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Solution Manual for Nursing Diagnosis Handbook 11th Edition by Ackley

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By: Ackley

Edition: 11th Edition

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Resource Type: Solution manual

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Solution Manual for Nursing Diagnosis Handbook 11th Edition by Ackley

Ackley: Nursing Diagnosis Handbook, 11th Edition

Table of Contents     41 cases

 Lecture Notes

Problem-Based Learning/Critical Thinking

Case Study – Restless Leg Syndrome

Case Scenario

Abdul Malek is a 21 year old college student. He attends the local state university and is a junior studying graphic design.  Three (3) weeks into his fall semester, Abdul’s professors notice that he is falling asleep in class and often looks restless. Abdul taps his foot and squirms around in his seat. Abdul, who is usually an excellent student, has failed his first test in his Graphic Design II course. His professor asks him to see his advisor because the fear is that Abdul has become chemically impaired. His advisor sends Abdul to the student health services and his case is reviewed by the nurse.

 Nursing Assessment

 Abdul is a well-developed 22 year old male with a BMI of 20. His vital signs are: blood pressure 104/78; temperature 98.4 degrees F.; heart rate – 64 BPM; respiratory rate – 16 per minute. A nutritional history confirms a well-balanced diet with the exclusion of pork products. Abdul had been working out every day at the University gym but reports that he is currently “too tired” to do so.  Abdul denies drug or alcohol use and this is confirmed by serum analysis. Abdul complains about sleeping poorly and feeling as if, “I am moving all night.” He states that he often wakes up his dorm mate and feels badly about that.  The nurse reclines Abdul on the examination table and checks his deep tendon reflexes (DTRs) which are all 2 . The nurse asks Abdul to relax and dims the lights while she consults with the primary care practitioner. While the nurse is out of the examination room Abdul dozes and when the nurse returns the nurse observes Abdul’s right leg jerking several times before she arouses him.

  1. ASSESS
  2. Identify significant symptoms by underlining them in the assessment.
  3. List those symptoms that indicate the client has a health problem (those you have underlined).
  • falling asleep in class
  • often looks restless
  • taps his foot
  • squirms around in his seat
  • failed his first test
  •  “too tired
  • complains about sleeping poorly
  • I am moving all night
  • often wakes up
  • dozes
  • right leg jerking several times
  1. Group the symptoms that are similar.
  • falling asleep in class
  • often looks restless
  • taps his foot
  • squirms around in his seat
  • failed his first test
  • complains about sleeping poorly
  • dozes
  •  “too tired
  • I am moving all night
  • often wakes up
  • right leg jerking several times

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SettingsSolution Manual for Nursing Diagnosis Handbook 11th Edition by Ackley removeTest Bank for Pharmacotherapeutics for Advanced Practice Nurse Prescribers 4th Edition by Woo removeTest Bank for Pharmacology and the Nursing Process 9th Edition removeTestbank for Handbook of Informatics for Nurses & Health Care Professionals, 6th edition removeTest Bank for Community Health Nursing in Canada 3rd Edition by Stanhope removeMedical-Surgical Nursing Making Connections to Practice 1st edition Hoffman, Sullivan Test Bank remove
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DescriptionBy: Ackley Edition: 11th Edition Format: Downloadable ZIP Fille Resource Type: Solution manual Duration: Unlimited downloads Delivery: Instant DownloadBy: Woo Edition: 4th Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant DownloadEdition: 9th Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant DownloadEdition: 6th Edition Format: Downloadable ZIP Fille Resource Type: test bank Duration: Unlimited downloads Delivery: Instant DownloadBy: Stanhope Edition: 3rd Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant DownloadEdition: 1st Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant Download
Content

Solution Manual for Nursing Diagnosis Handbook 11th Edition by Ackley

Ackley: Nursing Diagnosis Handbook, 11th Edition Table of Contents     41 cases  Lecture Notes

