Test Bank for Understanding Medical-Surgical Nursing 5th Edition latest update 2022
6 UNITONEUnderstanding Health Care Issues
4. The nurses found Level
... [Show More] I research studies that showed
music therapy could be beneficial in reducing anxiety.
What step should the nurses take next?
5. The planned intervention was implemented, data were
collected during the implementation, and now the pilot
study has ended. What step should the nurses take next?
Choose the best answer unless directed otherwise.
1. Which of the following is considered significant
evidence to guide nursing care?
1. Research studies that are quasi-experimental
2. Cochrane Reviews
3. Nursing information from the Internet
4. The opinion of a nationally known nursing expert
2. A nurse would like to find other studies on wound
care that might be relevant to how wound care is done.
Which of the following would be the best for searching
for nursing articles on wound care?
1. CINAHL
2. Medline
3. Cochrane Review
4. PubMed
3. A nurse on the safety committee is assigned to review
the current National Patient Safety Goals. In which
of these ways will the nurse find the goals?
1. Review Joanna Briggs Best Practices.
2. Review a fundamentals nursing textbook.
3. Go to www.jointcommission.org.
4. Search Cochrane Reviews.
4. Which of the following best describes a randomized
clinical trial (RCT)?
1. An observational study designed to collect subjective
data
2. An experimental study in which multiple factors
affecting the results are controlled
3. A specific design categorizing modifiable and
nonmodifiable risk factors
4. Tracking of disease occurrence over a set period
of time
5. Evidence-based practice most often begins with which
of the following?
1. Asking how to solve a clinical problem
2. Initiating a literature search
3. Analyzing available evidence
4. Measuring baseline outcomes
Choose the best answer unless directed otherwise.
6. The nurse is reviewing the patient‘s plan of care and
ordered treatments. Which of the following is an independent nursing intervention? Select all that apply.
1. Giving Tylenol 650 milligrams orally every 4 hours
as needed (prn)
2. Assisting patient to position of comfort
3. Giving hand massage daily
4. Initiating high-risk fall protocol
5. Placing call button within reach at all times
6. Teaching deep breathing and relaxation techniques
as needed
7. A nurse on the research committee is assigned to review
the best evidence on patient centered bathing. Which of
the following kinds of evidence would the nurse select
for Level I research? Select all that apply.
1. A Cochrane review
2. One RCT
3. Four quasi-experimental studies that show similar
results
4. The opinion of a national nursing expert on the
subject
5. A Joanna Briggs Best Practice Review
REVIEW QUESTIONS—TEST PREPARATION
REVIEW QUESTIONS—CONTENT REVIEW
Test Bank for Understanding Medical-Surgical Nursing 5th Edition latest update 2022
8. The nurse will include which of the following in applying the process of evidence-based practice to patient
centered care? Select all that apply.
1. Evaluate the change.
2. Determine current practice.
3. Ask a burning question.
4. Know how to conduct an RCT.
5. Search for the best available evidence.
6. Make it happen.
9. The nurse provides care for residents on an Alzheimer‘s
unit and is working with family members of a 67-year-old
patient who was recently admitted. Which of the following
statements reveals the nurse‘s awareness of evidence-based
reality orientation practice?
1. ―Patients on this unit are generally very sweet, so
your loved one will quickly fit right in.‖
2. ―Our dietician provides high-protein snacks twice
daily to help prevent brain degeneration.‖
3. ―You‘ll notice clocks, calendars, and the use of
patient pictures in the hallways to help residents
stay oriented.‖
4. ―Alzheimer‘s is a devastating disease, so it is mandatory that family members participate in our weekly
support groups.‖
Chapter 2 Evidence-Based Practice 7
10. A nurse investigating the effect of 12-hour shifts on
medication errors identifies 962 articles published on
the topic of 12-hour shifts in the past 5 years. Which
action should the nurse take next?
1. Find out how many of the articles can be found
at the institution.
2. Request all 962 articles and determine their validity.
3. Limit the request to articles published in the past
3 years.
4. Narrow the search to identify which articles discuss
medication errors.
Test Bank for Understanding Medical-Surgical Nursing 5th Edition latest update 2022
Issues in
Nursing Practice
VOCABULARY
Match the term with the appropriate definition or statement.
