lOMoARcPSD|240 | 059
| 64
Test Bank For Medical-Surgical Nursing Concepts for
Inter professional Collaborative Care 10th Edition by
Donna Ignatavicius, 9780323612425, Chapter 1-69
Complete Questions and Answers A+
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
| | | | | | | | |
Ignatavicius: Medical-Surgical Nursing, 10th Edition
| | | | |
MULTIPLE |CHOICE
1. A |new |nurse |is |working |with |a |preceptor |on |a |medical-surgical |unit. |The |preceptor |advises |the
new |nurse |that |which |is |the |priority |when |working |as |a |professional |nurse?
|
a. Attending |to |holistic |client |needs
b. Ensuring |client |safety
c. Not |making |medication |errors
d. Providing |client-focused |care
ANS: | B
All |actions |are |appropriate |for |the |professional |nurse. |However, |ensuring |client |safety |is |the
|priority. |Health |care |errors |have |been |widely |reported |for |25 |years, |many |of |which |result |in
|client |injury, |death, |and |increased |health |care |costs. |There |are |several |national |and
|international |organizations |that |have |either |recommended |or |mandated |safety |initiatives.
Every |nurse |has |the |responsibility |to |guard |the |client9s |safety. |The |other |actions |are |important
|for |quality |nursing, |but |they |are |not |as |vital |as |providing |safety. |Not |making |medication |errors
|does |provide |safety, |but |is |too |narrow |in |scope |to |be |the |best |answer.
DIF: Understanding TOP: | Integrated |Process: |Nursing |Process: |Intervention
|KEY: |Client |safety
MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Safety |and |Infection |Control
2. A |nurse |is |orienting |a |new |client |and |family |to |the |medical-surgical |unit. |What |information
does |the |nurse |provide |to |best |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.
ANS: | A
Each |action |could |be |important |for |the |client |or |family |to |perform. |However, |encouraging |the
|client |to |be |active |in |his |or |her |health |care |as |a |safety |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.
, lOMoARcPSD|240 | 059
|
DIF: Understanding TOP: |Integrated |Process: |Teaching/Learning
64
|KEY: |Client |safety
MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Safety |and |Infection |Control
3. A |nurse |is |caring |for |a |postoperative |client |on |the |surgical |unit. |The |client9s |blood |pressure
|was |142/76 |mm |Hg |30 |minutes |ago, |and |now |is |88/50 |mm |Hg. |What |action |would |the |nurse
|take |first?
a. Call |the |Rapid |Response |Team.
b. Document |and |continue |to |monitor.
c. Notify |the |primary |health |care |provider.
d. Repeat |the |blood |pressure |in |15 |minutes.
, lOMoARcPSD|240 | 059
| 64
ANS: | 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 |would |call |the |RRT. |Changes |in |blood |pressure, |mental |status,
|heart |rate, |temperature, |oxygen |saturation, |and |last |2 |hours9 |urine |output |are |particularly
|significant |and |are |part |of |the |Modified |Early |Warning |System |guide. |Documentation |is |vital,
|but |the |nurse |must |do |more |than |document. |The |primary |health |care |provider |would |be |notified,
|but |this |is |not |more |important |than |calling |the |RRT. |The |client9s |blood |pressure |would |be
|reassessed |frequently, |but |the |priority |is |getting |the |rapid |care |to |the |client.
DIF: Applying TOP: | Integrated |Process: |Communication |and |Documentation
|KEY: |Rapid |Response |Team |(RRT), |Clinical |judgment
MSC: | Client |Needs |Category: |Physiological |Integrity: |Physiological |Adaptation
4. 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 |client9s |basic |needs |are |met.
c. Tells |the |client |and |family |about |all |upcoming |tests.
d. Thoroughly |orients |the |client |and |family |to |the |room.
