Test 3bank 3Medical-
Surgical 3Nursing 3 Concepts 3for 3Interprofessional 3 Collaborative 3Care 310th 3Edition 3by3 Donna3 D.3Ignat
avicius3 MS 3 RN3 CNE3 CNEcl3ANEF 3 FAADN3 Chapter3 1-
693 |3 Complete3 Guide/QUESTIONSWITH3CORRECT3ANSWERS3GIVEN
,Chapter 3 01:3 Overview 3 of3 Professional 3 Nursing3 Concepts3 for 3 Medical-
Surgical 3 Nursing3 Ignatavicius
MULTIPLE3 CHOICE
1. A3new3nurse 3is 3working3with3a 3preceptor3on3a 3 medical-
surgical3unit.3The 3preceptor3advises3the3new 3nurse3that3which3is3the3priority3when3working3as3a3professio
nal3nurse?
a. Attending3to3holistic3client3needs
b. Ensuring3client3safety
c. Not3making3medication3errors
d. Providing3client-
focused3care3ANS;B
All3actions3are3appropriate3for3the 3professional3nurse.3However,3ensuring3client3safety3is 3the 3priority.3Health3ca
re3errors3have3been 3widely3reported3for325 3years,3 many 3of 3which3result3in 3client3injury,3death, 3and3increased3h
ealth3care3costs.3 There3are 3several3national3and3international3organizations3that3have3either3recommended3or 3
mandated3safety3initiatives.
Every3nurse3has3the 3responsibility3to 3guard3the3client’s3safety. 3The 3other3actions3are 3important3for3quality3nursing,
3but3they3are3not3as3vital3as3providing 3safety.3Not3making3medication 3errors3does3provide3safety,3but3is3too3na
rrow3in3scope3to3be3the3best3answer.
DIF: Understanding
TOP:3Integrated3Process:3Nursing3Process:3Intervention3KEY:3Client3safety3 MSC:3Client3Ne
eds3Category:3Safe3and3Effective3Care3Environment:3Safety3and3Infection3Control
2. A3nurse3is 3orienting3a 3new3client 3and3family3to 3the 3 medical-
surgical3unit.3What3information3does3the 3nurse3provide3to3best3help3the3client3promote3his3or3her 3own3saf
ety?
a. Encourage3the3client3and3family3to3be3active3partners.
b. Have3the3client3monitor3hand3hygiene3in3caregivers.
c. Offer3the3family3the3opportunity3to3stay3with3the3client.
d. Tell 3the3client 3to3always3wear 3his 3or3her 3armband
.3ANS;A
Each3action3could3be 3important3for 3the 3client3or 3family 3to 3perform. 3However,3encouraging3the3client3to 3be 3active3i
n3his3or3her3health3care3as3a3safety3partner3is3the3most3critical.3The3other3actions3are3very3limited3in3scope3a
nd3do3not3provide3the3broad3protection3that3being3active3and3involved3does.
DIF: Understanding
TOP:3Integrated3Process:3Teaching/Learning 3KEY:3Client3safety3MSC:3Client 3Needs
3Category:3Safe3and 3Effective3Care3Environment:3Safety3and3Infection 3Control
,3. A3nurse3is3caring3for3a3postoperative3client3on3the3surgical3unit.3The3client’s3blood3pressure3was3142/7
6
mm3Hg3303minutes3ago,3and3now3is388/503mm3Hg.3What3action3would3the3nurse3take3first?
a. Call3the3Rapid3Response3Team.
b. Document3and3continue3to3monitor.
c. Notify3the3primary3health3care3provider.
d. Repeat3the3blood3pressure3in3153minutes.
