lOMoARcPSD| 19789520
, lOMoARcPSD| 19789520
Medical Surgical Nursing 10th Edition
Ignatavicius Workman Test Bank
Chapter .01: .Overview .of .Professional .Nursing .Concepts .for .Medical-Surgical .Nursing
.Ignatavicius: .Medical-Surgical .Nursing, .10th .Edition
MULTIPLE .CHOICE
1. A .new .nurse .is .working .with .a .preceptor .on .a .medical-surgical .unit. .The .preceptor .advises
.the .new .nurse .that .which .is .the .priority .when .working .as .a .professional .nurse?
a. Attending .to .holistic .client .needs
b. Ensuring .client .safety
c. Not .making .medication .errors
d. Providing .client-focused .care
ANS: . B
All .actions .are .appropriate .for .the .professional .nurse. .However, .ensuring .client .safety .is .the
.priority. .Health .care .errors .have .been .widely .reported .for .25 .years, .many .of .which .result
.in .client .injury, .death, .and .increased .health .care .costs. .There .are .several .national .and
.international .organizations .that .have .either .recommended .or .mandated .safety .initiatives.
Every .nurse .has .the .responsibility .to .guard .the .client‘s .safety. .The .other .actions .are
.important .for .quality .nursing, .but .they .are .not .as .vital .as .providing .safety. .Not .making
.medication .errors .does .provide .safety, .but .is .too .narrow .in .scope .to .be .the .best .answer.
DIF: Understanding TOP: . Integrated .Process: .Nursing .Process:
.Intervention .KEY: .Client .safety
MSC: . Client .Needs .Category: .Safe .and .Effective .Care .Environment: .Safety .and .Infection .Control
2. A .nurse .is .orienting .a .new .client .and .family .to .the .medical-surgical .unit. .What
.information .does .the .nurse .provide .to .best .help .the .client .promote .his .or .her .own
.safety?
a. Encourage .the .client .and .family .to .be .active .partners.
b. Have .the .client .monitor .hand .hygiene .in .caregivers.
c. Offer .the .family .the .opportunity .to .stay .with .the .client.
d. Tell .the .client .to .always .wear .his .or .her .armband.
ANS: . A
Each .action .could .be .important .for .the .client .or .family .to .perform. .However, .encouraging
.the .client .to .be .active .in .his .or .her .health .care .as .a .safety .partner .is .the .most .critical. .The
.other .actions .are .very .limited .in .scope .and .do .not .provide .the .broad .protection .that .being
.active .and .involved .does.
DIF: Understanding TOP: .Integrated .Process: .Teaching/Learning
.KEY: .Client .safety
MSC: . Client .Needs .Category: .Safe .and .Effective .Care .Environment: .Safety .and .Infection .Control
3. A .nurse .is .caring .for .a .postoperative .client .on .the .surgical .unit. .The .client‘s .blood
.pressure .was .142/76 .mm .Hg .30 .minutes .ago, .and .now .is .88/50 .mm .Hg. .What .action
.would .the .nurse .take .first?
a. Call .the .Rapid .Response .Team.
b. Document .and .continue .to .monitor.
, lOMoARcPSD| 19789520
c. Notify .the .primary .health .care .provider.
d. Repeat .the .blood .pressure .in .15 .minutes.
, lOMoARcPSD| 19789520
ANS: . A
The .purpose .of .the .Rapid .Response .Team .(RRT) .is .to .intervene .when .clients .are
.deteriorating .before .they .suffer .either .respiratory .or .cardiac .arrest. .Since .the .client .has
.manifested .a .significant .change, .the .nurse .would .call .the .RRT. .Changes .in .blood .pressure,
.mental .status, .heart .rate, .temperature, .oxygen .saturation, .and .last .2 .hours‘ .urine .output .are
.particularly .significant .and .are .part .of .the .Modified .Early .Warning .System .guide.
.Documentation .is .vital, .but .the .nurse .must .do .more .than .document. .The .primary .health
.care .provider .would .be .notified, .but .this .is .not .more .important .than .calling .the .RRT. .The
.client‘s .blood .pressure .would .be .reassessed .frequently, .but .the .priority .is .getting .the .rapid
.care .to .the .client.
DIF: Applying TOP: . Integrated .Process: .Communication .and
.Documentation .KEY: .Rapid .Response .Team .(RRT), .Clinical .judgment
MSC: . Client .Needs .Category: .Physiological .Integrity: .Physiological .Adaptation
4. A .nurse .wishes .to .provide .client-centered .care .in .all .interactions. .Which .action .by .the .nurse
best .demonstrates .this .concept?
a. Assesses .for .cultural .influences .affecting .health .care.
b. Ensures .that .all .the .client‘s .basic .needs .are .met.
c. Tells .the .client .and .family .about .all .upcoming .tests.
d. Thoroughly .orients .the .client .and .family .to .the .room.
