dietary changes has been
fulfilled.
d. The teaching methods were ineffective in helping the client learn the dietary
information.
b. Choosing not to follow the diet is the behaviour that resulted from learning.
The nurse is caring for an adult client who has been diagnosed with type 2 diabetes mellitus
after being admitted to the hospital with an infected foot wound. When applying principles of
adult learning, which teaching strategy by the nurse is most likely to be effective?
a. Discuss the importance of blood glucose control in maintenance of long-term
health.
b. Demonstrate the correct method for cleaning and redressing the wound to the
client.
c. Assure the client that the nurse is an expert on management of diabetes
complications.
d. Wait until after discharge and have a home health nurse teach about foot care and diabetes
management.
b. Demonstrate the correct method for cleaning and redressing the wound to the
client.
A client admitted to the hospital with hyperglycemia and newly diagnosed diabetes mellitus is
scheduled for discharge the second day after admission. When implementing client teaching,
which is the best action for the nurse to take?
a. Instruct about the increased risk for cardiovascular disease.
b. Provide detailed information about dietary control of glucose.
c. Teach glucose self-monitoring and medication administration.
d. Give information about the effects of exercise on glucose control.
c. Teach glucose self-monitoring and medication administration.
Edition Chapter 1-72 Complete Guide New
Brand
___________________________________________________________________________________-
Which of the following is an example of a correctly written nursing diagnosis statement?
a. Altered tissue perfusion related to heart failure
b. Risk for impaired tissue integrity related to sacral redness
c. Ineffective coping related to insufficient sense of control
d. Altered urinary elimination related to urinary tract infection
c. Ineffective coping related to insufficient sense of control
Which of the following includes the components required for a complete nursing diagnosis
statement?
a. A problem and the suggested patient goals or outcomes
b. A problem, its cause, and objective data that support the problem
c. A problem with all its possible causes and the planned interventions
d. A problem with its etiology and the signs and symptoms of the problem
d. A problem with its etiology and the signs and symptoms of the problem
Which of the following refers to a situation that results in unintended harm to the patient and
is related to the care or services provided rather than the patient's medical condition?
a. Negligence
b. Adverse event
c. Incident report
d. Nonmaleficence
b. Adverse event
Which of these nursing actions for the patient with heart failure is appropriate for the nurse to
delegate to experienced unregulated care providers?
a. Assess for shortness of breath or fatigue after ambulation.
b. Instruct the patient about the need to alternate activity and rest.
c. Obtain the patient's blood pressure and pulse rate after ambulation.
d. Determine whether the patient is ready to increase the activity level.
c. Obtain the patient's blood pressure and pulse rate after ambulation.
Which action by a newly graduated RN working on the postsurgical unit indicates that more
education about delegation and assignment is needed?
a. The nurse delegates measurement of patient oral intake and urine output to an
unregulated care provider.
,b. The nurse delegates assessment of a patient's bowel sounds to an experienced
unregulated care provider.
c. The nurse assigns an LPN/RPN to administer oral medications to several patients.
d. The nurse assigns a "float" RN from pediatrics to care for a patient with diabetes.
b. The nurse delegates assessment of a patient's bowel sounds to an experienced
unregulated care provider.
Which of the following terms refer to characteristics of a group whose members share a
common social, cultural, linguistic, or religious heritage?
a. Diversity
b. Ethnicity
c. Ethnocentrism
d. Cultural imposition
b. Ethnicity
The nurse is caring for Indigenous patients in a community clinic setting. Which of the
following would the nurse include when developing strategies to decrease health care
disparities?
a. Improve public transportation.
b. Obtain low-cost medications.
c. Update equipment and supplies for the clinic.
d. Educate staff about Indigenous health beliefs.
d. Educate staff about Indigenous health beliefs.
A family member of an elderly Hispanic patient admitted to the hospital tells the nurse that the
patient has traditional beliefs about health and illness. Which of the following actions is most
appropriate for the nurse in this situation?
a. Avoid asking any questions unless the patient initiates conversation.
b. Ask the patient whether it is important that cultural healers are contacted.
c. Explain the usual hospital routines for meal times, care, and family visits.
d. Obtain further information about the patient's cultural beliefs from the daughter.
b. Ask the patient whether it is important that cultural healers are contacted.
