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ALSURGICAL NURSING
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2ND EDITION BY HOFFM
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AN p
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Davis Advantage for Medical-Surgical
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Chapter 1: Foundations for Medical-Surgical Nursing
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MultiplepChoice
Identifypthepchoicepthatpbestpcompletespthepstatementporpanswerspthepquestion.
1.pThepmedical-surgicalpnursepidentifiespapclinicalppracticepissuepandpwantsptopdeterminepifptherepispsufficientpevidence
topsupportpapchangepinppractice.pWhichptypepofpstudypprovidespthepstrongestpevidenceptopsupportpappractice
change?
1)pRandomizedpcontrolpstudy
2)pQuasi-experimentalpstudy
3)pCase-controlpstudy
4)pCohortpstudy
2.pThepmedical-surgicalpunitprecentlypimplementedpappatient-centeredpcarepmodel.pWhichpactionpimplementedpby
thepnursepsupportspthispmodel?p1)pEvaluatingpcare 3)pDiagnosingpproblemsp4)pProvidingpcompassion
2) Assessingpneeds Np
3.pWhichpactionpshouldpthepnursepimplementpwhenpprovidingppatientpcarepinporderptopsupportpThepJoint
Commission’sp(TJC)pNationalpPatientpSafetypGoalsp(NPSG)?
1)pSilencingpapcardiorespiratorypmonitor
2)pIdentifyingpeachppatientpusingponepsource
3)pDeterminingppatientpsafetypissuespuponpadmission
4)pDecreasingpthepamountpofppainpmedicationpadministered
4.pWhichpinterprofessionalprolepdoespthepnursepoftenpassumepwhenpprovidingppatientpcarepinpanpacutepcarepsetting?
1)pSocialpworker
2)pClientpadvocate
3)pCarepcoordinator
4)pMassageptherapist
5.pThepmedical-surgicalpnursepwantsptopdeterminepifpappolicypchangepispneededpforpanpidentifiedpclinicalpproblem.pWhichpis
thepfirstpactionpthepnursepshouldpimplement?
1)pDevelopingpapquestion
2)pDisseminatingpthepfindings
3) Conductingpapreviewpofpthepliterature
4)pEvaluatingpoutcomespofppracticepchange
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6.pThepnursepispevaluatingptheplevelpofpevidencepfoundpduringpaprecentpreviewpofpthepliterature.pWhichpevidencep carriesp
theplowestplevelpofpsupportpforpappracticepchange?
1)pLevelpIV
2)pLevelpV
3)pLevelpVI
4)pLevelpVII
7.pThepnursepispreviewingpevidencepfrompapquasi-experimentalpresearchpstudy.pWhichplevelpofpevidencepshouldp thepnurse
identifypforpthispresearchpstudy?
1)pLevelpI
2) LevelpII
3)pLevelpIII
4)pLevelpIV
8.pWhichplevelpofpevidencepshouldpthepnursepidentifypwhenpreviewingpevidencepfrompapsinglepdescriptivepresearchp study?
1)pLevelpIV
2)pLevelpV
3)pLevelpVI
4)pLevelpVII
9.pWhichpstatementpshouldpthepnursepmakepwhenpcommunicatingpthep“S”pinpthepSBARpapproachpforpeffective
communication?
1)p“Theppatientppresentedptopthepemergencypdepartmentpatp0200pwithplowerpleftpabdominal
pain.”
2)p“Theppatientpratedptheppainpuponpadmissionpaspap9ponpap10-pointpnumericpscale.”
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3) “Theppatientphaspnopsignificantpissuespinpthepmedicalphistory.”
4) “Theppatientpwaspgivenpapprescribedpopioidpanalgesicpatp0300.”
10.pThepstaffpnursepispcommunicatingpwithpthepchangepnursepaboutpthepchangepofpstatuspofptheppatient.pThepnursep would
beginpherpcommunicationpwithpwhichpstatementpifpcorrectlypusingpthepSBARpformat?
1) “Theppatient’spheartratepisp110.”
2)p“Ipthinkpthisppatientpneedsptopbeptransferredptopthepcriticalpcarepunit.”
