0 0 0
10thEditionConceptsforInterprofessionalCollabor a
0 0 0 0 0 0
tive Care, by Donna D. Ignatavicius,
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Allchapters1–69
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,Chapter001:0Overview0of0Professional0Nursing0Concepts0for0Medical-
Surgical0Nursing0Ignatavicius:0Medical-Surgical0Nursing,010th0Edition
0
MULTIPLE0CHOICE
1. A0new0nurse0is0working0with0a0preceptor0on0a0medical-
surgical0unit.0The0preceptor0advises0the0new0nurse0that0which0is0the0priority0when0working0a
s0a0professional0nurse?
a. Attending0to0holistic0client0needs
b. Ensuring0client0safety
c. Not0making0medication0errors
d. Providing0client-focused0 care
CORRECT9ANSWER:90
B
All0actions0are0appropriate0for0the0professional0nurse.0However,0ensuring0client0safety0is0the0
p0riority.0Health0care0errors0have0been0widely0reported0for0250years,0many0of0which0result0in0
clie0nt0injury,0death,0and0increased0health0care0costs.0There0are0several0national0and0internat
ional0organizations0that0have0either0recommended0or0mandated0safety0initiatives.
Every0nurse0has0the0responsibility0to0guard0the0client’s0safety.0The0other0actions0are0importa
n0t0for0quality0nursing,0but9they0are0not0as0vital0as0providing0safety.0Not0making0medication0e
rro0rs0does0provide0safety,0but0is0too0narrow0in0scope0to0be0the0best0answer.
DIF:0 0 Understanding
TOP:0 Integrated0Process:0Nursing0Process:0Intervention0KEY:0Client0safety
MSC:0 Client0Needs0Category:0Safe0and0Effective0Care0Environment:0Safety0and0Infection0Control
2. A0nurse0is0orienting0a0new0client0and0family0to0the0medical-
surgical0unit.0What0information0does0the0nurse0provide0to0best0help0the0client0promote0hi
s0or0her0own0safety?
a. Encourage0the0client0and0family0to0be0active0partners.
b. Have0the0client0monitor0hand0hygiene0in0caregivers.
c. Offer0the0family0the0opportunity0to0stay0with0the0client.
d. Tell0the0client0to0always0wear0his0or0her0armband.
CORRECT9ANSWER: A
, Each0action0could0be0important0for0the0client0or0family0to0perform.0However,0encouraging0th
e0client0to0be0active0in0his0or0her0health0care0as0a0safety0partner0is0the0most0critical.0The0other
0ac0tions0are0very0limited0in0scope0and0do0not0provide0the0broad0protection0that0being0active0
and0i0nvolved0does.
DIF:0 0 Understanding
TOP:0Integrated0Process:0Teaching/Learning0KEY:0Client0safety
MSC:0 Client0Needs0Category:0Safe0and0Effective0Care0Environment:0Safety0and0Infection0Control
3. A0nurse0is0caring0for0a0postoperative0client0on0the0surgical0unit.0The0client’s0blood0pressure
0was0142/760mm0Hg0300minutes0ago,0and0now0is088/500mm0Hg.0What0action0would0the0nurs
e0take0first?
a. Call0the0Rapid0Response0Team.
b. Document0and0continue0to0monitor.
c. Notify0the0primary0health0care0provider.
d. Repeat0the0blood0pressure0in0150minutes.
, CORRECT9ANSWER: A
The0purpose0of0the0Rapid0Response0Team0(RRT)0is0to0intervene0when0clients0are0deterioratin
g0before0they0suffer0either0respiratory0or0cardiac0arrest.0Since0the0client0has0manifested0a0sig
nifi0cant0change,0the0nurse0would0call0the0RRT.0Changes0in0blood0pressure,0mental0status,0hea
rt0ra0te,0temperature,0oxygen0saturation,0and0last020hours’0urine0output0are0particularly0signif
icant0and0are0part0of0the0Modified0Early0Warning0System0guide.0Documentation0is0vital,0but0t
he0nur0se0must0do0more0than0document.0The0primary0health0care0provider0would0be0notified
,0but0thi0s0is0not0more0important0than0calling0the0RRT.0The0client’s0blood0pressure0would0be0r
eassessed0frequently,0but0the0priority0is0getting0the0rapid0care0to0the0client.
DIF: Applying
TOP:0 Integrated0Process:0Communication0and0Documentation0KEY:0Rapid0Re0spon
se0Team0(RRT),0Clinical0judgment
MSC:0 Client0Needs0Category:0Physiological0Integrity:0Physiological0Adaptation
4. A0nurse0wishes0to0provide0client-centered0care0in0all0interactions.0Which0action0by0the0nurse
best0demonstrates0this0concept?
a. Assesses0for0cultural0influences0affecting0health0care.
b. Ensures0that0all0the0client’s0basic0needs0are0met.
c. Tells0the0client0and0family0about0all0upcoming0tests.
d. Thoroughly0orients0the0client0and0family0to0the0room.
CORRECT9ANSWER:90
A
Showing0respect0for0the0client0and0family’s0preferences0and0needs0is0essential0to0ensure0a0hol
i0stic0or0“whole-
person”0approach0to0care.0By0assessing0the0effect0of0the0client’s0culture0on0health0care,0this0n
u0rse0is0practicing0client-
focused0care.0Providing0for0basic0needs0does0not0demonstrate0this0competence.0Simply0tellin
g0the0client0about0all0upcoming0tests0is0not0providing0empowering0education.0Orienting0the0c
lie0nt0and0family0to0the0room0is0an0important0safety0measure,0but0not0directly0related0to0dem
onst0rating0client-centered0care.
DIF:0 0 Understanding
TOP:0Integrated0Process:0Culture0and0Spirituality0KEY:0 Client-
centered0care,0Culture0MSC:0 Client0Needs0Category:0Psychosocial0Integrity
5. A9client0is0going0to0be0admitted0for0a0scheduled0surgical0procedure.0Which0action0does0t
h0e0nurse0explain0is0the0most0important0thing0the0client0can0do0to0protect0against0error
s?