Problem-Based Learning/Critical Thinking

Case Study - Restless Leg Syndrome

Case Scenario Abdul Malek is a 21 year old college student. He attends the local state university and is a junior studying graphic design.  Three (3) weeks into his fall semester, Abdul’s professors notice that he is falling asleep in class and often looks restless. Abdul taps his foot and squirms around in his seat. Abdul, who is usually an excellent student, has failed his first test in his Graphic Design II course. His professor asks him to see his advisor because the fear is that Abdul has become chemically impaired. His advisor sends Abdul to the student health services and his case is reviewed by the nurse.  Nursing Assessment  Abdul is a well-developed 22 year old male with a BMI of 20. His vital signs are: blood pressure 104/78; temperature 98.4 degrees F.; heart rate – 64 BPM; respiratory rate – 16 per minute. A nutritional history confirms a well-balanced diet with the exclusion of pork products. Abdul had been working out every day at the University gym but reports that he is currently “too tired” to do so.  Abdul denies drug or alcohol use and this is confirmed by serum analysis. Abdul complains about sleeping poorly and feeling as if, “I am moving all night.” He states that he often wakes up his dorm mate and feels badly about that.  The nurse reclines Abdul on the examination table and checks his deep tendon reflexes (DTRs) which are all 2 . The nurse asks Abdul to relax and dims the lights while she consults with the primary care practitioner. While the nurse is out of the examination room Abdul dozes and when the nurse returns the nurse observes Abdul’s right leg jerking several times before she arouses him.
  1. ASSESS
  2. Identify significant symptoms by underlining them in the assessment.
  3. List those symptoms that indicate the client has a health problem (those you have underlined).
  • falling asleep in class
  • often looks restless
  • taps his foot
  • squirms around in his seat
  • failed his first test
  •  “too tired
  • complains about sleeping poorly
  • I am moving all night
  • often wakes up
  • dozes
  • right leg jerking several times
  1. Group the symptoms that are similar.
  • falling asleep in class
  • often looks restless
  • taps his foot
  • squirms around in his seat
  • failed his first test
  • complains about sleeping poorly
  • dozes
  •  “too tired
  • I am moving all night
  • often wakes up
  • right leg jerking several times

Test Bank for Pharmacotherapeutics for Advanced Practice Nurse Prescribers 4th Edition by Woo

Chapter 1. The Role of the Nurse Practitioner   Multiple Choice Identify the choice that best completes the statement or answers the question.   ____    1.   Nurse practitioner prescriptive authority is regulated by:
1. The National Council of State Boards of Nursing
2. The U.S. Drug Enforcement Administration
3. The State Board of Nursing for each state
4. The State Board of Pharmacy
    ____    2.   The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include:
1. Nurses know more about Pharmacology than other prescribers because they take it both in their basic nursing program and in their APRN program.
2. Nurses care for the patient from a holistic approach and include the patient in decision making regarding their care.
3. APRNs are less likely to prescribe narcotics and other controlled substances.
4. APRNs are able to prescribe independently in all states, whereas a physician’s assistant needs to have a physician supervising their practice.
    ____    3.   Clinical judgment in prescribing includes:
1. Factoring in the cost to the patient of the medication prescribed
2. Always prescribing the newest medication available for the disease process
3. Handing out drug samples to poor patients
4. Prescribing all generic medications to cut costs
    ____    4.   Criteria for choosing an effective drug for a disorder include:
1. Asking the patient what drug they think would work best for them
2. Consulting nationally recognized guidelines for disease management
3. Prescribing medications that are available as samples before writing a prescription
4. Following U.S. Drug Enforcement Administration guidelines for prescribing
    ____    5.   Nurse practitioner practice may thrive under health-care reform because of:
1. The demonstrated ability of nurse practitioners to control costs and improve patient outcomes
2. The fact that nurse practitioners will be able to practice independently
3. The fact that nurse practitioners will have full reimbursement under health-care reform
4. The ability to shift accountability for Medicaid to the state level
  Chapter 1. The Role of the Nurse Practitioner Answer Section   MULTIPLE CHOICE  
  1. ANS:  3                     PTS:   1
 
