Chapter 01: Aspects of Medical-
h h h h
Surgical Nursing Linton: Medical-
h h h
Surgical Nursing, 7th Edition
h h h
MULTIPLEhCHOICE
1. Whathprovideshdirectionhforhindividualizedhcarehandhassureshthehdeliveryhofhaccurate,hsafehc
arehthroughhahdefinitivehpathwayhthathpromoteshthehclient’shandhthehsupporthpersons’hprogr
esshtowardhpositivehoutcomes?
a. Physician’shorders
b. Progresshnotes
c. Nursinghcarehplan
d. Clienthhealthhhistory
ANS:h C
Thehnursinghcarehplanhprovideshdirectionhforhindividualizedhcarehandhassureshthehdeliveryhofhaccu
rate,hsafehcarehthroughhahdefinitivehpathwayhthathpromoteshthehclient’shandhthehsupporthpersons’hp
rogresshtowardhpositivehoutcomes.
DIF: CognitivehLevel:hComprehension REF:h h p.h2 OBJ:h h 1
TOP:h NursinghCarehPlan
KEY:h NursinghProcesshStep:hPlanningh
MSC:h NCLEX:hPhysiologicalhIntegrity:hReductionhofhRisk
2. Thehnursehishperforminghbehaviorshandhactionshthathassisthclientshandhsignificanthothershinh
meetinghtheirhneedshandhthehidentifiedhoutcomeshofhthehplanhofhcare.hWhathishthehcorrecthter
mhforhthesehnursinghbehaviors?
a. Assessments
b. Interventions
c. Planning
d. Evaluation
ANS:h B
Caringhinterventionsharehthosehnursinghbehaviorshandhactionshthathassisthclientshandhsignifica
nthothershinhmeetinghtheirhneedshandhthehidentifiedhoutcomeshofhthehplanhofhcare.
DIF: CognitivehLevel:hComprehension REF:h h p.h3 OBJ:h h 1
TOP:h Interventions
KEY:h NursinghProcesshStep:hPlanningh
MSC:h NCLEX:hPhysiologicalhIntegrity:hReductionhofhRisk
3. Thehnursehunderstandshthehimportancehofhbeinghanswerablehforhallhactionshandhthehpossi
bilityhofhbeinghcalledhonhtohexplainhorhjustifyhthem.hWhathtermhbesthdescribeshthishconce
pt?
a. Reliability
b. Maturity
c. Accountability
d. Liability
ANS:h C
Accountabilityhmeanshthathahpersonhishanswerablehforhhishorhherhactionshandhmayhbehcalledhon
htohexplainhorhjustifyhthem.
DIF: CognitivehLevel:hComprehension REF:h h pp.h6-7 OBJ:h h 3h|h5h|h7
, TOP:h Accountability
KEY:h NursinghProcesshStep:hN/Ah
MSC:h NCLEX:hPhysiologicalhIntegrity:hReductionhofhRisk
MULTIPLEhRESPONSE
1. Thehnursehmanagerhishprovidinghanhinservicehabouthconflicthresolution.hWhathmodeshofhc
onflicthresolutionhshouldhbehaddressed?h(Selecthallhthathapply.)
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
ANS:h B,hC,hD,hE,hF
Thehmodeshofhconflicthresolutionhincludehaccommodation,hcollaboration,hcompromise,havoidanc
e,handhcompetition.
DIF: CognitivehLevel:hKnowledge REF:h h p.h7|p.h8|Tableh1.1
OBJ:h 7 TOP:h ConflicthResolution
KEY:h NursinghProcesshStep:hN/A
MSC:h NCLEX:hN/A
2. Whatharehthehcharacteristicshofhanheffectivehleader?h(Selecthallhthathapply.)
a. Effectivehcommunication
b. Rigidhruleshandhregulations
c. Delegateshappropriately
d. Actshashahrolehmodel
e. Consistentlyhhandleshconflict
f. Focuseshonhindividualhdevelopment
ANS:h A,hC,hD,hE
Characteristicshofhanheffectivehleaderhincludeheffectivehcommunication,hconsistencyhinhmana
ginghconflict,hknowledgehandhcompetencyhinhallhaspectshofhdeliveryhofhcare,heffectivehrolehm
odelhforhstaff,huseshparticipatoryhapproachhinhdecisionhmaking,hshowshappreciationhforhahjobh
wellhdone,hdelegateshworkhappropriately,hsetshobjectiveshandhguideshstaff,hdisplayshcaring,hun
derstanding,handhempathyhforhothers,hmotivateshandhempowershothers,hishproactivehandhflexi
ble,handhfocuseshonhteamhdevelopment.