ANS: . A
Showing .respect .for .the .client .and .family‘s .preferences .and .needs .is .essential .to .ensure .a
.holistic .or .―whole-person‖ .approach .to .care. .By .assessing .the .effect .of .the .client‘s .culture
.on .health .care, .this .nurse .is .practicing .client-focused .care. .Providing .for .basic .needs .does
.not .demonstrate .this .competence. .Simply .telling .the .client .about .all .upcoming .tests .is .not
.providing .empowering .education. .Orienting .the .client .and .family .to .the .room .is .an
.important .safety .measure, .but .not .directly .related .to .demonstrating .client-centered .care.
DIF: Understanding TOP: .Integrated .Process: .Culture .and .Spirituality
.KEY: . Client-centered .care, .Culture MSC: . Client .Needs .Category: .Psychosocial
.Integrity
5. A .client .is .going .to .be .admitted .for .a .scheduled .surgical .procedure. .Which .action .does
.the .nurse .explain .is .the .most .important .thing .the .client .can .do .to .protect .against
.errors?
a. Bring .a .list .of .all .medications .and .what .they .are .for.
b. Keep .the .provider‘s .phone .number .by .the .telephone.
c. Make .sure .that .all .providers .wash .hands .before .entering .the .room.
d. Write .down .the .name .of .each .caregiver .who .comes .in .the .room.
ANS: . A
Medication .reconciliation .is .a .formal .process .in .which .the .client‘s .actual .current
.medications .are .compared .to .the .prescribed .medications .at .the .time .of .admission, .transfer,
.or .discharge. .This .National .client .Safety .Goal .is .important .to .reduce .medication .errors.
.The .client .would .not .have .to .be .responsible .for .providers .washing .their .hands, .and .even .if
.the .client .does .so, .this .is .too .narrow .to .be .the .most .important .action .to .prevent .errors.
.Keeping .the .provider‘s .phone .number .nearby .and .documenting .everyone .who .enters .the
.room .also .do .not .guarantee .safety.
DIF: Applying TOP: . Integrated .Process:
.Teaching/Learning .KEY: .Client .safety, .Informatics
MSC: . Client .Needs .Category: .Safe .and .Effective .Care .Environment: .Safety .and .Infection .Control
, lOMoARcPSD| 19789520
Medical Surgical Nursing 10th Edition
Ignatavicius Workman Test Bank
Chapter .01: .Overview .of .Professional .Nursing .Concepts .for .Medical-Surgical .Nursing
.Ignatavicius: .Medical-Surgical .Nursing, .10th .Edition
MULTIPLE .CHOICE
1. A .new .nurse .is .working .with .a .preceptor .on .a .medical-surgical .unit. .The .preceptor .advises
.the .new .nurse .that .which .is .the .priority .when .working .as .a .professional .nurse?
a. Attending .to .holistic .client .needs
b. Ensuring .client .safety
c. Not .making .medication .errors
d. Providing .client-focused .care
ANS: . B
All .actions .are .appropriate .for .the .professional .nurse. .However, .ensuring .client .safety .is .the
.priority. .Health .care .errors .have .been .widely .reported .for .25 .years, .many .of .which .result
.in .client .injury, .death, .and .increased .health .care .costs. .There .are .several .national .and
.international .organizations .that .have .either .recommended .or .mandated .safety .initiatives.
Every .nurse .has .the .responsibility .to .guard .the .client‘s .safety. .The .other .actions .are
.important .for .quality .nursing, .but .they .are .not .as .vital .as .providing .safety. .Not .making
.medication .errors .does .provide .safety, .but .is .too .narrow .in .scope .to .be .the .best .answer.
DIF: Understanding TOP: . Integrated .Process: .Nursing .Process:
.Intervention .KEY: .Client .safety
MSC: . Client .Needs .Category: .Safe .and .Effective .Care .Environment: .Safety .and .Infection .Control
2. A .nurse .is .orienting .a .new .client .and .family .to .the .medical-surgical .unit. .What
.information .does .the .nurse .provide .to .best .help .the .client .promote .his .or .her .own
.safety?
a. Encourage .the .client .and .family .to .be .active .partners.
b. Have .the .client .monitor .hand .hygiene .in .caregivers.
c. Offer .the .family .the .opportunity .to .stay .with .the .client.
d. Tell .the .client .to .always .wear .his .or .her .armband.
ANS: . A
Each .action .could .be .important .for .the .client .or .family .to .perform. .However, .encouraging
.the .client .to .be .active .in .his .or .her .health .care .as .a .safety .partner .is .the .most .critical. .The
.other .actions .are .very .limited .in .scope .and .do .not .provide .the .broad .protection .that .being
.active .and .involved .does.