1. Assault
2. Battery
3. Defamation
4. False imprisonment
5. Outrage
6. Invasion of privacy and wrongful disclosure of confidential information
1. Unlawful touching of another
2. Unlawful conduct that places another in the
immediate fear of unlawful touching or battery;
the real threat of bodily harm
3. Unlawful restriction of a person‘s freedom
4. Extreme and outrageous conduct by a defendant
relating to the care of the patient or the body of a
deceased individual
5. Wrongful injury to another‘s reputation or
standing in a community; may be written (libel)
or spoken (slander)
6. Liability when a patient‘s privacy is invaded physically or if records are released without authority
NURSING PRACTICE AND ETHICAL AND
LEGAL PRINCIPLES
1. The health–illness continuum represents the potential
shifting between health and poor health
throughout the span.
2. Nurses must be licensed to practice to
the public and maintain the
of health care services.
3. is a central virtue in nursing.
4. Nursing care uses the following principles: ensuring
and respect, confidentiality,
respecting the patient‘s right to make care choices, and
maintaining a professional relationship with the patient.
5. Effective leaders are about the management process, , positive thinkers, and use
to earn the of their coworkers.
VALUES CLARIFICATION
Complete the following sentences.
1. The one thing I have always wanted to do is
.
2. If I inherited 5 million dollars, I would
.
3. As president of the United States, I would
.
4. If I died today, I would like my obituary to say
.
5. If I could control the world and its destiny, I would
.
8
3
Test Bank for Understanding Medical-Surgical Nursing 5th Edition latest update 2022
Complete this list of things people value with any other
items you believe should be included, then rank the value
you believe each item has, with 1 being the highest value.
Rank Valued Item Rank Valued Item
Family Professionalism
Career
Religion
Honor
Material possessions
Health
Recreation
What have you learned about yourself by doing this exercise? What do the rankings signify? Can you identify yourself as more utilitarian or more deontological? (There are
no answers to this section because this is an exercise requiring personal responses.)
CRITICAL THINKING
Read the following case study and answer the questions.
Mrs. Reo, a 5 foot, 3 inch, 105-lb, 86-year-old retired cleaning lady, was admitted to a general medical-surgical unit in a
small rural hospital. She was diagnosed 3 months ago with
metastatic cancer that had spread from her liver to her lungs
Chapter 3 Issues in Nursing Practice 9
perhaps sepsis. In her already weakened condition, an infection or sepsis would most likely be fatal. Betsy, who had
been a licensed practical nurse for some 15 years, disagreed
with the manager. Her feeling was that causing this obviously terminal patient so much pain by turning her was
cruel and violated her dignity as a human being. She stated
that she could not stand to hear Mrs. Reo yell anymore and
refused to take care of her until some other decision was
made about her nursing care. Sally, a new graduate nurse,
felt that the patient should have some say in her own care
and that perhaps some type of compromise could be reached
about turning her, perhaps turning her less frequently or providing more pain relief medication. Monica, a registered
nurse who had worked on the unit for 2 years, felt that the
physician should make the decision about turning this
patient, and then the nurses should follow the order. This
last suggestion was met with strong negative comments by
the other nurses present. They felt that patient comfort and
turning were nursing measures.
1. What are the important ethical principles in this dilemma?
2. How does the Code of Ethics apply to this situation?
and bone marrow. She received chemotherapy and radiation
therapy for several weeks, but the treatment was not effective.
She was admitted to the hospital because she became too
weak to walk or care for herself at home. The cancer returned,
and the large doses of oral narcotic medications taken at
home were having little effect on her pain while increasing
her confusion and weakness.
Her oncologist decided that further chemotherapy or radiation therapy would not be effective, and she ordered
Mrs. Reo to be kept comfortable with medications. A continuous morphine intravenous (IV) drip was started to help
control the pain. Even with this medication, Mrs. Reo cried
3. What are the legal issues?
4. Are there ever any situations when a nurse might legally
and ethically violate a standard of care?
out in pain, particularly when morning care was given, and
begged the nurses not to move her. Because she was severely underweight, the skin over her bony prominences
quickly became reddened and showed the beginning signs
of breakdown.
