Rothrock: Alexander's Care of the Patient in Surgery, 14th Edition
Chapter 01: Concepts Basic to Perioperative Nursing
Test Bank
MULTIPLE CHOICE
1.
... [Show More] The Perioperative Patient Focused Model presents key components of nursing influence
that guide patient care. Select the statement that best describes the dynamic relationship
within the model.
a. The patient experience and the nursing presence are in continuous interaction.
b. Structure, process, and outcome are the foundation domains of the model.
c. The perioperative nurse is the central dynamic core of the model.
d. The interrelated nursing process rings bind the patient to the model.
ANS: A
The Perioperative Patient Focused Model consists of domains or areas of nursing
concern: nursing diagnoses, nursing interventions, and patient outcomes. These domains
are in continuous interaction with the health system that encircles the focus of
perioperative nursing practice—the patient.
REF: Pages 2-3
2. AORN’s Standards of Perioperative Nursing Practice that describe nursing interactions,
interventions, and activities with patients fall under which standards category?
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS: B
Process standards relate to nursing activities, interventions, and interactions. They are
used to explicate clinical, professional, and quality objectives in perioperative nursing.
REF: Page 4
3. Which order best describes the process used to implement evidence-based professional
nursing?
a. Literature search, theory review, data analysis, policy development
b. Regional survey, literature search, meta-analysis, practice change
c. Identify problem, scientific evidence, develop policy, evaluate outcome
d. Identify issue, analyze scientific evidence, implement change, evaluate process
ANS: D1-3
Evidence-based practice is a systematic, thorough process by which to identify an issue,
to collect and evaluate the best evidence to design and implement a practice change, and
to evaluate the process.
REF: Page 12
4. The ambulatory surgery unit is planning to develop a standardized skin preparation
practice for their unit. The best process to gather scientific information is to:
a. conduct a survey of skin prep policies at the next AORN chapter meeting.
b. review their surgical site infection data from the last 6 months.
c. conduct a literature search on antimicrobial agents and infection prevention.
d. review the scientific literature from the leading manufacturers of prep solutions.
ANS: C
Perioperative nurses have an ethical responsibility to review practices and to modify them,
based upon the best available scientific evidence, using research and other forms of
high-quality evidence to guide practice.
REF: Page 12 [Show Less]