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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 nurse2wishes2to provide client-
centered2care2in all interactions. Which action by the nurse2best demonstrates this concept?
a. Assesses for2 cultural2 influences affecting health care
b. Ensures that2all2the clients basic needs are2met
c. Tells the client2and family2about all2upcoming tests
d. Thoroughly orients the client2 and family2 to the2room
CORRECT2ANSWER: A
Competency in2client-
focused2care2is demonstrated when2the nurse focuses on communication, culture, respect2compassion, client2educ
ation, and empowerment. By assessing the effect of2the clients culture on health care, this nurse is practicing c
lient-
focused care. Providing for basic needs does not demonstrate this competence. Simply telling the2client about2
all upcoming tests is not2providing empowering2education. Orienting the client and family2to the2room2is an2im
portant2safety2measure, but2not2directly2related to demonstrating client-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-
centered2care| culture MSC: Integrated Process: Caring2NOT: Client
Needs Category: Psychosocial Integrity
2. A nurse2is caring for2a postoperative2client2on2the surgical unit. The clients blood2pressure was 142/762mm2H
g 30 minutes ago, and2now is 88/50 mm2Hg. What action2by the nurse is best?
a. Call2the Rapid2 Response2Team.
b. Document2and2continue to monitor.
c. Notify2the primary care provider.
d. Repeat blood2 pressure2measurement2 in215 minutes.
CORRECT2ANSWER: A
1 FOCUSED2CARE2IS DEMONSTRATED WHEN2THE NURSE FOCUSES ON COMMUNICATION, CULTURE, RESPECT2COMPASSION, CLIENT2EDUC ATION, AND EMPOWERMENT. BY ASSESSING THE EFFECT OF2THE CLIENTS CULTURE ON HEALTH CARE, THIS NURSE IS PRACTICING C LIENT-
FOCUSED CARE. PROVIDING FOR BASIC NEEDS DOES NOT DEMONSTRATE THIS COMPETENCE. SIMPLY TELLING THE2CLIENT ABOUT2 ALL UPCOMING TESTS IS NOT2PROVIDING EMPOWERING2EDUCATION. ORIENTING THE CLIENT AND FAMILY2TO THE2ROOM2IS AN2IM PORTANT2SAFETY2MEASURE, BUT2NOT2DIRECTLY2RELATED TO DEMONSTRATING CLIENT-
CENTERED CARE.____________________@@@@@@@!
RSING
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merged).pd
The purpose of2the Rapid2Response Team (RRT) is to intervene when clients are deteriorating before they su
ffer either2respiratory2or2cardiac arrest. Since the client has2manifested a2significant2change, the2nurse should2call2t
he RRT. Changes in2blood pressure, mental status, heart rate, and pain2are2particularly significant.
Documentation is vital, but the nurse must2do more than2document. The primary care provider2should be
notified, but this is not2the2priority2over2calling the RRT. The2clients blood pressure2should be2reassessed fre
quently, but2the priority is getting the rapid care to the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team2(RRT)| medical emergencies MS
C: Integrated Process: Communication2and2Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse2is orienting2a new client2and2family to the inpatient2unit. What2information does the nurse provide to he
lp the client2promote his or2her own2safety?
a. Encourage the client2and2family2to be active partners.
b. Have the client2monitor2hand hygiene in caregivers.
c. Offer the family2 the opportunity to stay with the client.
d. Tell2the client to2always wear his or2her armband.
CORRECT2ANSWER: A
Each action2could2be important for the client or family to perform. However, encouraging the client2to be act
ive in his or her health care as a2partner2is the most critical. The other actions are very limited2in scope and do n
ot2provide the broad2protection that being active and involved does.
DIF: Understanding/Comprehension2REF: 3
KEY: Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and2Effective Care2 Environment: Safety2 and Infection2 Control
4. A new2nurse2is working2with2a preceptor2on an2inpatient medical-
surgical unit. The2preceptor advises the student that which2is the2priority when working as a2professional n
urse?
a. Attending to holistic client needs
b. Ensuring2client safety
c. Not making medication errors
d. Providing client-focused care
CORRECT2ANSWER: B
All actions are appropriate for the professional nurse. However, ensuring client2safety2is the priority. Up to 9
8,000 deaths result each2year from errors in2hospital care, according to the 20002Institute of2Medicine report. Man
y more2clients have suffered injuries and2less serious outcomes. Every nurse2has the responsibility to guard t
2 FOCUSED2CARE2IS DEMONSTRATED WHEN2THE NURSE FOCUSES ON COMMUNICATION, CULTURE, RESPECT2COMPASSION, CLIENT2EDUC ATION, AND EMPOWERMENT. BY ASSESSING THE EFFECT OF2THE CLIENTS CULTURE ON HEALTH CARE, THIS NURSE IS PRACTICING C LIENT-
FOCUSED CARE. PROVIDING FOR BASIC NEEDS DOES NOT DEMONSTRATE THIS COMPETENCE. SIMPLY TELLING THE2CLIENT ABOUT2 ALL UPCOMING TESTS IS NOT2PROVIDING EMPOWERING2EDUCATION. ORIENTING THE CLIENT AND FAMILY2TO THE2ROOM2IS AN2IM PORTANT2SAFETY2MEASURE, BUT2NOT2DIRECTLY2RELATED TO DEMONSTRATING CLIENT-
CENTERED CARE.____________________@@@@@@@!
