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TEST BANK FOR
MEDICAL SURGICAL :CONCEPTS
FOR INTERPROFFESSIONAL
COLLABORATIVE CARE 9TH
EDITION IGNATAVICIUS
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Distribution of this document is illegal
, lOMoAR cPSD| 60 78199
Test Bank - Medical-SurgicalSN
tuu
viras.cin
og
m: - C
Toh enc
Meaprktestpflo
a cr eIn
toteBrupyraonfe
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S touldlya b
Moarteeartiiavl e Care 9e
1
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
best demonstrates 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 nursefocuses 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 andfamily to theroom is animportantsafetymeasure,
butnotdirectlyrelatedtodemonstratingclient-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring
NOT: 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 isbest?
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
suffereitherrespiratoryorcardiacarrest. Sincetheclienthasmanifestedasignificantchange, thenurseshould
call the RRT. Changes in blood pressure, mental status, heart rate, and pain are particularly significant.
Documentation is vital, but the nursemust do more than document. The primary care provider
should be notified, but this is not the priority over calling the RRT. The clients blood pressure should
be reassessed frequently, but the priority is getting the rapid care to theclient.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse
provide to 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 partner is the most critical. The other actions are very limited in
scope and do not provide the broad protection that being active and involveddoes.
DIF: Understanding/Comprehension REF: 3
KEY: Patient safety
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Distribution of this document is illegal
, lOMoAR cPSD| 60 78199
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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 2
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
4. A gnew gnurse gis gworking gwith ga gpreceptor gon gan ginpatientmedical-surgical gunit. gThe
gpreceptor gadvises gthe gstudent gthat gwhich gis gthe gpriority gwhen gworking gas ga
gprofessionalnurse?
a. Attending gto gholistic gclient gneeds
b. Ensuring gclient gsafety
c. Not gmaking gmedication gerrors
d. Providing g client-focused gcare
ANS: gB
All gactions gare gappropriate gfor gthe gprofessional gnurse. gHowever, gensuring gclient gsafety gis gthe
gpriority. gUp gto g98,000 gdeaths gresult geach gyear gfrom gerrors gin ghospital gcare, gaccording gto gthe
g2000 gInstitute gof gMedicine greport. gMany gmore gclients ghave gsuffered ginjuries gand gless gserious
goutcomes. gEvery gnurse ghas gthe gresponsibility gto gguard gthe gclients gsafety.
DIF: gUnderstanding/Comprehension gREF: g2
gKEY: gPatient gsafety
MSC: gIntegrated gProcess: gNursing gProcess: gIntervention
NOT: gClient gNeeds gCategory: gSafe gand gEffective gCare gEnvironment: gSafety gand gInfection gControl
5. A gclient gis ggoing gto gbe gadmitted gfor ga gscheduled gsurgical gprocedure. gWhich gaction gdoes
gthe gnurse gexplain gis gthe gmost gimportant gthing gthe gclient gcan gdo gto gprotect
gagainsterrors?
a. Bring ga glist gof gall gmedications gand gwhat gthey gare gfor.
b. Keep gthe gdoctors gphone gnumber gby gthe gtelephone.
c. Make gsure gall gproviders gwash ghands gbefore gentering gthe groom.
d. Write gdown gthe gname gof geach gcaregiver gwho gcomes gin gthe groom.
ANS: gA
Medication gerrors gare gthe gmost gcommon gtype gof ghealth gcare gmistake. gThe gJoint gCommissions gSpeak
gUp gcampaign gencourages gclients gto ghelp gensure gtheir gsafety. gOne grecommendation gis gfor gclients gto
gknow gall gtheir gmedications gand gwhy gthey gtake gthem. gThis gwill ghelp gprevent gmedication gerrors.
