Medica Surgical Nursing Preparation For Practice 2nd Ed By Osborn - Test Bank

Osborn, Medical-Surgical Nursing, 2e
Chapter 01

Question 1

Type: MCSA

The nurse plans and implements care for a patient based on nursing knowledge and skills. The nurse is functioning within which role?

1. Caregiver

2. Advocate

3. Educator

4. Leader

Correct Answer: 1

Rationale 1: The caregiver role for the nurse today is both independent and collaborative. Nurses independently make assessments and plan and implement patient care based on nursing knowledge and skills.

Rationale 2: The nurse functioning as a patient advocate actively promotes the patient’s rights to autonomy and free choice.

Rationale 3: The nurse who is functioning in the role of educator nurse assesses learning needs, plans and implements teaching methods to meet those needs, and evaluates the effectiveness of the teaching.

Rationale 4: The nurse functioning in the role of leader directs, delegates, and coordinates nursing activities.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 1-1

Question 2

Type: MCSA

A patient tells the nurse that he does not understand the surgical procedure the physician told him he needed. What should the nurse do to advocate for this patient?

1. Contact the physician and ask that the procedure be explained to the patient.

2. Explain the procedure to the patient.

3. Document that the patient does not understand the proposed surgical procedure.

4. Instruct the patient about alternatives to the surgical procedure.

Correct Answer: 1

Rationale 1: The nurse as patient advocate actively promotes the patient’s rights to autonomy and free choice. The nurse should protect the patient’s right to self-determination about the surgical procedure.

Rationale 2: The nurse should not explain the procedure to the patient. This is not patient advocacy.

Rationale 3: Simply documenting the patient’s lack of understanding about the procedure is not advocacy.

Rationale 4: It is not the nurse’s place to discuss alternatives to a surgical procedure recommended by the physician.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1-1

Question 3

Type: MCSA

The nurse, instructing a patient newly diagnosed with type 2 diabetes, reminds the patient about the need for an annual dilated retinal eye examination and annual urine tests to measure protein levels. The nurse is functioning within which role with this patient?

1. Educator