Chapter 03 Medical Surgical Nursing 2nd Edition By Osborn Wraa Watson

Chapter 03 Medical Surgical Nursing 2nd Edition By Osborn Wraa Watson

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

A nurse notices a particular nursing intervention is not successful in helping patients achieve their health care goals and decides to study the issue. What should the nurse do first?

1. Identify the problem.
2. Design the sampling plan.
3. Conduct a literature review.
4. Conduct a pilot study.

Correct Answer: 1

Rationale 1: The first step in any research process is to identify a researchable problem, which is a situation in need of a solution, alteration, or improvement. It is an area of concern for a particular population that requires investigation and it is derived from a topical area.

Rationale 2: Designing a sample plan is part of the research design and occurs later in the research process.

Rationale 3: Conducting a literature review occurs after the study question has been defined.

Rationale 4: A pilot study is done after the research is designed.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 3-2

 

Question 2

Type: MCSA

A qualitative research study has concluded and the nurse researcher is currently watching the study participants to make sure that the research findings can be observed in their routine lives. The nurse is conducting which type of basic research?

1. Ethnography
2. Experimental research
3. Phenomenology
4. Grounded theory

Correct Answer: 4

Rationale 1: Ethnography focuses on the culture of a group.

Rationale 2: Experimental research is a type of quantitative research.

Rationale 3: Phenomenology describes the meaning of a lived experience through the perspective of the participant.

Rationale 4: Grounded theory refers to the idea that conclusions of a qualitative study are grounded in data and based on direct and careful observations of everyday life within the group studied. By observing the study participants, the nurse is following a grounded theory research design.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 3-1

 

Question 3

Type: MCSA

The nurse asks a patient if he has used a newly developed exercise to relieve the arthritis pain in his shoulders. The nurse is most likely employing which concept?

1. Applied research
2. Basic research
3. Critical thinking
4. Discharge planning

Correct Answer: 1

Rationale 1: Applied research focuses on finding solutions to existing problems. Practicing nurses are most likely to be involved in applied research.

Rationale 2: Basic research is undertaken to extend the knowledge base in a discipline or to formulate or refine a theory.

Rationale 3: Critical thinking is a process to determine the best interventions when planning care and may be based on experience, knowledge, or research.

Rationale 4: Discharge planning is an activity, started upon admission, to determine the patient’s needs once discharged from a health care facility.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 3-1

 

Question 4

Type: MCMA

The nurse is analyzing a phenomenological research study. Which data would the nurse evaluate as matching this study design?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Waiting to have a procedure done is more stressful than the actual procedure.
2. A patient’s blood pressure is 150/90 after ambulating 10 feet.
3. A patient’s urine output after ingesting 240 mL of water is 100 mL.
4. Ten mothers in the same housing community desire a centrally located day care facility.
5. Breast cancer survivors are more likely than others to participate in efforts to raise money for breast cancer research.

Correct Answer: 1,5

Rationale 1: Phenomenology describes the meaning of a lived experience through the perspective of the participant. This statement exemplifies the meaning of a lived experience through the perspective of the participant.

Rationale 2: This is an example of objective data that is more likely to be collected during a quantitative research study.

Rationale 3: This is an example of objective data that is more likely to be collected during a quantitative research study.

Rationale 4: This is an example of ethnography, which focuses on the culture of a group of people with an effort to understand their worldview.

Rationale 5: Phenomenology describes the meaning of a lived experience through the perspective of the participant. These patients have lived the experience of surviving breast cancer.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub: Management of Care

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 3-6