TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapteraa01:aaOverviewaaofaaProfessionalaaNursingaaConceptsaaforaaMedical-
SurgicalaaNursingaaIgnatavicius:aaMedical-SurgicalaaNursing,aa10thaaEdition
MULTIPLEaaCHOICE
1. Aaanewaanurseaaisaaworkingaawithaaaaapreceptoraaonaaaaamedical-
surgicalaaunit.aaTheaapreceptoraaadvisesaatheaanewaanurseaathataawhichaaisaatheaapriorityaawhenaaw
orkingaaasaaaaaprofessionalaanurse?
a. Attendingaatoaaholisticaaclientaaneeds
b. Ensuringaaclientaasafety
c. Notaamakingaamedicationaaerrors
d. Providingaaclient-focusedaacare
CORRECTaaANSWER:a a B
Allaaactionsaaareaaappropriateaaforaatheaaprofessionalaanurse.aaHowever,aaensuringaaclientaasafetyaa
isaatheaapriority.aaHealthaacareaaerrorsaahaveaabeenaawidelyaareportedaaforaa25aayears,aamanyaaofaaw
hichaaresultaainaaclientaainjury,aadeath,aaandaaincreasedaahealthaacareaacosts.aaThereaaareaaseveralaa
nationalaaandaainternationalaaorganizationsaathataahaveaaeitheraarecommendedaaoraamandatedaas
afetyaainitiatives.
Everyaanurseaahasaatheaaresponsibilityaatoaaguardaatheaaclient’saasafety.aaTheaaotheraaactionsaaareaai
mportantaaforaaqualityaanursing,aabutaatheyaaareaanotaaasaavitalaaasaaprovidingaasafety.aaNotaamakin
gaamedicationaaerrorsaadoesaaprovideaasafety,aabutaaisaatooaanarrowaainaascopeaatoaabeaatheaabestaa
answer.
DIF: Understanding
TOP:a a IntegratedaaProcess:aaNursingaaProcess:aaInterventionaaKEY:aaClientaasafety
MSC:a a ClientaaNeedsaaCategory:aaSafeaaandaaEffectiveaaCareaaEnvironment:aaSafetyaaandaaInfectionaaControl
2. Aaanurseaaisaaorientingaaaaanewaaclientaaandaafamilyaatoaatheaamedical-
surgicalaaunit.aaWhataainformationaadoesaatheaanurseaaprovideaatoaabestaahelpaatheaaclientaapro
moteaahisaaoraaheraaownaasafety?
a. Encourageaatheaaclientaaandaafamilyaatoaabeaaactiveaapartners.
b. Haveaatheaaclientaamonitoraahandaahygieneaainaacaregivers.
c. Offeraatheaafamilyaatheaaopportunityaatoaastayaawithaatheaaclient.
, d. Tellaatheaaclientaatoaaalwaysaawearaahisaaoraaheraaarmband.
CORRECTaaANSWER:a a A
Eachaaactionaacouldaabeaaimportantaaforaatheaaclientaaoraafamilyaatoaaperform.aaHowever,aaencoura
gingaatheaaclientaatoaabeaaactiveaainaahisaaoraaheraahealthaacareaaasaaaaasafetyaapartneraaisaatheaamosta
a critical.aaTheaaotheraaactionsaaareaaveryaalimitedaainaascopeaaandaadoaanotaaprovideaatheaabroadaapr
otectionaathataabeingaaactiveaaandaainvolvedaadoes.
