Chapter 01: Aspects of Medical-Surgical Nursing
Linton: Medical-Surgical Nursing, 8th Edition

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

	3.	The nurse understands the importance of being answerable for all actions and the possibility of being called on to explain or justify them. Which term best describes this concept?
a.	Reliability	
b.	Maturity	
c.	Accountability	
d.	Liability	

ANS:	C
Accountability means that a person is answerable for his or her actions and may be called on to explain or justify them.

DIF:	Cognitive Level: Knowledge	OBJ:	1	TOP:	Accountability
KEY:	Nursing Process Step: N/A	
MSC:	NCLEX: Physiological Integrity: Reduction of Risk

MULTIPLE RESPONSE

	1.	Which modes of conflict resolution should be addressed when providing an inservice about conflict resolution? (Select all that apply.)
a.	Suppression	
b.	Accommodation	
c.	Compromise	
d.	Avoidance	
e.	Collaboration	
f.	Competition	

ANS:	B, C, D, E, F
The modes of conflict resolution include accommodation, collaboration, compromise, avoidance, and competition.

DIF:	Cognitive Level: Knowledge	OBJ:	5	TOP:	Conflict Resolution
KEY:	Nursing Process Step: N/A	MSC:	NCLEX: N/A		

	2.	Which characteristics describe an effective leader? (Select all that apply.)
a.	Effective communication	
b.	Rigid rules and regulations	
c.	Delegates appropriately	
d.	Acts as a role model	
e.	Consistently handles conflict	
f.	Focuses on individual development	

ANS:	A, C, D, E
Characteristics of an effective leader include effective communication, consistency in managing conflict, knowledge and competency in all aspects of delivery of care, effective role model for staff, uses participatory approach in decision making, shows appreciation for a job well done, delegates work appropriately, sets objectives and guides staff, displays caring, understanding, and empathy for others, motivates and empowers others, is proactive and flexible, and focuses on team development.

DIF:	Cognitive Level: Comprehension	OBJ:	5	TOP:	Leadership
KEY:	Nursing Process Step: N/A	MSC:	NCLEX: N/A		

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	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	OBJ:	1	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	OBJ:	3	TOP:	Bioethics
KEY:	Nursing Process Step: N/A	MSC:	NCLEX: N/A