(Test Bank) Medical- Surgical Nursing

Hinkle, 15

Nursing

Test Bank

15th Edition

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Test Bank for Medical- Surgical Nursing, The downloadable file consists of 3162 pages, and the total size of the file is 11.15 MB. Purchase now only for highly discounted price.

Author(s): Hinkle

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Medical- Surgical Nursing 15th Edition Janice L Hinkle TEST BANK Chapter1 Question 1Type:MCS A The nurse is instructing a patient on the role of diet, exercise, and medication to control type 2 diabetes mellitus.Whichcorecompetencyforhealthcare professionalsisthenurseimplementing? Qualityimprovement Evidence-based practice Patient-centeredcare Teamworkandcollaboration CorrectAnswer: 3 Rationale 1 : Identifying safety hazards and measuring quality is an example of the core competency qualityim provement. Rationale 2 : Using best research when providing patient care is an example of the core competency evidence- basedpractice. Rationale3 :Thenurseinstructingthepatientis anexampleofthecompetency patient-centeredcare. Rationale4 :Thecorecompetency teamworkandcollaboration involvescollaborationbetween disciplinestoprovidecontinuous andreliablecare. Global Rationale: In 2003, the National Academy of Sciences proposed a set of five core competencies that allhealthcare professionals should possess to meet the needs of the 21st century. The nurse instructing the patient isan example of the competency patient-centered care . Identifying safety hazards and measuring quality areexamples of the core competency quality improvement. Using best research when providi ng patient care is anexample of the core competency evidence-based practice . Collaboration between disciplines to providecontinuousandreliablecareis anexampleofthecorecompetency teamworkandcollaboration. CognitiveLevel: Applying ClientNeed: Safeand Effective CareEnvironment Client NeedSub: ManagementofCare QSENCompetencies: I.A.1.Integrateunderstandingofmultipledimensionsofpatientcenteredcare AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage,age, culture, s pirituality, patient preferences, and health literacy considerations to foster patient engagement intheircare NLNCompetencies: Relationship CenteredCare:Learncooperatively,facilitatethelearningofothers Nursing/IntegratedConcepts: NursingProcess:Implementatio n Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient -centered care,interprofessional teams, evidence -based practice, quality improvement, safety, and health information technology. MNLLearningOutcome: 10.5.4.Utilizethe nursingprocessincareofclient. PageNumber: 4 Question 2Type:MCS A The nurse is planning to utilize the core competency use informatics when providing patient care. Which actionshouldthenurseperformwhenusingthis corecompetency? Changethesharpscontainerinapa tient‘sroom. Documenttheeffectiveness ofpainmedicationforapatient. Discuss theeffectivenessofbedsidephysicaltherapywiththetherapist. Searchthroughadatabaseofarticlestofindcurrentresearchonwoundcare. CorrectAnswer: 4 Rationale1 :Changingthesharpscontaine risanexampleof qualityimprovement . Rationale 2 : Documenting the effectiveness of pain medication for a patient is an example of patient- centeredcare . Rationale3 :Discussingtheeffectivenessofbedsidephysicaltherapywiththetherapistisanexampleof teamworkandcol laboration . Rationale 4 : Searching through a database of articles to find current research on wound care is an example of useinformatics . Global Rationale: Examples of the nurse using the core competency use informatics include the use oftechnology to co mmunicate, manage knowledge, reduce errors, and support decision making. The activity ofsearching through a database of articles to find current research on wound care is an example of use informatics .Changing the sharps container in a patient‘s room is an example of quality improvement . Documenting theeffectivenessofpain medication forapatientisanexampleof patient-centered care.Discussingtheeffectivenessofbedsidephysicaltherapywiththetherapistisanexampleof teamworkandcollaborati on. CognitiveLevel: Applying ClientNeed: Safeand EffectiveCareEnvironment Client NeedSub: ManagementofCare QSEN Competencies: VI.B.2. Apply technology and information management tools to support safe processes ofcare AACN Essentials Competencies: IV.1. Demonstrate skills in using patient care technologies, informationsystems,andcommunicationdevicesthatsupportsafenursingpractice NLN Competencies: Knowledge and Science: Electronic databases; literature retrieval; evaluating data forvalidityandreliability;evidenceandbestpractices fornursing Nursing/IntegratedConcepts:Nursing Process: Planning Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient -centered care,interprofessional teams, evidence -based practice, quality improvement, safety, and health informationtechnology. MNLLearningOutcome: 4.3.3.Examinethetreatmentsusedforpressureulcers. PageNumber: 4 Question 3Type:MCM A The nurse plans to implement evidence-based