DIF: Understanding
TOP:aaIntegratedaaProcess:aaTeaching/LearningaaKEY:aaClientaasafety
MSC:a a ClientaaNeedsaaCategory:aaSafeaaandaaEffectiveaaCareaaEnvironment:aaSafetyaaandaaInfectionaaControl
3. Aaanurseaaisaacaringaaforaaaaapostoperativeaaclientaaonaatheaasurgicalaaunit.aaTheaaclient’saabloodaa
pressureaawasaa142/76aammaaHgaa30aaminutesaaago,aaandaanowaaisaa88/50aammaaHg.aaWhataaacti
onaawouldaatheaanurseaatakeaafirst?
a. CallaatheaaRapidaaResponseaaTeam.
b. Documentaaandaacontinueaatoaamonitor.
c. Notifyaatheaaprimaryaahealthaacareaaprovider.
d. Repeataatheaabloodaapressureaainaa15aaminutes.
, CORRECTaaANSWER:a a A
TheaapurposeaaofaatheaaRapidaaResponseaaTeamaa(RRT)aaisaatoaainterveneaawhenaaclientsaaareaadete
rioratingaabeforeaatheyaasufferaaeitheraarespiratoryaaoraacardiacaaarrest.aaSinceaatheaaclientaahasaa
manifestedaaaaasignificantaachange,aatheaanurseaawouldaacallaatheaaRRT.aaChangesaainaabloodaapres
sure,aamentalaastatus,aaheartaarate,aatemperature,aaoxygenaasaturation,aaandaalastaa2aahours’aauri
neaaoutputaaareaaparticularlyaasignificantaaandaaareaapartaaofaatheaaModifiedaaEarlyaaWarningaaSyst
emaaguide.aaDocumentationaaisaavital,aabutaatheaanurseaamustaadoaamoreaathanaadocument.aaTheaa
primaryaahealthaacareaaprovideraawouldaabeaanotified,aabutaathisaaisaanotaamoreaaimportantaathanaa
callingaatheaaRRT.aaTheaaclient’saabloodaapressureaawouldaabeaareassessedaafrequently,aabutaatheaa
priorityaaisaagettingaatheaarapidaacareaatoaatheaaclient.
DIF: Applying
TOP:a a IntegratedaaProcess:aaCommunicationaaandaaDocumentationaaKEY:aaRap
idaaResponseaaTeamaa(RRT),aaClinicalaajudgment
MSC:a a ClientaaNeedsaaCategory:aaPhysiologicalaaIntegrity:aaPhysiologicalaaAdaptation
4. Aaanurseaawishesaatoaaprovideaaclient-
centeredaacareaainaaallaainteractions.aaWhichaaactionaabyaatheaanurse
bestaademonstratesaathisaaconcept?
a. Assessesaaforaaculturalaainfluencesaaaffectingaahealthaacare.
b. Ensuresaathataaallaatheaaclient’saabasicaaneedsaaareaamet.
c. Tellsaatheaaclientaaandaafamilyaaaboutaaallaaupcomingaatests.
d. Thoroughlyaaorientsaatheaaclientaaandaafamilyaatoaatheaaroom.
CORRECTaaANSWER:a a A
Showingaarespectaaforaatheaaclientaaandaafamily’saapreferencesaaandaaneedsaaisaaessentialaatoaaens
ureaaaaaholisticaaoraa“whole-
person”aaapproachaatoaacare.aaByaaassessingaatheaaeffectaaofaatheaaclient’saacultureaaonaahealthaacar
e,aathisaanurseaaisaapracticingaaclient-
focusedaacare.aaProvidingaaforaabasicaaneedsaadoesaanotaademonstrateaathisaacompetence.aaSimpl
yaatellingaatheaaclientaaaboutaaallaaupcomingaatestsaaisaanotaaprovidingaaempoweringaaeducation.aa
Orientingaatheaaclientaaandaafamilyaatoaatheaaroomaaisaaanaaimportantaasafetyaameasure,aabutaanotaa
directlyaarelatedaatoaademonstratingaaclient-centeredaacare.
