Ignatavicius TEST BANK FOR Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th edition by Donna D. Ignatavicius

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TEST BANK FOR MEDICAL SURGICAL
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v NURSING:CONCEPTS FOR CLINICAL JUDGEMENT
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v AND COLLABORATIVE CARE 11TH EDITION
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TESTBANK v

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TestBank - Medical-Surgical Nursing: Concepts forInterprofessional CollaborativeCare 11e
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Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing MULTIPLE
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CHOICE
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1. A nurse wishes to provide client-centered care in all interactions. Which
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action by the nurse bestdemonstrates this concept?
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a. Assesses for cultural influences affecting health care v v v v v v




b. Ensures that all the clients basic needs are met v v v v v v v v




c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room v v v v v v v v




ANS: A v




Competency in client-focused care is demonstrated when the nurse focuses on v v v v v v v v v v




communication, culture, respect compassion, client education, and empowerment. By
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assessing the effect of the clients culture on health care, this nurse is practicing client-
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focused care. Providing for basic needs does not demonstrate this competence. Simply
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telling the client about all upcoming tests is not providing empowering education.
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Orienting the client and family to the room is an important safety measure, but not directly
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related to demonstrating client-centered care.
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DIF: Understanding/Comprehension REF: 3
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KEY: Patient-centered care| culture MSC: Integrated
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Process: CaringNOT: Client Needs Category:
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Psychosocial Integrity v




2. A nurse is caring for a postoperative client on the surgical unit. The clients blood
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pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by
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the nurse is best?
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a. Call the Rapid Response Team. v v v v




b. Document and continue to monitor. v v v v




c. Notify the primary care provider. v v v v




d. Repeat blood pressure measurement in 15 minutes. v v v v v v




ANS: A v




The purpose of the Rapid Response Team (RRT) is to intervene when clients
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v are deteriorating before they suffer either respiratory or cardiac arrest. Since the client has
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manifested a significant change, the nurse should call the RRT. Changes in blood pressure,
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v mental status, heart rate, and pain are particularly significant.
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TestBank - Medical-Surgical Nursing: Concepts forInterprofessional CollaborativeCare 11e
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Documentation is vital, but the nurse must do more than document. The primary care v v v v v v v v v v v v v




provider should be notified, but this is not the priority over calling the RRT. The clients
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v blood pressure should be reassessed frequently, but the priority is getting the
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rapid care to the client.
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DIF: Applying/Application REF: 3
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KEY: Rapid Response Team (RRT)|medical emergencies
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MSC: Integrated Process:
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Communication and Documentation v v




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
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does the 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. v v v v v v v v




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 v




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




DIF:
Understanding/Comprehension
REF: 3KEY: Patient safety
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TestBank - Medical-Surgical Nursing: Concepts forInterprofessional CollaborativeCare 11e
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MSC: Integrated Process: Teaching/Learning
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NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
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Control
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4. A client is going to be admitted for a scheduled surgical procedure. Which action
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does the nurse explain is the most important thing the client can do to protect against
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v errors?
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 v




Medication errors are the most common type of health care mistake. The Joint v v v v v v v v v v v v




Commissions Speak Up campaign encourages clients to help ensure their safety. One
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recommendation is for clients to know all their medications and why they take them.
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This will help prevent medication errors.
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DIF: Applying/Application REF: 4
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KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
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NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
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Control
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5. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The
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preceptor advises the student that which is the priority when working as a professional
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nurse?
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a. Attending to holistic client needs v v v v




b. Ensuring client safety v v




c. Not making medication errors v v v




d. Providing client-focused care v v




ANS: B v




All actions are appropriate for the professional nurse. However, ensuring client
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v safety is the priority. Up to98,000 deaths result each year from errors in hospital care,
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according to the 2000 Institute of Medicine report. Many more clients have suffered
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injuries and less serious outcomes. Every nurse has the responsibility to guard the
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