ANS: | A
Showing |respect |for |the |client |and |family9s |preferences |and |needs |is |essential |to |ensure |a
|holistic |or |<whole-person= |approach |to |care. |By |assessing |the |effect |of |the |client9s |culture |on
|health |care, |this |nurse |is |practicing |client-focused |care. |Providing |for |basic |needs |does |not
|demonstrate |this |competence. |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 TOP: |Integrated |Process: |Culture |and |Spirituality
|KEY: | Client-centered |care, |Culture MSC: | Client |Needs |Category: |Psychosocial |Integrity
5. A |client |is |going |to |be |admitted |for |a |scheduled |surgical |procedure. |Which |action |does |the
nurse |explain |is |the |most |important |thing |the |client |can |do |to |protect |against |errors?
|
a. Bring |a |list |of |all |medications |and |what |they |are |for.
b. Keep |the |provider9s |phone |number |by |the |telephone.
c. Make |sure |that |all |providers |wash |hands |before |entering |the |room.
d. Write |down |the |name |of |each |caregiver |who |comes |in |the |room.
ANS: | A
Medication |reconciliation |is |a |formal |process |in |which |the |client9s |actual |current |medications |are
|compared |to |the |prescribed |medications |at |the |time |of |admission, |transfer, |or |discharge. |This
|National |client |Safety |Goal |is |important |to |reduce |medication |errors. |The |client |would |not |have
|to |be |responsible |for |providers |washing |their |hands, |and |even |if |the |client |does |so, |this |is |too
|narrow |to |be |the |most |important |action |to |prevent |errors. |Keeping |the |provider9s |phone |number
|nearby |and |documenting |everyone |who |enters |the |room |also |do |not |guarantee |safety.
DIF: Applying TOP: | Integrated |Process: |Teaching/Learning
|KEY: |Client |safety, |Informatics
MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Safety |and |Infection |Control
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| 64
6. Which |action |by |the |nurse |working |with |a |client |best |demonstrates |respect |for |autonomy?
a. Asks |if |the |client |has |questions |before |signing |a |consent.
b. Gives |the |client |accurate |information |when |questioned.
c. Keeps |the |promises |made |to |the |client |and |family.
d. Treats |the |client |fairly |compared |to |other |clients.
ANS: | A
Autonomy |is |self-determination. |The |client |would |make |decisions |regarding |care. |When |the
|nurse |obtains |a |signature |on |the |consent |form, |assessing |if |the |client |still |has |questions |is |vital,
|because |without |full |information |the |client |cannot |practice |autonomy. |Giving |accurate
|information |is |practicing |with |veracity. |Keeping |promises |is |upholding |fidelity. |Treating |the
|client |fairly |is |providing |social |justice.
DIF: Applying TOP: | Integrated |Process: |Caring KEY: |Ethics, |Autonomy
|MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Management |of |Care
7. A |nurse |asks |a |more |seasoned |colleague |to |explain |best |practices |when |communicating |with |a
person |from |the |lesbian, |gay, |bisexual, |transgender, |and |questioning/queer |(LGBTQ)
|
community. |What |answer |by |the |faculty |is |most |accurate?
|
a. Avoid |embarrassing |the |client |by |asking |questions.
b. Don9t |make |assumptions |about |his |or |her |health |needs.
c. Most |LGBTQ |people |do |not |want |to |share |information.
d. No |differences |exist |in |communicating |with |this |population.
ANS: | B
Many |members |of |the |LGBTQ |community |have |faced |discrimination |from |health |care |providers
|and |may |be |reluctant |to |seek |health |care. |The |nurse |would |never |make |assumptions |about |the
|needs |of |members |of |this |population. |Rather, |respectful |questions |are |appropriate. |If |approached
|with |sensitivity, |the |client |with |any |health |care |need |is |more |likely |to |answer |honestly.
DIF: Understanding TOP: | Integrated |Process: |Teaching/Learning
KEY: | Health |care |disparities, |LGBTQ MSC: | Client |Needs |Category: |Psychosocial |Integrity
8. A |nurse |is |calling |the |on-call |health |care |provider |about |a |client |who |had |a |hysterectomy |2
days |ago |and |has |pain |that |is |unrelieved |by |the |prescribed |opioid |pain |medication. |Which
|
statement |comprises |the |background |portion |of |the |SBAR |format |for |communication?