  1. ANS:  2                     PTS:   1
 
  1. ANS:  1                     PTS:   1
 
  1. ANS:  2                     PTS:   1
 
  1. ANS:  1                     PTS:   1

Test Bank for Pharmacology and the Nursing Process 9th Edition

Contents Chapter 01: The Nursing Process and Drug Therapy................................................................................. 4 Chapter 02: Pharmacologic Principles...................................................................................................... 8 Chapter 03: Lifespan Considerations...................................................................................................... 14 Chapter 04: Cultural, Legal, and Ethical Considerations.......................................................................... 20 Chapter 05: Medication Errors: Preventing and Responding .................................................................. 26 Chapter 06: Patient Education and Drug Therapy................................................................................... 29 Chapter 07: Over-the-Counter Drugs and Herbal and Dietary Supplements ........................................... 34 Chapter 08: Gene Therapy and Pharmacogenomics............................................................................... 38 Chapter 09: Photo Atlas of Drug Administration .................................................................................... 41 Chapter 10: Analgesic Drugs.................................................................................................................. 50 Chapter 11: General and Local Anesthetics............................................................................................ 57 Chapter 12: Central Nervous System Depressants and Muscle Relaxants............................................... 61 Chapter 13: Central Nervous System Stimulants and Related Drugs....................................................... 66 Chapter 14: Antiepileptic Drugs............................................................................................................. 70 Chapter 15: Antiparkinson Drugs.............................................................................................................76 Chapter 16: Psychotherapeutic Drugs.................................................................................................... 81 Chapter 17: Substance Use Disorder...................................................................................................... 88 Chapter 18: Adrenergic Drugs................................................................................................................ 93 Chapter 19: Adrenergic-Blocking Drugs.................................................................................................. 98 Chapter 20: Cholinergic Drugs ............................................................................................................. 103 Chapter 21: Cholinergic-Blocking Drugs............................................................................................... 108 Chapter 22: Antihypertensive Drugs.................................................................................................... 113 Chapter 23: Antianginal Drugs............................................................................................................. 119 Chapter 24: Heart Failure Drugs........................................................................................................... 125 Chapter 25: Antidysrhythmic Drugs..................................................................................................... 131 Chapter 26: Coagulation Modifier Drugs.............................................................................................. 137 Chapter 27: Antilipemic Drugs............................................................................................................. 143 Chapter 28: Diuretic Drugs................................................................................................................... 148 Chapter 29: Fluids and Electrolytes...................................................................................................... 154 Chapter 30: Pituitary Drugs.................................................................................................................. 160 Chapter 31: Thyroid and Antithyroid Drugs.......................................................................................... 163 Chapter 32: Antidiabetic Drugs............................................................................................................ 168 Chapter 33: Adrenal Drugs................................................................................................................... 177 Chapter 34: Women’s Health Drugs..................................................................................................... 181 Chapter 35: Men’s Health Drugs.......................................................................................................... 188 Chapter 36: Antihistamines, Decongestants, Antitussives, and Expectorants ....................................... 193 Chapter 37: Respiratory Drugs............................................................................................................. 198 Chapter 38: Antibiotics Part 1.............................................................................................................. 204 Chapter 39: Antibiotics Part 2.............................................................................................................. 211 Chapter 40: Antiviral Drugs.................................................................................................................. 216 Chapter 41: Antitubercular Drugs ........................................................................................................ 221 Chapter 42: Antifungal Drugs............................................................................................................... 226 Chapter 43: Antimalarial, Antiprotozoal, and Anthelmintic Drugs ........................................................ 231 Chapter 44: Anti-inflammatory and Antigout Drugs............................................................................. 236 Chapter 45: Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs..................... 242 Chapter 46: Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific Drugs and Miscellaneous Drugs......... 248 Chapter 47: Biologic Response–Modifying and Antirheumatic Drugs ................................................... 253 Chapter 48: Immunosuppressant Drugs............................................................................................... 258 Chapter 49: Immunizing Drugs............................................................................................................. 263 Chapter 50: Acid-Controlling Drugs...................................................................................................... 268 Chapter 51: Bowel Disorder Drugs....................................................................................................... 274 Chapter 52: Antiemetic and Antinausea Drugs..................................................................................... 281 Chapter 53: Vitamins and Minerals...................................................................................................... 286 Chapter 54: Anemia Drugs................................................................................................................... 292 Chapter 55: Nutritional Supplements................................................................................................... 299 Chapter 56: Dermatologic Drugs.......................................................................................................... 304 Chapter 57: Ophthalmic Drugs............................................................................................................. 310 Chapter 58: Otic Drugs ............................

