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A series of multiple-choice questions covering key concepts in medical-surgical nursing. It includes questions about accreditation organizations, patient care coordination, transitional care models, informed consent, and ethical considerations in nursing practice. Accurate answers to each question, making it a valuable resource for students preparing for exams or professional certifications.
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CASAL II HIGH STAKES STUDY QUESTIONSBANK
Which independent, not-for-profit organization accredits and certifies more than 19,000 health-care organizations in the United States?
The Joint Commission (TJC)
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
The Beryl Institute
The Robert Wood Johnson Foundation - ACCURATE ANSWERS✔✔ The Joint Commission Which topics are included in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey? Select all that apply.
Responsiveness of hospital staff
Cleanliness of the hospital environment
Communication about medications
Integration of evidence into practice
Enhancement of the knowledge, skills, and professionalism - ACCURATE ANSWERS✔✔ 1. Responsiveness of hospital staff
Cleanliness of the hospital environment
Communication about medications What is the role of the American Nurses Credentialing Center (ANCC) in medical-surgical nursing in the United States?
Certifying registered nurses to earn the credential of Registered Nurse- Board Certified (RN-BC).
Testing the ability of the registered nurse in various domains of the nursing practice to confer the credential Certified Medical-Surgical Registered Nurse® (CMSRN).
Accrediting and certifying medical-surgical health-care facilities
Filling the academic-practice gap that helps the registered nurse to enhance skills required to earn certification. - ACCURATE ANSWERS✔✔ Certifying registered nurses to earn the credential of Registered Nurse-Board Certified (RN-BC). Which organization's report regarding ineffective communication estimated that there are approximately 40,000 incidences of client harm per day in US hospitals?
Institute for Healthcare Improvement (IHI)
The Institute of Medicine (IOM)
The Joint Commission (TJC)
The Robert Wood Johnson Foundation - ACCURATE ANSWERS✔✔ Institute for Healthcare Improvement (IHI) Which member of the interprofessional health-care team performs the role of the care coordinator in a hospital's surgical unit?
Medical-surgical nurses
Physicians
Social workers
Consultants - ACCURATE ANSWERS✔✔ Medical-surgical nurses Which organization works to promote excellence in medical-surgical nursing?
Medical Surgical Nursing Certification Board (MSNCB)
American Nurses Credentialing Center (ANCC)
Academy of Medical Surgical Nurses (AMSN)
The Joint Commission (TJC) - ACCURATE ANSWERS✔✔ Academy of Medical Surgical Nurses (AMSN) A transitional care nurse (TCN) is caring for a client who had hip surgery. Which intervention should the nurse provide for the client?
Visit the client weekly at home during the first month.
Follow the client with phone calls for a four- week time period after discharge.
Provide education and guidance during the transition period.
Teach the client to recognize and respond to worsening health conditions. - ACCURATE ANSWERS✔✔ Visit the client weekly at home during the first month. Which characteristic is a feature of the Project BOOST (Better Outcomes for Older Adults Through Safe Transition) program?
It uses an assessment tool called the 8P scale.
It is based on 12 interrelated components that decrease readmissions.
It employs nurses called transition coaches to manage chronically ill clients.
It involves the service of transition care nurses (TCNs). - ACCURATE ANSWERS✔✔ It uses an assessment tool called the 8P scale. Which member of the interprofessional care team (ICT) can lead the team under the direction of the primary health-care provider?
Charge nurse (CN)
Registered nurse (RN)
Licensed practical nurse (LPN)
Certified registered nurse practitioner (CRNP) - ACCURATE ANSWERS✔✔ Certified registered nurse practitioner (CRNP) What is the role of the social worker as a member of the interprofessional care team (ICT)?
Assess the client's nutritional needs and educate about dietary modifications.
Assess and retrains the client to perform activities of daily living.
Assess the physical strength, gait, and mobility of the client.
Assess the psychosocial functioning of the client and family. - ACCURATE ANSWERS✔✔ Assess the psychosocial functioning of the client and family. The case manager is an integral part of the interprofessional care team (ICT). What is the role of the case manager?
Facilitates the provision of services in the home prior to discharge.
Identifies and manages readmission risks
Plans health care with cost-effective outcomes
Identifies the best medication regimens for the client, including costs and caregiver skills - ACCURATE ANSWERS✔✔ Plans health care with cost-effective outcomes Which organization confers the credential Certified Medical-Surgical Registered Nurse® (CMSRN)?
Medical-surgical Nursing Certification Board (MSNCB)
American Nurses Credentialing Center (ANCC)
Academy of Medical-surgical Nurses (AMSN)
The Joint Commission (TJC) - ACCURATE ANSWERS✔✔ Medical- surgical Nursing Certification Board (MSNCB) Which model of transitional care did advanced practice nurse Mary Naylor at the University of Pennsylvania develop?
