Test Bank For deWits Medical Surgical Nursing Concepts and Practice, 4th edition (Stromberg, 2021), Chapter All Chapters with Answers and Rationals.pdf

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Study Guide s s s s Answer Key s s 1




Study Guide Answer Key ss s s s s




CHAPTER 1: CARING FORb MEDICAL
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4. Any five of these:
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-bSURGICAL PATIENTS ss a. Teach about basic hygiene and nutrition ss ss ss ss ss



in the context of health pro motion.
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SHORT ANSWER
ss b. Reinforce what the RN orbhealth care pro- ss ss ss ss ss ss



1. Answers will dep end on student p reference
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vider teaches regarding diagnostic tests
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for a work environment.
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2. a. Promote and maintain health ss s s s s c. Teach how to takebprescribed medication ss ss s s ss



b. Prevent disease and disability s s ss ss
and what side eff ects to report.
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c. Assist with rehabilitation s s ss
d. Teach self-carebactivities necessary to ss ss ss



d. Assist the dying patient to the best
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pro- mote rehabilitation and
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quality of lif e possible
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independence.
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3. Any three of these:
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a. Attain healthy, thriving lives and well-
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may bebrequired.
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being f ree of preventable disease,
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f. Reinforce discharge instructions. s s ss



disabil
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g. Provide information about community re- ss ss ss ss



- ity, injury, and premature death
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sources and self-help groups.
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b. Eliminate health disparities, achieve health ss ss ss ss



equity, attain health literacy to
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COMPLETION
improve th e health and well-being of
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1. communication; documentation; electronicb ss ss



all
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data access; data utilization
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c. Createsocial, p hysical, and econo mic en- ss ss ss ss ss ss
2. Capitation
vironments that pro mote attaining full
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-

tential for health and well-b ei nGgRf oArDalEl b SLAB.C
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3 . OM
a d v o cate ss s s ss
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d. Promote healthy development, healthy ss
4. standards forbcare ss ss
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behaviors, and well-
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5. cost containment
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being across all life stages
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e. Engage leadership, key constituents, and t
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SHORT ANSWER ss ss ss ss
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s s he public across multiple sectors to take
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Dealing With Different Patient Behaviors
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ss a ction and design policies that improve
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ss the health and well-being of all
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Scenario A ss



1. safety and security s s ss

Nursing Roles and Responsibilities
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2. Any four of these:
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1. a. Caregiver
a. Provide consistent routine care of ss ss ss ss

b. Educator
patient so she knows what to expect.
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c. Collaborator
b. Reduce environmental stress, confusion, ss ss ss

d. Advocate
and disorder.
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e. Leader
c. Limit the number of people assigned ss ss ss s s ss

f. Delegator
to care for the patient.
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2. a. Right task s s
d. Develop trust and instillbconf idence. s s s s s s ss

b. Right circumstances s s
e. Do not joke with or tease patient.
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c. Right person s s
f. Do not whisper or act secretive in herbpres-
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d. Right direction and communicatio n
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ence. ss

e. Right supervision and evaluation
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3. a. Provide patient-centered care s s s s
Scenario B ss



b. Collaborate with the interdisciplinary ss ss ss
1. frustration; anger
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health care team
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2. be in control of what is happ ening to him
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c. Implement evidence-based practice s s s s 3. a.
d. Use quality improvement in p atient care
ss s s s s ss ss ss Allow him to release his anger by talki ss ss ss ss ss ss ss



e. Use informatics in patient care
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b. Encourage physical activity to releasepent- ss ss ss ss



up energy and f rustration.
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Stuvia.com - The Marketplace to Buy and Sell your Study Material
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2 Study Guide AnswerbKey ss ss




c. Provide opportunities to take part in ss s s s s ss s s compare and contrast with theirs. Being open-
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deci-
ss minded is important, and you should examine
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sions affecting his care. s s s s s s your own philosophy of individual worth.
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Scenario C ss
Get
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their per- sonal preferences. Observe body
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1. a.
language an d tactfully ask for validation
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Tell her that yo u will put in an ss ss ss ss ss ss s s ss

of what you are se e-
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ord er for a dietary consult with the
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ing (i.e., ―You seem a little sad today. Is
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dietitian.
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b. Explain that you will check with the ss ss ss s s s s ss
therebs omething I can do to help?‖).
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kitch-
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en, but the fish is what she ordered.
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STEPS s s TOWARDbBETTERbCOMMUNICATION
c. Sit down and ask herbif there are
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other things bothering her.
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COMPLETION
d. Sit down and explain that she is making
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1. collaborative
progress and that recovery is slow.
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2. premium
3. fee-for-service
PRIORITY SETTING s s
4. significant others s s




3 sa. s s s
5. feedback
Ms. Bora is calling s s s s s s
6. empathy
forbassistance t o the bathroom. Help
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her to the bathroom, using a matter-of-
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VOCABULARY EXERCISE ss




fact approach. (Note: Return laterband s s s s s s s s
1. Answers will vary. s s ss




try to find an underlying cause forbher
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Examples: The nurse assessed the patient’s IV ss ss ss ss ss ss




depen dent behavior.) ss ss ss
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2 b. Mr. Fogel has locked himself in the bath-
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This is the site where the explosion occurred 50
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room. You must rule out any intent orbm
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eans of self- ss ss ss



harm before you can allowbhim to remain ss ss ss ss ss ss



isolated. ss


1 c.
Mr. Ahrens had an abdominal sur ss ss ss ss ss


gery 2 days ago and states he is in
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pain. ss


5 d. Ms. Schott wants you to immediately
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her doctor because she wis hes
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4 e. c. accept people as they are ss ss ss ss


d. deliver high-quality care ss ss
Mr. McGinnis refuses to sit in the ss ss ss ss ss ss

3. Talkingbto classmates from different cultural s s s s s s s s
ss ch air per orders. Thebnursing assistant
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ss has t ried to encourage him, but he just
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background
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s is a good
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place to start. You can share s s ss s s ss
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s s gazes off and then starts crying.
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your
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insig hts in to your
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own culture and ss ss
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REVIEW QUESTIONS FORbTHE NCLEX ss s s s s

®
EXAMINATION
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1.
1, 2, 4, 5 (3 is acceptable also)
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2. s s 3
3. 1, 2, 4 ss ss



4. 4
5. 1
6. 1
7. 1, 3, 4, 5
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8. 3
9. 1, 2, 5 ss ss




CRITICAL THINKING ACTIVITIES ss ss



1. those beliefs and values do not interfere with
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the rights of others and are within the
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2. a. be open-minded and nonjudgmental
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b. take differences at face va lue
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