Test Bank for Care of the Patient in Surgery
Chapters 1-30 Rationals Included
Generalist vs. Specialist - answers Depends on knowledge of surgical anatomy,
physiologic alterations and their consequences, intraoperative risk factors, prevention of
patient injury, and psychosocial implications of surgery for the patient
*part of patient advocacy/providing safe and caring environment
True or False: As per AORN, healthcare personnel must ensure surgical and invasive
procedures have a perioperative nurse as circulator in the OR - answers True
The Perioperative Patient Focused Model (AORN) describes what - answers The
relationship between the patient and the perioperative nursing care provided
4 Domains of The Preoperative Patient Focused Model - answers 1. Behavioural
responses
2. Patient Safety
3. Physiologic responses
(nursing diagnoses, interventions, and outcomes patients or their families experience)
4. The health system
(structural date elements and focuses on clinical processes and outcomes
Standards of Perioperative Nursing: Focus - answers Providing perioperative patient
care and performing professional role responsibilities
AORN's Perioperative Nursing Practice Standards - answers Define the responsibilities
for which perioperative
nurses are accountable; focuses nursing process and measurable objectives
Research based
Guidelines for Perioperative Practice - answers Contains recommendations for
implementing perioperative patient care based on comprehensive appraisal of evidence;
complements the stands of perioperative nursing
Standards of Perioperative Nursing: Underlying themes (3) - answers 1. Perioperative
nursing is individualized to unique patient needs and situations
2. Care is provided in broad context of injury prevention
3. Cultural, racial, and ethnic diversity, and the patient's preferences and goals, is
always taken into account when planning/providing care
Standards of Perioperative Nursing: Conceptual framework for practice - answers The
Perioperative Patient Focused Model
, Standards of Perioperative Nursing: Nursing process - answers Assessment, nursing
diagnosis, outcome identification, planning, implementation, and evaluation
Dynamic and continual
Standards of Perioperative Nursing: Quality and appropriateness of practice emphasis -
answers Systemically evaluated
Standards of Perioperative Nursing: Evaluation of own practice - answers in the context
of current professional standards, rules, and regulations
Standards of Perioperative Nursing: Collegiality - answers Demonstrated when
interacting with peers, colleagues and others
Standards of Perioperative Nursing: What do the guidelines focus on - answers
Evidence based practice (EBP) and participation in the generation of new knowledge
through research
Nursing Process: Assessment - answers Collection and analysis of relevant health date
about the patient
Sources: preoperative interview with patient/family, review planned procedure, review
patient's medical record/diagnostic tests, consultation of healthcare team members
Nursing Process : Data collection focuses on 3 major elements - answers 1. The
patient's current diagnosis and physical/psychosocial status (including lifestyle,
language skills, cultural etc)
2. Previous hospitalizations or surgical interventions and serious illnesses
3. The planned procedure and the patient's understanding of the plan
TJC NPSG Speak Up campaign - answers Safety initiatives that encourage patients to
take an active role in their healthcare
eg. Help Avoid Mistakes in Your Surgery brochure for patients (explains marking site,
time out)
When developing guidelines for preoperative assessment; patient, family, and caregiver
education; and discharge planning, the perioperative nurse considers the following: -
answers - What is the best ESP?
- Patient info available?
- Enough info to consider patient care needs when prepping OR? (special equipment,
etc)
- Sufficient time for meaningful nurse-patient interaction
- Satisfied with their perioperative nursing care? (express feelings of comfort etc)
- Continuity of care between the perioperative unit and other units?
Chapters 1-30 Rationals Included
Generalist vs. Specialist - answers Depends on knowledge of surgical anatomy,
physiologic alterations and their consequences, intraoperative risk factors, prevention of
patient injury, and psychosocial implications of surgery for the patient
*part of patient advocacy/providing safe and caring environment
True or False: As per AORN, healthcare personnel must ensure surgical and invasive
procedures have a perioperative nurse as circulator in the OR - answers True
The Perioperative Patient Focused Model (AORN) describes what - answers The
relationship between the patient and the perioperative nursing care provided
4 Domains of The Preoperative Patient Focused Model - answers 1. Behavioural
responses
2. Patient Safety
3. Physiologic responses
(nursing diagnoses, interventions, and outcomes patients or their families experience)
4. The health system
(structural date elements and focuses on clinical processes and outcomes
Standards of Perioperative Nursing: Focus - answers Providing perioperative patient
care and performing professional role responsibilities
AORN's Perioperative Nursing Practice Standards - answers Define the responsibilities
for which perioperative
nurses are accountable; focuses nursing process and measurable objectives
Research based
Guidelines for Perioperative Practice - answers Contains recommendations for
implementing perioperative patient care based on comprehensive appraisal of evidence;
complements the stands of perioperative nursing
Standards of Perioperative Nursing: Underlying themes (3) - answers 1. Perioperative
nursing is individualized to unique patient needs and situations
2. Care is provided in broad context of injury prevention
3. Cultural, racial, and ethnic diversity, and the patient's preferences and goals, is
always taken into account when planning/providing care
Standards of Perioperative Nursing: Conceptual framework for practice - answers The
Perioperative Patient Focused Model
, Standards of Perioperative Nursing: Nursing process - answers Assessment, nursing
diagnosis, outcome identification, planning, implementation, and evaluation
Dynamic and continual
Standards of Perioperative Nursing: Quality and appropriateness of practice emphasis -
answers Systemically evaluated
Standards of Perioperative Nursing: Evaluation of own practice - answers in the context
of current professional standards, rules, and regulations
Standards of Perioperative Nursing: Collegiality - answers Demonstrated when
interacting with peers, colleagues and others
Standards of Perioperative Nursing: What do the guidelines focus on - answers
Evidence based practice (EBP) and participation in the generation of new knowledge
through research
Nursing Process: Assessment - answers Collection and analysis of relevant health date
about the patient
Sources: preoperative interview with patient/family, review planned procedure, review
patient's medical record/diagnostic tests, consultation of healthcare team members
Nursing Process : Data collection focuses on 3 major elements - answers 1. The
patient's current diagnosis and physical/psychosocial status (including lifestyle,
language skills, cultural etc)
2. Previous hospitalizations or surgical interventions and serious illnesses
3. The planned procedure and the patient's understanding of the plan
TJC NPSG Speak Up campaign - answers Safety initiatives that encourage patients to
take an active role in their healthcare
eg. Help Avoid Mistakes in Your Surgery brochure for patients (explains marking site,
time out)
When developing guidelines for preoperative assessment; patient, family, and caregiver
education; and discharge planning, the perioperative nurse considers the following: -
answers - What is the best ESP?
- Patient info available?
- Enough info to consider patient care needs when prepping OR? (special equipment,
etc)
- Sufficient time for meaningful nurse-patient interaction
- Satisfied with their perioperative nursing care? (express feelings of comfort etc)
- Continuity of care between the perioperative unit and other units?
