TEST BANK For Medical-Surgical Nursing
| | | | |
10th Edition Concepts for Interprofessional
| | | |
Collaborative Care, by Donna D. Ignatavicius,
| | | | | | |
All chapters 1 – 69
| | | |
,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
CORRECT |ANSWER: | 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 |client’s |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.
CORRECT |ANSWER: | 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.
|
DIF: Understanding TOP: |Integrated |Process: |Teaching/Learning
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 |client’s |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.
, 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 |would |call |the |RRT. |Changes |in |blood |pressure,
|
mental |status, |heart |rate, |temperature, |oxygen |saturation, |and |last |2 |hours’ |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
|
client’s |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 |client’s |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
Showing |respect |for |the |client |and |family’s |preferences |and |needs |is |essential |to |ensure |a
holistic |or |“whole-person” |approach |to |care. |By |assessing |the |effect |of |the |client’s |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 |provider’s |phone |number |by |the |telephone.
| | | | |
10th Edition Concepts for Interprofessional
| | | |
Collaborative Care, by Donna D. Ignatavicius,
| | | | | | |
All chapters 1 – 69
| | | |
,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
CORRECT |ANSWER: | 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 |client’s |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.
CORRECT |ANSWER: | 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.
|
DIF: Understanding TOP: |Integrated |Process: |Teaching/Learning
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 |client’s |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.
, 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 |would |call |the |RRT. |Changes |in |blood |pressure,
|
mental |status, |heart |rate, |temperature, |oxygen |saturation, |and |last |2 |hours’ |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
|
client’s |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 |client’s |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
Showing |respect |for |the |client |and |family’s |preferences |and |needs |is |essential |to |ensure |a
holistic |or |“whole-person” |approach |to |care. |By |assessing |the |effect |of |the |client’s |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 |provider’s |phone |number |by |the |telephone.
