TEST BANK For Medical-Surgical Nursing 10th Edition Concepts for Interprofessional Collaborative Care, by Donna D. Ignatavicius, All chapters 1 – 69

TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69

,Chapter801:8Overview8of8Professional8Nursing8Concepts8for8Medical-
Surgical8Nursing8Ignatavicius:8Medical-Surgical8Nursing,810th8Edition



MULTIPLE8CHOICE


1. A8new8nurse8is8working8with8a8preceptor8on8a8medical-
surgical8unit.8The8preceptor8advises8the8new8nurse8that8which8is8the8priority8when8working8
as8a8professional8nurse?
a. Attending8to8holistic8client8needs
b. Ensuring8client8safety

c. Not8making8medication8errors
d. Providing8client-focused8care

CORRECT8ANSWER:8 B
All8actions8are8appropriate8for8the8professional8nurse.8However,8ensuring8client8safety8is8the8
priority.8Health8care8errors8have8been8widely8reported8for8258years,8many8of8which8result8in8
client8injury,8death,8and8increased8health8care8costs.8There8are8several8national8and8internati
onal8organizations8that8have8either8recommended8or8mandated8safety8initiatives.
Every8nurse8has8the8responsibility8to8guard8the8client’s8safety.8The8other8actions8are8importa
nt8for8quality8nursing,8but8they8are8not8as8vital8as8providing8safety.8Not8making8medication8e
rrors8does8provide8safety,8but8is8too8narrow8in8scope8to8be8the8best8answer.

DIF: Understanding
TOP:8 Integrated8Process:8Nursing8Process:8Intervention8KEY:8Client8safety
MSC:8 Client8Needs8Category:8Safe8and8Effective8Care8Environment:8Safety8and8Infection8Control


2. A8nurse8is8orienting8a8new8client8and8family8to8the8medical-

surgical8unit.8What8information8does8the8nurse8provide8to8best8help8the8client8promote8h
is8or8her8own8safety?
a. Encourage8the8client8and8family8to8be8active8partners.
b. Have8the8client8monitor8hand8hygiene8in8caregivers.

c. Offer8the8family8the8opportunity8to8stay8with8the8client.
d. Tell8the8client8to8always8wear8his8or8her8armband.

CORRECT8ANSWER:8 A

, Each8action8could8be8important8for8the8client8or8family8to8perform.8However,8encouraging8th
e8client8to8be8active8in8his8or8her8health8care8as8a8safety8partner8is8the8most8critical.8The8othe
r8actions8are8very8limited8in8scope8and8do8not8provide8the8broad8protection8that8being8active
8and8involved8does.

DIF: Understanding
TOP:8Integrated8Process:8Teaching/Learning8KEY:8Client8safety
MSC:8 Client8Needs8Category:8Safe8and8Effective8Care8Environment:8Safety8and8Infection8Control


3. A8nurse8is8caring8for8a8postoperative8client8on8the8surgical8unit.8The8client’s8blood8pressur
e8was8142/768mm8Hg8308minutes8ago,8and8now8is888/508mm8Hg.8What8action8would8the8n
urse8take8first?
a. Call8the8Rapid8Response8Team.

b. Document8and8continue8to8monitor.
c. Notify8the8primary8health8care8provider.
d. Repeat8the8blood8pressure8in8158minutes.

, CORRECT8ANSWER:8 A
The8purpose8of8the8Rapid8Response8Team8(RRT)8is8to8intervene8when8clients8are8deterioratin
g8before8they8suffer8either8respiratory8or8cardiac8arrest.8Since8the8client8has8manifested8a8sig
nificant8change,8the8nurse8would8call8the8RRT.8Changes8in8blood8pressure,8mental8status,8hea
rt8rate,8temperature,8oxygen8saturation,8and8last828hours’8urine8output8are8particularly8signif
icant8and8are8part8of8the8Modified8Early8Warning8System8guide.8Documentation8is8vital,8but8t
he8nurse8must8do8more8than8document.8The8primary8health8care8provider8would8be8notified
,8but8this8is8not8more8important8than8calling8the8RRT.8The8client’s8blood8pressure8would8be8r
eassessed8frequently,8but8the8priority8is8getting8the8rapid8care8to8the8client.

DIF: Applying
TOP:8 Integrated8Process:8Communication8and8Documentation8KEY:8Rapid8R
esponse8Team8(RRT),8Clinical8judgment
MSC:8 Client8Needs8Category:8Physiological8Integrity:8Physiological8Adaptation


4. A8nurse8wishes8to8provide8client-centered8care8in8all8interactions.8Which8action8by8the8nurse
best8demonstrates8this8concept?
a. Assesses8for8cultural8influences8affecting8health8care.
b. Ensures8that8all8the8client’s8basic8needs8are8met.
c. Tells8the8client8and8family8about8all8upcoming8tests.
d. Thoroughly8orients8the8client8and8family8to8the8room.

CORRECT8ANSWER:8 A
Showing8respect8for8the8client8and8family’s8preferences8and8needs8is8essential8to8ensure8a8h
olistic8or8“whole-
person”8approach8to8care.8By8assessing8the8effect8of8the8client’s8culture8on8health8care,8this8
nurse8is8practicing8client-
focused8care.8Providing8for8basic8needs8does8not8demonstrate8this8competence.8Simply8tellin
g8the8client8about8all8upcoming8tests8is8not8providing8empowering8education.8Orienting8the8c
lient8and8family8to8the8room8is8an8important8safety8measure,8but8not8directly8related8to8dem
onstrating8client-centered8care.

DIF: Understanding
TOP:8Integrated8Process:8Culture8and8Spirituality8KEY:8 Client-centered8care,8Culture
MSC:8 Client8Needs8Category:8Psychosocial8Integrity


5. A8client8is8going8to8be8admitted8for8a8scheduled8surgical8procedure.8Which8action8does8t
he8nurse8explain8is8the8most8important8thing8the8client8can8do8to8protect8against8errors
?