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West-MEC Medical Assisting ADE 2022,Complete Solution guide.
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West-MEC Medical Assisting ADE 2022,Complete Solution guide.Chapter 01: Aspects of Medical-Surgical Nursing Linton: Medical-Surgical
Nursing, 7th Edition
MULTIPLE CHOICE
1. What provides direction for individualized care and assures the delivery of accurate, safe care
through a definitive pathway that promotes the client’s and the support persons’ progress
toward positive outcomes?
a. Physician’s orders
b. Progress notes
c. Nursing care plan
d. Client health history
ANS: C The nursing care plan provides direction for individualized care and assures the delivery of
accurate, safe care through a definitive pathway that promotes the client’s and the support persons’
progress toward positive outcomes.
2. The nurse is performing behaviors and actions that assist clients and significant others in
meeting their needs and the identified outcomes of the plan of care. What is the correct term
for these nursing behaviors?
a. Assessments
b. Interventions
c. Planning
d. Evaluation
ANS: B Caring interventions are those nursing behaviors and actions that assist clients and
significant others in meeting their needs and the identified outcomes of the plan of care.
3. The nurse understands the importance of being answerable for all actions and the possibility
of being called on to explain or justify them. What term best describes this concept?
a. Reliability
b. Maturity
c. Accountability
d. Liability
ANS: C Accountability means that a person is answerable for his or her actions and may be called on
to explain or justify them.
MULTIPLE RESPONSE
1. The nurse manager is providing an inservice about conflict resolution. What modes of
conflict resolution should be addressed? (Select all that apply.)
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
ANS: B, C, D, E, F The modes of conflict resolution include accommodation, collaboration,
compromise, avoidance, and competition.
, West-MEC Medical Assisting ADE 2022,Complete Solution guide.
2. What are the characteristics of an effective leader? (Select all that apply.)
a. Effective communication
b. Rigid rules and regulations
c. Delegates appropriately
d. Acts as a role model
e. Consistently handles conflict
f. Focuses on individual development
ANS: A, C, D, E Characteristics of an effective leader include effective communication, consistency in
managing conflict, knowledge and competency in all aspects of delivery of care, effective role model for
staff, uses participatory approach in decision making, shows appreciation for a job well done, delegates
work appropriately, sets objectives and guides staff, displays caring, understanding, and empathy for others,
motivates and empowers others, is proactive and flexible, and focuses on team development.
COMPLETION
1. is defined as the process by which information is exchanged between
individuals verbally, nonverbally, and/or in writing or through information technology.
ANS: Communication
2. is the collection and processing of relevant data for the purpose of appraising
the client’s health status.
ANS: Assessment
3. is concerned with the ethical questions that arise in the context of health
care. ANS: Bioethics
4. Place the corresponding letter to each stage of conflict in the correct order.
a. (4) Outcomes
b. (2) Conceptualization
c. (1) Frustration
d. (3) Action
ANS: CBDA The stages of conflict in order are frustration, conceptualization, action, and outcomes.
5. Place the corresponding letter to each key step in solving an ethical dilemma in the correct order.
a. (6) Negotiate a plan.
b. (3) Clarify values.
c. (1) Ask if it is an ethical dilemma.
d. (4) Verbalize the problem.
e. (2) Gather information.
f. (5) Identify possible courses of action.
g. (7) Evaluate the plan over time.
ANS: CEBDFAG The key step of solving an ethical dilemma in order are ask the question, is it an ethical
dilemma, gather information, clarify values, verbalize the problem, identify possible course of action,
negotiate a plan, and evaluate the plan over time.
, West-MEC Medical Assisting ADE 2022,Complete Solution guide.
Chapter 02: Medical-Surgical Practice Settings Linton: Medical-
Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. While a home health nurse is making the entry to a service assessment on a homebound
patient, the spouse of the patient asks whether Medicare will cover the patient’s ventilator
therapy and insulin injections. What is the best response by the nurse?
a. “Yes, Medicare will cover both the ventilator therapy and the insulin injections.”
b. “No, Medicare will not cover either of these ongoing therapies.”
c. “Medicare will cover the ventilator therapy, but it does not cover the
insulin injections.”
d. “Medicare will cover the ongoing insulin therapy, but it does not cover a
highly technical skill such as ventilator therapy.”