ANS;A
The 3purpose3of3the 3Rapid3Response3Team3(RRT) 3is 3to 3intervene3when3clients3are3deteriorating3before3they3suffe
r3either3respiratory3or 3cardiac3arrest.3Since3the3client 3has3 manifested3a 3significant3change,3the3nurse3would3call 3th
e3RRT.3Changes3in3blood3pressure,3mental3status,3heart3rate,3temperature,3oxygen3saturation,3and3last323hours
’3urine3output3are3particularly3significant3and3are3part3of3the3Modified3Early3Warning3System3guide.3Documenta
tion3is3vital,3but3the3nurse3must3do3more3than3document.3The3primary3health3care3provider3would3be3notified,3
but3this3is3not3 more3important3than3calling 3the3RRT. 3 The 3client’s3blood3pressure3would3be 3reassessed3frequently,
3but 3the 3priority3 is3 getting3 the3 rapid3 care3 to3 the3 client.
DIF:
Applying3TOP: 3Integrated3Process:3Communication3and3Documentation3KEY:3Rapid3Response3Team
3 (RRT),3Clinical 3judgment
MSC:3Client3Needs3Category:3Physiological3Integrity:3Physiological3Adaptation
4. A3nurse3wishes3to 3provide3client-
centered3care3in 3all 3interactions.3Which3action3by3the 3nurse3best3demonstrates3this3concept?
a. Assesses3for3cultural3influences3affecting3health3care.
b. Ensures3that3all3the3client’s3basic3needs3are3met.
c. Tells3the3client3and3family3about3all3upcoming3tests.
d. Thoroughly3orients3the3client3and 3family 3to 3the 3room.
3ANS;A
Showing3respect3for3the 3client3and 3family’s 3preferences3and3needs3is 3essential3to3ensure3a 3holistic3or 3“whole-
3person”3approach3to 3care.3By 3assessing 3the3effect3of3the3client’s3culture3on 3health3care, 3this3nurse3is 3practicing 3
client-
focused3care.3Providing3for3basic3needs3does3not 3demonstrate3this 3competence.3Simply 3telling3the 3client3about3al
l3upcoming 3tests3is 3not 3providing3empowering3education.3Orienting3the3client3and 3family 3to 3the 3room3is 3an 3import
ant3safety3measure,3but3not3directly3related3to3demonstrating3client-centered3care.
DIF: Understanding TOP:3Integrated3Process:3Culture3and3Spirituality3KEY:3Client-
centered3care,3Culture3 MSC:3Client3Needs3Category: 3Psychosocial3Integrity
5. A3client3is 3going3to 3be 3admitted 3for 3a 3scheduled3surgical3procedure.3Which3action3does3the 3nurse3explai
n3 is3the3most 3important3thing3the3client3can3do3to3protect3against3errors?
a. Bring3a3list3of3all3medications3and3what3they3are3for.
b. Keep3the3provider’s3phone3number3by3the3telephone.
, c. Make3sure3that3all3providers3wash3hands3before3entering3the3room.
d. Write3down3the3name 3of 3each 3caregiver3who3comes 3in 3the 3room
.3ANS;A
Medication3reconciliation3is3a 3formal 3process3in 3which3the3client’s3actual3current3medications3are3compared3to 3t
he3prescribed3medications3at3the 3time 3of 3admission, 3transfer,3or3discharge.3This 3National3client3Safety3Goal 3is3 i
mportant3to 3reduce3medication3errors.3 The3client 3would3not 3have3to 3be 3responsible3for3providers3washing3their3h
ands,3and3even3if3the3client3does3so,3this3is3too3narrow3to3be3the3most3important3action3to3prevent3errors.
Keeping3the3provider’s3phone3number3nearby3and3documenting3everyone3who3enters3the3room3also3do3not
guarantee3safety.
DIF:
Applying3TOP:3Integrated3Process:3 Teaching/Learning 3KEY:3Client3safety,3Informatic
s3MSC:3Client3Needs3Category:3Safe3and 3Effective3Care3Environment:3Safety3and3Infection3Con
trol
6. Which3action3by3the3nurse3working3with3a3client3best3demonstrates3respect3for3autonomy?
a. Asks3if3the3client3has3questions3before3signing3a3consent.
b. Gives3the3client3accurate3information3when3questioned.
c. Keeps3the3promises3made3to3the3client3and3family.
d. Treats3the 3client3fairly3compared3to 3other3clients.
