Module 1: Introduction To Med-Surg
Nursing Questions And Answers With
Verified Solutions (GRADED A+)
Medical-Surgical Nursing - ANSWER✔✔a specialty area of practice that provides
nursing services to patients from adolescence through the end of life in a variety of
inpatient & outpatient clinical settings
nurse navigators - ANSWER✔✔-registered nurses employed by hospitals & health
networks who work with a given population of patients with a common diagnosis
or disease
-they help patients & the patients family transition through different levels of care
(from hospital to a skilled nursing facility
case managers - ANSWER✔✔-may be nurses or may have backgrounds in other
health care professions such as social work
-they coordinate the care of a caseload of patients through facilitating
communication between nurses, other health care personnel who provide care, and
insurance companies
CNL - ANSWER✔✔-a certified nurse generalist with a master's degree in nursing
-help patients navigate the complex health care system
critical care nursing - ANSWER✔✔a specialty area of practice that provides
nursing services to critically ill patients across the lifespan, traditionally delivered
in acute care settings (ICU)
what is the difference between ADL's and IADL's? - ANSWER✔✔ADL's:
(Activities of Daily Living) self-care activities that the patient must accomplish
each day to meet personal needs (personal hygiene, bath, dressing, grooming)
IADL's: (instrumental activities of daily living) complex skills needed for
independent living (meal preparation, grocery shopping, household, finances)
,Functional Independence Measure (FIM) - ANSWER✔✔-One of the most
frequently used tools to assess the patient's level of independence
-a minimum data set, measuring 18 self-care items including eating, bathing,
grooming, dressing upper body, dressing lower body, toileting, bladder
management, and bowel management
-addresses transfers and the ability to ambulate and climb stairs and also includes
communication and social cognition items
The Katz Index of Independence in Activities of Daily Living (Katz Index) -
ANSWER✔✔is used to assess six areas of ADLs (i.e., bathing, dressing, toileting,
transferring, continence, feeding) and rate them as done independently or done
with assistance
barthel index - ANSWER✔✔-is used to measure the patient's level of
independence in ADLs, continence, toileting, transfers, and ambulation (or
wheelchair mobility)
-this scale does not address communicative or cognitive abilities
A male client recovering from a stroke is receiving anticoagulant therapy. Which
item will the nurse instruct the client to use for self-care?
a. loofah sponge
b. electric razor
c. long handle shoe horn
d. hard-bristled toothbrush - ANSWER✔✔electric razor (b)
-will decrease the risk of causing bleeding while shaving
A nurse is reviewing the medical record of a client to determine his eligibility for
home care services. Which of the following would alert the nurse to a potential
problem in this area?
a. Client requires sterile dressing changes to an abdominal wound.
b. Client attends social groups at a senior center three times a week.
c. teaching about insulin administration
, d. Discharge after open heart surgery - ANSWER✔✔Client attends social groups
at a senior center three times a week (b)
-Attending social activities at a senior center three times a week suggests that the
client may not be homebound.
Which of the following would be least helpful in ensuring the safety of a home
care nurse?
a. Making visits in the late evening hours
b. Being familiar with exits from the home
c. carry a charged cell phone
d. park near the client's home - ANSWER✔✔Making visits in the late evening
hours (a)
-To ensure safety, the home care nurse should schedule visits only during the
daylight hours.
A group of nursing students are preparing for a class presentation that describes
community-based nursing. Which of the following would they most likely include?
a. Practice on all the three levels of preventive care
b. Caring for the needs of individual clients as the primary focus
c. Delivery of nursing care with direct on-site supervision
d. Care delivered by nurses functioning in limited roles - ANSWER✔✔Practice on
all the three levels of preventive care (a)
-Community-based care involves nurses providing care at all three levels of
prevention, that is, primary, secondary, and tertiary levels. There is a focus on
community needs as well as on the needs of individual clients. Nurses often deliver
care without direct on-site supervision or support of other health care personnel.
Community health nurses assume many different roles such as epidemiologist, case
manage, service coordinator, direct care provider, and educator.
A student nurse asks the nursing instructor, "What will my role as a nurse
encompass after I graduate?" What is the best response by the nursing instructor?
a. "You will take care of clients who are ill in a hospital or long-term care facility."
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