ANS: C Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that
can be taught to the family or the patient are not covered.
2. The wife of a patient asks the nurse whether her husband would be considered for placement in a
skilled nursing care facility when he is discharged from the general hospital. The patient is
incontinent, has mild dementia but is able to ambulate with a walker, and must have help to eat
and dress himself. What is the nurse’s most appropriate response?
a. “Yes, your husband would qualify for a skilled care facility because of his
inability to feed and dress himself.”
b. “No, your husband’s disabilities would not qualify him for a skilled facility.”
c. “Yes, your husband qualifies for placement in a skilled care facility because of
his dementia.”
d. “Yes, anyone who is willing to pay can be placed in a skilled nursing facility.”
ANS: B Placement in a skilled nursing facility must be authorized by a physician. A clear need
for rehabilitation must be evident, or severe deficits in self-care that have a potential for improvement
and require the services of a registered nurse, a physical therapist, or a speech therapist must exist.
3. A nurse has noted that a newly admitted resident to an extended care facility stays in her room,
does not take active part in activities, and leaves the meal table after having eaten very little. The
nurse should analyze this relocation response as
a. regression.
b. social withdrawal.
c. depersonalization.
d. passive aggressive.
ANS: B Social withdrawal is a frequent response to relocation.
4. A nurse clarifies to a new patient in a rehabilitation center what rehabilitation means.
What statement made by the patient indicates a correct understanding?
a. “I will return to my previous level of functioning.”
b. “I will be counseled into a new career.”
c. “I will develop better coping skills to accept his disability.”
d. “I will attain the greatest degree of independence possible.”
ANS: D The rehabilitation process works to promote independence at whatever level the patient
is capable of achieving.
, West-MEC Medical Assisting ADE 2022,Complete Solution guide.
5. A nurse assesses a patient who needs to be reminded to take premeasured oral medications,
wash, go to meals, and undress and come to bed at night, but coming and going as he pleases
is considered safe for him. What facility placement would be most appropriate for this patient?
a. Skilled care
b. Intermediate care
c. Sheltered housing
d. Domiciliary care
ANS: D Domiciliary care provides room, board, and supervision, and residents may come and go as
they please. Sheltered housing does not provide 24-hour care.
6. A nurse is making a list of the members of the rehabilitation team, so the different types of
services available to patients may be taught to a group of families. Which lists should be used?
a. Physical therapist, nurse, family members, and personal physician
b. Occupational therapist, dietitian, nurse, and patient
c. Rehabilitation physician, laboratory technician, patient, and family
d. Vocational rehabilitation specialist, patient, and psychiatrist
ANS: A The rehabilitation team usually consists of all of the choices except the laboratory
technician, dietitian, and psychiatrist. (The mental health role is represented by the psychologist.)
7. A nurse explains the level of disability to a patient who was injured in a construction accident
that resulted in the loss of both his right arm and right leg. This loss has affected his quality of life
and ability to return to previous employment. At what level should the client be classified as
being disabled?
a. I
b. II
c. III
d. IV
ANS: B The patient is limited in the use of his right arm for feeding himself, dressing himself, and
driving his car, which are three main activities of daily living. He may be able to work if workplace
modifications are made.
8. A nurse explains that in 1990, the Americans with Disabilities Act (ADA) was passed. For
which extended services for the disabled persons did this act provide?
a. Covering the costs for the rehabilitation of disabled World War I servicemen
by providing job training
b. Extending protection to the disabled in the military sector, such as
wheelchair ramps on military bases
c. Extending protection to the disabled in private areas, such as accessibility to
public restaurant bathrooms and telephones
d. Affording disabled persons full access to all health care services
ANS: C The ADA of 1990 extended the previous legislative Acts of 1920, 1935, and 1973. The ADA
now covers private sector individuals and public businesses in particular.
9. A frail patient in a long-term care facility asks the nurse if a bath is to be given this morning.
What is the best reply by the nurse to encourage independence and give the patient the
most flexibility?
a. “Based on your room number, you get bathed on Monday, Wednesday, and
Friday. Today is Tuesday.”
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