DIF: Understanding
TOP:aaIntegratedaaProcess:aaCultureaaandaaSpiritualityaaKEY:a a Client-
centeredaacare,aaCulture
MSC:a a ClientaaNeedsaaCategory:aaPsychosocialaaIntegrity
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapteraa01:aaOverviewaaofaaProfessionalaaNursingaaConceptsaaforaaMedical-
SurgicalaaNursingaaIgnatavicius:aaMedical-SurgicalaaNursing,aa10thaaEdition
MULTIPLEaaCHOICE
1. Aaanewaanurseaaisaaworkingaawithaaaaapreceptoraaonaaaaamedical-
surgicalaaunit.aaTheaapreceptoraaadvisesaatheaanewaanurseaathataawhichaaisaatheaapriorityaawhenaaw
orkingaaasaaaaaprofessionalaanurse?
a. Attendingaatoaaholisticaaclientaaneeds
b. Ensuringaaclientaasafety
c. Notaamakingaamedicationaaerrors
d. Providingaaclient-focusedaacare
CORRECTaaANSWER:a a B
Allaaactionsaaareaaappropriateaaforaatheaaprofessionalaanurse.aaHowever,aaensuringaaclientaasafetyaa
isaatheaapriority.aaHealthaacareaaerrorsaahaveaabeenaawidelyaareportedaaforaa25aayears,aamanyaaofaaw
hichaaresultaainaaclientaainjury,aadeath,aaandaaincreasedaahealthaacareaacosts.aaThereaaareaaseveralaa
nationalaaandaainternationalaaorganizationsaathataahaveaaeitheraarecommendedaaoraamandatedaas
afetyaainitiatives.
Everyaanurseaahasaatheaaresponsibilityaatoaaguardaatheaaclient’saasafety.aaTheaaotheraaactionsaaareaai
mportantaaforaaqualityaanursing,aabutaatheyaaareaanotaaasaavitalaaasaaprovidingaasafety.aaNotaamakin
gaamedicationaaerrorsaadoesaaprovideaasafety,aabutaaisaatooaanarrowaainaascopeaatoaabeaatheaabestaa
answer.
DIF: Understanding
TOP:a a IntegratedaaProcess:aaNursingaaProcess:aaInterventionaaKEY:aaClientaasafety
MSC:a a ClientaaNeedsaaCategory:aaSafeaaandaaEffectiveaaCareaaEnvironment:aaSafetyaaandaaInfectionaaControl
2. Aaanurseaaisaaorientingaaaaanewaaclientaaandaafamilyaatoaatheaamedical-
surgicalaaunit.aaWhataainformationaadoesaatheaanurseaaprovideaatoaabestaahelpaatheaaclientaapro
moteaahisaaoraaheraaownaasafety?
a. Encourageaatheaaclientaaandaafamilyaatoaabeaaactiveaapartners.
b. Haveaatheaaclientaamonitoraahandaahygieneaainaacaregivers.
c. Offeraatheaafamilyaatheaaopportunityaatoaastayaawithaatheaaclient.
, d. Tellaatheaaclientaatoaaalwaysaawearaahisaaoraaheraaarmband.
CORRECTaaANSWER:a a A
Eachaaactionaacouldaabeaaimportantaaforaatheaaclientaaoraafamilyaatoaaperform.aaHowever,aaencoura
gingaatheaaclientaatoaabeaaactiveaainaahisaaoraaheraahealthaacareaaasaaaaasafetyaapartneraaisaatheaamosta
a critical.aaTheaaotheraaactionsaaareaaveryaalimitedaainaascopeaaandaadoaanotaaprovideaatheaabroadaapr
otectionaathataabeingaaactiveaaandaainvolvedaadoes.