DIF: gApplying/Application gREF: g4
KEY: gSpeak gUp gcampaign| gpatient gsafety gMSC: gIntegrated gProcess: gTeaching/Learning
NOT: gClient gNeeds gCategory: gSafe gand gEffective gCare gEnvironment: gSafety gand gInfection gControl
6. Which gaction gby gthe gnurse gworking gwith ga gclient gbest gdemonstrates grespect gfor gautonomy?
a. Asks gif gthe gclient ghas gquestions gbefore gsigning ga gconsent
b. Gives gthe gclient gaccurate ginformation gwhen gquestioned
c. Keeps gthe gpromises gmade gto gthe gclient gand gfamily
d. Treats gthe gclient gfairly gcompared gto gother gclients
ANS: gA
Autonomy gis gself-determination. gThe gclient gshould gmake gdecisions gregarding gcare. gWhen gthe
gnurseobtainsa gsignature gon gthe gconsent gform, gassessing gif gthe gclient gstill ghas gquestions gis gvital,
gbecause gwithout gfull ginformation gthe gclient gcannot gpractice gautonomy. gGiving gaccurate
ginformation gis gpracticing gwith gveracity. gKeeping gpromises gis gupholding gfidelity. gTreating gthe
gclient gfairly gis gproviding gsocial gjustice.
DIF: gApplying/Application gREF: g4
KEY: gAutonomy| gethical gprinciples gMSC: gIntegrated gProcess: gCaring
NOT: gClient gNeeds gCategory: gSafe gand gEffective gCare gEnvironment: gManagement gof gCare
7. A gstudent gnurse gasks gthe gfaculty gto gexplain gbest gpractices gwhen gcommunicating gwith ga gperson
gfrom gthe glesbian, ggay, gbisexual, gtransgender, gandqueer/questioning g(LGBTQ) gcommunity.
gWhatanswerbythe gfaculty gis gmost gaccurate?
a. Avoid gembarrassing gthe gclient gby gasking gquestions.
b. Dont gmake gassumptions gabout gtheir ghealth gneeds.
c. Most gLGBTQ gpeople gdo gnot gwant gto gshare ginformation.
Distribution oof thhis d o c u m e n t is ileeggaal
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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 3
DoDwonwlonalodaeddedbyb:yP:gA
ruSbSriG
cgRuAruDE
| gH
Su|scslienitnownhwoasnajn
alea@
4@
gm
gm
aila.cil.ocm
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Distribution oof thhis d o c u m e n t is ileeggaal
TEST BANK FOR
MEDICAL SURGICAL :CONCEPTS
FOR INTERPROFFESSIONAL
COLLABORATIVE CARE 9TH
EDITION IGNATAVICIUS
Downloaded by: PASSGRADES |
Distribution of this document is illegal
, lOMoAR cPSD| 60 78199
Test Bank - Medical-SurgicalSN
tuu
viras.cin
og
m: - C
Toh enc
Meaprktestpflo
a cr eIn
toteBrupyraonfe
d sSseilo
l ynoaulr C
S touldlya b
Moarteeartiiavl e Care 9e
1
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
best demonstrates 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 nursefocuses 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 andfamily to theroom is animportantsafetymeasure,
butnotdirectlyrelatedtodemonstratingclient-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring
NOT: 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 isbest?
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
suffereitherrespiratoryorcardiacarrest. Sincetheclienthasmanifestedasignificantchange, thenurseshould
call the RRT. Changes in blood pressure, mental status, heart rate, and pain are particularly significant.
Documentation is vital, but the nursemust do more than document. The primary care provider
should be notified, but this is not the priority over calling the RRT. The clients blood pressure should
be reassessed frequently, but the priority is getting the rapid care to theclient.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse
provide to 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 partner is the most critical. The other actions are very limited in
scope and do not provide the broad protection that being active and involveddoes.
DIF: Understanding/Comprehension REF: 3
KEY: Patient safety
Downloaded by: PASSGRADES |
Distribution of this document is illegal
, lOMoAR cPSD| 60 78199
Stuvia.com - TThhee Marketplace too B u y aanndd Sell yyoouur Study Material
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 2
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
4. A gnew gnurse gis gworking gwith ga gpreceptor gon gan ginpatientmedical-surgical gunit. gThe
gpreceptor gadvises gthe gstudent gthat gwhich gis gthe gpriority gwhen gworking gas ga
gprofessionalnurse?
a. Attending gto gholistic gclient gneeds
b. Ensuring gclient gsafety
c. Not gmaking gmedication gerrors
d. Providing g client-focused gcare
ANS: gB
All gactions gare gappropriate gfor gthe gprofessional gnurse. gHowever, gensuring gclient gsafety gis gthe
gpriority. gUp gto g98,000 gdeaths gresult geach gyear gfrom gerrors gin ghospital gcare, gaccording gto gthe
g2000 gInstitute gof gMedicine greport. gMany gmore gclients ghave gsuffered ginjuries gand gless gserious
goutcomes. gEvery gnurse ghas gthe gresponsibility gto gguard gthe gclients gsafety.