RSING
or CONCEPTS
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11th CONCEPTS
Medical-Surgical
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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 nurse2wishes2to provide client-
centered2care2in all interactions. Which action by the nurse2best demonstrates this concept?
a. Assesses for2 cultural2 influences affecting health care
b. Ensures that2all2the clients basic needs are2met
c. Tells the client2and family2about all2upcoming tests
d. Thoroughly orients the client2 and family2 to the2room
CORRECT2ANSWER: A
Competency in2client-
focused2care2is demonstrated when2the nurse focuses on communication, culture, respect2compassion, client2educ
ation, and empowerment. By assessing the effect of2the clients culture on health care, this nurse is practicing c
lient-
focused care. Providing for basic needs does not demonstrate this competence. Simply telling the2client about2
all upcoming tests is not2providing empowering2education. Orienting the client and family2to the2room2is an2im
portant2safety2measure, but2not2directly2related to demonstrating client-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-
centered2care| culture MSC: Integrated Process: Caring2NOT: Client
Needs Category: Psychosocial Integrity
2. A nurse2is caring for2a postoperative2client2on2the surgical unit. The clients blood2pressure was 142/762mm2H
g 30 minutes ago, and2now is 88/50 mm2Hg. What action2by the nurse is best?
a. Call2the Rapid2 Response2Team.
b. Document2and2continue to monitor.
c. Notify2the primary care provider.
d. Repeat blood2 pressure2measurement2 in215 minutes.
CORRECT2ANSWER: A
1 FOCUSED2CARE2IS DEMONSTRATED WHEN2THE NURSE FOCUSES ON COMMUNICATION, CULTURE, RESPECT2COMPASSION, CLIENT2EDUC ATION, AND EMPOWERMENT. BY ASSESSING THE EFFECT OF2THE CLIENTS CULTURE ON HEALTH CARE, THIS NURSE IS PRACTICING C LIENT-
FOCUSED CARE. PROVIDING FOR BASIC NEEDS DOES NOT DEMONSTRATE THIS COMPETENCE. SIMPLY TELLING THE2CLIENT ABOUT2 ALL UPCOMING TESTS IS NOT2PROVIDING EMPOWERING2EDUCATION. ORIENTING THE CLIENT AND FAMILY2TO THE2ROOM2IS AN2IM PORTANT2SAFETY2MEASURE, BUT2NOT2DIRECTLY2RELATED TO DEMONSTRATING CLIENT-
CENTERED CARE.____________________@@@@@@@!
RSING
or CONCEPTS
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11th CONCEPTS
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The purpose of2the Rapid2Response Team (RRT) is to intervene when clients are deteriorating before they su
ffer either2respiratory2or2cardiac arrest. Since the client has2manifested a2significant2change, the2nurse should2call2t
he RRT. Changes in2blood pressure, mental status, heart rate, and pain2are2particularly significant.
Documentation is vital, but the nurse must2do more than2document. The primary care provider2should be
notified, but this is not2the2priority2over2calling the RRT. The2clients blood pressure2should be2reassessed fre
quently, but2the priority is getting the rapid care to the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team2(RRT)| medical emergencies MS
C: Integrated Process: Communication2and2Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse2is orienting2a new client2and2family to the inpatient2unit. What2information does the nurse provide to he
lp the client2promote his or2her own2safety?
a. Encourage the client2and2family2to be active partners.
b. Have the client2monitor2hand hygiene in caregivers.
c. Offer the family2 the opportunity to stay with the client.
d. Tell2the client to2always wear his or2her armband.
CORRECT2ANSWER: A
Each action2could2be important for the client or family to perform. However, encouraging the client2to be act
ive in his or her health care as a2partner2is the most critical. The other actions are very limited2in scope and do n
ot2provide the broad2protection that being active and involved does.
DIF: Understanding/Comprehension2REF: 3
KEY: Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and2Effective Care2 Environment: Safety2 and Infection2 Control
4. A new2nurse2is working2with2a preceptor2on an2inpatient medical-
surgical unit. The2preceptor advises the student that which2is the2priority when working as a2professional n
urse?
a. Attending to holistic client needs
b. Ensuring2client safety
c. Not making medication errors
d. Providing client-focused care
CORRECT2ANSWER: B
All actions are appropriate for the professional nurse. However, ensuring client2safety2is the priority. Up to 9
8,000 deaths result each2year from errors in2hospital care, according to the 20002Institute of2Medicine report. Man
y more2clients have suffered injuries and2less serious outcomes. Every nurse2has the responsibility to guard t
2 FOCUSED2CARE2IS DEMONSTRATED WHEN2THE NURSE FOCUSES ON COMMUNICATION, CULTURE, RESPECT2COMPASSION, CLIENT2EDUC ATION, AND EMPOWERMENT. BY ASSESSING THE EFFECT OF2THE CLIENTS CULTURE ON HEALTH CARE, THIS NURSE IS PRACTICING C LIENT-
FOCUSED CARE. PROVIDING FOR BASIC NEEDS DOES NOT DEMONSTRATE THIS COMPETENCE. SIMPLY TELLING THE2CLIENT ABOUT2 ALL UPCOMING TESTS IS NOT2PROVIDING EMPOWERING2EDUCATION. ORIENTING THE CLIENT AND FAMILY2TO THE2ROOM2IS AN2IM PORTANT2SAFETY2MEASURE, BUT2NOT2DIRECTLY2RELATED TO DEMONSTRATING CLIENT-
CENTERED CARE.____________________@@@@@@@!
RSING
or CONCEPTS
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