Testbank for Handbook of Informatics for Nurses & Health

Our product Handbook of Informatics for Nurses will help you master any topic faster than ever before. The heavy lifting of extracting the most important information from your textbook and compiling it into a downloadable test bank has been done for you. By using this test bank in conjunction with your textbook, you will have all the resources necessary to ensure success in the classroom. Practice makes perfect and this test prep resource will reinforce the concepts and theories presented throughout your course. But that’s not all: This study aid will also highlight your strengths and weaknesses. This takes the guesswork out of studying and allows you to pinpoint the areas where you need improvement. Spend your time more efficiently by focusing on any weaknesses and you will soon be an expert across the board. Test Bank Benefits: • Download instantly after purchase (no waiting for shipping) • Digital format so you can study anywhere you have a computer, cell phone or tablet • Quickly review key concepts and reinforce your understanding of the subject matter • Build test-taking skills and confidence with realistic, exam-like questions • Fully comprehensive material covers all the chapters in your textbook • Quickly narrow down the areas in which you need improvement • We offer a free sample so you know exactly what to expect

Test Bank Community Health Nursing in Canada, 3rd Edition by Marcia Stanhope

Chapter 01: Community Health Nursing

Stanhope: Community Health Nursing in Canada, 3rd Canadian Edition

MULTIPLE CHOICE

1.   Which of the following best describes community health nursing?
a. Giving care with a focus on the aggregate’s needs
b. Giving care with a focus on the group’s needs
c. Focusing on the health care of individual clients in the community
d. Working with an approach of unique client care
ANS:  C By definition, community health nursing is the health care of individual clients in the community. DIF:    Cognitive Level: Knowledge/Remember                         REF:   p. 3 OBJ:   1.6 TOP:   Client Need: Safe and Effective Care Environment - Management of Care 2.   Which of the following best describes primary health care?
a. A comprehensive way to address issues of social justice
b. Giving the care to manage acute or chronic conditions
c. Giving direct care to ill individuals within their family setting
d. Having the goal of health promotion and disease prevention
ANS:  A By definition, primary health care is comprehensive and addresses issues of social justice and equity. Social justice in the context of health refers to ensuring fairness and equality in health services so that vulnerable individuals in society have easy access to health care. DIF:    Cognitive Level: Knowledge/Remember                         REF:   p. 10 OBJ:   1.4                 TOP:   Client Need: Health Promotion and Maintenance 3.   The health of which of the following is the primary focus of public health nurses (PHNs)?
a. Families
b. Groups
c. Individuals
d. Populations
ANS:  D PHNs use knowledge of nursing, social sciences, and public health sciences for the promotion and protection of health and for the prevention of disease among populations. DIF:    Cognitive Level: Knowledge/Remember                         REF:   p. 13, Table 1-4 | p. 20 OBJ:   1.5                 TOP:   Client Need: Health Promotion and Maintenance 4.   Which change is the primary explanation for life expectancy increasing so notably since the early 1900s?
a. An increase in findings from medical laboratory research
b. Incredible advances in surgical techniques and procedures
c. Improved sanitation and other public health activities
d. Increased use of antibiotics to fight infections
ANS:  C Improvement in control of infectious diseases through immunizations, sanitation, and other public health activities led to the increase in life expectancy since the early 1900s. DIF:    Cognitive Level: Knowledge/Remember                         REF:   pp. 12-13 OBJ:   1.5                 TOP:   Client Need: Health Promotion and Maintenance 5.   Which community health nursing practice area receives funding from the private sector?
a. Telenurses
b. Corrections nurses
c. Nurse entrepreneurs
d. Street or outreach nurses
ANS:  C The nurse entrepreneur receives private funding, whereas all of the other community health nurse (CHN) roles are with provincially or federally funded positions. DIF:    Cognitive Level: Knowledge/Remember                         REF:   p. 22, Table 1-4 Examples OBJ:   1.6 TOP:   Client Need: Safe and Effective Care Environment - Management of Care 6.   A PHN strives to prevent disease and disability, often in partnership with other community groups. Which statement is an appropriate summary of the PHN’s role?
a. The PHN asks the political leaders what interventions should be chosen.
b. The PHN assesses the community and decides on appropriate interventions.
c. The PHN uses data from the main health care institutions in the community to determine needed health services.
d. The PHN works with community members to carry out public health functions.
ANS:  D It is crucial that the PHN work with members of the community to carry out core public health functions. DIF:    Cognitive Level: Application/Apply                                          REF:    p. 13, How To box OBJ:   1.5                 TOP:   Client Need: Health Promotion and Maintenance 7.   Which of the following is used as a measurement of population health?
a. Health status indicators
b. The levels of prevention
c. The number of memberships at the local fitness centre
d. Reported provincial alcohol and tobacco sales in any given month
ANS:  A Population health refers to the health outcomes of a population as measured by determinants of health and health outcomes. DIF:    Cognitive Level: Knowledge/Remember                         REF:   p. 16 OBJ:   1.2                 TOP:   Client Need: Health Promotion and Maintenance 8.   A registered nurse (RN), has just been employed as a CHN. Which question would be most relevant to her practice as she begins her position?