When caring for an Indigenous patient, which of the following actions is the best initial
approach in relation to eye contact for the nurse to take?
a. Avoid all eye contact with the patient.
b. Observe the patient's use of eye contact.
c. Look directly at the patient when interacting.
d. Ask the family about the patient's cultural belie
b. Observe the patient's use of eye contact.
According to the ABC(DE)s of cultural competence, awareness of and sensitivity to cultural
values is in which of the following domains?
a. Skills domain
,b. Affective domain
c. Knowledge domain
d. Behavioural domain
b. Affective domain
Which of the following actions represent the best example of culturally appropriate nursing
care when caring for a newly admitted patient?
a. Have family members provide most of the patient's personal care.
b. Maintain a personal space of at least 0.5 metres when assessing the patient.
c. Ask permission before touching a patient during the physical assessment.
d. Consider the patient's ethnicity as the most important factor in planning care
c. Ask permission before touching a patient during the physical assessment.
Which of the following question formats is the most appropriate for the nurse to ask when
communicating with a patient that has limited English proficiency?
a. Are you tired and in discomfort?
b. You have taken your pills right?
c. Are you alright?
d. Are you in pain?
d. Are you in pain?
Equity in health care is concerned with creating equal opportunities for good health for
everyone in which of the following ways? (Select all that apply.)
a. Decrease negative effect of social determinants of health.
b. Increase awareness of acute care programs.
c. Enhance access to services.
d. Reduce exclusion.
e. Decrease nonmodifiable risk factors.
Decrease negative effect of social determinants of health.
c. Enhance access to services.
d. Reduce exclusion.
Which of the following characteristics represent the affective domain of the ABCs of cultural
competence? (Select all that apply.)
a. Openness
b. Desire to learn
c. Respect for others
d. Promote health literacy
e. Support informed patient choice
Openness
b. Desire to learn
c. Respect for others
, A client with newly diagnosed breast cancer has a nursing diagnosis of deficient knowledge
related to insufficient information (about breast cancer). When the nurse is planning teaching
for the client, which is the most important initial learning goal?
a. The client will select the most appropriate breast cancer therapy.
b. The client will state ways of preventing the recurrence of the tumour.
c. The client will demonstrate coping skills needed to manage the disease.
d. The client will choose methods to minimize adverse effects of treatment.
The client will select the most appropriate breast cancer therapy.
After the nurse implements diet instruction for a client with heart disease, the client can
explain the information but fails to make the recommended dietary changes. Which of the
following statements reflects the correct evaluation of the intervention?
a. Learning did not occur because the client's behaviour did not change.
b. Choosing not to follow the diet is the behaviour that resulted from learning.
c. The nursing responsibility for helping the client make dietary changes has been
fulfilled.
d. The teaching methods were ineffective in helping the client learn the dietary
information.
b. Choosing not to follow the diet is the behaviour that resulted from learning.
The nurse is caring for an adult client who has been diagnosed with type 2 diabetes mellitus
after being admitted to the hospital with an infected foot wound. When applying principles of
adult learning, which teaching strategy by the nurse is most likely to be effective?
a. Discuss the importance of blood glucose control in maintenance of long-term
health.
b. Demonstrate the correct method for cleaning and redressing the wound to the
client.
c. Assure the client that the nurse is an expert on management of diabetes
complications.
d. Wait until after discharge and have a home health nurse teach about foot care and diabetes
management.
b. Demonstrate the correct method for cleaning and redressing the wound to the
client.
A client admitted to the hospital with hyperglycemia and newly diagnosed diabetes mellitus is
scheduled for discharge the second day after admission. When implementing client teaching,
which is the best action for the nurse to take?
a. Instruct about the increased risk for cardiovascular disease.
b. Provide detailed information about dietary control of glucose.
c. Teach glucose self-monitoring and medication administration.
d. Give information about the effects of exercise on glucose control.
c. Teach glucose self-monitoring and medication administration.
