TEST BANK FOR Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, 9th Edition by Donna D. Ignatavicius ISBN: 978-0323444194 ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!!NEW LATEST UPDATE!!!!!

,Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing
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MULTIPLE CHOICE y#




1. A nurse wishes to provide client-
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centered care in all interactions. Which action by thenurse best demonstrates this concept?
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a. Assesses for cultural influences affecting health care
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b. Ensures that all the clients basic needs are met
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c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room y# y# y# y# y# y# y# y#




ANS: A y#




Competency in client- y# y#




focused care is demonstrated when the nursefocuses on communication, culture, respect comp
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assion, client education, and empowerment. By assessing the effect of the clients culture on h
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ealth care, this nurse is practicing client-
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focused care. Providing for basic needs does not demonstrate this competence. Simply telling t
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he client about all upcoming tests isnot providing empowering education.
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Orienting the client andfamily to theroom is animportantsafetymeasur
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e,butnotdirectlyrelatedtodemonstratingclient-centered care.
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DIF: Understanding/Comprehension REF: 3
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KEY: Patient- y#




centered care| culture MSC: Integrated Process: Caring NOT: Client NeedsCategory: Psychoso
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y y#




cial Integrity y#




2. A nurse is caring for a postoperative client on the surgical unit. The clients blood press
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urewas 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is
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best?
a. Call the Rapid Response Team.
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b. Document and continue to monitor. y# y# y# y#




c. Notify the primary care provider. y# y# y# y#




d. Repeat blood pressure measurement in 15 minutes.
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,ANS: A y#




The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
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before they suffereitherrespiratoryorcardiacarrest.
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Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes in bloo y# y# y# y# y# y# y#




d pressure, mental status, heart rate, and pain are particularly significant. Documentation is vit
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al, but the nursemust do more than document. The primary care provider should be notified, b
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ut thisis not the priority over calling the RRT. The clients blood pressure should
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be reassessed frequently, but the priority is getting the rapid care to theclient.
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DIF: Applying/Application REF: 3
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KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:Co
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y




mmunication and Documentation y# y#




NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
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3. A nurse is orienting a new client and family to the inpatient unit. What information d
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oesthe nurse provide to help the client promote his or her own safety?
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a. Encourage the client and family to be active partners.
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b. Have the client monitor hand hygiene in caregivers.
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c. Offer the family the opportunity to stay with the client.
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d. Tell the client to always wear his or her armband.
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ANS: A y#




Each action could be important for the client or family to perform. However, encouraging the c
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lient to be active in his or her health care as a partner is the most critical. The other actions are
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y# very limited in scope and do not provide the broad protection that being active and involveddo
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es.


DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
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, MSC: Integrated Process: Teaching/Learning
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NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infecti
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onControl#
y




4. A new nurse is working with a preceptor on an inpatientmedical-
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surgical unit. The preceptor advises the student that which is the priority when working as
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a professionalnurse?
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a. Attending to holistic client needs y# y# y# y#




b. Ensuring client safety y# y#




c. Not making medication errors
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d. Providing client-focused care y# y#




ANS: B y#




All actions are appropriate for the professional nurse. However, ensuring client safety is the pri
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ority. Up to 98,000 deaths result each year from errors in hospital care, according to the 2000 I
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nstitute of Medicine report. Many more clients have suffered injuries and less serious outcomes.
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y




Every nurse has the responsibility to guard the clients safety.
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DIF: Understanding/Comprehension REF: 2 KEY: Patient safety
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y




MSC: Integrated Process: Nursing Process: Intervention
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NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infecti
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onControl#
y




5. A client is going to be admitted for a scheduled surgical procedure. Which action d
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oesthe nurse explain is the most important thing the client can do to protect againsterrors?
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a. Bring a list of all medications and what they are for.
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b. Keep the doctors phone number by the telephone.
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c. Make sure all providers wash hands before entering the room.
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d. Write down the name of each caregiver who comes in the room.
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ANS: A y#