© 2016 by Pearson Education, Inc.Burke, Testgen for Medical-Surgical Nursing Care, 4 th Edition
Medical Surgical Nursing Care 4th Edition Burke Test Bank Chapter 1 Nursing in the 21st Century While preparing to conduct an assessment the client asks why nurses assess when the physician will as well. How should the nurse respond?The physician will treat with procedures.The physician does not really assess.The nurse treats the client’s response to illness.The nurse assesses to determine needed medications.
Answer: 3
Rationale: 1. The physician does treat with procedures, but this does not answer the client’s question.The physician assesses the client based on the client’s need.The focus of medical–surgical nursing is the adult patient’s response to actual or potential disruptions in health.The physician, not the nurse, orders medications.
Page Reference: 6
Cognitive Level: Application
Client Need: Safe and Effective Care Environment
Client Sub Need: Management of Care
Nursing Process: Assessment
Learning Outcome: 1-3 Describe the role of the LPN/LVN as a member of the health care team.
The nurse is conducting an assessment of a 65-year-old client who has come for an annual assessment. For which reasons should the nurse anticipate providing immunizations to the client?(Select all that apply.) Promoting client health Caring for the client’s illness Maintaining the client’s health 1 / 4
© 2016 by Pearson Education, Inc.Burke, Testgen for Medical-Surgical Nursing Care, 4 th Edition
Alleviating the client’s suffering Caring for the client’s family
Answer: 1; 3
Rationale: 1. Providing immunizations is an example of promoting health.
The client receiving immunizations is not generally ill.Immunizations help to maintain the client’s health status.The client having an annual assessment is usually not suffering.Immunizing a client is not an example of care of the family.
Page Reference: 5
Cognitive Level: Analysis
Client Need: Health Promotion and Maintenance
Nursing Process: Planning
Learning Outcome: 1-3 Describe the role of the LPN/LVN as a member of the health care team.
The nurse performs daily, routine equipment checks to detect possible malfunction.Which core competency is the nurse demonstrating with this action?Providing agency-centered care Working on an interdisciplinary team Using information technology Applying quality improvement principles
Answer: 4
Rationale: 1. Nurses provide patient-centered care.
The nurse is functioning alone when inspecting equipment.Information technology is the use of computers during health care.Part of the responsibility of the nurse is to ensure the client’s safety by inspecting equipment used during care. This is a quality improvement principle.
Page Number: 4
Cognitive Level: Application
Client Need: Safe, Effective Care Environment
Client Sub Need: Management of Care 2 / 4
© 2016 by Pearson Education, Inc.Burke, Testgen for Medical-Surgical Nursing Care, 4 th Edition
Nursing Process: Implementation
Learning Outcome: 1-2 Describe the essential elements of quality and safety in nursing and their impact on the nurse’s role and responsibilities.
A client who is experiencing abdominal pain is being assessed by the Emergency Department nurse. The nurse asks the client to describe the pain and the client’s usual
means of relieving pain. The nurse is providing:
a nursing diagnosis.client-centered care.health promotion.health maintenance.
Answer: 2
Rationale: 1. A nursing diagnosis is made after the assessment is completed.
The nurse is providing client-centered care by asking the client about the perception of pain and the client’s usual methods of relief.Health promotion might include assisting the client to alter risk factors for a disease.Immunization is an example of health maintenance.
Page Number: 3
Cognitive Level: Application
Client Need: Physiological Integrity
Client Sub Need: Basic Care and Comfort
Nursing Process: Assessment
Learning Outcome: 1-2 Describe the essential elements of quality and safety in nursing and their impact on the nurse’s role and responsibilities.
The nurse plans to teach a client who lives with extended family about safety issues in
the home. The nurse is:
providing disease management.relieving pain and suffering.adapting care to the needs of the client.advocating for lifestyle changes for the client. 3 / 4
© 2016 by Pearson Education, Inc.Burke, Testgen for Medical-Surgical Nursing Care, 4 th Edition
Answer: 3
Rationale: 1. There is no evidence that this client has a disease.
Relieving pain and suffering might include administering pain medications.The nurse is adapting care by advocating for client safety in the home.Lifestyle changes would include issues such as diet changes or exercise.
Page Number: 3
Cognitive Level: Application
Client Need: Safe, Effective Care Environment
Client Sub Need: Management of Care
Nursing Process: Planning
Learning Outcome: 1-2 Describe the essential elements of quality and safety in nursing and their impact on the nurse’s role and responsibilities.
While planning care for a client with a chronic disease the nurse asks the client about food preferences when discussing needed lifestyle changes. In what way is the nurse providing client-centered care?Allowing the client to assume the primary role in planning Planning care for the client Following the care ordered by the dietician Assessing the client’s needs
Answer: 1
Rationale: 1. The nurse is providing client centered-care by allowing the client to assume the primary role in the planning process.The nurse is planning care, but is including the client in the plan.The doctor orders the diet for the client.The nurse is planning care, not assessing.
Page Number: 3
Cognitive Level: Analysis
Client Need: Health Promotion and Maintenance
Nursing Process: Planning
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