DIF: CognitivehLevel:hComprehension REF:h h p.h6 OBJ:h h 5
TOP:h Leadership KEY:h NursinghProcesshStep:hN/A MSC:h NCLEX:hN/A
COMPLETION
1.
ishdefinedhashthehprocesshbyhwhichhinformationhishexchangedhbetweenhindivi
dualshverbally,hnonverbally,hand/orhinhwritinghorhthroughhinformationhtechnology.
ANS:
Communication
, Communicationhishdefinedhashthehprocesshbyhwhichhinformationhishexchangedhbetweenhindividu
alshverbally,hnonverbally,hand/orhinhwritinghorhthroughhinformationhtechnology.
DIF: CognitivehLevel:hKnowledge REF:h p.h2
OBJ:h 2hTOP:h Communication
KEY:h NursinghProcesshStep:hN/AhMSC:h NCLEX:hN/A
2.
ishthehcollectionhandhprocessinghofhrelevanthdatahforhthehpurposehofhappraisinght
hehclient’shhealthhstatus.
ANS:
Assessment
Assessmenthishthehcollectionhandhprocessinghofhrelevanthdatahforhthehpurposehofhappraisinghth
ehclient’shhealthhstatus.
DIF: CognitivehLevel:hKnowledge REF:h h p.h2 OBJ:h h 1h|h h 2
TOP:h Assessment KEY:h NursinghProcesshStep:hN/A MSC:h NCLEX:hN/A
3. ishconcernedhwithhthehethicalhquestionshthatharisehinhthehcontexthofhhealthhcare.
ANS:
Bioethics
Bioethicshishconcernedhwithhthehethicalhquestionshthatharisehinhthehcontexthofhhealthhcare.
DIF: CognitivehLevel:hKnowledge REF:h h p.h4 OBJ:h h 3
TOP:h Bioethics KEY:h NursinghProcesshStep:hN/A MSC:h NCLEX:hN/A
4. Placehthehcorrespondinghletterhtoheachhstagehofhconflicthinhthehcorrecthorder.h
h(Placehtheheventshinhthehappropriatehsequencehwithhcapitalhletters.hDohnothseparatehans
wershwithhahspacehorhpunctuation.hExample:hABCD.)
a. Outcomes
b. Conceptualization
c. Frustration
d. Action
ANS:
CBDA
Thehstageshofhconflicthinhorderharehfrustration,hconceptualization,haction,handhoutcomes.
DIF: CognitivehLevel:hComprehension REF:h h p.h7 OBJ:h h 7
TOP:h Conflict KEY:h NursinghProcesshStep:hN/A MSC:h NCLEX:hN/A
5. Placehthehcorrespondinghletterhtoheachhkeyhstephinhsolvinghanhethicalhdilemmahinhthehcorrectho
rder.h
(Placehtheheventshinhthehappropriatehsequence.hDohnothseparatehanswersh
withhahspacehorhpunctuation.hExample:hABCD.)
a. Negotiatehahplan.
b. Clarifyhvalues.
c. Askhifhithishanhethicalhdilemma.
, d. Verbalizehthehproblem.
e. Gatherhinformation.
f. Identifyhpossiblehcourseshofhaction.
g. Evaluatehthehplanhoverhtime.
ANS:
CEBDFAG
Thehkeyhstephofhsolvinghanhethicalhdilemmahinhorderharehaskhthehquestion,hishithanhethicalhdil
emma,hgatherhinformation,hclarifyhvalues,hverbalizehthehproblem,hidentifyhpossiblehcourse
hofhaction,hnegotiatehahplan,handhevaluatehthehplanhoverhtime.
