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Test Bank For Medical Surgical Nursing 2nd Edition Kathleen S Osborn
Test Bank For Medical Surgical Nursing 2nd Edition Kathleen S Osborn
Osborn
1. Contact the physician and ask that the procedure be explained to the patient.
3. Document that the patient does not understand the proposed surgical procedure.
Correct Answer: 1
Rationale 1: The nurse as patient advocate actively promotes the patient’s rights to autonomy and free choice.
The nurse should protect the patient’s right to self-determination about the surgical procedure.
Rationale 2: The nurse should not explain the procedure to the patient. This is not patient advocacy.
Rationale 3: Simply documenting the patient’s lack of understanding about the procedure is not advocacy.
Rationale 4: It is not the nurse’s place to discuss alternatives to a surgical procedure recommended by the
physician.
Global Rationale:
Question 3
Type: MCSA
The nurse, instructing a patient newly diagnosed with type 2 diabetes, reminds the patient about the need for an
annual dilated retinal eye examination and annual urine tests to measure protein levels. The nurse is functioning
within which role with this patient?
1. Educator
2. Researcher
3. Advocate
4. Leader
Correct Answer: 1
Rationale 2: As a researcher, the nurse would have a goal to improve the care nurses provide to patients.
Rationale 3: As an advocate, the nurse actively promotes the patient’s rights to autonomy and free choice.
Rationale 4: As a leader, the nurse manages time, people, and resources by delegating, directing, and
coordinating nursing activities.
Global Rationale:
Question 4
Type: MCSA
The nurse manager of a care area asks that a new intravenous-therapy monitoring device not be used for any
patients until the entire staff has received appropriate instruction on its use. The nurse manager is demonstrating
which component of caring?
1. Comportment
2. Confidence
3. Conscience
4. Commitment
Correct Answer: 4
Rationale 1: Comportment is the awareness of one's conduct and behavior around others.
Rationale 4: Commitment is the obligation to see something through to completion, to achieve positive outcomes,
and to ensure that the organization supports the nurses in their learning needs. The nurse manager is ensuring that
the nursing staff is trained in the use of the equipment before it is used.
Global Rationale:
Question 5
Type: MCMA
The nurse is concerned about new scheduling changes and their impact on staffing levels. If applying the
component of professional comportment, in which ways should the nurse respond?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Call a friend in another care area and discuss the changes in the unit station.
2. Request a private discussion of the proposed changes with the nurse manager.
4. Discuss the changes with other staff members in the unit hallway.
5. Ask to serve on the committee that will evaluate the changes over the next 6 months.
Rationale 1: Calling friends and discussing the changes in the unit station would not demonstrate professional
comportment.
Rationale 2: Discussing the changes calmly in a private area demonstrates professional comportment.
Rationale 3: Shaking one's head, laughing, and making snide comments would not be professional or polite.
Rationale 4: Talking with others about the changes within earshot of patients would not demonstrate professional
comportment.
Rationale 5: Working within the system to evaluate the impact of the changes demonstrates professional
comportment.
Global Rationale:
Question 6
Type: MCSA
1. Administrator
2. Educator
3. Manager
4. Researcher
Correct Answer: 3
Rationale 1: Nurse administrators support the organizational goals for patient care.
Rationale 2: Nurse educators can either teach patients and staff, direct patient care, or deliver educational content.
Rationale 3: The role of the nurse manager is to coordinate and ensure the delivery of quality care within the area
of responsibility. The role includes personnel management and ensuring the availability of supplies. Nurse
managers usually have 24-hour accountability for the area.
Rationale 4: Nurse researchers investigate, manage data, and monitor patient responses to care.
Global Rationale:
Question 7
Type: MCSA
A nurse with community-health nursing experience provides monthly blood pressure checks for fellow members
of a religious congregation. The nurse is functioning within which role?
1. Parish nurse
2. Clinic nurse
3. Gerontologic nurse
Correct Answer: 1
1874–1884
The foregoing brief sketch of the political and social life in Spain
during the republic will have given some idea of the joy which filled
Spanish hearts at seeing the Bourbons once more on the throne of
Spain in the person of Alfonso XII. Madrid indeed was wild with joy
when the little Prince whom we saw at eleven years of age, in his
blue velvet suit and lace collar, leaving his country as an exile, with
his mother and family, re-entered the royal palace as a young man
eighteen years old in January, 1875, having wisely passed through
Catalonia, which Martinez Campos had gained over to the cause,
and pleased the people by saying: “I wish to be King of all
Spaniards.”
As Isabella had abdicated in favour of her son on June 26, 1870,
there was no impediment to his taking the oath of coronation soon
after he was summoned to the Spanish capital. Of a good figure,
gentlemanly, and well cultured, Alfonso added the art of good
dressing to his other attractions, and the excellent taste and cut of
his clothes led to his being called “the Beau Brummell of Spain.”
K I N G A L F O N S O X I I . V I S I T I N G C H O L E R A PAT I E N T S AT
ARANJUEZ
D O N C A R L O S , P R I N C E O F A S T U R I A S , A N D H I S L AT E W I F E , T H E
I N FA N TA M E R C E D E S
It was in 1882 the King and Queen paid a visit to the Duke and
Duchess of Montpensier at their beautiful Palace of Sanlucar de
Barrameda, and the Queen won the hearts of her host and hostess
by her charming manners and the admiration with which she always
spoke of their daughter, the late wife of Alfonso.
