Chapter 1 Medical Surgical Nursing Preparation For Practice 2nd Edition

Chapter 1  Medical Surgical Nursing Preparation For Practice 2nd Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
The nurse plans and implements care for a patient based on nursing knowledge and skills. The nurse is functioning within which role?
1. Caregiver
2. Advocate
3. Educator
4. Leader
Correct Answer: 1
Rationale 1: The caregiver role for the nurse today is both independent and collaborative. Nurses independently make assessments and plan and implement patient care based on nursing knowledge and skills.
Rationale 2: The nurse functioning as a patient advocate actively promotes the patient’s rights to autonomy and free choice.
Rationale 3: The nurse who is functioning in the role of educator nurse assesses learning needs, plans and implements teaching methods to meet those needs, and evaluates the effectiveness of the teaching.
Rationale 4: The nurse functioning in the role of leader directs, delegates, and coordinates nursing activities.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1-1

Question 2
Type: MCSA
A patient tells the nurse that he does not understand the surgical procedure the physician told him he needed. What should the nurse do to advocate for this patient?
1. Contact the physician and ask that the procedure be explained to the patient.
2. Explain the procedure to the patient.
3. Document that the patient does not understand the proposed surgical procedure.
4. Instruct the patient about alternatives to the surgical procedure.
Correct Answer: 1
Rationale 1: The nurse as patient advocate actively promotes the patient’s rights to autonomy and free choice. The nurse should protect the patient’s right to self-determination about the surgical procedure.
Rationale 2: The nurse should not explain the procedure to the patient. This is not patient advocacy.
Rationale 3: Simply documenting the patient’s lack of understanding about the procedure is not advocacy.
Rationale 4: It is not the nurse’s place to discuss alternatives to a surgical procedure recommended by the physician.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-1

Question 3
Type: MCSA
The nurse, instructing a patient newly diagnosed with type 2 diabetes, reminds the patient about the need for an annual dilated retinal eye examination and annual urine tests to measure protein levels. The nurse is functioning within which role with this patient?
1. Educator
2. Researcher
3. Advocate
4. Leader
Correct Answer: 1
Rationale 1: The nurse is functioning as an educator by instructing the patient on annual tests to maintain health.
Rationale 2: As a researcher, the nurse would have a goal to improve the care nurses provide to patients.
Rationale 3: As an advocate, the nurse actively promotes the patient’s rights to autonomy and free choice.
Rationale 4: As a leader, the nurse manages time, people, and resources by delegating, directing, and coordinating nursing activities.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-1

Question 4
Type: MCSA
The nurse manager of a care area asks that a new intravenous-therapy monitoring device not be used for any patients until the entire staff has received appropriate instruction on its use. The nurse manager is demonstrating which component of caring?
1. Comportment
2. Confidence
3. Conscience
4. Commitment
Correct Answer: 4
Rationale 1: Comportment is the awareness of one’s conduct and behavior around others.
Rationale 2: Confidence is the ability to believe in or rely on another person.
Rationale 3: Conscience is defined as possessing a moral sense of right and wrong.
Rationale 4: Commitment is the obligation to see something through to completion, to achieve positive outcomes, and to ensure that the organization supports the nurses in their learning needs. The nurse manager is ensuring that the nursing staff is trained in the use of the equipment before it is used.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Safety and Infection Control
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1-2

Question 5
Type: MCMA
The nurse is concerned about new scheduling changes and their impact on staffing levels. If applying the component of professional comportment, in which ways should the nurse respond?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Call a friend in another care area and discuss the changes in the unit station.
2. Request a private discussion of the proposed changes with the nurse manager.
3. Shake her head and laugh while saying, “Here we go again.”
4. Discuss the changes with other staff members in the unit hallway.
5. Ask to serve on the committee that will evaluate the changes over the next 6 months.
Correct Answer: 2,5
Rationale 1: Calling friends and discussing the changes in the unit station would not demonstrate professional comportment.
Rationale 2: Discussing the changes calmly in a private area demonstrates professional comportment.
Rationale 3: Shaking one’s head, laughing, and making snide comments would not be professional or polite.
Rationale 4: Talking with others about the changes within earshot of patients would not demonstrate professional comportment.
Rationale 5: Working within the system to evaluate the impact of the changes demonstrates professional comportment.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1-2