DIF: CognitivehLevel:hAnalysis REF:h p.h4
OBJ:h 3hTOP:h EthicalhDilemma
KEY:h NursinghProcesshStep:hN/AhMSC:h NCLEX:hN/A
h h h h
Surgical Nursing Linton: Medical-
h h h
Surgical Nursing, 7th Edition
h h h
MULTIPLEhCHOICE
1. Whathprovideshdirectionhforhindividualizedhcarehandhassureshthehdeliveryhofhaccurate,hsafehc
arehthroughhahdefinitivehpathwayhthathpromoteshthehclient’shandhthehsupporthpersons’hprogr
esshtowardhpositivehoutcomes?
a. Physician’shorders
b. Progresshnotes
c. Nursinghcarehplan
d. Clienthhealthhhistory
ANS:h C
Thehnursinghcarehplanhprovideshdirectionhforhindividualizedhcarehandhassureshthehdeliveryhofhaccu
rate,hsafehcarehthroughhahdefinitivehpathwayhthathpromoteshthehclient’shandhthehsupporthpersons’hp
rogresshtowardhpositivehoutcomes.
DIF: CognitivehLevel:hComprehension REF:h h p.h2 OBJ:h h 1
TOP:h NursinghCarehPlan
KEY:h NursinghProcesshStep:hPlanningh
MSC:h NCLEX:hPhysiologicalhIntegrity:hReductionhofhRisk
2. Thehnursehishperforminghbehaviorshandhactionshthathassisthclientshandhsignificanthothershinh
meetinghtheirhneedshandhthehidentifiedhoutcomeshofhthehplanhofhcare.hWhathishthehcorrecthter
mhforhthesehnursinghbehaviors?
a. Assessments
b. Interventions
c. Planning
d. Evaluation
ANS:h B
Caringhinterventionsharehthosehnursinghbehaviorshandhactionshthathassisthclientshandhsignifica
nthothershinhmeetinghtheirhneedshandhthehidentifiedhoutcomeshofhthehplanhofhcare.
DIF: CognitivehLevel:hComprehension REF:h h p.h3 OBJ:h h 1
TOP:h Interventions
KEY:h NursinghProcesshStep:hPlanningh
MSC:h NCLEX:hPhysiologicalhIntegrity:hReductionhofhRisk
3. Thehnursehunderstandshthehimportancehofhbeinghanswerablehforhallhactionshandhthehpossi
bilityhofhbeinghcalledhonhtohexplainhorhjustifyhthem.hWhathtermhbesthdescribeshthishconce
pt?
a. Reliability
b. Maturity
c. Accountability
d. Liability
ANS:h C
Accountabilityhmeanshthathahpersonhishanswerablehforhhishorhherhactionshandhmayhbehcalledhon
htohexplainhorhjustifyhthem.
DIF: CognitivehLevel:hComprehension REF:h h pp.h6-7 OBJ:h h 3h|h5h|h7
, TOP:h Accountability
KEY:h NursinghProcesshStep:hN/Ah
MSC:h NCLEX:hPhysiologicalhIntegrity:hReductionhofhRisk
MULTIPLEhRESPONSE
1. Thehnursehmanagerhishprovidinghanhinservicehabouthconflicthresolution.hWhathmodeshofhc
onflicthresolutionhshouldhbehaddressed?h(Selecthallhthathapply.)
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
ANS:h B,hC,hD,hE,hF
Thehmodeshofhconflicthresolutionhincludehaccommodation,hcollaboration,hcompromise,havoidanc
e,handhcompetition.
DIF: CognitivehLevel:hKnowledge REF:h h p.h7|p.h8|Tableh1.1
OBJ:h 7 TOP:h ConflicthResolution
KEY:h NursinghProcesshStep:hN/A
MSC:h NCLEX:hN/A
2. Whatharehthehcharacteristicshofhanheffectivehleader?h(Selecthallhthathapply.)
a. Effectivehcommunication
b. Rigidhruleshandhregulations
c. Delegateshappropriately
d. Actshashahrolehmodel
e. Consistentlyhhandleshconflict
f. Focuseshonhindividualhdevelopment
ANS:h A,hC,hD,hE
Characteristicshofhanheffectivehleaderhincludeheffectivehcommunication,hconsistencyhinhmana
ginghconflict,hknowledgehandhcompetencyhinhallhaspectshofhdeliveryhofhcare,heffectivehrolehm
odelhforhstaff,huseshparticipatoryhapproachhinhdecisionhmaking,hshowshappreciationhforhahjobh
wellhdone,hdelegateshworkhappropriately,hsetshobjectiveshandhguideshstaff,hdisplayshcaring,hun
derstanding,handhempathyhforhothers,hmotivateshandhempowershothers,hishproactivehandhflexi
ble,handhfocuseshonhteamhdevelopment.