a. “Which community groups are at greatest risk for problems?”
b. “Which patients should I see first as I begin my day?”
c. “With which physicians will I be collaborating most closely?”
d. “Who is the nursing assistant to whom I can refer patients?”
ANS:  A CHNs apply the nursing process to the entire community; asking which groups are at greatest risk reflects a community-oriented perspective. The other possible responses focus on particular individuals. DIF:    Cognitive Level: Application/Apply                                          REF:    p. 15 OBJ:   1.6                 TOP:   Client Need: Health Promotion and Maintenance 9.   The CHN working with women at the senior citizens’ centre reminds them that the only way the centre will be able to afford a driver and a van service for those who cannot drive themselves is to continue to write letters to their local city council representatives, requesting funding for such a service. What is the CHN doing?
a. Ensuring that the women do not expect the CHN herself to do anything about their problem
b. Demonstrating that she understands the women’s concerns and needs
c. Expressing empathy, support, and concern
d. Helping the women engage in political action locally
ANS:  D CHNs have an imperative to work with the members of the community to carry out public health functions such as political action. DIF:    Cognitive Level: Application/Apply                                          REF:    p. 13, How To box OBJ:   1.5 | 1.6 TOP:   Client Need: Safe and Effective Care Environment - Management of Care 10.   Which activity is an example of the “advocate” role of the CHN?
a. Organizing home care support for a newly discharged older adult client
b. Acting as a member of a community action group for provision of accessible transit choices
c. Doing prenatal assessments
d. Facilitating a self-help group for smoking cessation
ANS:  B An advocate provides a voice to client concerns when acting as a member of a community action group for provision of accessible transit choices. DIF:    Cognitive Level: Application/Apply                                          REF:    p. 19, Table 1-3 OBJ:   1.6 TOP:   Client Need: Safe and Effective Care Environment - Management of Care 11.   In which scenario is the PHN most comprehensively fulfilling collaborative practice responsibilities?
a. The PHN meets with several groups about community recreation issues.
b. The PHN spends the day attending meetings at various health agencies.
c. The PHN talks to several people about their particular health concerns.
d. The PHN watches television, including a telecast of a city council meeting on the local cable station.
ANS:  B Any of these might represent a PHN communicating, cooperating, or collaborating with community residents or groups about health concerns. However, the PHN who spends the day attending meetings at various health agencies is most comprehensively fulfilling requirements effectively, since health is broader than recreation, individual concerns are not as important as aggregate priorities, and watching television is only one-way communication. DIF:    Cognitive Level: Synthesis/Synthesize                            REF:   pp. 15-16 OBJ:   1.5 TOP:   Client Need: Safe and Effective Care Environment - Management of Care 12.   A CHN often has to make resource allocation decisions. In such cases, which approach will most help the CHN to arrive at the decision?
a. Choosing a moral or ethical principle
b. Choosing the cheapest, most economical approach
c. Choosing the most rational outcome
d. Choosing the needs of the aggregate, rather than the needs of a few individuals
ANS:  D Although all of the answers represent components of the CHN’s decision-making process, the predominant needs of the population outweigh the expressed needs of one person or a few people. DIF:    Cognitive Level: Application/Apply                                          REF:    pp. 7-8 OBJ:   1.3 TOP:   Client Need: Safe and Effective Care Environment - Management of Care 13.   Which situation most closely represents the focus of public health nursing?
a. Assessing the services and effectiveness of the school health clinic
b. Caring for patients after their outpatient surgeries
c. Giving care to schoolchildren at the school clinic and to the children’s families
d. Treating paediatric patients at an outpatient clinic
ANS:  A A public health or population-focused approach would consider the entire group of children receiving care, to see if services are effective in achieving the goal of improving the health of the school population. DIF:    Cognitive Level: Application/Apply                                          REF:    p. 13, How To box OBJ:   1.5                 TOP:   Client Need: Health Promotion and Maintenance 14.   Which public health service best represents primary prevention?
a. Developing a health education program about the dangers of smoking
b. Providing a diabetes clinic for adults in low-income neighbourhoods
c. Providing an influenza vaccination program in a community retirement village
d. Teaching school-aged children about the positive effects of exercise
ANS:  C Although all the services listed are appropriate and valuable, providing influenza vaccines to healthy adults represents the primary level of health prevention. DIF:    Cognitive Level: Application/Apply                                          REF:    p. 14 OBJ:   1.5                 TOP:   Client Need: Health Promotion and Maintenance 15.   What term is used interchangeably with the term subpopulations?
a. Groups
b. Aggregates
c. Clients
d. Communities
ANS:  B Generally, subpopulations are referred to as aggregates within the larger community population. DIF:    Cognitive Level: Knowledge/Remember                         REF:   p. 16 OBJ:   1.2                 TOP:   Client Need: Health Promotion and Maintenance