|
a. <I |would |like |you |to |order |a |different |pain |medication.=
b. <This |client |has |allergies |to |morphine |and |codeine.=
c. <Dr. |Smith | doesn9t |like |nonsteroidal | anti-inflammatory |meds.=
d. <This |client |had |a |vaginal |hysterectomy |2 |days |ago.=
ANS: | B
| 64
Test Bank For Medical-Surgical Nursing Concepts for
Inter professional Collaborative Care 10th Edition by
Donna Ignatavicius, 9780323612425, Chapter 1-69
Complete Questions and Answers A+
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
| | | | | | | | |
Ignatavicius: Medical-Surgical Nursing, 10th Edition
| | | | |
MULTIPLE |CHOICE
1. A |new |nurse |is |working |with |a |preceptor |on |a |medical-surgical |unit. |The |preceptor |advises |the
new |nurse |that |which |is |the |priority |when |working |as |a |professional |nurse?
|
a. Attending |to |holistic |client |needs
b. Ensuring |client |safety
c. Not |making |medication |errors
d. Providing |client-focused |care
ANS: | B
All |actions |are |appropriate |for |the |professional |nurse. |However, |ensuring |client |safety |is |the
|priority. |Health |care |errors |have |been |widely |reported |for |25 |years, |many |of |which |result |in
|client |injury, |death, |and |increased |health |care |costs. |There |are |several |national |and
|international |organizations |that |have |either |recommended |or |mandated |safety |initiatives.
Every |nurse |has |the |responsibility |to |guard |the |client9s |safety. |The |other |actions |are |important
|for |quality |nursing, |but |they |are |not |as |vital |as |providing |safety. |Not |making |medication |errors
|does |provide |safety, |but |is |too |narrow |in |scope |to |be |the |best |answer.
DIF: Understanding TOP: | Integrated |Process: |Nursing |Process: |Intervention
|KEY: |Client |safety
MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Safety |and |Infection |Control
2. A |nurse |is |orienting |a |new |client |and |family |to |the |medical-surgical |unit. |What |information
does |the |nurse |provide |to |best |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.
ANS: | A
Each |action |could |be |important |for |the |client |or |family |to |perform. |However, |encouraging |the
|client |to |be |active |in |his |or |her |health |care |as |a |safety |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.
, lOMoARcPSD|240 | 059
|
DIF: Understanding TOP: |Integrated |Process: |Teaching/Learning
64
|KEY: |Client |safety
MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Safety |and |Infection |Control
3. A |nurse |is |caring |for |a |postoperative |client |on |the |surgical |unit. |The |client9s |blood |pressure
|was |142/76 |mm |Hg |30 |minutes |ago, |and |now |is |88/50 |mm |Hg. |What |action |would |the |nurse
|take |first?
a. Call |the |Rapid |Response |Team.
b. Document |and |continue |to |monitor.
c. Notify |the |primary |health |care |provider.
d. Repeat |the |blood |pressure |in |15 |minutes.
, lOMoARcPSD|240 | 059
| 64
ANS: | 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 |would |call |the |RRT. |Changes |in |blood |pressure, |mental |status,
|heart |rate, |temperature, |oxygen |saturation, |and |last |2 |hours9 |urine |output |are |particularly
|significant |and |are |part |of |the |Modified |Early |Warning |System |guide. |Documentation |is |vital,
|but |the |nurse |must |do |more |than |document. |The |primary |health |care |provider |would |be |notified,
|but |this |is |not |more |important |than |calling |the |RRT. |The |client9s |blood |pressure |would |be
|reassessed |frequently, |but |the |priority |is |getting |the |rapid |care |to |the |client.
DIF: Applying TOP: | Integrated |Process: |Communication |and |Documentation
|KEY: |Rapid |Response |Team |(RRT), |Clinical |judgment
MSC: | Client |Needs |Category: |Physiological |Integrity: |Physiological |Adaptation
4. 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 |client9s |basic |needs |are |met.
c. Tells |the |client |and |family |about |all |upcoming |tests.
d. Thoroughly |orients |the |client |and |family |to |the |room.
