TEST BANK FOR ALEXANDERS CARE OF THE PATIENT IN SURGERY 16TH EDITION BY ROTHROCK Table Of Contents Unit 1: Foundations for Practice 1. Concepts Basic to Perioperative Nursing 2. Patient Safety and Risk Management 3. Workplace Issues and Staff Safety 4. Infection Prevention and Control 5. Anesthesia 6. Positioning the Patient for Surger y 7. Sutures, Sharps, and Instruments 8. Surgical Modalities 9. Wound Healing, Dressings, and Drains 10. Postoperative Patient Care and Pain Management Unit 2: Surgical Interventions 11. Gastrointestinal Surgery 12. Surgery of the Liver, Biliary Tract, Pan creas, and Spleen 13. Hernia Repair 14. Gynecologic and Obstetric Surgery 15. Genitourinary Surgery 16. Thyroid and Parathyroid Surgery 17. Breast Surgery 18. Ophthalmic Surgery 19. Otorhinolarygologic Surgery 20. Orthopedic Surgery 21. Neurosurgery Chapter 01: Concepts Basic to Perioperative Nursing Test Bank MULTIPLE CHOICE 1. The Perioperative Patient Focused Model presents key components of nursing influence that guide patient care. Select the statement that best describes the dynamic relationship within the model. a. The patient experience and the nursing presence are in continuous interaction. b. Structure, process, and outcome are the foundation domains of the model. c. The perioperative nurse is the central dynamic core of the model. d. The interrelated nursing process rings bind the patient to the model. ANS: A The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing diagnoses, nursing interventions, and patient outcomes. These domains are in continuous interaction with the health syste m that encircles the focus of perioperative nursing practice —the patient. REF: p. 3 2. The Association of Perioperative Registered Nurses’ (AORN) Standards of Perioperative Nursing Practice that describes nursing interactions, interventions, and activities with patients falls under which standards category? a. Evidence -based b. Process c. Outcome d. Structural ANS: B Process standards relate to nursing activities, interventions, and interactions. They are used to explicate clinical, professional, and quality objectives in perioperative nursing. REF: p. 3 3. Which order best describes the process used to implement evidence -based professional nursing? a. Literature search, theory review, data analysis, policy development b. Regional survey, literature search, meta -analysis, practice change c. Identify problem, scientific evidence, develop policy, evaluate outcome d. Identify issue, analyze scientific evidence, implement change, evaluate process ANS: D Evidence -based practice is a systematic, thorough process by which to identify an issue, to collect and evaluate the best evidence to design and implement a practice change, and to evaluate the process. REF: p. 15 4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for their unit. The best process to gather scientific information is to: a. conduct a survey of skin prep policies at the next AORN chapter meeting. b. review their surgical site infection data from the last 6 months. c. conduct a literature search on antimicrobial agents and infection prevention. d. review the scientific literature from the leading manufacturers of prep solutions. ANS: C Perioperative nurses have an ethical responsibility to review practices and to modify them based upon the best available scientific evidence. Using research to guide practice is called evidence -based practice (EBP). REF: p. 10 5. The cardiac team is developing a standardized sterile back table setup and is unable to find sufficient research evidence for their project. Where might they look for information on best practices? a. Survey regional surgical technology programs for their back table models b. Review case studies and expert opinions on sterile back table setups c. Review AORN’s Standards and Recommended Practices on sterilization d. Consult with facility instrument vendor representatives for their advice ANS: B When there is not enough evidence to guide practice, perioperative nurses should consider gathering information from varied trusted sources that reflect best practices. REF: pp. 10-11 6. How do institutional standards of care, such as policies and procedures, differ from national standards, such as AORN’s Standards of Perioperative Nursing Practice ? a. They are written by nurses. b. They are written specifically to address responsibilities and circumstances. c. They are collaborative and collective agreement statements. d. They are rarely based on research. ANS: B Institutional standards apply to the system or facility that develops them and can be directive about specific actions in specific circumstances; national standards provide generalized authoritative st atements that can be implemented in all settings. REF: p. 10 7. Which of the following actions best describes an element of the perioperative nursing assessment? a. Scanning the surgical schedule for the day before morning report b. Reading the pick/preference list attached to the case cart c. Reviewing the patient medical record d. Studying an on-line tutorial about the intended surgical procedure ANS: C