Medical-Surgical Nursing: Making Connections to Practice 1st edition Hoffman, Sullivan Test Bank

 

Chapter 1: Foundations for Medical-Surgical Nursing

Multiple Choice Identify the choice that best completes the statement or answers the question.

____ 1. The medical-surgical nurse identifies a clinical practice issue and wants to determine if there is sufficient evidence to support a change in practice. Which type of study provides the strongest evidence to support a practice change? 1) Randomized control study 2) Quasi-experimental study 3) Case-control study 4) Cohort study

____ 2. The medical-surgical unit recently implemented a patient-centered care model. Which action implemented by the nurse supports this model? 1) Evaluating care 2) Assessing needs 3) Diagnosing problems 4) Providing compassion

____ 3. Which action should the nurse implement when providing patient care in order to support The Joint Commission’s (TJC) National Patient Safety Goals (NPSG)? 1) Silencing a cardiorespiratory monitor 2) Identifying each patient using one source 3) Determining patient safety issues upon admission 4) Decreasing the amount of pain medication administered

____ 4. Which interprofessional role does the nurse often assume when providing patient care in an acute care setting? 1) Social worker 2) Client advocate 3) Care coordinator 4) Massage therapist

____ 5. The medical-surgical nurse wants to determine if a policy change is needed for an identified clinical problem. Which is the first action the nurse should implement? 1) Developing a question 2) Disseminating the findings 3) Conducting a review of the literature 4) Evaluating outcomes of practice change

____ 6. The nurse is evaluating the level of evidence found during a recent review of the literature. Which evidence carries the lowest level of support for a practice change? 1) Level IV 2) Level V 3) Level VI 4) Level VII

____ 7. The nurse is reviewing evidence from a quasi-experimental research study. Which level of evidence should the nurse identify for this research study? 1) Level ITestBankWorld.org 2) Level II 3) Level III 4) Level IV

____ 8. Which level of evidence should the nurse identify when reviewing evidence from a single descriptive research study? 1) Level IV 2) Level V 3) Level VI 4) Level VII

