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Nursing In a Flash 
   Med Surg Nursing Review Questions


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1) T/F Nurses are often the people who help patients make a smooth transition from one type of care setting to another.
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1) True
2) Two concepts essential to nursing care of patients within and across healthcare settings are:
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2) Continuity of care and community-based care
3) What is continuity of care?
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3) A process by which healthcare providers give appropriate, uninterrupted care and facilitate transition between different settings and levels of care.
4) T/F Continuity of care is essential in the current healthcare system.
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4) True
5) What is community-based care?
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5) Healthcare provided to people who live within a defined geographic area.
6) Each community is defined by what?
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6) The people, area, social interactions, and common ties within that community.
7) Public health nursing refers to what?
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7) Population based and focus on the health of the community.
8) Community-based care is centered on the _____ and ______ health needs.
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8) Individual/Family
9) What are five ways to establish an effective nurse-patient relationship?
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9) 1. Recognize and take steps to reduce the patient's anxiety. 2. Remember that the medical or surgical condition for which the patient is being treated is only one part of the patient's life. 3. Communicate with the patient as an individual. 4. Take time to learn who the patient being admitted is, including his or her cultural and religious background. 5. Encourage the patient's family to participate in and make decisions about all aspects of care.
10) What are ambulatory care facilities?
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10) Facilities in which the patient receives healthcare services but does not remain overnight.
11) What is some information that is collected upon admission to the hospital?
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11) Full name, address, date of birth, name of admitting physician, gender, marital status, nearest relative, occupation and employer, financial status for healthcare payment, religious preference, date and time of admission, identification number, admitting diagnoses.
12) When preparing for the room for patient admission, what are some steps you take?
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12) Position the bed, assemble routine equipment and supplies, adjust the physical environment of the room.
13) Who is responsible for ensuring the comfort and well-being of the patient upon arrival in the unit.
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13) The nurse
14) What is one of the first steps the nurse takes upon admission.
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14) Performing admission assessment and documenting findings.
15) T/F The patient should be welcomed to the unit in the same courteous manner that would be used in welcoming a guest in one's own home.
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15) True
16) What are some examples of transferring patients? (4)
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16) Patients moved to different unit in the hospital. Patients transferred from acute care setting to long-care settings. Patients are transferred from acute care settings to their home. Patients transferred from ambulatory care setting.
17) When a patient is moved from one unit to another, what needs to come with him/her?
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17) Belongings, chart, care plan, and medications.
18) It is essential for the nurse transferring a patient to give a (verbal/written) report.
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18) Verbal
19) What is discharge planning?
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19) Planning to ensure that patient and family needs are consistently met as the patient moves from the acute care setting to home.
20) T/F Planning for discharge actually begins on admission.
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20) True
21) What does discharge planning start?
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21) Upon admission
22) Patients who meet any of the following criteria need a formal discharge plan and referral to another agency:
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22) Lack of knowledge of treatment plan; social isolation; recently diagnosed chronic disease; major surgery; prolonged recuperation from major surgery or illness; emotional or mental instability; complex home care regimen; financial difficulties; lack of available referral sources; terminal illness;
23) Who is responsible for discharge planning for patient's in acute care settings and may follow a plan of care or critical path established for the patient.
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23) Case manager
24) What is the first step of discharge planning?
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24) Collecting data about the patient.
25) T/F The medical record and physician orders must also be consulted for the exact medication and treatment plan before the nursing care plan is developed.
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25) True
26) _______ _______, developed from the discharge planning assessment, identify the needs of both the patient and the family.
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26) Nursing diagnoses
27) The expected goals of the discharge plan are set______ and must be _______.
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27) Mutually; realistic
28) T/F If the patient is involved in establishing goals, it is more likely that the expected outcomes of the plan of care will be met.
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28) True
29) Important teaching topics about self-care at home must be covered before _______.
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29) Discharge
30) When discussing medications, what does the patient need to understand before discharge?
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30) Drug name, dosage, purpose, effects, times to be taken and possible side effects.

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