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Medical-Surgical Nursing 8th Edition by Linton, Matteson
Full Test Bank
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 delivery of accurate, safe care through a definitive
pathway that promotes the client’s and the support persons’ progress
toward positive outcomes?
a. Physician’s orders
b. Progress notes
c. Nursing care plan
d. Client health history
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 meeting their
needs and the identified outcomes of the plan of care. Which term is correct for these nursing
behaviors?
a. Assessments
b. Interventions
c. Planning
d. Evaluation
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 of being
called on to explain or justify them. Which term best describes this concept?
a. Reliability
b. Maturity
c. Accountability
d. Liability
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
MSC: NCLEX: Physiological Integrity: Reduction of Risk
MULTIPLE RESPONSE
- Which modes of conflict resolution should be addressed when providing an inservice about conflict
resolution? (Select all that apply.)
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
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.)
a. Effective communication
b. Rigid rules and regulations
c. Delegates appropriately
d. Acts as a role model
e. Consistently handles conflict
f. Focuses on individual development
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.
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
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 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?
a. “Yes, Medicare will cover both the ventilator therapy and the insulin injections.”
b. “No, Medicare will not cover either of these ongoing therapies.”
c. “Medicare will cover the ventilator therapy, but it does not cover the insulin
injections.”
d. “Medicare will cover the ongoing insulin therapy, but it does not cover a highly
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 in a
skilled nursing care facility when he is discharged from the general hospital. The patient is incontinent,
has mild dementia but is able to ambulate with a walker, and must have help to eat and dress himself.
Which is the most appropriate response?
a. “Yes, your husband would qualify for a skilled care facility because of his inability
to feed and dress himself.”
b. “No, your husband’s disabilities would not qualify him for a skilled facility.”
c. “Yes, your husband qualifies for placement in a skilled care facility because of his
dementia.”
d. “Yes, anyone who is willing to pay can be placed in a skilled nursing facility.”
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 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?
a. regression.
b. social withdrawal.
c. depersonalization.
d. passive aggressive.
ANS: B
Social withdrawal is a frequent response to relocation.
DIF: Cognitive Level: Comprehension OBJ: 10 TOP: Relocation Response
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation - A nurse clarifies to a new patient in a rehabilitation center what rehabilitation means. Which statement
made by the patient indicates a correct understanding?
a. “I will return to my previous level of functioning.”
b. “I will be counseled into a new career.”
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