TEST BANK for Medical-Surgical Nursing: Concepts for
| | | | | |
Clinical Judgment and Collaborative Care
| | | | |
11th Edition by Donna D. Ignatavicius,
| | | | |
All chapters 1 - 74
| | | |
,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
|| || || || || || || ||
|| Surgical Nursing
||
MULTIPLE || CHOICE
1. A ||nurse ||wishes ||to ||provide ||client-centered ||care ||in ||all ||interactions. ||Which ||action ||by ||the
|| nurse ||best ||demonstrates ||this ||concept?
a. Assesses || for | | cultural || influences || affecting | | health | | care
b. Ensures ||that ||all || the ||clients || basic || needs || are ||met
c. Tells ||the || client || and ||family || about || all || upcoming || tests
d. Thoroughly || orients || the || client || and ||family || to || the || room
CORRECT ||ANSWER: ||A
Competency ||in ||client-focused ||care ||is ||demonstrated ||when ||the ||nurse ||focuses ||on ||communication,
|| culture, ||respect ||compassion, ||client ||education, ||and ||empowerment. ||By ||assessing ||the ||effect ||of ||the
clients ||culture ||on ||health ||care, ||this ||nurse ||is ||practicing ||client-focused ||care. ||Providing ||for ||basic
||
needs ||does ||not ||demonstrate ||this ||competence. ||Simply ||telling ||the ||client ||about ||all ||upcoming ||tests ||is
||
not ||providing ||empowering ||education. ||Orienting ||the ||client ||and ||family ||to ||the ||room ||is ||an ||important
||
|| safety ||measure, ||but ||not ||directly ||related ||to ||demonstrating ||client-centered ||care.
DIF: || Understanding/Comprehension | | REF: | | 3
KEY: ||Patient-centered ||care| ||culture ||MSC: ||Integrated ||Process:
|| Caring ||NOT: ||Client ||Needs ||Category: ||Psychosocial ||Integrity
2. A ||nurse ||is ||caring ||for ||a ||postoperative ||client ||on ||the ||surgical ||unit. ||The ||clients ||blood ||pressure ||was
|| 142/76 ||mm ||Hg ||30 ||minutes ||ago, ||and ||now ||is ||88/50 ||mm ||Hg. ||What ||action ||by ||the ||nurse ||is
|| best?
a. Call || the || Rapid || Response ||Team.
b. Document || and ||continue || to || monitor.
c. Notify ||the || primary || care ||provider.
d. Repeat || blood || pressure || measurement || in || 15 || minutes.
CORRECT ||ANSWER: ||A
The ||purpose ||of ||the ||Rapid ||Response ||Team ||(RRT) ||is ||to ||intervene ||when ||clients ||are ||deteriorating
|| before ||they ||suffer ||either ||respiratory ||or ||cardiac ||arrest. ||Since ||the ||client ||has ||manifested ||a ||significant
|| change, ||the ||nurse ||should ||call ||the ||RRT. ||Changes ||in ||blood ||pressure, ||mental ||status, ||heart ||rate, ||and
|| pain ||are ||particularly ||significant.
Documentation ||is ||vital, ||but ||the ||nurse ||must ||do ||more ||than ||document. ||The ||primary ||care ||provider
should ||be ||notified, ||but ||this ||is ||not ||the ||priority ||over ||calling ||the ||RRT. ||The ||clients ||blood ||pressure
||
| | | | | |
Clinical Judgment and Collaborative Care
| | | | |
11th Edition by Donna D. Ignatavicius,
| | | | |
All chapters 1 - 74
| | | |
,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
|| || || || || || || ||
|| Surgical Nursing
||
MULTIPLE || CHOICE
1. A ||nurse ||wishes ||to ||provide ||client-centered ||care ||in ||all ||interactions. ||Which ||action ||by ||the
|| nurse ||best ||demonstrates ||this ||concept?
a. Assesses || for | | cultural || influences || affecting | | health | | care
b. Ensures ||that ||all || the ||clients || basic || needs || are ||met
c. Tells ||the || client || and ||family || about || all || upcoming || tests
d. Thoroughly || orients || the || client || and ||family || to || the || room
CORRECT ||ANSWER: ||A
Competency ||in ||client-focused ||care ||is ||demonstrated ||when ||the ||nurse ||focuses ||on ||communication,
|| culture, ||respect ||compassion, ||client ||education, ||and ||empowerment. ||By ||assessing ||the ||effect ||of ||the
clients ||culture ||on ||health ||care, ||this ||nurse ||is ||practicing ||client-focused ||care. ||Providing ||for ||basic
||
needs ||does ||not ||demonstrate ||this ||competence. ||Simply ||telling ||the ||client ||about ||all ||upcoming ||tests ||is
||
not ||providing ||empowering ||education. ||Orienting ||the ||client ||and ||family ||to ||the ||room ||is ||an ||important
||
|| safety ||measure, ||but ||not ||directly ||related ||to ||demonstrating ||client-centered ||care.
DIF: || Understanding/Comprehension | | REF: | | 3
KEY: ||Patient-centered ||care| ||culture ||MSC: ||Integrated ||Process:
|| Caring ||NOT: ||Client ||Needs ||Category: ||Psychosocial ||Integrity
2. A ||nurse ||is ||caring ||for ||a ||postoperative ||client ||on ||the ||surgical ||unit. ||The ||clients ||blood ||pressure ||was
|| 142/76 ||mm ||Hg ||30 ||minutes ||ago, ||and ||now ||is ||88/50 ||mm ||Hg. ||What ||action ||by ||the ||nurse ||is
|| best?
a. Call || the || Rapid || Response ||Team.
b. Document || and ||continue || to || monitor.
c. Notify ||the || primary || care ||provider.
d. Repeat || blood || pressure || measurement || in || 15 || minutes.
CORRECT ||ANSWER: ||A
The ||purpose ||of ||the ||Rapid ||Response ||Team ||(RRT) ||is ||to ||intervene ||when ||clients ||are ||deteriorating
|| before ||they ||suffer ||either ||respiratory ||or ||cardiac ||arrest. ||Since ||the ||client ||has ||manifested ||a ||significant
|| change, ||the ||nurse ||should ||call ||the ||RRT. ||Changes ||in ||blood ||pressure, ||mental ||status, ||heart ||rate, ||and
|| pain ||are ||particularly ||significant.
Documentation ||is ||vital, ||but ||the ||nurse ||must ||do ||more ||than ||document. ||The ||primary ||care ||provider
should ||be ||notified, ||but ||this ||is ||not ||the ||priority ||over ||calling ||the ||RRT. ||The ||clients ||blood ||pressure
||
