,Chapter rp1: rpIntroduction rpto rpMedical-Surgical rpNursing rpPractice
rpIgnatavicius: rpMedical-Surgical rpNursing,10th rpEdition
MULTIPLE r p CHOICE
1. A rpnew rpnurse rpis rpworking rpwith rpa rppreceptor rpon rpan rpinpatient rpmedical-
surgical rpunit. rpThe rppreceptor rpadvises rpthe rpstudent rpthat rpwhich rpis rpthe rppriority
rpwhen rpworking rpas rpa rpprofessional rpnurse?
a. Attending rpto rpholistic rpclient rpneeds
b. Ensuring rpclient rpsafety
c. Not rpmaking rpmedication rperrors
d. Providing r p client-focused r p care
ANS: r p B
All rpactions rpare rpappropriate rpfor rpthe rpprofessional rpnurse. rpHowever, rpensuring rpclient
rpsafety rpis rpthe rppriority. rpUp rpto rp98,000 rpdeaths rpresult rpeach rpyear rpfrom rperrors rpin
rphospital rpcare, rpaccording rpto rpthe rp2000 rpInstitute rpof rpMedicine rpreport. rpMany rpmore
rpclients rphave rpsuffered rpinjuries rpand rpless rpserious rpoutcomes. rp Every rpnurse rphas rpthe
rpresponsibility rpto rpguard rpthe rpclient‘s rpsafety.
DIF: Understanding/Comprehension REF: 2 KEY: rp Patient
rpsafety rp MSC: rpIntegrated rpProcess: rp Nursing rpProcess: rpIntervention
NOT: r p Client rpNeeds rpCategory: rpSafe rpand rpEffective rpCare rpEnvironment: rpSafety rpand
rpInfection rpControl
2. A rpnurse rpis rporienting rpa rpnew rpclient rpand rpfamily rpto rpthe rpinpatient rpunit. rpWhat
rpinformation rpdoes rpthe rpnurse rpprovide rpto rphelp rpthe rpclient rppromote rphis rpor rpher
rpown rpsafety?
a. Encourage rpthe rpclient rpand rpfamily rpto rpbe rpactive rppartners.
b. Have rpthe rpclient rpmonitor rphand rphygiene rpin rpcaregivers.
c. Offer rpthe rpfamily rpthe rpopportunity rpto rpstay rpwith rpthe rpclient.
d. Tell rpthe rpclient rpto rpalways rpwear rphis rpor rpher rparmband.
ANS: r p A
Each rpaction rpcould rpbe rpimportant rpfor rpthe rpclient rpor rpfamily rpto rpperform. rpHowever,
rpencouraging rpthe rpclient rpto rpbe rpactive rpin rphis rpor rpher rphealth rpcare rpas rpa rppartner
rpis rpthe rp most rpcritical. rpThe rpother rpactions rpare rpvery rplimited rpin rpscope rpand rpdo rpnot
rpprovide rpthe rpbroad rpprotection rpthat rpbeing rpactive rpand rpinvolved rpdoes.
DIF: Understanding/Comprehension REF: 3 KEY: rp Patient
rpsafety rp MSC: r p Integrated rpProcess: rpTeaching/Learning
NOT: r p Client rpNeeds rpCategory: rpSafe rpand rpEffective rpCare rpEnvironment: rpSafety rpand
rpInfection rpControl
3. A rpnurse rpis rpcaring rpfor rpa rppostoperative rpclient rpon rpthe rpsurgical rpunit. rpThe rpclient‘s
rpblood rppressure rp was rp142/76 rpmm rpHg rp30 rpminutes rpago, rpand rpnow rpis rp88/50 rpmm
rpHg. rpWhat rpaction rpby rpthe rpnurse rpis rpbest?
a. Call rpthe rpRapid rpResponse rpTeam.
b. Document rpand rpcontinue rpto rpmonitor.
c. Notify rpthe rpprimary rpcare rpprovider.
d. Repeat rpblood rppressure rpmeasurement rpin rp15 rpminutes.
