What provides direction for individualized care and assures the delivery of accurate, safe care
through a definitive pathway that promotes the client’s
... [Show More] 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.
2. 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. What is the correct term 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.
3. The nurse understands the importance of being answerable for all actions and the possibility of
being called on to explain or justify them. What 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.
MULTIPLE RESPONSE
1. The nurse manager is providing an inservice about conflict resolution. What modes of conflict
resolution should be addressed? (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.
2. What are the characteristics of 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.
COMPLETION
1. is defined as the process by which information is exchanged between individuals
verbally, nonverbally, and/or in writing or through information technology.
ANS: Communication
2. is the collection and processing of relevant data for the purpose of appraising the
client’s health status.
ANS: Assessment
3. is concerned with the ethical questions that arise in the context of health care.
ANS: Bioethics
4. Place the corresponding letter to each stage of conflict in the correct order.
a. (4) Outcomes
b. (2) Conceptualization
c. (1) Frustration
d. (3) Action
ANS: CBDA The stages of conflict in order are frustration, conceptualization, action, and outcomes.
5. Place the corresponding letter to each key step in solving an ethical dilemma in the correct order.
a. (6) Negotiate a plan.
b. (3) Clarify values.
c. (1) Ask if it is an ethical dilemma.
d. (4) Verbalize the problem.
e. (2) Gather information.
f. (5) Identify possible courses of action.
g. (7) Evaluate the plan over time.
ANS: CEBDFAG The key step of solving an ethical dilemma in order are ask the question, is it an ethical
dilemma, gather information, clarify values, verbalize the problem, identify possible course of action, negotiate
a plan, and evaluate the plan over time.
Chapter 02: Medical-Surgical Practice Settings Linton: MedicalSurgical Nursing, 7th Edition
MULTIPLE CHOICE
1. 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. What is the best response by the nurse?
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.
2. 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. What is the nurse’s 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.
3. 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. The
nurse should analyze this relocation response as
a. regression.
b. social withdrawal.
c. depersonalization.
d. passive aggressive.
ANS: B Social withdrawal is a frequent response to relocation.
4. A nurse clarifies to a new patient in a rehabilitation center what rehabilitation means. What
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.”
c. “I will develop better coping skills to accept his disability.”
d. “I will attain the greatest degree of independence possible.”
ANS: D The rehabilitation process works to promote independence at whatever level the patient is
capable of achieving.
5. A nurse assesses a patient who needs to be reminded to take premeasured oral medications,
wash, go to meals, and undress and come to bed at night, but coming and going as he pleases is
considered safe for him. What facility placement would be most appropriate for this patient?
a. Skilled care
b. Intermediate care
c. Sheltered housing
d. Domiciliary care
ANS: D Domiciliary care provides room, board, and supervision, and residents may come and go as they
please. Sheltered housing does not provide 24-hour care.
6. A nurse is making a list of the members of the rehabilitation team, so the different types of services
available to patients may be taught to a group of families. Which lists should be used?
a. Physical therapist, nurse, family members, and personal physician
b. Occupational therapist, dietitian, nurse, and patient
c. Rehabilitation physician, laboratory technician, patient, and family
d. Vocational rehabilitation specialist, patient, and psychiatrist
ANS: A The rehabilitation team usually consists of all of the choices except the laboratory technician,
dietitian, and psychiatrist. (The mental health role is represented by the psychologist.) [Show Less]