On November 12, 1882, the Infanta Maria Teresa was born, and
two days later she was baptized with the customary ceremony.
On April 2, 1883, the King’s sister, Doña de la Paz, was married
very quietly to Prince Lewis Ferdinand of Bavaria. The Prince is a
very able surgeon, and when he comes to Madrid he delights in
going to the military hospital and exhibiting his scientific skill on
some soldier-patient.
The newly wedded pair laid the foundation-stone of the Cathedral
of the Almudena, and, according to the custom, the Princess de la
Paz placed in the casket a poem from her own pen to the Virgin of
the Almudena. The departure of the Infanta de la Paz left the Infanta
Eulalia with no companion in her musical and artistic tastes, for the
sisters had worked, played, painted, and poetized, together.
In September, 1883, Alfonso XII. went to France and Germany.
True to his old friends, the King went to see the Warden of the
Teresian College at his private house. As he was not at home,
Alfonso asked for a pencil and paper to write him a note, which he
handed to the servant. When she saw that the letter ran,
she fell on her knees and entreated forgiveness for her stupidity in
having asked the royal visitor into the kitchen.
But Alfonso, with his usual kindness, expressed interest in this,
the first kitchen he had ever seen. He asked many questions about
the utensils, and showed great curiosity about the use of a ceramic
vessel, which, according to the description he subsequently gave
and the sketch he made of it to show the Court officials, proved to be
an egg-poacher.
The enthusiastic reception accorded to Alfonso at Homburg
excited the ire of the French, and so antagonistic was the exhibition
of public feeling as the young King was crossing Paris alone that he
informed the President of the Republic that he would recall his
Ambassador at once. This prompt act brought the necessary
apology, and the King of Spain subsequently attended the banquet
given in his honour at the Elysée, at which the Minister of War was
absent, as the President of France had asked him to send in his
resignation.
The news of this contretemps reached Spain, and when the
Queen returned from La Granja to Madrid she was at first quite
alarmed at the enthusiasm shown by the people at the station. She
clasped her children to her breast, and seemed to think she was on
the brink of a revolution. But her fears were soon stilled when
somebody shouted: “Señora, the Spanish people are only protesting
against the recent events in Paris.”
The return of the King from France saw an ovation of equal
enthusiasm, and, in defiance of all Court etiquette, the people
pressed up the staircases and into the galleries of the palace, crying:
“Viva el Rey y la Reina!”
It was on Maunday Thursday, 1884, that the Court went for the
last time in state to make the customary visits on foot to the chief
churches of the capital. There was the usual service in the morning
in the chapel of the palace, the washing of the beggars’ feet and
feeding them,[21] and the solemn, imposing public procession at
three o’clock in the afternoon. The streets were strewed with tan to
soften the cobbled stones to the feet of the ladies, whose high-
heeled velvet shoes rather impeded their walk. The streets were
lined with troops, and the Plazas de Oriente, Mayor, and La
Encarnacion, were respectively filled with the regiment of the
Princess of Pavia and the artillery.
[21] This ceremony is described on pp. 332-4.
“Nobody,” says the writer in this appeal, “has the courage to warn
you of the impending evil. When the doctors order you change of
climate, the Government opposes the course for reasons of State.
‘Reasons of State’ imperil the life of a man! And a man to whom we
owe so much!
“Therefore, even as a republican, I beg you, as the occupier of
the throne, to look to your health, if it be only to overthrow some
iniquitous plan, or some unworthy object which is contingent on your
illness; and if scientists think it well for you to pass the winter in
some other place in Spain, or abroad, follow their counsel, and not
that of interested politicians, in sacrificing your life to their ambitions.”
It was certainly true that the King was overborne by the intrigues
of the politicians in the palace. Even in such a little social matter as
that of wishing to go in costume to a fancy ball, the King could not
have his own way, for Canovas showed such aversion to Alfonso
donning fancy attire for the occasion that he had to abandon the idea
and wear his ordinary dress.
If such influence had been used to the prevention of the King
favouring a danseuse like Elena Sanz, which brought so much
sorrow and so many complications in the Royal Family, his life might
certainly have been prolonged. It was true that the doctors advised
the King’s wintering in Andalusia, but “State reasons” led to the
failing Sovereign being exposed to the colder climate and sharp
winds of the Palace of the Pardo, where politicians could use their
influence with the invalid, and remind him continually that he alone
was the arbiter of parties.
Alfonso was only twenty-seven years of age when he felt he was
doomed to an early death; but his natural energy led him to take
horse exercise, despatch business with his Ministers every day, and,
in spite of daily increasing weakness, to do as much as possible.
If his longing for the sea-breezes of San Sebastian had been
gratified, his life might have been prolonged; but politicians gave little
heed to the plea, and their authority was paramount.
On November 24, 1894, the royal invalid was seized with
faintness when he came in from a walk. Queen Maria Cristina,
Queen Isabella, and the Duchess of Montpensier, were called to his
side. Seeing his wife by him when he recovered consciousness, the
King embraced her, and the alarming symptoms vanished for a time;
but the following day he was seized with another fainting fit, which
proved fatal.
We read in La Ilustracion Española of this date, that when Queen
Maria Cristina was told by Dr. Riedel that all was over, she fell
weeping at the head of the bed of her unhappy husband, whilst
covering his hand with kisses.
D E AT H O F A L F O N S O X I I .