Test Bank for Medical-Surgical Nursing 8th Edition Linton
Chapter 01: Aspects of Medical-Surgical Nursing
Linton: Medical-Surgical Nursing, 8th Edition
MULTIPLE CHOICE
- Which item in a medical record provides direction for individualized care and assures the
- Physician’s orders
- Progress notes
- Nursing care plan
- Client health history
delivery of accurate, safe care through a definitive pathway that promotes the client’s and the support persons’ progress toward positive outcomes?
ANS: C
The nursing care plan provides direction for individualized care and assures the delivery of accurate, safe care through a definitive pathway that promotes the client’s and the support persons’ progress toward positive outcomes.
DIF: Cognitive Level: Comprehension OBJ: 1 TOP: Nursing Care Plan KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Reduction of Risk
- The nurse is performing behaviors and actions that assist clients and significant others in
- Assessments
- Interventions
- Planning
- Evaluation
meeting their needs and the identified outcomes of the plan of care. Which term is correct for these nursing behaviors?
ANS: B
Caring interventions are those nursing behaviors and actions that assist clients and significant others in meeting their needs and the identified outcomes of the plan of care.
DIF: Cognitive Level: Knowledge OBJ: 1 TOP: Interventions KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Reduction of Risk
- The nurse understands the importance of being answerable for all actions and the possibility
- Reliability
- Maturity
- Accountability
- Liability
of being called on to explain or justify them. Which term best describes this concept?
ANS: C
Accountability means that a person is answerable for his or her actions and may be called on to explain or justify them.
DIF: Cognitive Level: Knowledge OBJ: 1 TOP: Accountability KEY: Nursing Process Step: N/A
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MSC: NCLEX: Physiological Integrity: Reduction of Risk
MULTIPLE RESPONSE
- Which modes of conflict resolution should be addressed when providing an inservice about
- Suppression
- Accommodation
- Compromise
- Avoidance
- Collaboration
- Competition
conflict resolution? (Select all that apply.)
ANS: B, C, D, E, F
The modes of conflict resolution include accommodation, collaboration, compromise, avoidance, and competition.
DIF: Cognitive Level: Knowledge OBJ: 5 TOP: Conflict Resolution KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
- Which characteristics describe an effective leader? (Select all that apply.)
- Effective communication
- Rigid rules and regulations
- Delegates appropriately
- Acts as a role model
- Consistently handles conflict
- Focuses on individual developTmBeEnt
ANS: A, C, D, E
Characteristics of an effective leader include effective communication, consistency in managing conflict, knowledge and competency in all aspects of delivery of care, effective role model for staff, uses participatory approach in decision making, shows appreciation for a job well done, delegates work appropriately, sets objectives and guides staff, displays caring, understanding, and empathy for others, motivates and empowers others, is proactive and flexible, and focuses on team development.
DIF: Cognitive Level: Comprehension OBJ: 5 TOP: Leadership KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
COMPLETION
- is defined as the process by which information is exchanged between individuals
verbally, nonverbally, and/or in writing or through information technology.
ANS:
Communication
Communication is defined as the process by which information is exchanged between individuals verbally, nonverbally, and/or in writing or through information technology.
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DIF: Cognitive Level: Knowledge OBJ: 2 TOP: Communication KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
- is the collection and processing of relevant data for the purpose of appraising the
client’s health status.
ANS:
Assessment
Assessment is the collection and processing of relevant data for the purpose of appraising the client’s health status.
DIF: Cognitive Level: Knowledge OBJ: 1 TOP: Assessment KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
- is concerned with the ethical questions that arise in the context of health care.
ANS:
Bioethics
Bioethics is concerned with the ethical questions that arise in the context of health care.
DIF: Cognitive Level: Knowledge OBJ: 3 TOP: Bioethics KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
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Chapter 02: Medical-Surgical Practice Settings
Linton: Medical-Surgical Nursing, 8th Edition
MULTIPLE CHOICE
- While a home health nurse is making the entry to a service assessment on a homebound
- “Yes, Medicare will cover both the ventilator therapy and the insulin injections.”
- “No, Medicare will not cover either of these ongoing therapies.”
- “Medicare will cover the ventilator therapy, but it does not cover the insulin
- “Medicare will cover the ongoing insulin therapy, but it does not cover a highly
patient, the spouse of the patient asks whether Medicare will cover the patient’s ventilator therapy and insulin injections. Which response by the nurse is the best response?
injections.”
technical skill such as ventilator therapy.”
ANS: C
Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that can be taught to the family or the patient are not covered.
DIF: Cognitive Level: Application OBJ: 3
TOP: Medicare Coverage for Home Health
KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
- The wife of a patient asks the nurse whether her husband would be considered for placement
- “Yes, your husband would qualify for a skilled care facility because of his inability
- “No, your husband’s disabilities would not qualify him for a skilled facility.”
- “Yes, your husband qualifies for placement in a skilled care facility because of his
- “Yes, anyone who is willing to pay can be placed in a skilled nursing facility.”
in a skilled nursing care facility when he is discharged from the general hospital. The patient is incontinent, has mild dementia T bu B t E is X a A b M le .to C a O m M bulate with a walker, and must have help to eat and dress himself. Which is the most appropriate response?
to feed and dress himself.”
dementia.”
ANS: B
Placement in a skilled nursing facility must be authorized by a physician. A clear need for rehabilitation must be evident, or severe deficits in self-care that have a potential for improvement and require the services of a registered nurse, a physical therapist, or a speech therapist must exist.
DIF: Cognitive Level: Analysis OBJ: 9
TOP: Placement Qualifications for Skilled Nursing Facility
KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment
- A nurse has noted that a newly admitted resident to an extended care facility stays in her
- regression.
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room, does not take active part in activities, and leaves the meal table after having eaten very little. Which type of relocation response is the resident exhibiting?