TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter 01: Overview of Professional Nursing Concepts for Medical-
X X X X X X X X
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
X X X X X X
MULTIPLEXCHOICE
1. AXnewXnurseXisXworkingXwithXaXpreceptorXonXaXmedical-
surgicalXunit.XTheXpreceptorXadvisesXtheXnewXnurseXthatXwhichXisXtheXpriorityXwhenXworkingXas
X aXprofessionalXnurse?
a. AttendingXtoXholisticXclientXneeds
b. EnsuringXclientXsafety
c. NotXmakingXmedicationXerrors
d. ProvidingXclient-focusedXcare
CORRECTXANSWER:X B
AllXactionsXareXappropriateXforXtheXprofessionalXnurse.XHowever,XensuringXclientXsafetyXisXtheXp
riority.XHealthXcareXerrorsXhaveXbeenXwidelyXreportedXforX25Xyears,XmanyXofXwhichXresultXinXcli
entXinjury,Xdeath,XandXincreasedXhealthXcareXcosts.XThereXareXseveralXnationalXandXinternation
alXorganizationsXthatXhaveXeitherXrecommendedXorXmandatedXsafetyXinitiatives.
EveryXnurseXhasXtheXresponsibilityXtoXguardXtheXclient’sXsafety.XTheXotherXactionsXareXimportan
tXforXqualityXnursing,XbutXtheyXareXnotXasXvitalXasXprovidingXsafety.XNotXmakingXmedicationXerro
rsXdoesXprovideXsafety,XbutXisXtooXnarrowXinXscopeXtoXbeXtheXbestXanswer.
DIF: Understanding
TOP:X IntegratedXProcess:XNursingXProcess:XInterventionXKEY:XClientXsafety
MSC:X ClientXNeedsXCategory:XSafeXandXEffectiveXCareXEnvironment:XSafetyXandXInfectionXControl
2. AXnurseXisXorientingXaXnewXclientXandXfamilyXtoXtheXmedical-
surgicalXunit.XWhatXinformationXdoesXtheXnurseXprovideXtoXbestXhelpXtheXclientXpromoteXhis
X orXherXownXsafety?
a. EncourageXtheXclientXandXfamilyXtoXbeXactiveXpartners.
b. HaveXtheXclientXmonitorXhandXhygieneXinXcaregivers.
c. OfferXtheXfamilyXtheXopportunityXtoXstayXwithXtheXclient.
d. TellXtheXclientXtoXalwaysXwearXhisXorXherXarmband.
CORRECTXANSWER:X A
, EachXactionXcouldXbeXimportantXforXtheXclientXorXfamilyXtoXperform.XHowever,XencouragingXthe
X clientXtoXbeXactiveXinXhisXorXherXhealthXcareXasXaXsafetyXpartnerXisXtheXmostXcritical.XTheXotherXa
ctionsXareXveryXlimitedXinXscopeXandXdoXnotXprovideXtheXbroadXprotectionXthatXbeingXactiveXand
X involvedXdoes.
DIF: Understanding
TOP:XIntegratedXProcess:XTeaching/LearningXKEY:XClientXsafety
MSC:X ClientXNeedsXCategory:XSafeXandXEffectiveXCareXEnvironment:XSafetyXandXInfectionXControl
3. AXnurseXisXcaringXforXaXpostoperativeXclientXonXtheXsurgicalXunit.XTheXclient’sXbloodXpressureX
wasX142/76XmmXHgX30XminutesXago,XandXnowXisX88/50XmmXHg.XWhatXactionXwouldXtheXnurs
eXtakeXfirst?
a. CallXtheXRapidXResponseXTeam.
b. DocumentXandXcontinueXtoXmonitor.
c. NotifyXtheXprimaryXhealthXcareXprovider.
d. RepeatXtheXbloodXpressureXinX15Xminutes.
, CORRECTXANSWER:X A
TheXpurposeXofXtheXRapidXResponseXTeamX(RRT)XisXtoXinterveneXwhenXclientsXareXdeterioratingX
beforeXtheyXsufferXeitherXrespiratoryXorXcardiacXarrest.XSinceXtheXclientXhasXmanifestedXaXsignifi
cantXchange,XtheXnurseXwouldXcallXtheXRRT.XChangesXinXbloodXpressure,XmentalXstatus,XheartXra
te,Xtemperature,XoxygenXsaturation,XandXlastX2Xhours’XurineXoutputXareXparticularlyXsignificantX
andXareXpartXofXtheXModifiedXEarlyXWarningXSystemXguide.XDocumentationXisXvital,XbutXtheXnur
seXmustXdoXmoreXthanXdocument.XTheXprimaryXhealthXcareXproviderXwouldXbeXnotified,XbutXthi
sXisXnotXmoreXimportantXthanXcallingXtheXRRT.XTheXclient’sXbloodXpressureXwouldXbeXreassessed
X frequently,XbutXtheXpriorityXisXgettingXtheXrapidXcareXtoXtheXclient.
