Med-Surg Nursing

Front 1

The definition of nursing has evolved over time.
According to the ANA (American Nursing Association), RNs can and should:

A. diagnose health alterations and prescribe specific nursing interventions.
B. promote optimum levels of wellness and prevent illness.
C. maintain health and assist patients with the dying process.
D. do all of the above.

Back 1

D. do all of the above.

Front 2

An underlying focus in any definition of nursing is the RNs responsibility to:

A. appraise and enhance an individual's health-seeking perspective.
B. coordinate a patient's total health management with all disciples.
C. diagnose acute pathology.
D. treat acute clinical reactions to chronic illness.

Back 2

A. appraise and enhance an individual's health-seeking perspective.

Front 3

A Jewish patient who adheres to the dietary laws of his faith is in traction and confined to bed.
He needs assistance with his evening meal of chicken, rice, beans, a roll, and a carton of milk.
Choose the approach that is most representative of promoting wellness.

A. Nurse "A" removes items from the overbed table to make room for the dinner tray.
B. Nurse "B" pushes the overbed table toward the bed so that it will be within the patient's reach when the dinner tray arrives.
C. Nurse "C" asks a family member to assist the patient with the tray and the overbed table while the nurse straightens the area in an attempt to provide a pleasant atmosphere for eating.
D. Nurse "D" prepares the environment and the overbed table and inspects the contents of the dinner tray.
The nurse asks the patient whether he would like to make any substitutions in the foods and fluids he has received.

Back 3

D. Nurse "D" prepares the environment and the overbed table and inspects the contents of the dinner tray.
The nurse asks the patient whether he would like to make any substitutions in the foods and fluids he has received.

Front 4

Using the concept of the wellness-illness continuum, a nursing care plan for a chronically ill patient would outline steps to:

A. educate the patient about every possible complication associated with the specific illness.
B. encourage positive health characteristics within the limits of the specific illness.
C. limit all activities beyond the scope of tolerance to prevent early deterioration.

Back 4

B. encourage positive health characteristics within the limits of the specific illness.

Front 5

To be responsive to the changing health care needs of our society, RNs will need to:

A. focus their care on the traditional disease-oriented approach to patient care, because hospitalized patients today are more acutely ill than they were 10 years ago.
B. learn how to delegate discharge planning to ancillary personnel so that RNs can spend their time managing the "high tech" equipment needed for patient care.
C. place increasing emphasis on wellness, health promotion, and self-care, because the majority of Americans today suffer from chronic debilitative illness.
D. stress the curative aspects of illness, especially the acute, infectious disease processes.

Back 5

C. place increasing emphasis on wellness, health promotion, and self-care, because the majority of Americans today suffer from chronic debilitative illness.

Front 6

The diagnosis-related groups (DRG) legislation enacted in 1983 provides for:

A. a fixed rate of Medicare payment per diagnosis for hospital services.
B. a retrospective method of reimbursement based on a patient's length of stay.
C. all hospital and extended-care costs (such as nursing homes and home care) per diagnosis if the hospital participates with a peer review organization (PRO).
D. total reimbursement per diagnosis for as long as the patient requires hospitalization (as long as the patient is eligible for Medicare benefits).

Back 6

A. a fixed rate of Medicare payment per diagnosis for hospital services.