practice when providing patient care. Which activities should thenurseperform? StandardText: Selectallthatapply. Participate ineducationandresearchactivitieswhenpossible. Integrateresearchfindings withclinicalcaretomaximizepatientoutcomes. Serveonthecommitteetocreatecriticalpathways forpatientcare. Reinforcehandhygienetechniqueswithunlicensedas sistivepersonnel. ContactEnvironmentalServicestoreportamalfunctioninginfusionpump. CorrectAnswer: 1,2 Rationale1 :Participating ineducation andresearch activitieswhen possibleisanexampleof implementing evidence-basedpractice in theprovision ofpatientcare. Rationale 2 : Integrating research findings with clinical care to maximize patient outcomes is an example ofimplementing evidence-basedpractice intheprovisionofpatientcare. Rationale 3 : Serving on the committee to create critical pathways for patient care i s an example of teamwork andcollaboration . Rationale 4 : Reinforcing hand hygiene techniques with unlicensed assistive personnel is an example of qualityimprovement . Rationale5 :ContactingEnvironmentalServicestoreportamalfunctioninginfusionpumpisanexampleo f qualityimprovement . Global Rationale: Participating in education and research activities when possible is an example of implementing evidence-based practice in the provision of patient care. Integrating research findings with clinical care tomaximizepati entoutcomesis anexampleofimplementing evidence-basedpractice intheprovisionofpatient care. Serving on the committee to create critical pathways for patient care is an example of teamwork andcollaboration . Reinforcing hand hygiene techniques with unlicensed assistive personnel is an example of qualityimprovement . Contacting Environmental Services to report a malfunctioning infusion pump is an example of qualityimprovement . CognitiveLevel: Applying ClientNeed: Safeand EffectiveCareEnvironment Client NeedSub: ManagementofCare QSEN Competencies: III.B.6. Participate in structuring the work environment to facilitate integration of newevidenceintostandardsofpractice AACN Essentials Competencies: III.2. Demonstrate an understanding of the basic elements of the researchprocessandmodels forapplyingevidencetoclinicalpractice NLNCompetencies: KnowledgeandScience;Definingwhatisevidence -basedpractice Nursing/IntegratedConcepts:Nursing Process: Planning Learning Outcome: 1. Describe the core competencies for healthcare professi onals: patient -centered care,interprofessional teams, evidence -based practice, quality improvement, safety, and health information technology. MNLLearningOutcome: PageNumber: 4 Question 4Type:MCS A The community health nurse is planning to meet with several community members during a health fair. Whichnursingactivityexemplifiesthecorecompetency patient-centeredcare ? Providesmokingcessationclassesandliterature. Increasethehoursforthephysiciantoseepatients. Attend acontinuingeducationprogramon cleanwater ini tiatives. Evaluatetheeffectivenessofweightreductionstrategies. CorrectAnswer: 1 Rationale 1 : Providing smoking cessation classes and literature is an example of an activity to provide patient- centeredcare . Rationale2 :Increasingthehours forthephysicianto seepatientsis anactivitytosupportthecompetency teamworkandcollaboration . Rationale 3 : Attending a continuing education program on clean water initiatives is an activity to support thecompetency evidence-basedpractice . Rationale4 :Evaluatingtheeffectiveness ofweightreductionstrategiesis anactivitytosupportthecompetency qualityimprovement . Global Rationale: Activities to exemplify the core competency patient-centered care should be focused ondisease prevention, wellness, and promotion of healthy lifestyles. Providing smoking cessation classes andliterature is an example of patient-centered care . Increasing the hours for the physician to see patients is anactivity to support the competency teamwork and collaboration . Attending a continuing education program onclean water initiatives is an activity to support the competency evidence-based practice. Evaluating theeffectivenessofweightreductionstrategiesisanactivitytosupportthecompetency qualityimprovement . CognitiveLevel: Applying ClientNeed: Safeand EffectiveCareE nvironment Client NeedSub: ManagementofCare QSEN Competencies: I.B.3. Provide patient -centered care with sensitivity and respect for the diversity of humanexperience AACN Essentials Competencies: IX.3. Implement holistic, patient -centered care that reflects an understandingof human growth and development, pathophysiology, pharmacology, medical management and nursingmanagementacross thehealth -illnesscontinuum,across lifespan,andinallhealthcaresettings NLNCompetencies: Contextand Environment;Knowledge;healthpro motion/diseaseprevention Nursing/IntegratedConcepts:Nursing Process: Planning Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient -centered care,interprofessional teams, evidence -based practice, quality improvement, saf ety, and health informationtechnology. MNLLearning Outcome: 5.9.4.Utilizethenursingprocessin