DIF: Applying
TOP:X IntegratedXProcess:XCommunicationXandXDocumentationXKEY:XRapidXRe
sponseXTeamX(RRT),XClinicalXjudgment
MSC:X ClientXNeedsXCategory:XPhysiologicalXIntegrity:XPhysiologicalXAdaptation
4. AXnurseXwishesXtoXprovideXclient-centeredXcareXinXallXinteractions.XWhichXactionXbyXtheXnurse
bestXdemonstratesXthisXconcept?
a. AssessesXforXculturalXinfluencesXaffectingXhealthXcare.
b. EnsuresXthatXallXtheXclient’sXbasicXneedsXareXmet.
c. TellsXtheXclientXandXfamilyXaboutXallXupcomingXtests.
d. ThoroughlyXorientsXtheXclientXandXfamilyXtoXtheXroom.
CORRECTXANSWER:X A
ShowingXrespectXforXtheXclientXandXfamily’sXpreferencesXandXneedsXisXessentialXtoXensureXaXholi
sticXorX“whole-
person”XapproachXtoXcare.XByXassessingXtheXeffectXofXtheXclient’sXcultureXonXhealthXcare,XthisXn
urseXisXpracticingXclient-
focusedXcare.XProvidingXforXbasicXneedsXdoesXnotXdemonstrateXthisXcompetence.XSimplyXtellin
gXtheXclientXaboutXallXupcomingXtestsXisXnotXprovidingXempoweringXeducation.XOrientingXtheXcli
entXandXfamilyXtoXtheXroomXisXanXimportantXsafetyXmeasure,XbutXnotXdirectlyXrelatedXtoXdemon
stratingXclient-centeredXcare.
DIF: Understanding
TOP:XIntegratedXProcess:XCultureXandXSpiritualityXKEY:X Client-centeredXcare,XCulture
MSC:X ClientXNeedsXCategory:XPsychosocialXIntegrity
5. AXclientXisXgoingXtoXbeXadmittedXforXaXscheduledXsurgicalXprocedure.XWhichXactionXdoesXth
eXnurseXexplainXisXtheXmostXimportantXthingXtheXclientXcanXdoXtoXprotectXagainstXerrors?
a. BringXaXlistXofXallXmedicationsXandXwhatXtheyXareXfor.
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter 01: Overview of Professional Nursing Concepts for Medical-
X X X X X X X X
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
X X X X X X
MULTIPLEXCHOICE
1. AXnewXnurseXisXworkingXwithXaXpreceptorXonXaXmedical-
surgicalXunit.XTheXpreceptorXadvisesXtheXnewXnurseXthatXwhichXisXtheXpriorityXwhenXworkingXas
X aXprofessionalXnurse?
a. AttendingXtoXholisticXclientXneeds
b. EnsuringXclientXsafety
c. NotXmakingXmedicationXerrors
d. ProvidingXclient-focusedXcare
CORRECTXANSWER:X B
AllXactionsXareXappropriateXforXtheXprofessionalXnurse.XHowever,XensuringXclientXsafetyXisXtheXp
riority.XHealthXcareXerrorsXhaveXbeenXwidelyXreportedXforX25Xyears,XmanyXofXwhichXresultXinXcli
entXinjury,Xdeath,XandXincreasedXhealthXcareXcosts.XThereXareXseveralXnationalXandXinternation
alXorganizationsXthatXhaveXeitherXrecommendedXorXmandatedXsafetyXinitiatives.
EveryXnurseXhasXtheXresponsibilityXtoXguardXtheXclient’sXsafety.XTheXotherXactionsXareXimportan
tXforXqualityXnursing,XbutXtheyXareXnotXasXvitalXasXprovidingXsafety.XNotXmakingXmedicationXerro
rsXdoesXprovideXsafety,XbutXisXtooXnarrowXinXscopeXtoXbeXtheXbestXanswer.
DIF: Understanding
TOP:X IntegratedXProcess:XNursingXProcess:XInterventionXKEY:XClientXsafety
MSC:X ClientXNeedsXCategory:XSafeXandXEffectiveXCareXEnvironment:XSafetyXandXInfectionXControl
2. AXnurseXisXorientingXaXnewXclientXandXfamilyXtoXtheXmedical-
surgicalXunit.XWhatXinformationXdoesXtheXnurseXprovideXtoXbestXhelpXtheXclientXpromoteXhis
X orXherXownXsafety?
a. EncourageXtheXclientXandXfamilyXtoXbeXactiveXpartners.
b. HaveXtheXclientXmonitorXhandXhygieneXinXcaregivers.
c. OfferXtheXfamilyXtheXopportunityXtoXstayXwithXtheXclient.
d. TellXtheXclientXtoXalwaysXwearXhisXorXherXarmband.
