Test Bank For Alexanders Care Of the Patient in Surgery 14th Edition Rothrock
ISBN-13: 978-0323069168, ISBN-10: 0323069169
Chapter 01: Concepts Basic to Perioperative Nursing
Test Bank
MULTIPLE CHOICE
- 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 system that encircles the focus of perioperative nursing practice—the patient.
REF: Pages 2-3
- AORN’s Standards of Perioperative Nursing Practice that describe nursing interactions, interventions, and activities with patients fall 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: Page 4
- 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: Page 12
- 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 and other forms of high-quality evidence to guide practice.
REF: Page 12
- 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 facilities that perform cardiac surgery for their back table models. |
| b. | Review case studies and expert opinions on sterile back table setups. |
| c. | Review AORN’s recommended practice on creating the sterile field. |
| d. | All of the options are correct. |
ANS: D
When there is not enough evidence to guide practice, perioperative nurses should consider gathering information from varied trusted sources that reflect best practices.
REF: Pages 13-14
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