The hospital standards of care for immobile patients
5. What are some other possible solutions to this dilemma?
What types of consequences might they have?
require that they be repositioned at least every 2 hours.
Mrs. Reo yelled so loudly when she was turned that the
nursing staff wondered if they were really helping her or
hurting her.
To help decide what should be done, the nurses who
gave care to Mrs. Reo called a patient care conference. The
manager of the unit stated clearly that the hospital standards of care required Mrs. Reo be repositioned at least
every 2 hours to prevent skin breakdown, infections, and
(There are no correct answers to this section because this is
an ethical exercise that has many choices to be considered
for the best outcome for the patient. Discuss your options
with classmates.)
Test Bank for Understanding Medical-Surgical Nursing 5th Edition latest update 2022
10 UNITONEUnderstanding Health Care Issues
Choose the best answer unless directed otherwise.
1. The ethical principle that the primary goal of health care
and nursing is to do good for others is called which of
the following?
1. Autonomy
2. Fidelity
3. Beneficence
4. Veracity
2. The ethical principle of nonmaleficence is defined as
which of the following?
1. Health care workers avoiding harm to patients
2. Telling the truth to patients in all matters
3. Being faithful to commitments made to patients
4. The right of self-determination of patients
3. Which of the following is the term used to describe an
ethical situation that arises in which there is a choice
between two equally unfavorable alternatives?
1. Tort
2. Ethical antagonism
3. Contraindication
4. Ethical dilemma
4. Which of the following is the first step in the ethical
decision-making process?
1. Analyze the alternatives.
2. Identify the ethical dilemma.
3. Consider the consequences of the actions.
4. Make a decision.
5. Ethical dilemmas most often involve which of the
following situations?
1. A conflict of basic human rights
2. Violations of the Nurses‘ Code of Ethics
3. Nurses who do not understand the ethical code
4. Patients who wish to die
6. When applying the ethical principle of autonomy to
patient care, the nurse should understand that which of
the following is applicable to autonomy?
1. Autonomy is an absolute principle that has no
exceptions.
2. Only patients who are awake and oriented have the
right to autonomy.
3. Under certain conditions, autonomy can be limited.
4. Autonomy is the same as the principle of
nonmaleficence.
7. Which of the following punishments distinguishes criminal liability from civil liability?
1. Personal liability
2. Financial recovery
3. Loss of license
4. Potential loss of freedom
8. Which of the following is an unintentional tort?
1. Negligence
2. Outrage
3. Assault
4. Privacy invasion
Choose the best answer unless directed otherwise.
9. A patient with emphysema is being seen by the home
health nurse. The patient is on oxygen, lives alone, and
is able to perform activities of daily living, prepare
meals, and do light household tasks with rest periods.
The patient is unable to perform yard work, which was a
favorite hobby. Which of the following would describe
the patient‘s location on the health–illness continuum?
1. Near death
2. High-level wellness
3. Poor health
4. Moderate-level wellness
10. A Nurses‘ Code of Ethics states, ―The nurse safeguards
the patient‘s right to privacy by judiciously protecting
information of a confidential nature.‖ This statement is
based on which of the following principles?
1. The right to privacy is an inalienable right of all
persons.
2. The nurse–patient relationship is based on trust.
3. A breach of confidentiality may expose the nurse to
liability.
4. Nurses know what is best for patients‘ health care.
REVIEW QUESTIONS—TEST PREPARATION
REVIEW QUESTIONS—CONTENT REVIEW
Test Bank for Understanding Medical-Surgical Nursing 5th Edition latest update 2022
11. A patient asks the nurse what is the purpose of a new
medication. The nurse responds, ―The medication will
help you feel better, and not to worry about it.‖ The
nurse‘s response demonstrates which of the following
conditions?
1. Therapeutic communication
2. Paternalism
3. Lack of knowledge
4. Legal obligations
12. The nurse attempts to apply the standard of best interest to a patient who has had a cardiac arrest and is now
unconscious. Which of the following conditions is the
most important factor for the nurse to consider?
1. The patient‘s wishes as expressed before becoming
unconscious
2. The family‘s wishes now that the patient can no
longer communicate
3. The patient‘s chances for survival after the cardiac
arrest
4. The physician‘s orders regarding future arrest [Show Less]