Chapter 01: Aspects of Medical-Surgical Nursing MULTIPLE CHOICE 1. Which item in a medical record 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 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. Which term is correct 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: Knowledge OBJ: 1 TOP: Interventions KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity: Reduction of Risk