ANS: | A
Showing |respect |for |the |client |and |family9s |preferences |and |needs |is |essential |to |ensure |a
|holistic |or |<whole-person= |approach |to |care. |By |assessing |the |effect |of |the |client9s |culture |on
|health |care, |this |nurse |is |practicing |client-focused |care. |Providing |for |basic |needs |does |not
|demonstrate |this |competence. |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 TOP: |Integrated |Process: |Culture |and |Spirituality
|KEY: | Client-centered |care, |Culture MSC: | Client |Needs |Category: |Psychosocial |Integrity
5. A |client |is |going |to |be |admitted |for |a |scheduled |surgical |procedure. |Which |action |does |the
nurse |explain |is |the |most |important |thing |the |client |can |do |to |protect |against |errors?
|
a. Bring |a |list |of |all |medications |and |what |they |are |for.
b. Keep |the |provider9s |phone |number |by |the |telephone.
c. Make |sure |that |all |providers |wash |hands |before |entering |the |room.
d. Write |down |the |name |of |each |caregiver |who |comes |in |the |room.
ANS: | A
Medication |reconciliation |is |a |formal |process |in |which |the |client9s |actual |current |medications |are
|compared |to |the |prescribed |medications |at |the |time |of |admission, |transfer, |or |discharge. |This
|National |client |Safety |Goal |is |important |to |reduce |medication |errors. |The |client |would |not |have
|to |be |responsible |for |providers |washing |their |hands, |and |even |if |the |client |does |so, |this |is |too
|narrow |to |be |the |most |important |action |to |prevent |errors. |Keeping |the |provider9s |phone |number
|nearby |and |documenting |everyone |who |enters |the |room |also |do |not |guarantee |safety.
DIF: Applying TOP: | Integrated |Process: |Teaching/Learning
|KEY: |Client |safety, |Informatics
MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Safety |and |Infection |Control
, lOMoARcPSD|240 | 059
| 64
6. Which |action |by |the |nurse |working |with |a |client |best |demonstrates |respect |for |autonomy?
a. Asks |if |the |client |has |questions |before |signing |a |consent.
b. Gives |the |client |accurate |information |when |questioned.
c. Keeps |the |promises |made |to |the |client |and |family.
d. Treats |the |client |fairly |compared |to |other |clients.
ANS: | A
Autonomy |is |self-determination. |The |client |would |make |decisions |regarding |care. |When |the
|nurse |obtains |a |signature |on |the |consent |form, |assessing |if |the |client |still |has |questions |is |vital,
|because |without |full |information |the |client |cannot |practice |autonomy. |Giving |accurate
|information |is |practicing |with |veracity. |Keeping |promises |is |upholding |fidelity. |Treating |the
|client |fairly |is |providing |social |justice.
DIF: Applying TOP: | Integrated |Process: |Caring KEY: |Ethics, |Autonomy
|MSC: | Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Management |of |Care
7. A |nurse |asks |a |more |seasoned |colleague |to |explain |best |practices |when |communicating |with |a
person |from |the |lesbian, |gay, |bisexual, |transgender, |and |questioning/queer |(LGBTQ)
|
community. |What |answer |by |the |faculty |is |most |accurate?
|
a. Avoid |embarrassing |the |client |by |asking |questions.
b. Don9t |make |assumptions |about |his |or |her |health |needs.
c. Most |LGBTQ |people |do |not |want |to |share |information.
d. No |differences |exist |in |communicating |with |this |population.
ANS: | B
Many |members |of |the |LGBTQ |community |have |faced |discrimination |from |health |care |providers
|and |may |be |reluctant |to |seek |health |care. |The |nurse |would |never |make |assumptions |about |the
|needs |of |members |of |this |population. |Rather, |respectful |questions |are |appropriate. |If |approached
|with |sensitivity, |the |client |with |any |health |care |need |is |more |likely |to |answer |honestly.
DIF: Understanding TOP: | Integrated |Process: |Teaching/Learning
KEY: | Health |care |disparities, |LGBTQ MSC: | Client |Needs |Category: |Psychosocial |Integrity
8. A |nurse |is |calling |the |on-call |health |care |provider |about |a |client |who |had |a |hysterectomy |2
days |ago |and |has |pain |that |is |unrelieved |by |the |prescribed |opioid |pain |medication. |Which
|
statement |comprises |the |background |portion |of |the |SBAR |format |for |communication?
|
a. <I |would |like |you |to |order |a |different |pain |medication.=
b. <This |client |has |allergies |to |morphine |and |codeine.=
c. <Dr. |Smith | doesn9t |like |nonsteroidal | anti-inflammatory |meds.=
d. <This |client |had |a |vaginal |hysterectomy |2 |days |ago.=
ANS: | B