3ANS;A
Autonomy3is3self-
determination.3The 3client 3would3make 3decisions3regarding3care.3When3the3nurse 3obtains3a 3signature3on3the 3co
nsent3form, 3assessing3if3the 3client3still 3has3questions3is 3vital,3because3without3full 3information3 the3client3cannot
3practice 3autonomy.3Giving 3accurate3information 3is3practicing 3with 3veracity.3Keeping3promises3is 3upholding3fid
elity.3Treating3the3client3fairly3is3providing3social3justice.
DIF: Applying3TOP:3Integrated3Process:3Caring
KEY:3Ethics,3Autonomy3MSC: 3Client3Needs3Category:3Safe3 and3Effective3Care3Environment:3 Manage
ment3of3Care
7. A3nurse3asks 3a 3more 3seasoned3colleague3to3explain3best3practices3when3communicating3with3a 3person
3from 3 the3lesbian,3gay, 3bisexual,3transgender,3and3questioning/queer 3(LGBTQ)3community.3What3answer3by 3the 3
faculty3is3most3accurate?
a. Avoid3embarrassing3the3client3by3asking3questions.
b. Don’t3make3assumptions3about3his3or3her3health3needs.
c. Most3LGBTQ3people3do3not3want3to3share3information.
d. No3differences3exist3in3communicating3with3this 3population.
3ANS;B
Many3 members 3of 3the3LGBTQ 3community 3have3faced3discrimination3from3health 3care3providers3and3 may 3be3rel
uctant3to3seek3health 3care.3 The 3nurse3would3never3 make3assumptions3about3the3needs3of 3 members 3of3this 3pop
ulation.3Rather,3respectful3questions3are3appropriate.3If3approached3with3sensitivity,3the3client3with3any 3health3c
are3need3is3 more3likely3to3answer3honestly.
Surgical 3Nursing 3 Concepts 3for 3Interprofessional 3 Collaborative 3Care 310th 3Edition 3by3 Donna3 D.3Ignat
avicius3 MS 3 RN3 CNE3 CNEcl3ANEF 3 FAADN3 Chapter3 1-
693 |3 Complete3 Guide/QUESTIONSWITH3CORRECT3ANSWERS3GIVEN
,Chapter 3 01:3 Overview 3 of3 Professional 3 Nursing3 Concepts3 for 3 Medical-
Surgical 3 Nursing3 Ignatavicius
MULTIPLE3 CHOICE
1. A3new3nurse 3is 3working3with3a 3preceptor3on3a 3 medical-
surgical3unit.3The 3preceptor3advises3the3new 3nurse3that3which3is3the3priority3when3working3as3a3professio
nal3nurse?
a. Attending3to3holistic3client3needs
b. Ensuring3client3safety
c. Not3making3medication3errors
d. Providing3client-
focused3care3ANS;B
All3actions3are3appropriate3for3the 3professional3nurse.3However,3ensuring3client3safety3is 3the 3priority.3Health3ca
re3errors3have3been 3widely3reported3for325 3years,3 many 3of 3which3result3in 3client3injury,3death, 3and3increased3h
ealth3care3costs.3 There3are 3several3national3and3international3organizations3that3have3either3recommended3or 3
mandated3safety3initiatives.
Every3nurse3has3the 3responsibility3to 3guard3the3client’s3safety. 3The 3other3actions3are 3important3for3quality3nursing,
3but3they3are3not3as3vital3as3providing 3safety.3Not3making3medication 3errors3does3provide3safety,3but3is3too3na
rrow3in3scope3to3be3the3best3answer.
