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Medical surgical Nursing in Canada, 4th edition questions with correct answers.
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Medical surgical Nursing in Canada, 4thedition questions with correct answers.
The nurse is caring for a client who has heart failure and encourages the client to alternate rest and
activity periods to reduce cardiac workload. Which phase of the nursing process is the nurse
demonstrating?
a. Planning
b. Diagnosis
c. Evaluation
d. Implementation ANS - d. Implementation
The nurse is planning care for a client and uses a visual diagram of client problems and interventions to
illustrate the relationships among pertinent clinical data. Which format is the nurse using to plan care?
a. Concept map
b. Critical pathway
c. Clinical pathway
d. Nursing care plan ANS - a. Concept map
Which of the following statements represents the "O" component of the SOAP process for
documentation?
a. More pain at present
b. Temperature 39.4°C (102.9°F)
c. Risk for infection
d. Notify surgeon ANS - b. Temperature 39.4°C (102.9°F)
The nurse caring for postoperative clients developed the following clinical question: In adult
postoperative clients, how does guided imagery compared with music therapy affect analgesia use
within the first 24 hours after surgery? Applying the PICOT framework, which of the following would be
the "I" element in this question?
a. Guided imagery
,b. Music therapy
c. Analgesia use
d. Adult postoperative clients ANS - a. Guided imagery
The nurse is investigating ways in which to improve interprofessional team communication and has
chosen the SBAR model. Which of the following reflects the meaning of the "R" in the SBAR model?
a. Risk assessment
b. Recommendation
c. Responsibility of action
d. Roles of health team members Incorrect ANS - b. Recommendation
A team of nurses have a vision to implement evidence-informed practice (EIP) for care of clients with
pressure ulcers. Which of the following sources of evidence would this change in practice encompass?
(Select all that apply.)
a. Consulting with the wound care and ostomy nurse
b. The preferences of clients and their particular circumstances
c. Nurses' expertise and their bodies of experience and knowledge
d. The traditions that surround pressure ulcer practises on the unit
e. Journal articles that address the care of clients with pressure ulcers ANS - a. Consulting with the
wound care and ostomy nurse
b. The preferences of clients and their particular circumstances
c. Nurses' expertise and their bodies of experience and knowledge
e. Journal articles that address the care of clients with pressure ulcers
Which of the following clients is most likely to experience health care disparities?
a. A 65-year-old upper class Chinese male living in the city
b. A 78-year-old Indigenous male living on a reservation
c. A 50-year-old middle class white female living in a rural area
d. A 72-year-old professional Caribbean female living in a condo ANS - b. A 78-year-old Indigenous male
living on a reservation
,Which of the following is the first step towards cultural competence in clinical care?
a. Acquire knowledge specific to populations and aspects of care.
b. Develop an understanding of one's own culture through reflection and self-assessment.
c. Establish a trusting therapeutic relationship and develop common goals.
d. Use open-ended questions to understand clients' priorities and perceptions. ANS - b. Develop an
understanding of one's own culture through reflection and self-assessment.
Which of the following demonstrates a shift in the composition of Canada's immigrant population?
a. Increased number of three-generation families
b. Increased proportion of European-born immigrants
c. Over half of immigrants are from the US
d. Decreased immigrant age when entering Canada ANS - d. Decreased immigrant age when entering
Canada
Which of the following nursing actions is most indicative of stereotyping?
a. The nurse advocates for bronchodilators to be prescribed for all newly admitted Black clients.
b. The nurse helps a recent immigrant to explore ways to pay for her newly prescribed antihypertensive
medications.
c. The nurse prioritizes the assessment of obesity when providing care for Black and Indigenous women.
d. The nurse arranges for translation services to be provided for a client who has recently emigrated
from Sri Lanka and does not speak English. ANS - a. The nurse advocates for bronchodilators to be
prescribed for all newly admitted Black clients.
The nurse is performing an assessment of a 78-year-old Chinese woman who wears a jade bracelet on
her left wrist. The nurse asks the client about the significance of the bracelet and whether it can be
removed prior to the client's scheduled diagnostic procedure. The nurse has demonstrated
a. diversity
b. stereotyping
c. ethnocentrism
d. cultural competence ANS - d. cultural competence
, The adult children of a male client who is Hindu have requested a vegetarian diet for their father. What
is the nurse's most appropriate action?
a. Order a vegetarian diet for the client.
b. Assess the family's rationale for choosing this particular diet.
c. Teach the family about the relationship between protein intake and wound healing.
d. Explore the benefits of a low-meat, high-protein diet with the family and the dietitian. ANS - a. Order
a vegetarian diet for the client.
The nurse identifies a client at high risk for health care disparities. Important nursing intervention to
reduce health care disparities include which of the following actions? (Select all that apply.)
a. Passive listening
b. Relationship building
c. Taking foreign language classes
d. Participating in cross-cultural education
e. Using standardized evidence-informed guidelines ANS - b. Relationship building
d. Participating in cross-cultural education
e. Using standardized evidence-informed guidelines
During an admission history and physical, the client describes symptoms to the nurse. These
descriptions would be documented as
a. objective data.
b. subjective data.
c. generalized data.
d. comprehensive data. ANS - b. subjective data.
Under which of the following functional health patterns would the nurse place assessment findings
related to vision and hearing?
a. Activity-rest pattern
b. Cognitive-perceptual pattern
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