3)p“Theppatientpispap68-year-oldpmaleppatientpadmittedplastpnight.”
4)p“Theppatientpispcomplainingpofpchestppain.”
11.pWhichpnursingpactionpexemplifiespthepQualitypandpSafetypEducationpforpNursingp(QSEN)pcompetencypofp safety?
1)pAdvocatingpforpappatientpwhopispexperiencingppain
2)pConsideringptheppatient’spculturepwhenpplanningpcare
3)pEvaluatingppatientplearningpstyleppriorptopimplementingpdischargepinstructions
4)pAssessingptheprightpdrugppriorptopadministeringpapprescribedppatientpmedication
12.pWhichptypepofpnursingpisptheprootpofpallpotherpnursingppracticepareas?
1)pPediatricpnursing
2)pGeriatricpnursing
3)pMedical-surgicalpnursing
4)pMentalphealth-psychiatricpnursing
13.pWhichpdidpthepNursingpExecutivepCenterpofpThepAdvisorypBoardpidentifypaspanpacademic-practicepgappforpnew
graduatepnurses?
1)pPatientpadvocacy
2)pPatientpeducation
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, 3)pDiseaseppathophysiology
4)pTherapeuticpcommunication
14.pWhichpstatementpregardingpthepusepofpthepnursingpprocesspinpclinicalppracticepispaccurate?p 1)
“Thepnursingpprocesspispcloselyprelatedptopclinicalpdecision-making.”
2)p“Thepnursingpprocesspispusedpbypallpmemberspofpthepinterprofessionalpteamptopplanpcare.”p3)
“Thepnursingpprocessphasp4pbasicpsteps:passessment,pplanning,pimplementation,
evaluation.”
4)p“Thepnursingpprocesspispbeingpreplacedpbypthepimplementationpofpevidence-basedppractice.”
15.pWhichpispthepbasispofpnursingpcareppracticespandpprotocols?
1)pAssessment
2)pEvaluation
3)pDiagnosis
4)pResearch
16.pWhichpispapcommonpthemepregardingppatientpdissatisfactionprelatedptopcarepprovidedpinpthephospitalpsetting?p 1)
Spacepinphospitalprooms
2) Medicationspreceivedptoptreatppain
3)pTimepspentpwithpthephealth-carepteam
4)pPoorpqualitypfoodpreceivedpfrompdietary
17.pThepnursepmanagerpisppreparingpapmedical-surgicalpunitpforpThepJointpCommissionp(TJC)pvisitpWithpthepnurse
managerppresentingpstaffpeducationpfocusingponpTJCpbenchmarks,pwhichpofpthepfollowingptopicspwouldpbep mostpapp
ropriate?
1)pImplementationpofpevidence-basedppractice
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2)pImplementationpofppatient-centeredpcare
3) Implementationpofpmedicalpasepsisppractices
4)pImplementationpofpinterprofessionalpcare
18.pWhichpaspectpofppatient-centeredpcarepshouldpthepnursepmanagerpevaluateppriorptopThepJointpCommissionpsitep visitpfor
accreditation?
1)pVisitationprights
2)pEducationplevelpofpstaff
3)pFallppreventionpprotocol
4)pInfectionpcontrolppractices
19.pThepmedical-surgicalpnursepispprovidingppatientpcare.pWhichpcircumstancepwouldpnecessitatepthepnurse
verifyingptheppatient’spidentificationpusingpatpleastptwopsources?
1)pPriorptopdeliveringpapmealptray
2)pPriorptoppassiveprangepofpmotion
3)pPriorptopmedicationpadministration
4)pPriorptopdocumentingpinpthepmedicalprecord
20.pThepnursepispprovidingpcareptopseveralppatientsponpapmedical-surgicalpunit.pWhichpsituationpwouldpnecessitatep the
nurseptopusepSBARpduringpthephand-offpprocess?
1)pWoundpcare
2)pDischargeptophome
3) Transferptopradiology
4)pMedicationpeducation
MultiplepResponse
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Identifyponeporpmorepchoicespthatpbestpcompletepthepstatementporpanswerpthepquestion.