careofclient. PageNumber: 4 Question 5Type:MCS A Thenurseisinstructing apatienton weightreductionand smokingcessation.Which codeofnursingpracticeisthenurseimplement ing? InternationalCouncilofNursesCodeofEthicsforNurses AmericanNursesAssociation StandardsofProfessionalPractice AmericanNursesAssociationCodeofEthicsforNurses StateBoardofNursingCode CorrectAnswer: 1 Rationale 1 : The International Council of Nurses ( ICN) Code of Ethics for Nurses specifies what nurses areaccountable for in terms of people, practice, society, coworkers, and the profession. The philosophical basis forthiscodeisthatnursesareresponsibleforpromotinghealth,preventingillness,andalleviatingsu ffering. Instructingapatientonweightreductionandsmokingcessationexemplifies theICNCodeofEthics forNurses. Rationale2 :TheAmericanNurses AssociationStandardsofProfessionalPracticearestandards,notacode,andfocusonspecificbehaviorstoaddressquality practice,prac ticeevaluation,education,collegiality,collaboration,ethics,research,resourceutilization,andleadership. Rationale 3 : The American Nurses Association Code of Ethics for Nurses has nine statements that address thenurse‘s professional relationships, commitmen t to patients, patient rights, nursing practice, competency,conditions ofemployment,andcontributions tothescienceofnursing,collaboration,andnursingvalues. Rationale4 :Thestateboards ofnursingdonotpublishcodes fornursing. Global Rationale: The Internationa l Council of Nurses (ICN) Code of Ethics for Nurses specifies what nurses areaccountable for in terms of people, practice, society, coworkers, and the profession. The philosophical basis forthiscodeis thatnurses areresponsibleforpromotinghealth,preventingi llness,andalleviatingsuffering. Instructing a patient on weight reduction and smoking cessation exemplifies the ICN Code of Ethics for Nurses.The American Nurses Association Standards of Professional Practice are standards, not a code, and focus onspecific behaviors to address quality practice, practice evaluation, education, collegiality, collaboration, ethics,research, resource utilization, and leadership. The American Nurses Association Code of Ethics for Nurses hasnine statements that address the nurse‘ s professional relationships, commitment to patients, patient rights, nursingpractice, competency, conditions of employment, and contributions to the science of nursing, collaboration, andnursingvalues.Thestateboards ofnursingdonotpublishcodes fornursing. CognitiveLevel: Applying ClientNeed: Safeand EffectiveCareEnvironment Client NeedSub: ManagementofCare QSENCompetencies: I.A.1.Integrateunderstandingofmultipledimensionsofpatientcentered care AACNEssentialsCompetencies: VII.4.Usebehavioralchangetechniquestopro mote healthandmanageillness NLN Competencies: Context and Environment; Knowledge; health promotion/disease prevention Nursing/IntegratedConcepts:NursingProcess: Implementation Learning Outcome: 4. Explain the importance of nursing and interprofessional codes of ethics and standards ofpracticeasguidelines forclinicalnursingpractice. MNLLearning Outcome: 5.9.4.Utilizethenursingprocessin careofclient. PageNumber: 9 Question 6Type:MCS A The nurse is providing patient care within the American Nurses Association Stan dards of ProfessionalPerformance.Whichactivityis thenurseimplementing? Integratingresearchfindingsintopractice Implementingapatient‘splanofcare Evaluating patientprogresstowardidentifiedoutcomes Analyzingassessmentdatatodetermineissues CorrectAnswer: 1 Rationale 1 : The nurse who is practicing within the American Nurses Association Standards of ProfessionalPerformance would integrate research findings into practice. The standards focus on ethics, education, evidence -based practice and research, quality nursing practice, communication, leadership, collaboration, professionalpracticeevaluation,resourceutilization,andenvironmentalhealth. Rationale2 :Implementingapatient‘splanofcareisanexampleofadheringtotheAmericanNursesAssociationStandardsof Practice. Rationale3:Evaluatingpatientprogresstoward identifiedoutcomesisanexampleofadheringtotheAmericanNursesAssociationStandardsofPractice. Rationale 4 : Analyzing assessment data to determine issues is an example of adhering to the American NursesAssociationStandard s ofPractice. Global Rationale: The nurse who is practicing within the American Nurses Association Standards ofProfessional Performance would integrate research findings into practice. The standards focus ethics, education,evidence -based practice and rese arch, quality nursing practice, communication, leadership, collaboration,professional practice evaluation, resource utilization, and environmental health. The other activities would beimplemented whenthenurseisadheringtotheAmericanNursesAssociationStandard s ofPractice. CognitiveLevel: Applying ClientNeed: Safeand EffectiveCareEnvironment Client NeedSub: ManagementofCare QSEN Competencies: III.B.6. Participate in structuring the work environment to facilitate integration of newevidenceintostandardsofpractice AACN Essentials