NURSING:CONCEPTS FOR CLINICAL JUDGEMENT
AND COLLABORATIVE CARE 11TH EDITION
IGNATAVICIUS
,TESTBANK
,Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative 2
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
MULTIPLE CHOICE
1. A nurse wishes to provide client-centered care in all interactions.
Which action by the nurse bestdemonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients 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
Competency in client-focused care is demonstrated when the nurse focuses on
communication, culture, respect compassion, client education, and empowerment.
By assessing the effect of the clients 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/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated
Process: CaringNOT: Client Needs Category:
Psychosocial Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The clients
blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm
Hg. What action by the nurse is best?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
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 should call the
, Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative 3
RRT. Changes in blood pressure, mental status, heart rate, and pain are
particularly significant.