1. What 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 REF: p. 2 OBJ: 1

TOP: Nursing Care Plan KEY: Nursing Process Step: Planning

MSC: NCLEX: Physiological Integrity: Reduction of Risk

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.

DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 1

TOP: Interventions KEY: Nursing Process Step: Planning

MSC: NCLEX: Physiological Integrity: Reduction of Risk

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

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 REF: p. 2 OBJ: 2

TOP: Communication KEY: Nursing Process Step: N/A

MSC: NCLEX: N/A

2. 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 REF: p. 2 OBJ: 1 | 2

TOP: Assessment KEY: Nursing Process Step: N/A MSC: NCLEX: N/A

3. 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 REF: p. 4 OBJ: 3

TOP: Bioethics KEY: Nursing Process Step: N/A MSC: NCLEX: N/A

4. Place the corresponding letter to each stage of conflict in the correct order.

(Place the events in the appropriate sequence with capital letters. Do not separate

answers with a space or punctuation. Example: ABCD.)

a. Outcomes

b. Conceptualization

c. Frustration

d. Action

ANS:

CBDA

The stages of conflict in order are frustration, conceptualization, action, and outcomes.

DIF: Cognitive Level: Comprehension REF: p. 7 OBJ: 7

TOP: Conflict KEY: Nursing Process Step: N/A MSC: NCLEX: N/A

5. Place the corresponding letter to each key step in solving an ethical dilemma in the correct

order. (Place the events in the appropriate sequence. Do not separate answers

with a space or punctuation. Example: ABCD.)

a. Negotiate a plan.

b. Clarify values.

c. Ask if it is an ethical dilemma.

d. Verbalize the problem.

e. Gather information.

f. Identify possible courses of action.

g. 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.

DIF: Cognitive Level: Analysis REF: p. 4 OBJ: 3

TOP: Ethical Dilemma KEY: Nursing Process Step: N/A

MSC: NCLEX: N/A

Chapter 02: Medical-Surgical Practice Settings

Linton: Medical-Surgical 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.

DIF: Cognitive Level: Application REF: pp. 12-13 OBJ: 3 | 4

TOP: Medicare Coverage for Home Health

KEY: Nursing Process Step: Implementation

MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care

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.

DIF: Cognitive Level: Analysis REF: p. 13 OBJ: 6

TOP: Placement Qualifications for Skilled Nursing Facility

KEY: Nursing Process Step: Implementation

MSC: NCLEX: Safe, Effective Care Environment