, ANS: r p A
The rppurpose rpof rpthe rpRapid rpResponse rpTeam rp(RRT) rpis rpto rpintervene rpwhen
rpclients rpare rpdeteriorating rpbefore rpthey rpsuffer rpeither rprespiratory rpor rpcardiac rparrest.
rpSince rpthe rpclient rphas rpmanifested rpa rpsignificant rpchange, rpthe rpnurse rpshould rpcall
rpthe rpRRT. rpChanges rpin rpblood rppressure, rp mental rpstatus, rpheart rprate, rpand rppain rpare
rpparticularly rpsignificant. rpDocumentation rpis rpvital, rpbut rpthe rpnurse rpmust rpdo rpmore
rpthan rpdocument. rpThe rpprimary rpcare rpprovider rpshould rpbe rpnotified, rpbut rpthis rpis rpnot
rpthe rppriority rpover rpcalling rpthe rpRRT. rpThe rpclient‘s rpblood rppressure rpshould rpbe
rpreassessed rpfrequently, rpbut rpthe rppriority rpis rpgetting rpthe rprapid rpcare rpto rpthe rpclient.
DIF: Applying/Application REF: 3
rpKEY: r p Rapid rpResponse rpTeam rp(RRT)| rpmedical
rpemergencies
MSC: r p Integrated r p Process: r p Communication r p and r p Documentation
NOT: r p Client r p Needs r p Category: r p Physiological r p Integrity: r p Physiological r p Adaptation
4. A rpnurse rpwishes rpto rpprovide rpclient-centered rpcare rpin rpall rpinteractions. rpWhich rpaction
rpby rpthe rpnurse rpbest rpdemonstrates rpthis rpconcept?
a. Assesses r p for r p cultural r p influences rp affecting r p health r p care
b. Ensures rpthat rpall rpthe rpclients‘ rpbasic rpneeds rpare rpmet
c. Tells rpthe rpclient rpand rpfamily rpabout rpall rpupcoming rptests
d. Thoroughly rporients rpthe rpclient rpand rpfamily rpto rpthe rproom
ANS: r p A
Competency rpin rpclient-focused rpcare rpis rpdemonstrated rpwhen rpthe rpnurse rpfocuses rpon
rpcommunication, rpculture, rprespect, rpcompassion, rpclient rpeducation, rpand rpempowerment.
rpBy rpassessing rpthe rpeffect rpof rpthe rpclient‘s rpculture rpon rphealth rpcare, rpthis rpnurse rpis
rppracticing
client-focused rpcare. rpProviding rpfor rpbasic rpneeds rpdoes rpnot rpdemonstrate rpthis
rpcompetence. rpSimply rptelling rpthe rpclient rpabout rpall rpupcoming rptests rpis rpnot
rpproviding rpempowering rpeducation. rp Orienting rpthe rpclient rpand rpfamily rpto rpthe rproom
rpis rpan rpimportant rpsafety rpmeasure, rpbut rpnot rpdirectly rprelated rpto rpdemonstrating
rpclient-centered rpcare.
DIF: Understanding/Comprehension REF: 3
KEY: r p Patient-centered rpcare| rpculture MSC: rpIntegrated rpProcess:
rpCaring rp NOT: r p Client rpNeeds rpCategory: rpPsychosocial rpIntegrity
5. A rpclient rpis rpgoing rpto rpbe rpadmitted rpfor rpa rpscheduled rpsurgical rpprocedure. rpWhich
rpaction rpdoes rpthe rpnurse rpexplain rpis rpthe rp most rpimportant rpthing rpthe rpclient rpcan
rpdo rpto rpprotect rpagainst rperrors?
a. Bring rpa rplist rpof rpall rpmedications rpand rpwhat rpthey rpare rpfor.
b. Keep rpthe rpdoctor‘s rpphone rpnumber rpby rpthe rptelephone.
c. Make rpsure rpall rpproviders rpwash rphands rpbefore rpentering rpthe rproom.
d. Write rpdown rpthe rpname rpof rpeach rpcaregiver rpwho rpcomes rpin rpthe rproom.
ANS: r p A
Medication rperrors rpare rpthe rpmost rpcommon rptype rpof rphealth rpcare rpmistake. rpThe
rpJoint rpCommission‘s rpSpeak rpUp rpcampaign rpencourages rpclients rpto rphelp rpensure
rptheir rpsafety. rpOne rprecommendation rpis rpfor rpclients rpto rpknow rpall rptheir rpmedications
rpand rpwhy rpthey rptake rpthem. rpThis rp will rphelp rpprevent rp medication rperrors.