The Transitional Care Model (TCM)
The Care Transitions program
Transforming Care at the Bedside (TCAB)
Guided Care program - ACCURATE ANSWERS✔✔ The Transitional Care Model (TCM) A client who needs surgery is asked to sign an informed consent. What are the requirements for an informed consent? Select All That Apply.
The client must be mentally competent to give consent for medical procedures.
The client must be aware of the risks associated with the procedure.
The information is delivered to the client in a language that is understood by the client.
The client must be provided with an opportunity to ask questions.
Informed consent may be signed by a family caregiver. - ACCURATE ANSWERS✔✔ 1. The client must be mentally competent to give consent for medical procedures.
The client must be aware of the risks associated with the procedure.
The information is delivered to the client in a language that is understood by the client.
The client must be provided with an opportunity to ask questions.
What is the mission of the Academy of Medical-surgical Nurses (AMSN)?
To enhance the knowledge, skills, and professionalism of the medical- surgical nurse
To consider medical-surgical nursing as a "stepping stone" to more complex client care settings
To foster client-centered care through the client experience
To promote safe, high-quality, and best value health care across all health-care settings - ACCURATE ANSWERS✔✔ To enhance the knowledge, skills, and professionalism of the medical-surgical nurse Which is true regarding the Care Transitions Program®?
The nurse visits the client in the hospital and follows up with one home visit and phone calls for a 4-week time period.
The nurse provides direct skilled care for seriously ill clients
The nurse identifies clients at risk for readmission on admission
The nurse assists in coordinating the transition between sites, providing care and assessing the client and caregiver in their home - ACCURATE ANSWERS✔✔ The nurse visits the client in the hospital and follows up with one home visit and phone calls for a 4-week time period. Which themes are the focus of the Transforming Care at the Bedside (TCAB) project? Select all that apply.
Providing safe and reliable care
Providing client-centered care
Providing value-added processes
Providing telephone reinforcement of the discharge plan
Providing a comprehensive medication review - ACCURATE ANSWERS✔✔ 1. Providing safe and reliable care
Providing client-centered care
Which are the values that help clients receive better care according to the Academy of Medical-surgical Nurses' (AMSN) strategic framework? Select all that apply.
The nurse uses evidence-based practice.
The nurse serves as leader on health-care teams.
The nurse advocates for the specialty of medical-surgical nursing.
The nurse has the necessary resources to deliver excellent care.
The nurse develops personally and professionally. - ACCURATE ANSWERS✔✔ 1. The nurse uses evidence-based practice.
The nurse has the necessary resources to deliver excellent care. Which domains of nursing are tested by the Medical-surgical Nursing Certification Board (MSNCB) to confer the certification in medical- surgical nursing to a registered nurse? Select all that apply.
Monitoring and ensuring the quality of health-care practices
Administering and monitoring therapeutic interventions and regimens
Managing effectively rapidly changing situations
Managing same-day surgical centers
Enhancing the knowledge, skills, and professionalism of the medical- surgical nurse - ACCURATE ANSWERS✔✔ 1. Monitoring and ensuring the quality of health-care practices
Administering and monitoring therapeutic interventions and regimens
Managing effectively rapidly changing situations Which is included in the Code of Ethics for Nurses? Select all that apply.
Collaborating with other health professionals and the public to promote community efforts in order to meet the health needs
Contributing to professional advancement through practice, education, administration, and expansion of knowledge
Protecting the health, safety, and rights of the client
Formulating at least three alternatives to solve an issue
Determining the availability of new information that might alter the treatment plan - ACCURATE ANSWERS✔✔ 1. Collaborating with other health professionals and the public to promote community efforts in order to meet the health needs
Contributing to professional advancement through practice, education, administration, and expansion of knowledge
Protecting the health, safety, and rights of the client Which is true regarding case management care versus transitional care?
Case management care is ongoing; transitional care is time limited.
Case management care is client-centered; transitional care is disease- specific.
Case management programs care for clients in acute-care settings; transitional care is applicable for post-acute care settings.
Case management programs use community resources; transitional care organizes postdischarge follow-up services. - ACCURATE ANSWERS✔✔ Case management care is ongoing; transitional care is time limited. Which action by the licensed practice nurse (LPN) working in a transition setting is correct?
Educating the client before discharge on the symptoms that should be reported immediately to the care provider
Initiating transition planning on the day of discharge
Organizing postdischarge follow-up services for all clients
Coordinating with clients for managing the discharge setting - ACCURATE ANSWERS✔✔ Educating the client before discharge on the symptoms that should be reported immediately to the care provider
Which member of the interprofessional care team (ICT) should the registered nurse (RN) consult when caring for a terminally ill client?
Interpreter
Legal counsel
Palliative care coordinator
Substance abuse counselor - ACCURATE ANSWERS✔✔ Palliative care coordinator A nurse is working at a health-care facility as a post discharge call line nurse. Which actions of the nurse are appropriate? Select all that apply.
