TEST BANK for Medical-Surgical Nursing: Concepts
for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74
,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
6n 6n 6n 6n 6n 6n 6n 6n
6n Surgical Nursing 6n
MULTIPLE 6n CHOICE
1. A 6nnurse 6nwishes 6nto 6nprovide 6nclient-centered 6ncare 6nin 6nall 6ninteractions. 6nWhich 6naction 6nby
6n the 6nnurse 6nbest 6ndemonstrates 6nthis 6nconcept?
a. Assesses 6n for 6n cultural 6n influences 6n affecting 6 n health 6 n care
b. Ensures 6nthat 6nall 6n the 6nclients 6n basic 6nneeds 6nare 6nmet
c. Tells 6nthe 6nclient 6nand 6nfamily 6nabout 6n all 6nupcoming 6ntests
d. Thoroughly 6norients 6nthe 6nclient 6n and 6nfamily 6n to 6n the 6nroom
CORRECT 6nANSWER: 6n A
Competency 6nin 6nclient-focused 6ncare 6nis 6ndemonstrated 6nwhen 6nthe 6nnurse 6nfocuses 6non 6ncommunication,
6n culture, 6nrespect 6ncompassion, 6nclient 6neducation, 6nand 6nempowerment. 6nBy 6nassessing 6nthe 6neffect 6nof 6nthe
clients 6nculture 6non 6nhealth 6ncare, 6nthis 6nnurse 6nis 6npracticing 6nclient-focused 6ncare. 6nProviding 6nfor 6nbasic
6n
needs 6ndoes 6nnot 6ndemonstrate 6nthis 6ncompetence. 6nSimply 6ntelling 6nthe 6nclient 6nabout 6nall 6nupcoming 6ntests
6n
is 6nnot 6nproviding 6nempowering 6neducation. 6nOrienting 6nthe 6nclient 6nand 6nfamily 6nto 6nthe 6nroom 6nis 6nan
6n
6n important 6nsafety 6nmeasure, 6nbut 6nnot 6ndirectly 6nrelated 6nto 6ndemonstrating 6nclient-centered 6ncare.
DIF: 6n Understanding/Comprehension 6 n REF: 6 n 3
KEY: 6nPatient-centered 6ncare| 6nculture 6nMSC: 6nIntegrated 6nProcess:
6n Caring 6nNOT: 6nClient 6nNeeds 6nCategory: 6nPsychosocial 6nIntegrity
2. A 6nnurse 6nis 6ncaring 6nfor 6na 6npostoperative 6nclient 6non 6nthe 6nsurgical 6nunit. 6nThe 6nclients 6nblood 6npressure
6n was 6n142/76 6nmm 6nHg 6n30 6nminutes 6nago, 6nand 6nnow 6nis 6n88/50 6nmm 6nHg. 6nWhat 6naction 6nby 6nthe
6n nurse 6nis 6nbest?
a. Call 6n the 6nRapid 6n Response 6nTeam.
b. Document 6nand 6ncontinue 6n to 6n monitor.
c. Notify 6nthe 6nprimary 6ncare 6nprovider.
d. Repeat 6nblood 6n pressure 6n measurement 6n in 6n15 6n minutes.
CORRECT 6nANSWER: 6n A
The 6npurpose 6nof 6nthe 6nRapid 6nResponse 6nTeam 6n(RRT) 6nis 6nto 6nintervene 6nwhen 6nclients 6nare
6n deteriorating 6nbefore 6nthey 6nsuffer 6neither 6nrespiratory 6nor 6ncardiac 6narrest. 6nSince 6nthe 6nclient 6nhas
6n manifested 6na 6nsignificant 6nchange, 6nthe 6nnurse 6nshould 6ncall 6nthe 6nRRT. 6nChanges 6nin 6nblood 6npressure,
6n mental 6nstatus, 6nheart 6nrate, 6nand 6npain 6nare 6nparticularly 6nsignificant.
Documentation 6nis 6nvital, 6nbut 6nthe 6nnurse 6nmust 6ndo 6nmore 6nthan 6ndocument. 6nThe 6nprimary 6ncare
provider 6nshould 6nbe 6nnotified, 6nbut 6nthis 6nis 6nnot 6nthe 6npriority 6nover 6ncalling 6nthe 6nRRT. 6nThe 6nclients
6n
6n blood 6npressure 6nshould 6nbe 6nreassessed 6nfrequently, 6nbut 6nthe 6npriority 6nis 6ngetting 6nthe 6nrapid 6ncare
6n to 6nthe 6nclient.