DIF: Understanding TOP: .Integrated .Process: .Teaching/Learning
.KEY: .Client .safety
MSC: . Client .Needs .Category: .Safe .and .Effective .Care .Environment: .Safety .and .Infection .Control
3. A .nurse .is .caring .for .a .postoperative .client .on .the .surgical .unit. .The .client‘s .blood
.pressure .was .142/76 .mm .Hg .30 .minutes .ago, .and .now .is .88/50 .mm .Hg. .What .action
.would .the .nurse .take .first?
a. Call .the .Rapid .Response .Team.
b. Document .and .continue .to .monitor.
, lOMoARcPSD| 19789520
c. Notify .the .primary .health .care .provider.
d. Repeat .the .blood .pressure .in .15 .minutes.
, lOMoARcPSD| 19789520
ANS: . A
The .purpose .of .the .Rapid .Response .Team .(RRT) .is .to .intervene .when .clients .are
.deteriorating .before .they .suffer .either .respiratory .or .cardiac .arrest. .Since .the .client .has
.manifested .a .significant .change, .the .nurse .would .call .the .RRT. .Changes .in .blood .pressure,
.mental .status, .heart .rate, .temperature, .oxygen .saturation, .and .last .2 .hours‘ .urine .output .are
.particularly .significant .and .are .part .of .the .Modified .Early .Warning .System .guide.
.Documentation .is .vital, .but .the .nurse .must .do .more .than .document. .The .primary .health
.care .provider .would .be .notified, .but .this .is .not .more .important .than .calling .the .RRT. .The
.client‘s .blood .pressure .would .be .reassessed .frequently, .but .the .priority .is .getting .the .rapid
.care .to .the .client.
DIF: Applying TOP: . Integrated .Process: .Communication .and
.Documentation .KEY: .Rapid .Response .Team .(RRT), .Clinical .judgment
MSC: . Client .Needs .Category: .Physiological .Integrity: .Physiological .Adaptation
4. A .nurse .wishes .to .provide .client-centered .care .in .all .interactions. .Which .action .by .the .nurse
best .demonstrates .this .concept?
a. Assesses .for .cultural .influences .affecting .health .care.
b. Ensures .that .all .the .client‘s .basic .needs .are .met.
c. Tells .the .client .and .family .about .all .upcoming .tests.
d. Thoroughly .orients .the .client .and .family .to .the .room.
ANS: . A
Showing .respect .for .the .client .and .family‘s .preferences .and .needs .is .essential .to .ensure .a
.holistic .or .―whole-person‖ .approach .to .care. .By .assessing .the .effect .of .the .client‘s .culture
.on .health .care, .this .nurse .is .practicing .client-focused .care. .Providing .for .basic .needs .does
.not .demonstrate .this .competence. .Simply .telling .the .client .about .all .upcoming .tests .is .not
.providing .empowering .education. .Orienting .the .client .and .family .to .the .room .is .an
.important .safety .measure, .but .not .directly .related .to .demonstrating .client-centered .care.
DIF: Understanding TOP: .Integrated .Process: .Culture .and .Spirituality
.KEY: . Client-centered .care, .Culture MSC: . Client .Needs .Category: .Psychosocial
.Integrity
5. A .client .is .going .to .be .admitted .for .a .scheduled .surgical .procedure. .Which .action .does
.the .nurse .explain .is .the .most .important .thing .the .client .can .do .to .protect .against
.errors?
a. Bring .a .list .of .all .medications .and .what .they .are .for.
b. Keep .the .provider‘s .phone .number .by .the .telephone.
c. Make .sure .that .all .providers .wash .hands .before .entering .the .room.
d. Write .down .the .name .of .each .caregiver .who .comes .in .the .room.
ANS: . A
Medication .reconciliation .is .a .formal .process .in .which .the .client‘s .actual .current
.medications .are .compared .to .the .prescribed .medications .at .the .time .of .admission, .transfer,
.or .discharge. .This .National .client .Safety .Goal .is .important .to .reduce .medication .errors.
.The .client .would .not .have .to .be .responsible .for .providers .washing .their .hands, .and .even .if
.the .client .does .so, .this .is .too .narrow .to .be .the .most .important .action .to .prevent .errors.
.Keeping .the .provider‘s .phone .number .nearby .and .documenting .everyone .who .enters .the
.room .also .do .not .guarantee .safety.
DIF: Applying TOP: . Integrated .Process:
.Teaching/Learning .KEY: .Client .safety, .Informatics
MSC: . Client .Needs .Category: .Safe .and .Effective .Care .Environment: .Safety .and .Infection .Control