DIF: CognitivehLevel:hComprehension REF:h h p.h6 OBJ:h h 5
TOP:h Leadership KEY:h NursinghProcesshStep:hN/A MSC:h NCLEX:hN/A
COMPLETION
1.
ishdefinedhashthehprocesshbyhwhichhinformationhishexchangedhbetweenhindivi
dualshverbally,hnonverbally,hand/orhinhwritinghorhthroughhinformationhtechnology.
ANS:
Communication
, Communicationhishdefinedhashthehprocesshbyhwhichhinformationhishexchangedhbetweenhindividu
alshverbally,hnonverbally,hand/orhinhwritinghorhthroughhinformationhtechnology.
DIF: CognitivehLevel:hKnowledge REF:h p.h2
OBJ:h 2hTOP:h Communication
KEY:h NursinghProcesshStep:hN/AhMSC:h NCLEX:hN/A
2.
ishthehcollectionhandhprocessinghofhrelevanthdatahforhthehpurposehofhappraisinght
hehclient’shhealthhstatus.
ANS:
Assessment
Assessmenthishthehcollectionhandhprocessinghofhrelevanthdatahforhthehpurposehofhappraisinghth
ehclient’shhealthhstatus.
DIF: CognitivehLevel:hKnowledge REF:h h p.h2 OBJ:h h 1h|h h 2
TOP:h Assessment KEY:h NursinghProcesshStep:hN/A MSC:h NCLEX:hN/A
3. ishconcernedhwithhthehethicalhquestionshthatharisehinhthehcontexthofhhealthhcare.
ANS:
Bioethics
Bioethicshishconcernedhwithhthehethicalhquestionshthatharisehinhthehcontexthofhhealthhcare.
DIF: CognitivehLevel:hKnowledge REF:h h p.h4 OBJ:h h 3
TOP:h Bioethics KEY:h NursinghProcesshStep:hN/A MSC:h NCLEX:hN/A
4. Placehthehcorrespondinghletterhtoheachhstagehofhconflicthinhthehcorrecthorder.h
h(Placehtheheventshinhthehappropriatehsequencehwithhcapitalhletters.hDohnothseparatehans
wershwithhahspacehorhpunctuation.hExample:hABCD.)
a. Outcomes
b. Conceptualization
c. Frustration
d. Action
ANS:
CBDA
Thehstageshofhconflicthinhorderharehfrustration,hconceptualization,haction,handhoutcomes.
DIF: CognitivehLevel:hComprehension REF:h h p.h7 OBJ:h h 7
TOP:h Conflict KEY:h NursinghProcesshStep:hN/A MSC:h NCLEX:hN/A
5. Placehthehcorrespondinghletterhtoheachhkeyhstephinhsolvinghanhethicalhdilemmahinhthehcorrectho
rder.h
(Placehtheheventshinhthehappropriatehsequence.hDohnothseparatehanswersh
withhahspacehorhpunctuation.hExample:hABCD.)
a. Negotiatehahplan.
b. Clarifyhvalues.
c. Askhifhithishanhethicalhdilemma.
, d. Verbalizehthehproblem.
e. Gatherhinformation.
f. Identifyhpossiblehcourseshofhaction.
g. Evaluatehthehplanhoverhtime.
ANS:
CEBDFAG
Thehkeyhstephofhsolvinghanhethicalhdilemmahinhorderharehaskhthehquestion,hishithanhethicalhdil
emma,hgatherhinformation,hclarifyhvalues,hverbalizehthehproblem,hidentifyhpossiblehcourse
hofhaction,hnegotiatehahplan,handhevaluatehthehplanhoverhtime.
DIF: CognitivehLevel:hAnalysis REF:h p.h4
OBJ:h 3hTOP:h EthicalhDilemma
KEY:h NursinghProcesshStep:hN/AhMSC:h NCLEX:hN/A