DIF: 6 n Applying/Application 6 n REF: 6 n 3
for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74
,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
6n 6n 6n 6n 6n 6n 6n 6n
6n Surgical Nursing 6n
MULTIPLE 6n CHOICE
1. A 6nnurse 6nwishes 6nto 6nprovide 6nclient-centered 6ncare 6nin 6nall 6ninteractions. 6nWhich 6naction 6nby
6n the 6nnurse 6nbest 6ndemonstrates 6nthis 6nconcept?
a. Assesses 6n for 6n cultural 6n influences 6n affecting 6 n health 6 n care
b. Ensures 6nthat 6nall 6n the 6nclients 6n basic 6nneeds 6nare 6nmet
c. Tells 6nthe 6nclient 6nand 6nfamily 6nabout 6n all 6nupcoming 6ntests
d. Thoroughly 6norients 6nthe 6nclient 6n and 6nfamily 6n to 6n the 6nroom
CORRECT 6nANSWER: 6n A
Competency 6nin 6nclient-focused 6ncare 6nis 6ndemonstrated 6nwhen 6nthe 6nnurse 6nfocuses 6non 6ncommunication,
6n culture, 6nrespect 6ncompassion, 6nclient 6neducation, 6nand 6nempowerment. 6nBy 6nassessing 6nthe 6neffect 6nof 6nthe
clients 6nculture 6non 6nhealth 6ncare, 6nthis 6nnurse 6nis 6npracticing 6nclient-focused 6ncare. 6nProviding 6nfor 6nbasic
6n
needs 6ndoes 6nnot 6ndemonstrate 6nthis 6ncompetence. 6nSimply 6ntelling 6nthe 6nclient 6nabout 6nall 6nupcoming 6ntests
6n
is 6nnot 6nproviding 6nempowering 6neducation. 6nOrienting 6nthe 6nclient 6nand 6nfamily 6nto 6nthe 6nroom 6nis 6nan
6n
6n important 6nsafety 6nmeasure, 6nbut 6nnot 6ndirectly 6nrelated 6nto 6ndemonstrating 6nclient-centered 6ncare.
DIF: 6n Understanding/Comprehension 6 n REF: 6 n 3
KEY: 6nPatient-centered 6ncare| 6nculture 6nMSC: 6nIntegrated 6nProcess:
6n Caring 6nNOT: 6nClient 6nNeeds 6nCategory: 6nPsychosocial 6nIntegrity
2. A 6nnurse 6nis 6ncaring 6nfor 6na 6npostoperative 6nclient 6non 6nthe 6nsurgical 6nunit. 6nThe 6nclients 6nblood 6npressure
6n was 6n142/76 6nmm 6nHg 6n30 6nminutes 6nago, 6nand 6nnow 6nis 6n88/50 6nmm 6nHg. 6nWhat 6naction 6nby 6nthe
6n nurse 6nis 6nbest?
a. Call 6n the 6nRapid 6n Response 6nTeam.
b. Document 6nand 6ncontinue 6n to 6n monitor.
c. Notify 6nthe 6nprimary 6ncare 6nprovider.
d. Repeat 6nblood 6n pressure 6n measurement 6n in 6n15 6n minutes.
CORRECT 6nANSWER: 6n A
The 6npurpose 6nof 6nthe 6nRapid 6nResponse 6nTeam 6n(RRT) 6nis 6nto 6nintervene 6nwhen 6nclients 6nare
6n deteriorating 6nbefore 6nthey 6nsuffer 6neither 6nrespiratory 6nor 6ncardiac 6narrest. 6nSince 6nthe 6nclient 6nhas
6n manifested 6na 6nsignificant 6nchange, 6nthe 6nnurse 6nshould 6ncall 6nthe 6nRRT. 6nChanges 6nin 6nblood 6npressure,
6n mental 6nstatus, 6nheart 6nrate, 6nand 6npain 6nare 6nparticularly 6nsignificant.
Documentation 6nis 6nvital, 6nbut 6nthe 6nnurse 6nmust 6ndo 6nmore 6nthan 6ndocument. 6nThe 6nprimary 6ncare
provider 6nshould 6nbe 6nnotified, 6nbut 6nthis 6nis 6nnot 6nthe 6npriority 6nover 6ncalling 6nthe 6nRRT. 6nThe 6nclients
6n
6n blood 6npressure 6nshould 6nbe 6nreassessed 6nfrequently, 6nbut 6nthe 6npriority 6nis 6ngetting 6nthe 6nrapid 6ncare
6n to 6nthe 6nclient.
DIF: 6 n Applying/Application 6 n REF: 6 n 3
