CH 01
CH 01
CH 01
Caregiver
Advocate
Educator
Leader
Educator
Researcher
Advocate
Leader
Osborn, et al., Test Item File for Medical-Surgical Nursing: Preparation for Practice
Copyright 2010 by Pearson Education, Inc.
4. A patient, seen laughing and talking with visitors, asks the nurse for pain medication. Which of
the following responses would demonstrate the nurse is functioning within the component of
conscious nursing care?
1.
2.
3.
4.
Correct Answer: Provide the medication as requested and according to organizational policies.
Rationale: The component of conscious nursing is defined as possessing a moral sense of what is
right and wrong. The nurses conscience serves as a guide to provide minimal or inappropriate
care or provide quality care. The nurse should provide the requested medication according to
organizational policy and not make the patient wait or confront the patient regarding the current
pain level.
Cognitive Level: Applying
Nursing Process: Implementation
Client Need: Safe, Effective Care Environment
LO: 2
5. The nurse manager of a care area asks that a new intravenous-therapy monitoring device not
be used for any patients until the entire staff has received appropriate instruction on its use. The
nurse manager is demonstrating which of the following components of caring?
1.
2.
3.
4.
Commitment
Conscience
Confidence
Comportment
6. The nurse is concerned about new scheduling changes and the impact on staffing levels. If
applying the component of comportment, in which of the following ways should the nurse
respond?
1. Request to talk about the proposed changes with the nurse manager in a quiet
environment.
2. Discuss the changes with other staff members in the unit hallway.
3. Shake her head and laugh while saying, Here we go again.
4. Call a friend in another care area and discuss the changes in the unit station.
Correct Answer: Request to talk about the proposed changes with the nurse manager in a quiet
environment.
Rationale: Comportment means that one is aware of ones conduct and behavior around others.
The nurse should behave professionally and request to talk about the changes with the nurse
manager in a quiet environment. Talking with others about the changes within earshot of patients
would not demonstrate comportment. Shaking ones head, laughing, and making snide comments
would not be professional or polite. Calling friends and discussing the changes in the unit station
would not demonstrate comportment.
Cognitive Level: Applying
Nursing Process: Implementation
Client Need: Safe, Effective Care Environment
LO: 2
7. A nurse is assessing the competency of a group of orthopedic care nurses. This nurse is most
likely functioning within which of the following roles of the professional nurse?
1.
2.
3.
4.
Nurse educator
Acute care
Nurse manager
Parish nurse
LO: 3
8. A staffing issue and lack of patient care supplies causes a nurse to cancel planned evening
activities and stay on the care area until all issues are resolved. This nurse is most likely
functioning in the role of a(n):
1.
2.
3.
4.
Manager.
Researcher.
Administrator.
Educator.
Parish nurse
Occupational health nurse
Clinic nurse
Gerontologic nurse
Modular nursing.
Functional nursing.
Primary nursing.
Case method.
Osborn, et al., Test Item File for Medical-Surgical Nursing: Preparation for Practice
Copyright 2010 by Pearson Education, Inc.
11. The nurse is referring to a document that identifies the care a patient is planned to receive
according to specific time frames and reflects the best utilization of resources. The nurse is
functioning within the care delivery model of:
1.
2.
3.
4.
Case management.
Primary nursing.
Functional nursing.
Case method.
Disease management.
Community-health nursing.
Case management.
Case method.
Osborn, et al., Test Item File for Medical-Surgical Nursing: Preparation for Practice
Copyright 2010 by Pearson Education, Inc.
13. The nurse is providing care to a patient of Asian descent. Which of the following behaviors
should this nurse possess to work effectively in a cross-cultural situation?
1.
2.
3.
4.
Cultural competence
Patience
Understanding about the health care system
Comprehension
Briefly review the patients culture and its expectations of health care providers.
Locate an interpreter to assist with communication.
Approach the care of this patient as with any other patient admitted to the care area.
Have another nurse provide care to this patient.
Correct Answer: Briefly review the patients culture and its expectations of health care providers.
Rationale: Cultural competence is needed to provide empathy, understanding, communication,
value, and caring in health care. The nurse lacks the four components of cultural awareness,
which are cultural awareness, knowledge, skill, and encounters. The nurse would benefit from a
brief review of the patients culture and its expectations of health care providers. Locating an
interpreter might be beneficial but does not help with the nurses knowledge deficit. The nurse
should not approach the care of this patient in the same way as any other patient admitted to the
care area because the patients cultural norms may be different. The nurse should not ask another
nurse to provide care to this patient.
Cognitive Level: Analyzing
Nursing Process: Planning
Client Need: Safe, Effective Care Environment
LO: 5
Osborn, et al., Test Item File for Medical-Surgical Nursing: Preparation for Practice
Copyright 2010 by Pearson Education, Inc.
15. A nurse of Hispanic descent is assigned to provide care to patients of the same culture. The
patients would benefit because:
1.
2.
3.
4.
Osborn, et al., Test Item File for Medical-Surgical Nursing: Preparation for Practice
Copyright 2010 by Pearson Education, Inc.