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

,Chapter0001:00Overview00of00Professional00Nursing00Concepts00for00Medical-
Surgical00Nursing00Ignatavicius:00Medical-Surgical00Nursing,0010th00Edition



MULTIPLE00CHOICE


1. A00new00nurse00is00working00with00a00preceptor00on00a00medical-
surgical00unit.00The00preceptor00advises00the00new00nurse00that00which00is00the00priority00w
hen00working00as00a00professional00nurse?
a. Attending00to00holistic00client00needs
b. Ensuring00client00safety

c. Not00making00medication00errors
d. Providing00client-focused00care

CORRECT00ANSWER:0 0 B
All00actions00are00appropriate00for00the00professional00nurse.00However,00ensuring00client00sa
fety00is00the00priority.00Health00care00errors00have00been00widely00reported00for002500years,0
0many00of00which00result00in00client00injury,00death,00and00increased00health00care00costs.00T

here00are00several00national00and00international00organizations00that00have00either00recom
mended00or00mandated00safety00initiatives.
Every00nurse00has00the00responsibility00to00guard00the00client’s00safety.00The00other00actions
00are00important00for00quality00nursing,00but00they00are00not00as00vital00as00providing00safety

.00Not00making00medication00errors00does00provide00safety,00but00is00too00narrow00in00scope
00to00be00the00best00answer.



DIF: Understanding
TOP:0 0 Integrated00Process:00Nursing00Process:00Intervention00KEY:00Client00safety
MSC:0 0 Client00Needs00Category:00Safe00and00Effective00Care00Environment:00Safety00and00Infection00C
ontrol


2. A00nurse00is00orienting00a00new00client00and00family00to00the00medical-
surgical00unit.00What00information00does00the00nurse00provide00to00best00help00the00clien
t00promote00his00or00her00own00safety?
a. Encourage00the00client00and00family00to00be00active00partners.
b. Have00the00client00monitor00hand00hygiene00in00caregivers.

, c. Offer00the00family00the00opportunity00to00stay00with00the00client.
d. Tell00the00client00to00always00wear00his00or00her00armband.

CORRECT00ANSWER:0 0 A
Each00action00could00be00important00for00the00client00or00family00to00perform.00However,00e
ncouraging00the00client00to00be00active00in00his00or00her00health00care00as00a00safety00partne
r00is00the00most00critical.00The00other00actions00are00very00limited00in00scope00and00do00not00
provide00the00broad00protection00that00being00active00and00involved00does.

DIF: Understanding
TOP:00Integrated00Process:00Teaching/Learning00KEY:00Client00safety
MSC:0 0 Client00Needs00Category:00Safe00and00Effective00Care00Environment:00Safety00and00Infection00C
ontrol


3. A00nurse00is00caring00for00a00postoperative00client00on00the00surgical00unit.00The00client’s00

blood00pressure00was00142/7600mm00Hg003000minutes00ago,00and00now00is0088/5000mm00
Hg.00What00action00would00the00nurse00take00first?
a. Call00the00Rapid00Response00Team.
b. Document00and00continue00to00monitor.
c. Notify00the00primary00health00care00provider.

d. Repeat00the00blood00pressure00in001500minutes.

, CORRECT00ANSWER:0 0 A
The00purpose00of00the00Rapid00Response00Team00(RRT)00is00to00intervene00when00clients00are
00deteriorating00before00they00suffer00either00respiratory00or00cardiac00arrest.00Since00the00cl

ient00has00manifested00a00significant00change,00the00nurse00would00call00the00RRT.00Changes
00in00blood00pressure,00mental00status,00heart00rate,00temperature,00oxygen00saturation,00an

d00last00200hours’00urine00output00are00particularly00significant00and00are00part00of00the00Mo
dified00Early00Warning00System00guide.00Documentation00is00vital,00but00the00nurse00must00d
o00more00than00document.00The00primary00health00care00provider00would00be00notified,00bu
t00this00is00not00more00important00than00calling00the00RRT.00The00client’s00blood00pressure00
would00be00reassessed00frequently,00but00the00priority00is00getting00the00rapid00care00to00th
e00client.

DIF: Applying
TOP:0 0 Integrated00Process:00Communication00and00Documentation00KEY:00
Rapid00Response00Team00(RRT),00Clinical00judgment
MSC:0 0 Client00Needs00Category:00Physiological00Integrity:00Physiological00Adaptation


4. A00nurse00wishes00to00provide00client-
centered00care00in00all00interactions.00Which00action00by00the00nurse
best00demonstrates00this00concept?
a. Assesses00for00cultural00influences00affecting00health00care.
b. Ensures00that00all00the00client’s00basic00needs00are00met.
c. Tells00the00client00and00family00about00all00upcoming00tests.
d. Thoroughly00orients00the00client00and00family00to00the00room.

CORRECT00ANSWER:0 0 A
Showing00respect00for00the00client00and00family’s00preferences00and00needs00is00essential00t
o00ensure00a00holistic00or00“whole-
person”00approach00to00care.00By00assessing00the00effect00of00the00client’s00culture00on00heal
th00care,00this00nurse00is00practicing00client-
focused00care.00Providing00for00basic00needs00does00not00demonstrate00this00competence.00
Simply00telling00the00client00about00all00upcoming00tests00is00not00providing00empowering00e
ducation.00Orienting00the00client00and00family00to00the00room00is00an00important00safety00me
asure,00but00not00directly00related00to00demonstrating00client-centered00care.

DIF: Understanding
TOP:00Integrated00Process:00Culture00and00Spirituality00KEY:0 0 Client-
centered00care,00Culture