DIF: gUnderstanding/Comprehension gREF: g2
gKEY: gPatient gsafety
MSC: gIntegrated gProcess: gNursing gProcess: gIntervention
NOT: gClient gNeeds gCategory: gSafe gand gEffective gCare gEnvironment: gSafety gand gInfection gControl
5. A gclient gis ggoing gto gbe gadmitted gfor ga gscheduled gsurgical gprocedure. gWhich gaction gdoes
gthe gnurse gexplain gis gthe gmost gimportant gthing gthe gclient gcan gdo gto gprotect
gagainsterrors?
a. Bring ga glist gof gall gmedications gand gwhat gthey gare gfor.
b. Keep gthe gdoctors gphone gnumber gby gthe gtelephone.
c. Make gsure gall gproviders gwash ghands gbefore gentering gthe groom.
d. Write gdown gthe gname gof geach gcaregiver gwho gcomes gin gthe groom.
ANS: gA
Medication gerrors gare gthe gmost gcommon gtype gof ghealth gcare gmistake. gThe gJoint gCommissions gSpeak
gUp gcampaign gencourages gclients gto ghelp gensure gtheir gsafety. gOne grecommendation gis gfor gclients gto
gknow gall gtheir gmedications gand gwhy gthey gtake gthem. gThis gwill ghelp gprevent gmedication gerrors.
DIF: gApplying/Application gREF: g4
KEY: gSpeak gUp gcampaign| gpatient gsafety gMSC: gIntegrated gProcess: gTeaching/Learning
NOT: gClient gNeeds gCategory: gSafe gand gEffective gCare gEnvironment: gSafety gand gInfection gControl
6. Which gaction gby gthe gnurse gworking gwith ga gclient gbest gdemonstrates grespect gfor gautonomy?
a. Asks gif gthe gclient ghas gquestions gbefore gsigning ga gconsent
b. Gives gthe gclient gaccurate ginformation gwhen gquestioned
c. Keeps gthe gpromises gmade gto gthe gclient gand gfamily
d. Treats gthe gclient gfairly gcompared gto gother gclients
ANS: gA
Autonomy gis gself-determination. gThe gclient gshould gmake gdecisions gregarding gcare. gWhen gthe
gnurseobtainsa gsignature gon gthe gconsent gform, gassessing gif gthe gclient gstill ghas gquestions gis gvital,
gbecause gwithout gfull ginformation gthe gclient gcannot gpractice gautonomy. gGiving gaccurate
ginformation gis gpracticing gwith gveracity. gKeeping gpromises gis gupholding gfidelity. gTreating gthe
gclient gfairly gis gproviding gsocial gjustice.
DIF: gApplying/Application gREF: g4
KEY: gAutonomy| gethical gprinciples gMSC: gIntegrated gProcess: gCaring
NOT: gClient gNeeds gCategory: gSafe gand gEffective gCare gEnvironment: gManagement gof gCare
7. A gstudent gnurse gasks gthe gfaculty gto gexplain gbest gpractices gwhen gcommunicating gwith ga gperson
gfrom gthe glesbian, ggay, gbisexual, gtransgender, gandqueer/questioning g(LGBTQ) gcommunity.
gWhatanswerbythe gfaculty gis gmost gaccurate?
a. Avoid gembarrassing gthe gclient gby gasking gquestions.
b. Dont gmake gassumptions gabout gtheir ghealth gneeds.
c. Most gLGBTQ gpeople gdo gnot gwant gto gshare ginformation.
Distribution oof thhis d o c u m e n t is ileeggaal
, lOMoAR cPSD| 60 78199
Stuvia.com - TThhee Marketplace too B u y aanndd Sell yyoouur Study Material
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 3
DoDwonwlonalodaeddedbyb:yP:gA
ruSbSriG
cgRuAruDE
| gH
Su|scslienitnownhwoasnajn
alea@
4@
gm
gm
aila.cil.ocm
om
Distribution oof thhis d o c u m e n t is ileeggaal