DIF: Understanding
TOP:aaIntegratedaaProcess:aaTeaching/LearningaaKEY:aaClientaasafety
MSC:a a ClientaaNeedsaaCategory:aaSafeaaandaaEffectiveaaCareaaEnvironment:aaSafetyaaandaaInfectionaaControl
3. Aaanurseaaisaacaringaaforaaaaapostoperativeaaclientaaonaatheaasurgicalaaunit.aaTheaaclient’saabloodaa
pressureaawasaa142/76aammaaHgaa30aaminutesaaago,aaandaanowaaisaa88/50aammaaHg.aaWhataaacti
onaawouldaatheaanurseaatakeaafirst?
a. CallaatheaaRapidaaResponseaaTeam.
b. Documentaaandaacontinueaatoaamonitor.
c. Notifyaatheaaprimaryaahealthaacareaaprovider.
d. Repeataatheaabloodaapressureaainaa15aaminutes.
, CORRECTaaANSWER:a a A
TheaapurposeaaofaatheaaRapidaaResponseaaTeamaa(RRT)aaisaatoaainterveneaawhenaaclientsaaareaadete
rioratingaabeforeaatheyaasufferaaeitheraarespiratoryaaoraacardiacaaarrest.aaSinceaatheaaclientaahasaa
manifestedaaaaasignificantaachange,aatheaanurseaawouldaacallaatheaaRRT.aaChangesaainaabloodaapres
sure,aamentalaastatus,aaheartaarate,aatemperature,aaoxygenaasaturation,aaandaalastaa2aahours’aauri
neaaoutputaaareaaparticularlyaasignificantaaandaaareaapartaaofaatheaaModifiedaaEarlyaaWarningaaSyst
emaaguide.aaDocumentationaaisaavital,aabutaatheaanurseaamustaadoaamoreaathanaadocument.aaTheaa
primaryaahealthaacareaaprovideraawouldaabeaanotified,aabutaathisaaisaanotaamoreaaimportantaathanaa
callingaatheaaRRT.aaTheaaclient’saabloodaapressureaawouldaabeaareassessedaafrequently,aabutaatheaa
priorityaaisaagettingaatheaarapidaacareaatoaatheaaclient.
DIF: Applying
TOP:a a IntegratedaaProcess:aaCommunicationaaandaaDocumentationaaKEY:aaRap
idaaResponseaaTeamaa(RRT),aaClinicalaajudgment
MSC:a a ClientaaNeedsaaCategory:aaPhysiologicalaaIntegrity:aaPhysiologicalaaAdaptation
4. Aaanurseaawishesaatoaaprovideaaclient-
centeredaacareaainaaallaainteractions.aaWhichaaactionaabyaatheaanurse
bestaademonstratesaathisaaconcept?
a. Assessesaaforaaculturalaainfluencesaaaffectingaahealthaacare.
b. Ensuresaathataaallaatheaaclient’saabasicaaneedsaaareaamet.
c. Tellsaatheaaclientaaandaafamilyaaaboutaaallaaupcomingaatests.
d. Thoroughlyaaorientsaatheaaclientaaandaafamilyaatoaatheaaroom.
CORRECTaaANSWER:a a A
Showingaarespectaaforaatheaaclientaaandaafamily’saapreferencesaaandaaneedsaaisaaessentialaatoaaens
ureaaaaaholisticaaoraa“whole-
person”aaapproachaatoaacare.aaByaaassessingaatheaaeffectaaofaatheaaclient’saacultureaaonaahealthaacar
e,aathisaanurseaaisaapracticingaaclient-
focusedaacare.aaProvidingaaforaabasicaaneedsaadoesaanotaademonstrateaathisaacompetence.aaSimpl
yaatellingaatheaaclientaaaboutaaallaaupcomingaatestsaaisaanotaaprovidingaaempoweringaaeducation.aa
Orientingaatheaaclientaaandaafamilyaatoaatheaaroomaaisaaanaaimportantaasafetyaameasure,aabutaanotaa
directlyaarelatedaatoaademonstratingaaclient-centeredaacare.
DIF: Understanding
TOP:aaIntegratedaaProcess:aaCultureaaandaaSpiritualityaaKEY:a a Client-
centeredaacare,aaCulture
MSC:a a ClientaaNeedsaaCategory:aaPsychosocialaaIntegrity