DIF: Understanding
TOP:3Integrated3Process:3Nursing3Process:3Intervention3KEY:3Client3safety3 MSC:3Client3Ne
eds3Category:3Safe3and3Effective3Care3Environment:3Safety3and3Infection3Control
2. A3nurse3is 3orienting3a 3new3client 3and3family3to 3the 3 medical-
surgical3unit.3What3information3does3the 3nurse3provide3to3best3help3the3client3promote3his3or3her 3own3saf
ety?
a. Encourage3the3client3and3family3to3be3active3partners.
b. Have3the3client3monitor3hand3hygiene3in3caregivers.
c. Offer3the3family3the3opportunity3to3stay3with3the3client.
d. Tell 3the3client 3to3always3wear 3his 3or3her 3armband
.3ANS;A
Each3action3could3be 3important3for 3the 3client3or 3family 3to 3perform. 3However,3encouraging3the3client3to 3be 3active3i
n3his3or3her3health3care3as3a3safety3partner3is3the3most3critical.3The3other3actions3are3very3limited3in3scope3a
nd3do3not3provide3the3broad3protection3that3being3active3and3involved3does.
DIF: Understanding
TOP:3Integrated3Process:3Teaching/Learning 3KEY:3Client3safety3MSC:3Client 3Needs
3Category:3Safe3and 3Effective3Care3Environment:3Safety3and3Infection 3Control
,3. A3nurse3is3caring3for3a3postoperative3client3on3the3surgical3unit.3The3client’s3blood3pressure3was3142/7
6
mm3Hg3303minutes3ago,3and3now3is388/503mm3Hg.3What3action3would3the3nurse3take3first?
a. Call3the3Rapid3Response3Team.
b. Document3and3continue3to3monitor.
c. Notify3the3primary3health3care3provider.
d. Repeat3the3blood3pressure3in3153minutes.
ANS;A
The 3purpose3of3the 3Rapid3Response3Team3(RRT) 3is 3to 3intervene3when3clients3are3deteriorating3before3they3suffe
r3either3respiratory3or 3cardiac3arrest.3Since3the3client 3has3 manifested3a 3significant3change,3the3nurse3would3call 3th
e3RRT.3Changes3in3blood3pressure,3mental3status,3heart3rate,3temperature,3oxygen3saturation,3and3last323hours
’3urine3output3are3particularly3significant3and3are3part3of3the3Modified3Early3Warning3System3guide.3Documenta
tion3is3vital,3but3the3nurse3must3do3more3than3document.3The3primary3health3care3provider3would3be3notified,3
but3this3is3not3 more3important3than3calling 3the3RRT. 3 The 3client’s3blood3pressure3would3be 3reassessed3frequently,
3but 3the 3priority3 is3 getting3 the3 rapid3 care3 to3 the3 client.
DIF:
Applying3TOP: 3Integrated3Process:3Communication3and3Documentation3KEY:3Rapid3Response3Team
3 (RRT),3Clinical 3judgment
MSC:3Client3Needs3Category:3Physiological3Integrity:3Physiological3Adaptation
4. A3nurse3wishes3to 3provide3client-
centered3care3in 3all 3interactions.3Which3action3by3the 3nurse3best3demonstrates3this3concept?
a. Assesses3for3cultural3influences3affecting3health3care.
b. Ensures3that3all3the3client’s3basic3needs3are3met.
c. Tells3the3client3and3family3about3all3upcoming3tests.
d. Thoroughly3orients3the3client3and 3family 3to 3the 3room.
3ANS;A
Showing3respect3for3the 3client3and 3family’s 3preferences3and3needs3is 3essential3to3ensure3a 3holistic3or 3“whole-
3person”3approach3to 3care.3By 3assessing 3the3effect3of3the3client’s3culture3on 3health3care, 3this3nurse3is 3practicing 3
client-
focused3care.3Providing3for3basic3needs3does3not 3demonstrate3this 3competence.3Simply 3telling3the 3client3about3al
l3upcoming 3tests3is 3not 3providing3empowering3education.3Orienting3the3client3and 3family 3to 3the 3room3is 3an 3import
ant3safety3measure,3but3not3directly3related3to3demonstrating3client-centered3care.
