ti ti ti ti
NURSING:CONCEPTS FOR CLINICAL JUDGEMENT
ti ti ti ti
AND COLLABORATIVE CARE 11TH EDITION
ti t i ti ti
t i
IGNATAVICIUS
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,TESTBANK
,Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional
t i t i t i t i t i t i t i 2
Collaborative
t i
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
t i t i t i t i t i t i t i t i t i
ti MULTIPLE CHOICE t i
1. A nurse wishes to provide client-centered care in all
t i t i t i t i t i t i t i t i
t i interactions. Which action by the nurse bestdemonstrates this ti t i t i t i t i t i t i
t i concept?
a. Assesses t i for cultural influences t i t i t i affecting health t i t i care
b. Ensures t i that all the clients t i t i t i t i basic t i needs are met t i t i
c. Tells the client t i t i t i and family t i t i about all upcoming t i t i t i tests
d. Thoroughly orients t i t i the client and family t i t i t i t i to the room t i t i
ANS: A t i
Competency in client-focused care is demonstrated when the nurse focuses t i t i t i t i t i t i t i t i t i
t i on communication, culture, respect compassion, client education, and
ti t i t i t i t i t i t i
t i empowerment. By assessing the effect of the clients culture on health care, ti t i t i t i t i t i t i t i t i t i t i
t i this nurse is practicing client- focused care. Providing for basic needs does
t i t i t i t i t i t i t i t i t i t i t i
t i not demonstrate this competence. Simply telling the client about all
t i t i t i t i t i t i t i t i t i
t i upcoming tests is not providing empowering education. t i t i t i t i t i t i
Orienting the client and family to the room is an important safety measure, t i t i t i t i t i t i t i t i t i t i t i t i
t i but not directly related to demonstrating client-centered care.
ti t i t i t i t i t i t i
DIF: Understanding/Comprehension REF: 3
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KEY: Patient-centered care| culture MSC:
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t i Integrated Process: CaringNOT: Client Needs ti t i t i t i
t i Category:
Psychosocial Integrity t i
2. A nurse is caring for a postoperative client on the surgical unit. The
t i t i t i t i t i t i t i t i t i t i t i t i
t i clients blood pressure was t i t i t i t i 142/76 mm Hg 30 minutes ago, and now t i t i t i t i t i t i t i
t i is 88/50 mm Hg. What action by the nurse is best?
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a. Call t i the Rapid Response Team. t i t i t i
b. Document t i and continue to t i t i t i monitor.
c. Notify t i the primary care provider. t i t i t i
d. Repeat blood t i t i pressure t i measurement t i in 15 minutes. t i t i
ANS: A t i
The t i purpose t i of t i the t i Rapid t i Response t i Team t i (RRT) is t i to t i intervene
, Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional
t i t i t i t i t i t i t i 3
t iwhen clients are deteriorating before they suffer either
Collaborative
t i ti t i t i t i t i t i t i t i respiratory or
t i
t i cardiac arrest. Since the client has manifested a significant change, the
t i ti t i t i t i t i t i t i t i t i
t i nurse should call the
t i t i t i