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-
cv cv cv cv cv cv cv cv
cv Surgical Nursing
cv
MULTIPLEcv CHOICE
1. Acvnursecvwishescvtocvprovidecvclient-
centeredcvcarecvincvallcvinteractions.cvWhichcvactioncvbycvthecvnursecvbestcvdemonstratescvthiscvconcept
?
a. Assessescv forcv culturalc v influencescv affectingc v healthcv care
b. Ensurescvthatcvallcv thecvclientscv basiccvneedscvarecv met
c. Tellscvthecvclientcvandcvfamilycvaboutcv allcvupcomingcv tests
d. Thoroughlycvorientscv thecvclientcv andcvfamilycv tocv thecv room
CORRECTcvANSWER:cv A
Competencycvincvclient-
focusedcvcarecviscvdemonstratedcvwhencvthecvnursecvfocusescvoncvcommunication,cvculture,cvrespectcvcompassion,cvc
lientcveducation,cvandcvempowerment.cvBycvassessingcvthecveffectcvofcvthecvclientscvculturecvoncvhealthcvcare,cvthiscv
nursecviscvpracticingcvclient-
focusedcvcare.cvProvidingcvforcvbasiccvneedscvdoescvnotcvdemonstratecvthiscvcompetence.cvSimplycvtellingcvthecvcli
entcvaboutcvallcvupcomingcvtestscviscvnotcvprovidingcvempoweringcveducation.cvOrientingcvthecvclientcvandcvfamilycv
tocvthecvroomcviscvancvimportantcvsafetycvmeasure,cvbutcvnotcvdirectlycvrelatedcvtocvdemonstratingcvclient-
centeredcvcare.
DIF:cv Understanding/Comprehensionc v REF:c v 3
KEY:cvPatient-
centeredcvcare|cvculturecvMSC:cvIntegratedcvProcess:cvCaringcvNOT:cvC
lientcvNeedscvCategory:cvPsychosocialcvIntegrity
2. Acvnursecviscvcaringcvforcvacvpostoperativecvclientcvoncvthecvsurgicalcvunit.cvThecvclientscvbloodcvpressurecvwascv1
42/76cvmmcvHgcv30cvminutescvago,cvandcvnowcviscv88/50cvmmcvHg.cvWhatcvactioncvbycvthecvnursecviscvbest?
a. CallcvthecvRapidcv ResponsecvTeam.
b. Documentcvandcvcontinuecv tocv monitor.
c. Notifycvthecvprimarycvcarecvprovider.
d. Repeatcvbloodcv pressurecv measurementcv incv15cv minutes.
CORRECTcvANSWER:cv A
ThecvpurposecvofcvthecvRapidcvResponsecvTeamcv(RRT)cviscvtocvintervenecvwhencvclientscvarecvdeterioratingcvbe
forecvtheycvsuffercveithercvrespiratorycvorcvcardiaccvarrest.cvSincecvthecvclientcvhascvmanifestedcvacvsignificantcvchang
e,cvthecvnursecvshouldcvcallcvthecvRRT.cvChangescvincvbloodcvpressure,cvmentalcvstatus,cvheartcvrate,cvandcvpaincvar
ecvparticularlycvsignificant.
Documentationcviscvvital,cvbutcvthecvnursecvmustcvdocvmorecvthancvdocument.cvThecvprimarycvcarecvprovidercvs
houldcvbecvnotified,cvbutcvthiscviscvnotcvthecvprioritycvovercvcallingcvthecvRRT.cvThecvclientscvbloodcvpressurecvs
houldcvbecvreassessedcvfrequently,cvbutcvthecvprioritycviscvgettingcvthecvrapidcvcarecvtocvthecvclient.
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-
cv cv cv cv cv cv cv cv
cv Surgical Nursing
cv
MULTIPLEcv CHOICE
1. Acvnursecvwishescvtocvprovidecvclient-
centeredcvcarecvincvallcvinteractions.cvWhichcvactioncvbycvthecvnursecvbestcvdemonstratescvthiscvconcept
?
a. Assessescv forcv culturalc v influencescv affectingc v healthcv care
b. Ensurescvthatcvallcv thecvclientscv basiccvneedscvarecv met
c. Tellscvthecvclientcvandcvfamilycvaboutcv allcvupcomingcv tests
d. Thoroughlycvorientscv thecvclientcv andcvfamilycv tocv thecv room
CORRECTcvANSWER:cv A
Competencycvincvclient-
focusedcvcarecviscvdemonstratedcvwhencvthecvnursecvfocusescvoncvcommunication,cvculture,cvrespectcvcompassion,cvc
lientcveducation,cvandcvempowerment.cvBycvassessingcvthecveffectcvofcvthecvclientscvculturecvoncvhealthcvcare,cvthiscv
nursecviscvpracticingcvclient-
focusedcvcare.cvProvidingcvforcvbasiccvneedscvdoescvnotcvdemonstratecvthiscvcompetence.cvSimplycvtellingcvthecvcli
entcvaboutcvallcvupcomingcvtestscviscvnotcvprovidingcvempoweringcveducation.cvOrientingcvthecvclientcvandcvfamilycv
tocvthecvroomcviscvancvimportantcvsafetycvmeasure,cvbutcvnotcvdirectlycvrelatedcvtocvdemonstratingcvclient-
centeredcvcare.
DIF:cv Understanding/Comprehensionc v REF:c v 3
KEY:cvPatient-
centeredcvcare|cvculturecvMSC:cvIntegratedcvProcess:cvCaringcvNOT:cvC
lientcvNeedscvCategory:cvPsychosocialcvIntegrity
2. Acvnursecviscvcaringcvforcvacvpostoperativecvclientcvoncvthecvsurgicalcvunit.cvThecvclientscvbloodcvpressurecvwascv1
42/76cvmmcvHgcv30cvminutescvago,cvandcvnowcviscv88/50cvmmcvHg.cvWhatcvactioncvbycvthecvnursecviscvbest?
a. CallcvthecvRapidcv ResponsecvTeam.
b. Documentcvandcvcontinuecv tocv monitor.
c. Notifycvthecvprimarycvcarecvprovider.
d. Repeatcvbloodcv pressurecv measurementcv incv15cv minutes.
CORRECTcvANSWER:cv A
ThecvpurposecvofcvthecvRapidcvResponsecvTeamcv(RRT)cviscvtocvintervenecvwhencvclientscvarecvdeterioratingcvbe
forecvtheycvsuffercveithercvrespiratorycvorcvcardiaccvarrest.cvSincecvthecvclientcvhascvmanifestedcvacvsignificantcvchang
e,cvthecvnursecvshouldcvcallcvthecvRRT.cvChangescvincvbloodcvpressure,cvmentalcvstatus,cvheartcvrate,cvandcvpaincvar
ecvparticularlycvsignificant.
Documentationcviscvvital,cvbutcvthecvnursecvmustcvdocvmorecvthancvdocument.cvThecvprimarycvcarecvprovidercvs
houldcvbecvnotified,cvbutcvthiscviscvnotcvthecvprioritycvovercvcallingcvthecvRRT.cvThecvclientscvbloodcvpressurecvs
houldcvbecvreassessedcvfrequently,cvbutcvthecvprioritycviscvgettingcvthecvrapidcvcarecvtocvthecvclient.
