,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
#i #i #i #i #i #i #i #i
Surgical Nursing MULTIPLE CHOICE #i #i #i
1. A nurse wishes to provide client-
#i #i #i #i #i
centered care in all interactions. Which action by the nurse bestdemonst
#i #i #i #i #i #i #i #i #i #i
rates this concept? #i #i
a. Assesses for cultural influences affecting health care
#i #i #i #i #i #i
b. Ensures that all the clients basic needs are met #i #i #i #i #i #i #i #i
c. Tells the client and family about all upcoming tests
#i #i #i #i #i #i #i #i
d. Thoroughly orients the client and family to the room #i #i #i #i #i #i #i #i
ANS: A #i
Competency in client- #i #i
focused care is demonstrated when the nurse focuses on communication, culture, respe
#i #i #i #i #i #i #i #i #i #i #i
ct compassion, client education, and empowerment. By assessing the effect of the client
#i #i #i #i #i #i #i #i #i #i #i #i
s culture on health care, this nurse is practicing client-
#i #i #i #i #i #i #i #i #i
#i focused care. Providing for basic needs does not demonstrate this competence. Simply
#i #i #i #i #i #i #i #i #i #i #i #i
telling the client about all upcoming tests is not providing empowering education.
#i #i #i #i #i #i #i #i #i #i #i
Orienting the client and family to the room is an important safety measure, but not dir
#i #i #i #i #i #i #i #i #i #i #i #i #i #i #i
ectly related to demonstrating client-centered care.
#i #i #i #i #i
DIF: Understanding/Comprehension REF: 3
#i #i #i
KEY: Patient- #i
centered care| culture MSC: Integrated Process: Carin
#i #i #i #i #i #i
gNOT: Client Needs Category: #i #i #i
Psychosocial Integrity #i
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood p
#i #i #i #i #i #i #i #i #i #i #i #i #i #i #i
ressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
#i #i #i #i #i #i #i #i #i #i #i #i #i #i #i #i
by the nurse is best?
#i #i #i #i
a. Call the Rapid Response Team.
#i #i #i #i
b. Document and continue to monitor. #i #i #i #i
c. Notify the primary care provider. #i #i #i #i
d. Repeat blood pressure measurement in 15 minutes.
#i #i #i #i #i #i
ANS: A #i
The purpose of the Rapid Response Team (RRT) is to intervene when clients
# i # i # i # i # i # i # i # i # i # i # i # i # i
are deteriorating before they suffer either respiratory or cardiac arrest. Since the client
#i #i #i #i #i #i #i #i #i #i #i #i #i
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
#i #i #i #i #i #i #i #i
Surgical Nursing MULTIPLE CHOICE #i #i #i
1. A nurse wishes to provide client-
#i #i #i #i #i
centered care in all interactions. Which action by the nurse bestdemonst
#i #i #i #i #i #i #i #i #i #i
rates this concept? #i #i
a. Assesses for cultural influences affecting health care
#i #i #i #i #i #i
b. Ensures that all the clients basic needs are met #i #i #i #i #i #i #i #i
c. Tells the client and family about all upcoming tests
#i #i #i #i #i #i #i #i
d. Thoroughly orients the client and family to the room #i #i #i #i #i #i #i #i
ANS: A #i
Competency in client- #i #i
focused care is demonstrated when the nurse focuses on communication, culture, respe
#i #i #i #i #i #i #i #i #i #i #i
ct compassion, client education, and empowerment. By assessing the effect of the client
#i #i #i #i #i #i #i #i #i #i #i #i
s culture on health care, this nurse is practicing client-
#i #i #i #i #i #i #i #i #i
#i focused care. Providing for basic needs does not demonstrate this competence. Simply
#i #i #i #i #i #i #i #i #i #i #i #i
telling the client about all upcoming tests is not providing empowering education.
#i #i #i #i #i #i #i #i #i #i #i
Orienting the client and family to the room is an important safety measure, but not dir
#i #i #i #i #i #i #i #i #i #i #i #i #i #i #i
ectly related to demonstrating client-centered care.
#i #i #i #i #i
DIF: Understanding/Comprehension REF: 3
#i #i #i
KEY: Patient- #i
centered care| culture MSC: Integrated Process: Carin
#i #i #i #i #i #i
gNOT: Client Needs Category: #i #i #i
Psychosocial Integrity #i
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood p
#i #i #i #i #i #i #i #i #i #i #i #i #i #i #i
ressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
#i #i #i #i #i #i #i #i #i #i #i #i #i #i #i #i
by the nurse is best?
#i #i #i #i
a. Call the Rapid Response Team.
#i #i #i #i
b. Document and continue to monitor. #i #i #i #i
c. Notify the primary care provider. #i #i #i #i
d. Repeat blood pressure measurement in 15 minutes.
#i #i #i #i #i #i
ANS: A #i
The purpose of the Rapid Response Team (RRT) is to intervene when clients
# i # i # i # i # i # i # i # i # i # i # i # i # i
are deteriorating before they suffer either respiratory or cardiac arrest. Since the client
#i #i #i #i #i #i #i #i #i #i #i #i #i