____ 9. Which statement should the nurse make when communicating the “S” in the SBAR approach for effective communication? 1) “The patient presented to the emergency department at 0200 with lower left abdominal pain.” 2) “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.” 3) “The patient has no significant issues in the medical history.” 4) “The patient was given a prescribed opioid analgesic at 0300.” ____ 10. The staff nurse is communicating with the change nurse about the change of status of the patient. The nurse would begin her communication with which statement if correctly using the SBAR format? 1) “The patient’s heartrate is 110.” 2) “I think this patient needs to be transferred to the critical care unit.” 3) “The patient is a 68-year-old male patient admitted last night.” 4) “The patient is complaining of chest pain.” ____ 11. Which nursing action exemplifies the Quality and Safety Education for Nursing (QSEN) competency of safety? 1) Advocating for a patient who is experiencing pain 2) Considering the patient’s culture when planning care 3) Evaluating patient learning style prior to implementing discharge instructions 4) Assessing the right drug prior to administering a prescribed patient medication ____ 12. Which type of nursing is the root of all other nursing practice areas? 1) Pediatric nursing 2) Geriatric nursing 3) Medical-surgical nursing 4) Mental health-psychiatric nursing ____ 13. Which did the Nursing Executive Center of The Advisory Board identify as an academic-practice gap for new graduate nurses? 1) Patient advocacy 2) Patient education 3) Disease pathophysiology 4) Therapeutic communication ____ 14. Which statement regarding the use of the nursing process in clinical practice is accurate? 1) “The nursing process is closely related to clinical decision-making.” 2) “The nursing process is used by all members of the interprofessional team to plan care.” 3) “The nursing process has 4 basic steps: assessment, planning, implementation, evaluation.” 4) “The nursing process is being replaced by the implementation of evidence-based practice.”TestBankWorld.org ____ 15. Which is the basis of nursing care practices and protocols? 1) Assessment 2) Evaluation 3) Diagnosis 4) Research ____ 16. Which is a common theme regarding patient dissatisfaction related to care provided in the hospital setting? 1) Space in hospital rooms 2) Medications received to treat pain 3) Time spent with the health-care team 4) Poor quality food received from dietary ____ 17. The nurse manager is preparing a medical-surgical unit for The Joint Commission (TJC) visit With the nurse manager presenting staff education focusing on TJC benchmarks, which of the following topics would be most appropriate? 1) Implementation of evidence-based practice 2) Implementation of patient-centered care 3) Implementation of medical asepsis practices 4) Implementation of interprofessional care ____ 18. Which aspect of patient-centered care should the nurse manager evaluate prior to The Joint Commission site visit for accreditation? 1) Visitation rights 2) Education level of staff 3) Fall prevention protocol 4) Infection control practices ____ 19. The medical-surgical nurse is providing patient care. Which circumstance would necessitate the nurse verifying the patient’s identification using at least two sources? 1) Prior to delivering a meal tray 2) Prior to passive range of motion 3) Prior to medication administration 4) Prior to documenting in the medical record ____ 20. The nurse is providing care to several patients on a medical-surgical unit. Which situation would necessitate the nurse to use SBAR during the hand-off process? 1) Wound care 2) Discharge to home 3) Transfer to radiology 4) Medication education Multiple Response Identify one or more choices that best complete the statement or answer the question. ____ 21. The staff nurse is teaching a group of student nurses the situations that necessitate hand-off communication. Which student responses indicate the need for further education related to this procedure? Select all that apply. 1) “A hand-off is required prior to administering a medication.” 2) “A hand-off is required during change of shift.” 3) “A hand-off is required for a patient is transferred to the surgical suite.”TestBankWorld.org 4) “A hand-off is required whenever the nurse receives a new patient assignment.” 5) “A hand-off is required prior to family visitation.” ____ 22. Which actions by the nurse enhance patient safety during medication administration? Select all that apply. 1) Answering the call bell while transporting medications for a different patient 2) Identifying the patient using two sources prior to administering the medication 3) Holding a medication if the patient’s diagnosis does not support its use 4) Administering the medication two hours after the scheduled time 5) Having another nurse verify the prescribed dose of insulin the patient is to receive ____ 23. The medical-surgical nurse assumes care for a patient who is receiving continuous cardiopulmonary monitoring. Which actions by the nurse enhance safety for this patient? Select all that apply. 1) Silencing the alarm during family visitation 2) Assessing the alarm parameters at the start of the shift 3) Responding to the alarm in a timely fashion 4) Decreasing the alarm volume to enhance restful sleep 5) Adjusting alarm parameters based on specified practitioner prescription ____ 24. The nurse is planning an interprofessional care conference for a patient who is approaching discharge from the hospital. Which members of the interprofessional team should the nurse invite to attend? Select all that apply. 1) Physician 2) Pharmacist 3) Unit secretary 4) Social worker 5) Home care aide ____ 25. The nurse manager wants to designate a member of the nursing team as the care coordinator for a patient who will require significant care during the hospitalization. Which skills should this nurse possess in order to assume this role? Select all that apply. 