DIF: Applying/Application REF: 4
KEY: r p Speak rpUp rpcampaign| rppatient rpsafety MSC: rpIntegrated rpProcess:
, rpTeaching/Learning
rpIgnatavicius: rpMedical-Surgical rpNursing,10th rpEdition
MULTIPLE r p CHOICE
1. A rpnew rpnurse rpis rpworking rpwith rpa rppreceptor rpon rpan rpinpatient rpmedical-
surgical rpunit. rpThe rppreceptor rpadvises rpthe rpstudent rpthat rpwhich rpis rpthe rppriority
rpwhen rpworking rpas rpa rpprofessional rpnurse?
a. Attending rpto rpholistic rpclient rpneeds
b. Ensuring rpclient rpsafety
c. Not rpmaking rpmedication rperrors
d. Providing r p client-focused r p care
ANS: r p B
All rpactions rpare rpappropriate rpfor rpthe rpprofessional rpnurse. rpHowever, rpensuring rpclient
rpsafety rpis rpthe rppriority. rpUp rpto rp98,000 rpdeaths rpresult rpeach rpyear rpfrom rperrors rpin
rphospital rpcare, rpaccording rpto rpthe rp2000 rpInstitute rpof rpMedicine rpreport. rpMany rpmore
rpclients rphave rpsuffered rpinjuries rpand rpless rpserious rpoutcomes. rp Every rpnurse rphas rpthe
rpresponsibility rpto rpguard rpthe rpclient‘s rpsafety.
DIF: Understanding/Comprehension REF: 2 KEY: rp Patient
rpsafety rp MSC: rpIntegrated rpProcess: rp Nursing rpProcess: rpIntervention
NOT: r p Client rpNeeds rpCategory: rpSafe rpand rpEffective rpCare rpEnvironment: rpSafety rpand
rpInfection rpControl
2. A rpnurse rpis rporienting rpa rpnew rpclient rpand rpfamily rpto rpthe rpinpatient rpunit. rpWhat
rpinformation rpdoes rpthe rpnurse rpprovide rpto rphelp rpthe rpclient rppromote rphis rpor rpher
rpown rpsafety?
a. Encourage rpthe rpclient rpand rpfamily rpto rpbe rpactive rppartners.
b. Have rpthe rpclient rpmonitor rphand rphygiene rpin rpcaregivers.
c. Offer rpthe rpfamily rpthe rpopportunity rpto rpstay rpwith rpthe rpclient.
d. Tell rpthe rpclient rpto rpalways rpwear rphis rpor rpher rparmband.
ANS: r p A
Each rpaction rpcould rpbe rpimportant rpfor rpthe rpclient rpor rpfamily rpto rpperform. rpHowever,
rpencouraging rpthe rpclient rpto rpbe rpactive rpin rphis rpor rpher rphealth rpcare rpas rpa rppartner
rpis rpthe rp most rpcritical. rpThe rpother rpactions rpare rpvery rplimited rpin rpscope rpand rpdo rpnot
rpprovide rpthe rpbroad rpprotection rpthat rpbeing rpactive rpand rpinvolved rpdoes.
DIF: Understanding/Comprehension REF: 3 KEY: rp Patient
rpsafety rp MSC: r p Integrated rpProcess: rpTeaching/Learning
NOT: r p Client rpNeeds rpCategory: rpSafe rpand rpEffective rpCare rpEnvironment: rpSafety rpand
rpInfection rpControl
3. A rpnurse rpis rpcaring rpfor rpa rppostoperative rpclient rpon rpthe rpsurgical rpunit. rpThe rpclient‘s
rpblood rppressure rp was rp142/76 rpmm rpHg rp30 rpminutes rpago, rpand rpnow rpis rp88/50 rpmm
rpHg. rpWhat rpaction rpby rpthe rpnurse rpis rpbest?
a. Call rpthe rpRapid rpResponse rpTeam.
b. Document rpand rpcontinue rpto rpmonitor.
c. Notify rpthe rpprimary rpcare rpprovider.
d. Repeat rpblood rppressure rpmeasurement rpin rp15 rpminutes.
