for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74
,
,
, Chapter 01: Overview ofa7Professional Nursing Concepts for Medical-
z v z v z v z v z v z v z v
Surgical Nursing z v
MULTIPLE z v z v CHOICE
1. A zv z v nurse z v wishes z v to z v provide z v client-
centered z v care z v in z v all z v interactions. z v Which z v action z v by z v the z v nurse z v best z v demonstrates z
v this z v co ncept?
z v
a. Assesses zvzv for zv z v cultural z v z v influences zvzv affecting z v z v health z v z v care
b. Ensures z v that z v all zvzv the z v clients zv zv basic zvz v needs zvzv are zvzv met
c. Tells z v the zvzv client zvzv and zvzv family zvzv about z v zv all z v upcoming zvz v tests
d. Thoroughly z v orients zvzv the zvzv client z v z v and z v family zvzv to zv zv the zvzv room
CORRECTa7ANSWER: z v A
Competency z v in z v client-
focused z v care z v is z v demonstrated z v when z v the z v nurse z v focuses z v on z v communication, z v culture, z v respect
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ients z v z v culture zvzv on z v health
care, z v this z v nurse z v is z v practicing z v client-
focused z v care. z v z v Providing z v z v for z v basic z v needs z v does z v not z v demonstrate z v z v this z v competence. z v z v Sim
ply z v telling z v t hezv z v client z v about z v all z v upcoming z v tests z v is z v not z v providing z v empowering z v educat
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z v not z v directly z v related z v to z v demonstratinga client-centered z v z v care.
DIF: z v Understanding/Comprehension z v REF: z
v 3 KEY:
zv z v Patient-
centered z v care| z v culture z v MSC: z v Integrated z v Process: z v Caring z v NOT:
Client z v Needs z v Category: z v Psychosocial z v Integrity
2. A zv z v nurse z v is z v caring z v for z v a z v postoperative z v client z v on z v the z v surgical z v unit. z v The z v clients z v b
lood z v pressure was zv z v 142/76 z v mm z v Hg z v z v 30 z v z v minutes z v z v ago, z v z v and z v z v now z v z v is z v z v 88/50 z v z v mm z v z v H
g. z v z v What z v z v action z v z v by z v z v the z v z v nur se zv z v is z v best?
a. Call zvzv the zvzv Rapid zvzv Response zvzv Team.
b. Document zvzv and z v continue zvzv to z v z v monitor.
c. Notify z v the zvzv primary zvzv care zvzv provider.
d. Repeat zvzv blood zvzv pressure zvzv measurement z v z v in zvzv 15 zvzv minutes.
CORRECTa7ANSWER: z v A
The z v z v purpose z v z v of z v z v the z v z v Rapid z v z v Response z v z v Team z v z v (RRT) z v z v is z v z v to z v z v intervene z v z v when z v z v clients z
v z v are z v z v deteriorati ng zv z v before z v they z v suffer z v either z v respiratory z v or z v cardiac z v arrest. z v Since z v the z
v client z v has z v manifested z v a z v signi ficant zv z v change, z v the z v nurse z v should z v call z v the z v RRT. z v Chang
es z v in z v blood z v pressure, z v mental z v status, z v heart rate, zv z v and z v pain z v are z v particularly z v significant.
Documentation z v is z v vital, z v but z v the z v nurse z v must z v do z v more z v than z v document. z v The z v prim