1) Effective clinical reasoning 2) Effective communication skills 3) Effective infection control procedures 4) Effective documentation 5) Effective intravenous skillsTestBankWorld.org Chapter 1: Foundations for Medical-Surgical Nursing Answer Section MULTIPLE CHOICE 1. ANS: 1 Chapter number and title: 1, Foundations for Medical Surgical Practice Chapter learning objective: Discussing the incorporation of evidence-based practices into medical-surgical nursing Chapter page reference: 003-004 Heading: Evidence-Based Nursing Care Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Comprehension [Understanding] Concept: Evidence-Based Practice Difficulty: Easy Feedback 1 Systematic reviews of randomized control studies (Level I) are the highest level of evidence because they include data from selected studies that randomly assigned participants to control and experimental groups. The lower the numerical rating of the level of evidence indicates the highest level of evidence; therefore, this type of study provides the strongest evidence to support a practice change. 2 Quasi-experimental studies are considered Level III; therefore, this study does not provide the strongest evidence to support a practice change. 3 Case-control studies are considered Level IV; therefore, this study does not provide the strongest evidence to support a practice change. 4 Cohort studies are considered Level IV; therefore, this study does not provide the strongest evidence to support a practice change. PTS: 1 CON: Evidence-Based Practice 2. ANS: 4 Chapter number and title: 1, Foundations of Medical-Surgical Practice Chapter learning objective: Explaining the importance of patient-centered care in the management of medical-surgical patients Chapter page reference: 004-005 Heading: Patient-Centered Care in the Medical-Surgical Setting Integrated Processes: Caring Client Need: Psychosocial Integrity Cognitive level: Application [Applying] Concept: Nursing Roles Difficulty: Moderate Feedback 1 Evaluation is a step in the nursing process; however, this is not an action that supports the patient-centered care model. 2 Assessment is a step in the nursing process; however, this is not an action that supports the patient-centered care model.TestBankWorld.org 3 Diagnosis is a step in the nursing process; however, this is not an action that supports the patient-centered care model. 4 Compassion is a competency closely associated with patient-centered care; therefore, this action supports the patient-centered model of care. PTS: 1 CON: Nursing Roles 3. ANS: 3 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Discussing implications to medical-surgical nurses of Quality and Safety Education for Nurses (QSEN) competencies Chapter page reference: 005-006 Heading: Patient Safety Outcomes Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Application [Applying] Concept: Safety Difficulty: Moderate Feedback 1 Safely using alarms is a NPSG identified by TJC. Silencing a cardiorespiratory monitor is not nursing action that supports this NPSG. 2 Patient identification using two separate resources is a NPSG identified by TJC. Identifying a patient using only one source does not support this NPSG. 3 Identification of patient safety risks is a NPSG identified by the TJC. Determining patient safety issues upon admission supports this NPSG. 4 Safe use of medication is a NPSG identified by the TJC. Decreasing the amount of pain medication administered does not support this NPSG. PTS: 1 CON: Safety 4. ANS: 3 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Describing the role and competencies of medical-surgical nursing Chapter page reference: 006-007 Heading: Interprofessional Collaboration and Communication Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Comprehension [Understanding] Concept: Nursing Roles Difficulty: Easy Feedback 1 The nurse does not often assume the interprofessional role of social worker when providing patient care in an acute care setting. 2 The nurse does not often assume the interprofessional role of client advocate role when providing patient care in an acute care setting. 3 The nurse often assumes the interprofessional role of care coordinator when providing patient care in an acute care setting. 4 The nurse does not often assume the interprofessional role of massage therapist when providing patient care in an acute care setting.TestBankWorld.org PTS: 1 CON: Nursing Roles 5. ANS: 1 Chapter number and title: 1, Foundations of Medical-Surgical Practice Chapter learning objective: Discussing the incorporation of evidence-based practices into medical-surgical nursing Chapter page reference: 003 Heading: Box 1.3 Steps of Evidence-Based Practice Integrated Processes: Nursing Process: Implementation Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Analysis [Analyzing] Concept: Evidence-Based Practice Difficulty: Difficult Feedback 1 The first step of evidence-based practice is to develop a question based on the clinical issue. 2 The last step of evidence-based practice is to disseminate findings. 3 The second step of evidence-based practice is to conduct a review of the literature, or current evidence, available. 4 The fifth step of evidence-based practice is to evaluate the outcomes associated with the practice change. PTS: 1 CON: Evidence-Based Practice 6. ANS: 4 Chapter number and title: 1, Foundations of Medical-Surgical Nursing Practice Chapter learning objective: Discussing the incorporation of evidence-based practices into medical-surgical nursing Chapter page reference: 004 Heading: Box 1.4 Evaluating Levels of Evidence Integrated Processes: Nursing Process: Planning Client Need: Safe and Effective Care Environment/Management of Care Cognitive level: Comprehension [Understanding] Concept: Evidence-Based Practice Difficulty: Easy Feedback 1 The lower the numeric value of the evidence the greater the support for a change in practice. Level IV evidence does not carry the lowest level of support for a practice change. 2 The lower the numeric value of the evidence the greater the support for a change in practice. Level V evidence does not carry the lowest level of support for a practice change. 3 The lower the numeric value of the evidence the greater the support for a change in practice. Level VI evidence does not carry the lowest level of support for a practice change. 4 The lower the numeric value of the evidence the greater the support for a change in practice. Level VII evidence carries the lowest level of support for a practice change.

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