, ANS: r p A
The rppurpose rpof rpthe rpRapid rpResponse rpTeam rp(RRT) rpis rpto rpintervene rpwhen
rpclients rpare rpdeteriorating rpbefore rpthey rpsuffer rpeither rprespiratory rpor rpcardiac rparrest.
rpSince rpthe rpclient rphas rpmanifested rpa rpsignificant rpchange, rpthe rpnurse rpshould rpcall
rpthe rpRRT. rpChanges rpin rpblood rppressure, rp mental rpstatus, rpheart rprate, rpand rppain rpare
rpparticularly rpsignificant. rpDocumentation rpis rpvital, rpbut rpthe rpnurse rpmust rpdo rpmore
rpthan rpdocument. rpThe rpprimary rpcare rpprovider rpshould rpbe rpnotified, rpbut rpthis rpis rpnot
rpthe rppriority rpover rpcalling rpthe rpRRT. rpThe rpclient‘s rpblood rppressure rpshould rpbe
rpreassessed rpfrequently, rpbut rpthe rppriority rpis rpgetting rpthe rprapid rpcare rpto rpthe rpclient.
DIF: Applying/Application REF: 3
rpKEY: r p Rapid rpResponse rpTeam rp(RRT)| rpmedical
rpemergencies
MSC: r p Integrated r p Process: r p Communication r p and r p Documentation
NOT: r p Client r p Needs r p Category: r p Physiological r p Integrity: r p Physiological r p Adaptation
4. A rpnurse rpwishes rpto rpprovide rpclient-centered rpcare rpin rpall rpinteractions. rpWhich rpaction
rpby rpthe rpnurse rpbest rpdemonstrates rpthis rpconcept?
a. Assesses r p for r p cultural r p influences rp affecting r p health r p care
b. Ensures rpthat rpall rpthe rpclients‘ rpbasic rpneeds rpare rpmet
c. Tells rpthe rpclient rpand rpfamily rpabout rpall rpupcoming rptests
d. Thoroughly rporients rpthe rpclient rpand rpfamily rpto rpthe rproom
ANS: r p A
Competency rpin rpclient-focused rpcare rpis rpdemonstrated rpwhen rpthe rpnurse rpfocuses rpon
rpcommunication, rpculture, rprespect, rpcompassion, rpclient rpeducation, rpand rpempowerment.
rpBy rpassessing rpthe rpeffect rpof rpthe rpclient‘s rpculture rpon rphealth rpcare, rpthis rpnurse rpis
rppracticing
client-focused rpcare. rpProviding rpfor rpbasic rpneeds rpdoes rpnot rpdemonstrate rpthis
rpcompetence. rpSimply rptelling rpthe rpclient rpabout rpall rpupcoming rptests rpis rpnot
rpproviding rpempowering rpeducation. rp Orienting rpthe rpclient rpand rpfamily rpto rpthe rproom
rpis rpan rpimportant rpsafety rpmeasure, rpbut rpnot rpdirectly rprelated rpto rpdemonstrating
rpclient-centered rpcare.
DIF: Understanding/Comprehension REF: 3
KEY: r p Patient-centered rpcare| rpculture MSC: rpIntegrated rpProcess:
rpCaring rp NOT: r p Client rpNeeds rpCategory: rpPsychosocial rpIntegrity
5. A rpclient rpis rpgoing rpto rpbe rpadmitted rpfor rpa rpscheduled rpsurgical rpprocedure. rpWhich
rpaction rpdoes rpthe rpnurse rpexplain rpis rpthe rp most rpimportant rpthing rpthe rpclient rpcan
rpdo rpto rpprotect rpagainst rperrors?
a. Bring rpa rplist rpof rpall rpmedications rpand rpwhat rpthey rpare rpfor.
b. Keep rpthe rpdoctor‘s rpphone rpnumber rpby rpthe rptelephone.
c. Make rpsure rpall rpproviders rpwash rphands rpbefore rpentering rpthe rproom.
d. Write rpdown rpthe rpname rpof rpeach rpcaregiver rpwho rpcomes rpin rpthe rproom.
ANS: r p A
Medication rperrors rpare rpthe rpmost rpcommon rptype rpof rphealth rpcare rpmistake. rpThe
rpJoint rpCommission‘s rpSpeak rpUp rpcampaign rpencourages rpclients rpto rphelp rpensure
rptheir rpsafety. rpOne rprecommendation rpis rpfor rpclients rpto rpknow rpall rptheir rpmedications
rpand rpwhy rpthey rptake rpthem. rpThis rp will rphelp rpprevent rp medication rperrors.
DIF: Applying/Application REF: 4
KEY: r p Speak rpUp rpcampaign| rppatient rpsafety MSC: rpIntegrated rpProcess:
, rpTeaching/Learning
