Test Bank for Alexander's Care of the Patient in Surgery, 17th Edition by Jane C. Rothrock

,ACCESS Test Bank for Alexander's Care of the Patient in Surgery 17thEdition
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Chapter 01: Concepts Basic to Perioperative Nursing
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Rothrock: Alexander’s Care of the Patient in Surgery, 17th Edition
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MULTIPLEmCHOICE

1. ThemPerioperativemPatientmFocusedmModelmpresentsmkeymcomponentsmofmnursingminfluencemth
atmguidempatientmcare.mSelectmthemstatementmthatmbestmdescribesmthemdynamicmrelationshipmwithi
nmthemmodel.
a. Thempatientmexperiencemandmthemnursingmpresencemareminmcontinuousminteraction.
b. Structure,mprocess,mandmoutcomemaremthemfoundationmdomainsmofmthemmodel.
c. Themperioperativemnursemismthemcentralmdynamicmcoremofmthemmodel.
d. Theminterrelatedmnursingmprocessmringsmbindmthempatientmtomthemmodel.
ANS:m A
ThemPerioperativemPatientmFocusedmModelmconsistsmofmdomainsmormareasmofmnursingmconcern:
mnursingmdiagnoses,mnursingminterventions,mandmpatientmoutcomes.mThesemdomainsmareminmcont

inuousminteractionmwithmthemhealthmsystemmthatmencirclesmthemfocusmofmperioperativemnursingmpr
actice—thempatient.

2. ThemAssociationmofmPeriOperativemRegisteredmNurses’m(AORN)mStandardsmofmPerioperati
vemNursingmdescribesmnursingminteractions,minterventions,mandmactivitiesmwithmpatients.mThi
smismbasedmonmwhichmstandardsmcategory?
a. Evidence-basedmpractice
b. Process
c. Outcome
d. Structural
ANS:m B
Processmstandardsmrelatemtomnursingmactivities,minterventions,mandminteractions.mTheymaremused
mtom
explicatemclinical,mprofessional,mandmqualitymobjectivesminmperioperativemnursing.

3. Whichmordermbestmdescribesmthemprocessmusedmtomimplementmevidence-
basedmprofessionalmnursing?
a. Literaturemsearch,mtheorymreview,mdatamanalysis,mpolicymdevelopment
b. Regionalmsurvey,mliteraturemsearch,mmeta-analysis,mpracticemchange
c. Identifymamproblem,mreviewmscientificmevidence,mdevelopmpolicy,mevaluatemt
hemoutcome
d. Identifymanmissue,manalyzemscientificmevidence,mimplementmchange,mevaluatemprocess
ANS:m D
Evidence-
basedmpracticemismamsystematic,mthoroughmprocessmbymwhichmtomidentifymanmissue,mtomcollectm
andmevaluatemthembestmevidencemtomdesignmandmimplementmampracticemchange,mandmtomevalu
atemthemprocess.

4. Themambulatorymsurgerymunitmismplanningmtomdevelopmamstandardizedmskinmpreparationmpracti
cemformtheirmunit.mThembestmprocessmtomgathermscientificminformationmismto
a. conductmamsurveymofmskinmprepmpoliciesmatmthemnextmAORNmchaptermmeeting.
b. reviewmtheirmsurgicalmsiteminfectionmdatamfrommthemlastm6mmonths.
c. conductmamliteraturemsearchmonmantimicrobialmagentsmandminfectionmprevention.
d. reviewmthemscientificmliteraturemfrommthemleadingmmanufacturersmofmprepmsolutions.



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,ACCESS Test Bank for Alexander's Care of the Patient in Surgery 17thEdition
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ANS:m C
Perioperativemnursesmhavemanmethicalmresponsibilitymtomreviewmpracticesmandmtommodifymth
emmbasedmonmthembestmavailablemscientificmevidence.mUsingmresearchmtomguidempracticemismc
alledmevidence-basedmpracticem(EBP).

5. Themcardiacmteammismdevelopingmamstandardizedmsterilembackmtablemsetup.mWheremmightmtheymlo
okmforminformationmonmbestmpractices?
a. Surveymregionalmsurgicalmtechnologymprogramsmformtheirmbackmtablemmodels
b. Reviewmcasemstudiesmandmexpertmopinionsmonmsterilembackmtablemsetups
c. ReviewmAORN’smGuidelinesmformPerioperativemPracticemonmsterilizationman
dmdisinfection
d. Consultmwithmfacilityminstrumentmvendormrepresentativesmformtheirmadvice
ANS:m B
AORN’smGuidelinesmformPerioperativemPracticemaremamcollectionmofmevidence-
basedmrecommendationsmtompromotempatientmsafetymduringmoperativemandminvasivemprocedu
res.mThemguidelinesmaremmeantmtomservemasmfoundationalmdocumentsminmthemdevelopmentmofm
policies,mprocedures,mandmcompetencymvalidationmtools.