CORRECTXANSWER:X A
, EachXactionXcouldXbeXimportantXforXtheXclientXorXfamilyXtoXperform.XHowever,XencouragingXthe
X clientXtoXbeXactiveXinXhisXorXherXhealthXcareXasXaXsafetyXpartnerXisXtheXmostXcritical.XTheXotherXa
ctionsXareXveryXlimitedXinXscopeXandXdoXnotXprovideXtheXbroadXprotectionXthatXbeingXactiveXand
X involvedXdoes.
DIF: Understanding
TOP:XIntegratedXProcess:XTeaching/LearningXKEY:XClientXsafety
MSC:X ClientXNeedsXCategory:XSafeXandXEffectiveXCareXEnvironment:XSafetyXandXInfectionXControl
3. AXnurseXisXcaringXforXaXpostoperativeXclientXonXtheXsurgicalXunit.XTheXclient’sXbloodXpressureX
wasX142/76XmmXHgX30XminutesXago,XandXnowXisX88/50XmmXHg.XWhatXactionXwouldXtheXnurs
eXtakeXfirst?
a. CallXtheXRapidXResponseXTeam.
b. DocumentXandXcontinueXtoXmonitor.
c. NotifyXtheXprimaryXhealthXcareXprovider.
d. RepeatXtheXbloodXpressureXinX15Xminutes.
, CORRECTXANSWER:X A
TheXpurposeXofXtheXRapidXResponseXTeamX(RRT)XisXtoXinterveneXwhenXclientsXareXdeterioratingX
beforeXtheyXsufferXeitherXrespiratoryXorXcardiacXarrest.XSinceXtheXclientXhasXmanifestedXaXsignifi
cantXchange,XtheXnurseXwouldXcallXtheXRRT.XChangesXinXbloodXpressure,XmentalXstatus,XheartXra
te,Xtemperature,XoxygenXsaturation,XandXlastX2Xhours’XurineXoutputXareXparticularlyXsignificantX
andXareXpartXofXtheXModifiedXEarlyXWarningXSystemXguide.XDocumentationXisXvital,XbutXtheXnur
seXmustXdoXmoreXthanXdocument.XTheXprimaryXhealthXcareXproviderXwouldXbeXnotified,XbutXthi
sXisXnotXmoreXimportantXthanXcallingXtheXRRT.XTheXclient’sXbloodXpressureXwouldXbeXreassessed
X frequently,XbutXtheXpriorityXisXgettingXtheXrapidXcareXtoXtheXclient.
DIF: Applying
TOP:X IntegratedXProcess:XCommunicationXandXDocumentationXKEY:XRapidXRe
sponseXTeamX(RRT),XClinicalXjudgment
MSC:X ClientXNeedsXCategory:XPhysiologicalXIntegrity:XPhysiologicalXAdaptation
4. AXnurseXwishesXtoXprovideXclient-centeredXcareXinXallXinteractions.XWhichXactionXbyXtheXnurse
bestXdemonstratesXthisXconcept?
a. AssessesXforXculturalXinfluencesXaffectingXhealthXcare.
b. EnsuresXthatXallXtheXclient’sXbasicXneedsXareXmet.
c. TellsXtheXclientXandXfamilyXaboutXallXupcomingXtests.
d. ThoroughlyXorientsXtheXclientXandXfamilyXtoXtheXroom.
CORRECTXANSWER:X A
ShowingXrespectXforXtheXclientXandXfamily’sXpreferencesXandXneedsXisXessentialXtoXensureXaXholi
sticXorX“whole-
person”XapproachXtoXcare.XByXassessingXtheXeffectXofXtheXclient’sXcultureXonXhealthXcare,XthisXn
urseXisXpracticingXclient-
focusedXcare.XProvidingXforXbasicXneedsXdoesXnotXdemonstrateXthisXcompetence.XSimplyXtellin
gXtheXclientXaboutXallXupcomingXtestsXisXnotXprovidingXempoweringXeducation.XOrientingXtheXcli
entXandXfamilyXtoXtheXroomXisXanXimportantXsafetyXmeasure,XbutXnotXdirectlyXrelatedXtoXdemon
stratingXclient-centeredXcare.
DIF: Understanding
TOP:XIntegratedXProcess:XCultureXandXSpiritualityXKEY:X Client-centeredXcare,XCulture
MSC:X ClientXNeedsXCategory:XPsychosocialXIntegrity
5. AXclientXisXgoingXtoXbeXadmittedXforXaXscheduledXsurgicalXprocedure.XWhichXactionXdoesXth
eXnurseXexplainXisXtheXmostXimportantXthingXtheXclientXcanXdoXtoXprotectXagainstXerrors?
a. BringXaXlistXofXallXmedicationsXandXwhatXtheyXareXfor.
