2
,3
, 4
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
f ff f f f f f f f f
, 5
MULTIPLE CHOICE f
1. A nurse wishes to provide client-
f f f f f
centered care in all interactions. Which action by the nurse best demonstrate
f f f f f f f f f f f
s this concept?
f f
a. Assesses for cultural influences affecting health care f f f f f f
b. Ensures that all the clients basic needs are met f f f f f f f f
c. Tells the client and family about all upcoming tests
f f f f f f f f
d. Thoroughly orients the client and family to the room f f f f f f f f
ANS: A f
Rationale: Competency in client- f f f
focused care is demonstrated when the nurse focuses on communication, culture, respect co
f f f f f f f f f f f f
mpassion, client education, and empowerment. By assessing the effect of the clients culture o
f f f f f f f f f f f f f
n health care, this nurse is practicing client-
f f f f f f f
f focused care. Providing for basic needs does not demonstrate this competence. Simply tellin
f f f f f f f f f f f f
g the client about all upcoming tests is not providing empowering education.
f f f f f f f f f f f
Orienting the client and family to the room is an important safety measure, but not directly rel
f f f f f f f f f f f f f f f f
ated to demonstrating client-centered care.
f f f f
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressu
f f f f f f f f f f f f f f f
re was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurs
f f f f f f f f f f f f f f f f f f
e is best?
f f
a. Call the Rapid Response Team. f f f f
b. Document and continue to monitor. f f f f
c. Notify the primary care provider. f f f f
d. Repeat blood pressure measurement in 15 minutes. f f f f f f
ANS: A f
Rationale: The purpose of the Rapid Response Team (RRT) is to intervene when clients
f f f f f f f f f f f f f f
are deteriorating before they suffer either respiratory or cardiac arrest. Since the client has m
f f f f f f f f f f f f f f
anifested a significant change, the nurse should call the RRT. Changes in blood pressure, me
f f f f f f f f f f f f f f
ntal status, heart rate, and pain are particularly significant.
f f f f f f f f
,3
, 4
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
f ff f f f f f f f f
, 5
MULTIPLE CHOICE f
1. A nurse wishes to provide client-
f f f f f
centered care in all interactions. Which action by the nurse best demonstrate
f f f f f f f f f f f
s this concept?
f f
a. Assesses for cultural influences affecting health care f f f f f f
b. Ensures that all the clients basic needs are met f f f f f f f f
c. Tells the client and family about all upcoming tests
f f f f f f f f
d. Thoroughly orients the client and family to the room f f f f f f f f
ANS: A f
Rationale: Competency in client- f f f
focused care is demonstrated when the nurse focuses on communication, culture, respect co
f f f f f f f f f f f f
mpassion, client education, and empowerment. By assessing the effect of the clients culture o
f f f f f f f f f f f f f
n health care, this nurse is practicing client-
f f f f f f f
f focused care. Providing for basic needs does not demonstrate this competence. Simply tellin
f f f f f f f f f f f f
g the client about all upcoming tests is not providing empowering education.
f f f f f f f f f f f
Orienting the client and family to the room is an important safety measure, but not directly rel
f f f f f f f f f f f f f f f f
ated to demonstrating client-centered care.
f f f f
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressu
f f f f f f f f f f f f f f f
re was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurs
f f f f f f f f f f f f f f f f f f
e is best?
f f
a. Call the Rapid Response Team. f f f f
b. Document and continue to monitor. f f f f
c. Notify the primary care provider. f f f f
d. Repeat blood pressure measurement in 15 minutes. f f f f f f
ANS: A f
Rationale: The purpose of the Rapid Response Team (RRT) is to intervene when clients
f f f f f f f f f f f f f f
are deteriorating before they suffer either respiratory or cardiac arrest. Since the client has m
f f f f f f f f f f f f f f
anifested a significant change, the nurse should call the RRT. Changes in blood pressure, me
f f f f f f f f f f f f f f
ntal status, heart rate, and pain are particularly significant.
f f f f f f f f
