TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises
the new nurse that which is the priority when working as a professional nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
CORRECT ANSWER: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Health care errors have been widely reported for 25 years, many of which result in
client injury, death, and increased health care costs. There are several national and
international organizations that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client’s safety. The other actions are
important for quality nursing, but they are not as vital as providing safety. Not making
medication errors does provide safety, but is too narrow in scope to be the best answer.
DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention
KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
2. A nurse is orienting a new client and family to the medical-surgical unit. What information
does the nurse provide to best help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
CORRECT ANSWER: A
Each action could be important for the client or family to perform. However, encouraging the
client to be active in his or her health care as a safety partner is the most critical. The other
, actions are very limited in scope and do not provide the broad protection that being active
and involved does.
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the
nurse take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure 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 |would |call |the |RRT. |Changes |in |blood |pressure,
|
mental |status, |heart |rate, |temperature, |oxygen |saturation, |and |last |2 |hours’ |urine |output
|
are |particularly |significant |and |are |part |of |the |Modified |Early |Warning |System |guide.
|
Documentation |is |vital, |but |the |nurse |must |do |more |than |document. |The |primary |health
|
care |provider |would |be |notified, |but |this |is |not |more |important |than |calling |the |RRT. |The
|
client’s |blood |pressure |would |be |reassessed |frequently, |but |the |priority |is |getting |the |rapid
|
care |to |the |client.
|
DIF: Applying TOP: | Integrated |Process: |Communication |and
Documentation |KEY: |Rapid |Response |Team |(RRT), |Clinical |judgment
|
MSC: | Client |Needs |Category: |Physiological |Integrity: |Physiological |Adaptation
4. 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 |client’s |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
Showing |respect |for |the |client |and |family’s |preferences |and |needs |is |essential |to |ensure |a
holistic |or |“whole-person” |approach |to |care. |By |assessing |the |effect |of |the |client’s |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 TOP: |Integrated |Process: |Culture |and |Spirituality
KEY: | Client-centered |care, |Culture
| MSC: | Client |Needs |Category: |Psychosocial |Integrity
5. A |client |is |going |to |be |admitted |for |a |scheduled |surgical |procedure. |Which |action |does
the |nurse |explain |is |the |most |important |thing |the |client |can |do |to |protect |against
|
errors?
|
a. Bring |a |list |of |all |medications |and |what |they |are |for.
b. Keep |the |provider’s |phone |number |by |the |telephone.
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises
the new nurse that which is the priority when working as a professional nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
CORRECT ANSWER: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Health care errors have been widely reported for 25 years, many of which result in
client injury, death, and increased health care costs. There are several national and
international organizations that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client’s safety. The other actions are
important for quality nursing, but they are not as vital as providing safety. Not making
medication errors does provide safety, but is too narrow in scope to be the best answer.
DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention
KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
2. A nurse is orienting a new client and family to the medical-surgical unit. What information
does the nurse provide to best help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
CORRECT ANSWER: A
Each action could be important for the client or family to perform. However, encouraging the
client to be active in his or her health care as a safety partner is the most critical. The other
, actions are very limited in scope and do not provide the broad protection that being active
and involved does.
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the
nurse take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure 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 |would |call |the |RRT. |Changes |in |blood |pressure,
|
mental |status, |heart |rate, |temperature, |oxygen |saturation, |and |last |2 |hours’ |urine |output
|
are |particularly |significant |and |are |part |of |the |Modified |Early |Warning |System |guide.
|
Documentation |is |vital, |but |the |nurse |must |do |more |than |document. |The |primary |health
|
care |provider |would |be |notified, |but |this |is |not |more |important |than |calling |the |RRT. |The
|
client’s |blood |pressure |would |be |reassessed |frequently, |but |the |priority |is |getting |the |rapid
|
care |to |the |client.
|
DIF: Applying TOP: | Integrated |Process: |Communication |and
Documentation |KEY: |Rapid |Response |Team |(RRT), |Clinical |judgment
|
MSC: | Client |Needs |Category: |Physiological |Integrity: |Physiological |Adaptation
4. 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 |client’s |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
Showing |respect |for |the |client |and |family’s |preferences |and |needs |is |essential |to |ensure |a
holistic |or |“whole-person” |approach |to |care. |By |assessing |the |effect |of |the |client’s |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 TOP: |Integrated |Process: |Culture |and |Spirituality
KEY: | Client-centered |care, |Culture
| MSC: | Client |Needs |Category: |Psychosocial |Integrity
5. A |client |is |going |to |be |admitted |for |a |scheduled |surgical |procedure. |Which |action |does
the |nurse |explain |is |the |most |important |thing |the |client |can |do |to |protect |against
|
errors?
|
a. Bring |a |list |of |all |medications |and |what |they |are |for.
b. Keep |the |provider’s |phone |number |by |the |telephone.