6. Howmdominstitutionalmstandardsmofmcare,msuchmasmpoliciesmandmprocedures,mdiffermfrommnatio
nalmstandards,msuchmasmAORN’smStandardsmofmPerioperativemNursing?
a. Theymaremwrittenmbymnurses.
b. Theymaremwrittenmspecificallymtomaddressmresponsibilitiesmundermspecif
icmcircumstances.
c. Theymaremcollaborativemandmcollectivemagreementmstatements.
d. Theymaremrarelymbasedmonmresearch.
ANS:m B
Institutionalmstandardsmapplymtomthemsystemmormfacilitymthatmdevelopsmthemmandmcanmbemdirect
ivemaboutmspecificmactionsminmspecificmcircumstances;mnationalmstandardsmprovidemgeneralized
mauthoritativemstatementsmthatmcanmbemimplementedminmallmsettings.




7. Whichmofmthemfollowingmactionsmbestmdescribesmanmelementmofmthemperioperativemnursi
ngmassessment?
a. Scanningmthemsurgicalmschedulemformthemdaymbeforemmorningmreport
b. Readingmthempick/preferencemlistmattachedmtomthemcasemcart
c. Reviewingmthempatientmmedicalmrecord
d. Studyingmanmonlinemtutorialmaboutmthemintendedmsurgicalmprocedure
ANS:m C
Assessmentmismthemcollectionmandmanalysismofmrelevantmhealthmdatamaboutmthempatient.mSourcesmo
fmdatammaymbemampreoperativeminterviewmwithmthempatientmandmthempatient’smfamily;mreviewmofmt
hemplannedmsurgicalmorminvasivemprocedure;mreviewmofmthempatient’smmedicalmrecord;mexaminati
onmofmthemresultsmofmdiagnosticmtests;mandmconsultationmwithmthemsurgeonmandmanesthesiamprovid
er,munitmnurses,mormothermpersonnel.

8. Amfrailm76-year-
oldmdiabeticmwomanmismscheduledmformmajormsurgery.mShemismvulnerablemandmatmhighmriskmform
harmmbecausemofmseveralmfactorsmrelatedmtomhermpreexistingmconditionsmandmoverallmhealthmstat
us.mAsmpartmofmdevelopingmamplanmtomguidemhermcare,mthemnursemusesmstandardizedmdescriptive
mterms.mThismstepmofmthemnursingmprocessm ismcalled




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, ACCESS Test Bank for Alexander's Care of the Patient in Surgery 17thEdition
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a. nursingmdiagnosis.
b. nursingmassessment.
c. nursingmoutcome.
d. nursingmintervention.
ANS:m A
Nursingmdiagnosismismthemprocessmofmidentifyingmandmclassifyingmdatamcollectedminmthemassessm
entminmamwaymthatmprovidesmamfocusmtomplanmnursingmcare.mNursingmdiagnosismcomponentsminclu
demamdefinitionmofmthemdiagnosticmterm,mdefiningmcharacteristics,mandmriskmfactors.

9. Duringmthemadmissionminterview,mthemnurseminitiatedmthemdischargemteachingmandmdemonstrat
edmcrutch-
walkingmactivities.mThemteachingmactivitiesmarematmwhatmstagemofmthemnursingmprocess?
a. Assessment
b. Implementation
c. Outcomemidentification
d. Evaluation
ANS:m B
Implementationmismperformingmthemnursingmcaremactivitiesmandminterventionsmthatmweremplann
edmandmrespondingmwithmcriticalmthinkingmandmorderlymactionmtomchangesminmthemsurgicalmproce
dure,mpatientmcondition,mormemergencies.mImplementationmismthem“work”mofmnursing.

10. Whilemconductingmthempreoperativeminterviewmwithmampatientmscheduledmformamseptoplasty,mth
emperioperativemnursemlearnedmthatmthempatientmwasmlatexmsensitive.mBasedmonmthismknowledge
,mthemnursemreviewedmthempick/preferencemlistmandmreassembledmthemsurgicalmcasemcartmsetupmto
mreflectm
thismnewminformationmandmchangeminmcaremdelivery.mWhichmtwomphasesmofmthemnursing
mprocessmaremrepresentedm inmthemnurse’smactions?

a. Assessmentmandmplanning
b. Assessmentmandmimplementation
c. Planningmandmimplementation
d. Nursingmdiagnosismandmintervention
ANS:m C
Planningmismpreparingminmadvancemformwhatmwillmormmaymhappenmandmdeterminingmthempriorit
iesmformcare.mPlanningmismbasedmonmpatientmassessmentmresultsminmknowingmthempatientmandmth
e
patient’smuniquemneeds.mImplementationmismperformingmthemnursingmcaremactivitiesmandmi
nterventionsmthatmweremplannedmandmrespondingmwithmcriticalmthinkingmandmorderlymactio
n.mImplementationmismthem“work”mofmnursing.

11. Themperioperativemnursemimplementsmprotectivemmeasuresmtompreventmskinmormtissueminjurymca
usedmbymthermalmsources.mSuccessfulmaccomplishmentmofmthisminterventionmwouldmmeetmwhichm
ofmthemfollowingmdesiredmnursingmoutcomes?
a. Thempatientmismfreemfrommsignsmandmsymptomsmofminjurymfrommanxiety.
b. Thempatientmismfreemfrommsignsmandmsymptomsmofmimpairedmskinmintegrity.
c. Thempatientmismfreemfrommsignsmandmsymptomsmofmsurgicalmsiteminfection.
d. Thempatientmismfreemfrommsignsmandmsymptomsmofmhyperthermia.
ANS:m B




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