The nurse calls the client on the third day after discharge.
The nurse conducts an assessment for the client.
The nurse provides helpful tips to the caregiver about caring for the client.
The nurse assesses the need for a home health-care nurse.
The nurse avoids asking about the client's experience in the hospital. - ACCURATE ANSWERS✔✔ 2. The nurse conducts an assessment for the client.
The nurse provides helpful tips to the caregiver about caring for the client.
The nurse assesses the need for a home health-care nurse. What is the predominant principle of the Code of Ethics for Nurses?
Values
Justice
Right behavior
Loyalty to the organization - ACCURATE ANSWERS✔✔ Justice Which characteristic indicates that nursing is an art?
It involves the use of critical thinking.
It uses the nursing process to care for clients.
It involves care, compassion, and respect for human dignity.
It entails the collection of both subjective and objective data. - ACCURATE ANSWERS✔✔ It involves care, compassion, and respect for human dignity. Which ethical principle ensures that the client's medical reports are not shared with any person not involved in the client's care?
Veracity
Autonomy
Fidelity
Confidentiality - ACCURATE ANSWERS✔✔ Confidentiality Which ethical principle does the nurse honor while refraining from resuscitating a client who has a "do not resuscitate" (DNR) order?
Justice
Autonomy
Beneficence
Non-maleficence - ACCURATE ANSWERS✔✔ Autonomy Which statement explains the deontological theory?
There is a right and a wrong for all acts based on fixed laws.
The rightness or wrongness of an act is decided by the end results of the action.
The decision is based on the consequences of the decision of others.
The environment and situation affects the decision-making process. - ACCURATE ANSWERS✔✔ There is a right and a wrong for all acts based on fixed laws. Which characteristic differentiates the rule utilitarianism theory from the act utilitarianism theory?
It may infringe individual rights.
It values justice and beneficence.
It does not consider personal feelings.
It considers the benefit of maximum individuals. - ACCURATE ANSWERS✔✔ It values justice and beneficence. The nurse may use the nursing process to make an ethical decision. Arrange the steps in the order that the nurse should follow while making an ethical decision. - ACCURATE ANSWERS✔✔ Determine if the desired effect has occurred. Formulate at least three alternatives to solve the issue. Determine exactly what must be decided. Carry out an action with the greatest benefit and least amount of risk. Which competencies enable a nurse to work efficiently as a transitional care nurse (TCN)? Select all that apply.
Ability to collaborate with other members of the health-care team
Experience in managing clients with single medical conditions
Knowledge of community-based social services
Effective communication skills
Experience in long-term health-care settings - ACCURATE ANSWERS✔✔ 1. Ability to collaborate with other members of the health-care team
Knowledge of community-based social services
Effective communication skills A medical-surgical nurse is a member of the interprofessional care team (ICT) caring for a client. What is the purpose of this team?
To provide efficient and cost-effective client care
To include the client and family in transition planning
To meet during daily rounds or as needed
To obtain knowledge about the role of other members' in the team - ACCURATE ANSWERS✔✔ To provide efficient and cost-effective client care The nurse, who is a member of the Interprofessional Care Team (ICT), uses the teach-back strategy to enhance client understanding. Which interventions should the nurse implement during the teach-back strategy? Select all that apply.
Talk slowly and teach in small portions.
Ask the client to repeat the information in his or her own words.
Use medical terminology while teaching the client.
Explain any areas of confusion.
Conclude the teaching by asking the client, "Do you have any questions?" - ACCURATE ANSWERS✔✔ 1. Talk slowly and teach in small portions.
Ask the client to repeat the information in his or her own words.
Explain any areas of confusion. What is the role of the medical-surgical nurse as a member of the interprofessional care team (ICT)?
Educate each team member about his or her role in unique client care.
Educate the client as to who should be consulted for specific questions.
Educate the client in all areas of health care.
Refrain from involving the client participation in the ITC. - ACCURATE ANSWERS✔✔ Educate the client as to who should be consulted for specific questions. What is the purpose of multidisciplinary "rounds" (MDRs) conducted by the interprofessional care team (ICT)?
It is a forum for the nurse to communicate with the other members of the ICT.
It enables all the ICT members to discuss a care plan for the client.
It allows each ICT member to spend 5 minutes with the client and family.
It helps the team to provide client-centered care in a conference room setting. - ACCURATE ANSWERS✔✔ It enables all the ICT members to discuss a care plan for the client. What is the role of the registered nurse (RN) as a member of the interprofessional care team (ICT)?
To be the client's advocate
To focus on the complete nursing unit
To provide support to the less experienced nurses
To delegate assignments as appropriate - ACCURATE ANSWERS✔✔ To be the client's advocate A nurse is preparing for certification in medical-surgical nursing. Which competencies, specifically related to medical-surgical nursing, should the nurse develop? Select all that apply.
Evidence-based care
Pharmacological implications of medications