tyreas
, tyreas
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
ANS: A
Competency in client-focused care is demonstrated when the nurse focuses on communication,
iltung’ana leclient
culture, respect compassion, nkishu sidai naa
education, andStuvia shop ai. By
empowerment. Naa enkop ai
assessing thesidai
effect of the
te nkishu, te nkera, naa te nkiguran le sukulu. Aashu naa
client’s culture on
enkarna enasidai
health care, pee oltung’ani
this nurse is practicingoshi enoto oltaucare.
client-focused le Providing for basic
nkiteng’enare.
needs does not demonstrate Naa enasheSimply
this competence. pee aashu
tellingninye iltauja
the client sidain
about pee
all upcoming tests is
iltung’ana oshi eitu enoto emanyata. Naa enkiteng’enare
not providing empowering
nemeishori education.
naata inkishu sidain, nemeishori enaipang’a te
sukulu.
Orienting the client Iltung’ana
and family to theoshi
roometon
is aneishori inkishu
important safetyte nkiguran le
exams, assignments, naa revision. Naa sidai pee oltung’ani
measure, but not directly related to demonstrating client-centered care.
eata enkanyit, eata emanyata, naa eata enkipirta te nkiguran le
sukulu. Entoki naa sidai pee oltung’ani enoto olng’ejuk, eitu
enoto esiai sidai teREF:
DIF: Understanding/Comprehension nkop.3 Stuvia shop ai naa sidai pee
iltung’ana enoto enkanyit, emanyata, naa enkiteng’enare sidai.
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client Needs
KambaIntegrity
Category: Psychosocial
Nduka yakwa ya Stuvia ni vandu va w’o vaw’o voothe va
2. A nurse iskusyoka masomo.
caring for Apa niclient
a postoperative tukwata masurgical
on the notes, unit.
revision papers,
The clients blood pressure
assignments na maelezo ma masomo maingi. Vinthu ivi
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse isbest?
vyeethwa nesa nundu ya kwasya andu ma sukulu, college na
a. university
Call the Rapid kwiveta
Response masomo mao. Kila kimwe kimeandikwa nesa
Team.
na kwa w’o w’o kana undu wa kumanya kwa mbaitu. Twi na
b. Document and continue to monitor.
maelezo ma matuku ma exams, undu wa kusoma nesa na
c. Notify thekwiw’a masomo
primary kwa mbai. Nduka ino ni ya kuthanga kana
care provider.
d. kuungamya
Repeat blood pressure asomi makwata
measurement in 15mminutes.
, tyreas
ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
before they suffereitherrespiratoryorcardiacarrest.
Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes in blood
pressure, mental status, heart rate, and pain are particularly significant. Documentation is vital,
but the nursemust 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 should
be reassessed frequently, but the priority is getting the rapid care to theclient.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:
Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse is orienting a new client and family to the inpatient unit. What information does
the nurse provide to 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.
ANS: 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 partner is the most critical. The other actions are
very limited in scope and do not provide the broad protection that being active and involveddoes.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
, tyreas
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
4. A new nurse is working with a preceptor on an inpatientmedical-surgical unit. The
preceptor advises the student that which is the priority when working as a professionalnurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Up to 98,000 deaths result each year from errors in hospital care, according to the 2000
Institute of Medicine report. Many more clients have suffered injuries and less serious outcomes.
Every nurse has the responsibility to guard the clients safety.
DIF: Understanding/Comprehension REF: 2 KEY: Patient safety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
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 againsterrors?
a. Bring a list of all medications and what they are for.
b. Keep the doctors phone number by the telephone.
c. Make sure all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
ANS: A
, tyreas
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
ANS: A
Competency in client-focused care is demonstrated when the nurse focuses on communication,
iltung’ana leclient
culture, respect compassion, nkishu sidai naa
education, andStuvia shop ai. By
empowerment. Naa enkop ai
assessing thesidai
effect of the
te nkishu, te nkera, naa te nkiguran le sukulu. Aashu naa
client’s culture on
enkarna enasidai
health care, pee oltung’ani
this nurse is practicingoshi enoto oltaucare.
client-focused le Providing for basic
nkiteng’enare.
needs does not demonstrate Naa enasheSimply
this competence. pee aashu
tellingninye iltauja
the client sidain
about pee
all upcoming tests is
iltung’ana oshi eitu enoto emanyata. Naa enkiteng’enare
not providing empowering
nemeishori education.
naata inkishu sidain, nemeishori enaipang’a te
sukulu.
Orienting the client Iltung’ana
and family to theoshi
roometon
is aneishori inkishu
important safetyte nkiguran le
exams, assignments, naa revision. Naa sidai pee oltung’ani
measure, but not directly related to demonstrating client-centered care.
eata enkanyit, eata emanyata, naa eata enkipirta te nkiguran le
sukulu. Entoki naa sidai pee oltung’ani enoto olng’ejuk, eitu
enoto esiai sidai teREF:
DIF: Understanding/Comprehension nkop.3 Stuvia shop ai naa sidai pee
iltung’ana enoto enkanyit, emanyata, naa enkiteng’enare sidai.
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client Needs
KambaIntegrity
Category: Psychosocial
Nduka yakwa ya Stuvia ni vandu va w’o vaw’o voothe va
2. A nurse iskusyoka masomo.
caring for Apa niclient
a postoperative tukwata masurgical
on the notes, unit.
revision papers,
The clients blood pressure
assignments na maelezo ma masomo maingi. Vinthu ivi
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse isbest?
vyeethwa nesa nundu ya kwasya andu ma sukulu, college na
a. university
Call the Rapid kwiveta
Response masomo mao. Kila kimwe kimeandikwa nesa
Team.
na kwa w’o w’o kana undu wa kumanya kwa mbaitu. Twi na
b. Document and continue to monitor.
maelezo ma matuku ma exams, undu wa kusoma nesa na
c. Notify thekwiw’a masomo
primary kwa mbai. Nduka ino ni ya kuthanga kana
care provider.
d. kuungamya
Repeat blood pressure asomi makwata
measurement in 15mminutes.
, tyreas
ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
before they suffereitherrespiratoryorcardiacarrest.
Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes in blood
pressure, mental status, heart rate, and pain are particularly significant. Documentation is vital,
but the nursemust 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 should
be reassessed frequently, but the priority is getting the rapid care to theclient.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:
Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse is orienting a new client and family to the inpatient unit. What information does
the nurse provide to 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.
ANS: 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 partner is the most critical. The other actions are
very limited in scope and do not provide the broad protection that being active and involveddoes.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
, tyreas
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
4. A new nurse is working with a preceptor on an inpatientmedical-surgical unit. The
preceptor advises the student that which is the priority when working as a professionalnurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Up to 98,000 deaths result each year from errors in hospital care, according to the 2000
Institute of Medicine report. Many more clients have suffered injuries and less serious outcomes.
Every nurse has the responsibility to guard the clients safety.
DIF: Understanding/Comprehension REF: 2 KEY: Patient safety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
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 againsterrors?
a. Bring a list of all medications and what they are for.
b. Keep the doctors phone number by the telephone.
c. Make sure all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
ANS: A