Competencies: III.2. Demonstrate an understanding of the basic elements of the researchprocessandmodels forapplyingevidencetoclinicalpractice NLNCompetencies: KnowledgeandScience;Definingwhatisevidence -basedpractice Nursing/IntegratedConcepts :NursingProcess: Implementation Learning Outcome: 4. Explain the importance of nursing and interprofessional codes of ethics and standards ofpracticeasguidelines forclinicalnursingpractice. MNLLearningOutcome: PageNumber: 10 Question 7Type:MCS A The nurse p rescribes strategies and alternatives to assist a patient achieve expected outcomes. Within whichAmericanNurses Associationstandardis thenursepracticing? Planning Assessment Diagnosis Implementation CorrectAnswer: 1 Rationale 1 : The American Nurses As sociation Standards of Practice follow the nursing process. The nurse whoprescribes strategies and alternatives to assist a patient achieve expected outcomes is practicing within thestandardofplanning. Rationale2 :Assessmentactivitiesincludedatacollection. Rationale3 :Diagnosis activitiesincludeanalyzingdatatodetermineissues. Rationale 4 : Implementation activities include implementing the identified plan, coordinating care delivery, andemployingstrategies topromotehealthandasafeenvironment. Global Rationa le: The American Nurses Association Standards of Practice follow the nursing process. The nursewho prescribes strategies and alternatives to assist a patient achieve expected outcomes is practicing within thestandard of planning. Assessment activities incl ude data collection. Diagnosis activities include analyzing data todetermine issues. Implementation activities include implementing the identified plan, coordinating care delivery,andemployingstrategiestopromotehealthandasafeenvironment. CognitiveLevel: Applying ClientNeed: Safeand EffectiveCareEnvironment Client NeedSub: ManagementofCare QSEN Competencies: I.B.3. Provide patient -centered care with sensitivity and respect for the diversity of humanexperience AACN Essentials Competencies: IX.3. Implement holis tic, patient -centered care that reflects an understandingof human growth and development, pathophysiology, pharmacology, medical management and nursingmanagementacross thehealth -illnesscontinuum,across lifespan,andinallhealthcaresettings NLNCompetencies: ContextandEnvironment;Practice; conductpopulation - basedtransculturalhealthassessmentsandinterventions Nursing/IntegratedConcepts:NursingProcess: Implementation Learning Outcome: 4. Explain the importance of nursing and interprofessional codes of ethics and st andards ofpracticeasguidelines forclinicalnursingpractice. MNLLearningOutcome: PageNumber: 10 Question 8Type:MCS A A patient with a terminal illness is concerned about pain control. If the International Council of Nurses Code ofEthicsforNursesis followed,w hatshouldthenurseplanforthepatient? Measurestoalleviate suffering Modifiedactivitiesofdailyliving Enforcementofstrictbedrest Dietaryinterventionstomaximizestrength CorrectAnswer: 1 Rationale 1 : The philosophical basis for the International Council of Nurses Code of Ethics for Nurses is theresponsibility to promote health, prevent illness, and alleviate suffering. The nurse should plan measures toalleviatethepatient‘s suffering. Rationale2 :Modified activitiesofdailyliving may notaffectpain control. Rationale3:Enforcementofstrictbedrestmaynotaffectpaincontrol. Rationale4 :Dietaryinterventionstomaximizestrength maynotaffectpaincontrol. Global Rationale: The philosophical basis for the International Council of Nurses Code of Ethics for Nurses isthe respo nsibility to promote health, prevent illness, and alleviate suffering. The nurse should plan measures toalleviate the patient‘s suffering. Modified activities of daily living, enforcement of strict bed rest, and dietaryinterventionstomaximizestrengthmaynot affectpaincontrol. CognitiveLevel: Applying ClientNeed: Safeand EffectiveCareEnvironment Client NeedSub: ManagementofCare QSENCompetencies: I.B.7.Initiateeffectivetreatmentstorelievepain and sufferinginlightofpatientvalues,preferencesandexpressedneeds AACN Ess entials Competencies: IX.6. Implement patient and family care around resolution of end -of-life andpalliative care issues, such as symptom management, support of rituals, and respect for patient and familypreferences NLN Competencies: Knowledge and Science; Practice; Translate research into practice in order to promotequalityandimprovepractices Nursing/IntegratedConcepts:NursingProcess: Planning Learning Outcome: 4. Explain the importance of nursing and interprofessional codes of ethics and standards ofpracticeasguidelines forclinicalnursingpractice. MNLLearning Outcome: 3.4.3.Critiqueinterventionsappropriatefortheclientwithcancer. PageNumber: 9 Question 9Type:MCS A Apatientisangryafterwaitingoveran hourforpainmedication. Whatshouldthenurserespond tothepatientt hatdemonstratescriticalthinking? ―Iunderstandyourangerandamsorryforthedelay.Ihaveyourpainmedicationnow.‖ ―Ihadotherpatients whoneededmyattentionfirst,soIdidafewthings beforegettingthepainmedication.‖