Medical Surgical Nursing 11th Edition Concepts for Interprofessional
Col laborative Care, by Donna D. Ignatavicius, All chapters 1 – 69
1. Medical Surgical Nursing
11th Edition by Donna D. Ignatavicius: Medical Surgical Nursing
11th Edition by Donna D. Ignatavicius
2. 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: CORRECT ANSWER:
A
Competency in client-focused care is demonstrated when the nurse focuses 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 compe-
tence. Simply telling the client about all upcoming tests is not providing empowering
education. Orienting the client and family to the room is an important safety measure,
but not directly related to demonstrating client-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client
Needs Category: Psychosocial Integrity
3. 1. 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 is best?
a. Call the Rapid Response Team.
,Medical Surgical Nursing 11th Edition Concepts for Interprofessional
Col laborative Care, by Donna D. Ignatavicius, All chapters 1 – 69
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.: CORRECT ANSWER:
A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
deteriorating before they suffer either respiratory or cardiac arrest. Since the client
has manifested a significant change, the nurse should call the RRT. Changes in
blood pressure, mental status, heart rate, and pain are particularly significant.
Documentation is vital, but the nurse must 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 the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:
,Medical Surgical Nursing 11th Edition Concepts for Interprofessional
Col laborative Care, by Donna D. Ignatavicius, All chapters 1 – 69
Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. 1. 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.: CORRECT ANSWER: A
Each action could be important for the client or family to perform. However, encour-
aging 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 involved does.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
5. To get this (TEST BANK for Medical-Surgical Nursing: Concepts for Clinical
Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,) in PDF format email jamesdick-
: To get this (TEST BANK for Medical-Surgical Nursing: Con-
cepts for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,) in PDF format email jamesdick-
Col laborative Care, by Donna D. Ignatavicius, All chapters 1 – 69
1. Medical Surgical Nursing
11th Edition by Donna D. Ignatavicius: Medical Surgical Nursing
11th Edition by Donna D. Ignatavicius
2. 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: CORRECT ANSWER:
A
Competency in client-focused care is demonstrated when the nurse focuses 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 compe-
tence. Simply telling the client about all upcoming tests is not providing empowering
education. Orienting the client and family to the room is an important safety measure,
but not directly related to demonstrating client-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client
Needs Category: Psychosocial Integrity
3. 1. 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 is best?
a. Call the Rapid Response Team.
,Medical Surgical Nursing 11th Edition Concepts for Interprofessional
Col laborative Care, by Donna D. Ignatavicius, All chapters 1 – 69
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.: CORRECT ANSWER:
A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
deteriorating before they suffer either respiratory or cardiac arrest. Since the client
has manifested a significant change, the nurse should call the RRT. Changes in
blood pressure, mental status, heart rate, and pain are particularly significant.
Documentation is vital, but the nurse must 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 the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:
,Medical Surgical Nursing 11th Edition Concepts for Interprofessional
Col laborative Care, by Donna D. Ignatavicius, All chapters 1 – 69
Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. 1. 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.: CORRECT ANSWER: A
Each action could be important for the client or family to perform. However, encour-
aging 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 involved does.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
5. To get this (TEST BANK for Medical-Surgical Nursing: Concepts for Clinical
Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,) in PDF format email jamesdick-
: To get this (TEST BANK for Medical-Surgical Nursing: Con-
cepts for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,) in PDF format email jamesdick-