DIF: Understanding TOP:3Integrated3Process:3Culture3and3Spirituality3KEY:3Client-
centered3care,3Culture3 MSC:3Client3Needs3Category: 3Psychosocial3Integrity
5. A3client3is 3going3to 3be 3admitted 3for 3a 3scheduled3surgical3procedure.3Which3action3does3the 3nurse3explai
n3 is3the3most 3important3thing3the3client3can3do3to3protect3against3errors?
a. Bring3a3list3of3all3medications3and3what3they3are3for.
b. Keep3the3provider’s3phone3number3by3the3telephone.
, c. Make3sure3that3all3providers3wash3hands3before3entering3the3room.
d. Write3down3the3name 3of 3each 3caregiver3who3comes 3in 3the 3room
.3ANS;A
Medication3reconciliation3is3a 3formal 3process3in 3which3the3client’s3actual3current3medications3are3compared3to 3t
he3prescribed3medications3at3the 3time 3of 3admission, 3transfer,3or3discharge.3This 3National3client3Safety3Goal 3is3 i
mportant3to 3reduce3medication3errors.3 The3client 3would3not 3have3to 3be 3responsible3for3providers3washing3their3h
ands,3and3even3if3the3client3does3so,3this3is3too3narrow3to3be3the3most3important3action3to3prevent3errors.
Keeping3the3provider’s3phone3number3nearby3and3documenting3everyone3who3enters3the3room3also3do3not
guarantee3safety.
DIF:
Applying3TOP:3Integrated3Process:3 Teaching/Learning 3KEY:3Client3safety,3Informatic
s3MSC:3Client3Needs3Category:3Safe3and 3Effective3Care3Environment:3Safety3and3Infection3Con
trol
6. Which3action3by3the3nurse3working3with3a3client3best3demonstrates3respect3for3autonomy?
a. Asks3if3the3client3has3questions3before3signing3a3consent.
b. Gives3the3client3accurate3information3when3questioned.
c. Keeps3the3promises3made3to3the3client3and3family.
d. Treats3the 3client3fairly3compared3to 3other3clients.
3ANS;A
Autonomy3is3self-
determination.3The 3client 3would3make 3decisions3regarding3care.3When3the3nurse 3obtains3a 3signature3on3the 3co
nsent3form, 3assessing3if3the 3client3still 3has3questions3is 3vital,3because3without3full 3information3 the3client3cannot
3practice 3autonomy.3Giving 3accurate3information 3is3practicing 3with 3veracity.3Keeping3promises3is 3upholding3fid
elity.3Treating3the3client3fairly3is3providing3social3justice.
DIF: Applying3TOP:3Integrated3Process:3Caring
KEY:3Ethics,3Autonomy3MSC: 3Client3Needs3Category:3Safe3 and3Effective3Care3Environment:3 Manage
ment3of3Care
7. A3nurse3asks 3a 3more 3seasoned3colleague3to3explain3best3practices3when3communicating3with3a 3person
3from 3 the3lesbian,3gay, 3bisexual,3transgender,3and3questioning/queer 3(LGBTQ)3community.3What3answer3by 3the 3
faculty3is3most3accurate?
a. Avoid3embarrassing3the3client3by3asking3questions.
b. Don’t3make3assumptions3about3his3or3her3health3needs.
c. Most3LGBTQ3people3do3not3want3to3share3information.
d. No3differences3exist3in3communicating3with3this 3population.
3ANS;B
Many3 members 3of 3the3LGBTQ 3community 3have3faced3discrimination3from3health 3care3providers3and3 may 3be3rel
uctant3to3seek3health 3care.3 The 3nurse3would3never3 make3assumptions3about3the3needs3of 3 members 3of3this 3pop
ulation.3Rather,3respectful3questions3are3appropriate.3If3approached3with3sensitivity,3the3client3with3any 3health3c
are3need3is3 more3likely3to3answer3honestly.
