Chapter 1 Concepts and Trends in Healthcare
◦ A new nurse is working with a preceptor on an inpatient medical-surgical unit.
The preceptor advises the student that which is the priority when working as a
professional nurse?
◦ Attending to holistic client needs
◦ 내 Stuvia
Ensuring client safety상점에 오신 것을 환영합니다. 여기서는 학업 여정에서 탁월함과 편리함이
만납니다. 저는 시험에서 탁월한 성적을 거두도록 세심하게 제작된 고품질
◦ Not making medication errors
테스트뱅크를 제공하는 데 특화되어 있습니다. 각 테스트뱅크는 포괄적이며, 모든
◦ Providing 주요client-주제를 다루며 상세한 설명, 다중 선택 질문, 실제 시험 조건을 반영한 연습
focused care시나리오를 포함합니다.
ANS: B 왜 내 테스트뱅크를 선택해야 할까요? 신뢰할 수 있는 자료에서 추출되었으며, 최신
◦ All커리큘럼
actions are변경 appropriate
사항을for the professional
반영하도록 정기적으로 nurse. However
업데이트되며, , 해당 분야의 전문가들이
ensuring client safety is the priority. Up to 98,000 deaths
설계했습니다. 간호학, 비즈니스, 공학 또는 다른 분야를 공부 중이든, 자신감을 result each year from errors
in hospital care, according
높이고 성과를 to the 2000 Institute of
향상시키는 Medicine
맞춤형 자원을 report.
찾을 Many more clients
수 있습니다.
have suffered injuries and less serious outcomes.
평범한 학습 도구에 만족하지 마세요. 결과를 가져다주는 품질에 Every nurse has the responsibility to 투자하세요. 오늘 제
guard the clients safety.
컬렉션을 둘러보고 학업 성공을 향한 첫걸음을 내디뎌보세요. 즉시 다운로드와
저렴한 가격으로 시험 준비가 이렇게 쉬운 적은 없었습니다. (152 글자, 대략
◦ DIF: Understanding/Comprehension REF: 2
150단어相当)
KEY: Patient safety MSC: Integrated Process: Nursing
)תיאור חנות הסטוביה שלי (עברית
Process: Intervention
אני מתמחה. שבה מצוינות פוגשת נוחות במסע האקדמי שלכם,כים הבאים לחנות הסטוביה שלי
◦ NOT: Client Needs Category: Safe and Effective Care
כל מאגר. שנוצרו בקפידה כדי לעזור לכם להצליח בבחינות,תן מאגרי מבחנים איכותיים במיוחד
Environment: Safety and Infection Control
ברירה- שאלות רב, מכסה את כל הנושאים המרכזיים עם הסברים מפורטים,מבחנים הוא מקיף
◦ A nurse is .אמיתיים
orienting בחינה שמשקפים תנאי
a new client and familyתרגול
to the ותרחישי
inpatient unit. What
informationלשקףdoes כדי קבועprovide
the nurse מעודכנים באופן ,אמינים
to help the מחומריםhis
client promote נלקחים
or herהם
own?ה לבחור במאגרי המבחנים שלי
safety? ,סיעוד לומדים אתם אם בין .בתחום מומחים ידי על ומעוצבים ,הלימודים נויים עדכניים בתוכנית
◦ Encourage הביטחון
the clientאתandשמעלים אישית
family to מותאמים
be active תמצאו משאבים, הנדסה או כל דיסציפלינה אחרת,עסקים
partners.
.והביצועים שלכם
◦ Have the client monitor hand hygiene in caregivers.
גלשו באוסף שלי היום ועשו את. השקיעו באיכות שמביאה תוצאות.תסתפקו בכלי לימוד בינוניים
◦ Offer the family the opportunity
מעולם לא ההכנה לבחינותto stay with ומחירים
,נוחים the client. עם הורדות מיידיות.הצעד הראשון להצלחה אקדמית
◦ הייתה
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 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/Comprehension REF: 3
KEY: Patient safety MSC: Integrated Process: Teaching/
Learning
◦ NOT: Client Needs Category: Safe and Effective Care
,Environment: Safety and Infection Control
◦ A nurse is caring for a postoperative client on the surgical unit. The clients blood
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What
action by the nurse is best?
◦ Call the Rapid Response Team.
◦ Document and continue to monitor.
◦ Notify the primary care provider.
◦ Repeat blood pressure measurement
in 15 minutes. 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 should call the RRT. Changes in
blood pressure, mental status, heart rate, and pain are particularly significant.
Documentation is vital, but the nurse must do more than document. The primary care
provider should be notified, but this is not the priority over calling the RRT. The
clients blood pressure should be reassessed frequently, but the priority is getting the
rapid care to the client.
◦ DIF: Applying/Application REF: 3
◦ KEY: Rapid Response Team (RRT)|
medical emergencies MSC: Integrated Process:
Communication and Documentation
◦ NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
◦
◦ A nurse wishes to provide client-centered care in all interactions. Which
action by the nurse best demonstrates this concept?
◦ Assesses for cultural influences affecting health care
◦ Ensures that all the clients basic needs are met
◦ Tells the client and family about all upcoming tests
◦ Thoroughly orients the client and
family to the room ANS: A
◦ Competency in client-focused care is demonstrated when the nurse
focuses on communication, culture, respect, compassion, client education, and
empowerment. By assessing the effect of the
◦
◦ clients 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/Comprehension REF: 3
, ◦ KEY: Patient-centered care| culture MSC:
Integrated Process: Caring NOT: Client Needs Category:
Psychosocial Integrity
◦ 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?
◦ Bring a list of all medications and what they are for.
◦ Keep the doctors phone number by the telephone.
◦ Make sure all providers wash hands before entering the room.
◦ Write down the name of each caregiver who
comes in the room. ANS: A
◦ Medication errors are the most common type of health care mistake.
The Joint Commissions Speak Up campaign encourages clients to help ensure their
safety. One recommendation is for clients to know all their medications and why they
take them. This will help prevent medication errors.
◦ DIF: Applying/Application REF: 4
◦ KEY: Speak Up campaign| patient safety MSC: Integrated
Process: Teaching/Learning NOT: Client Needs Category: Safe and Effective
Care Environment: Safety and Infection Control
◦ Which action by the nurse working with a client best demonstrates respect for
autonomy?
◦ Asks if the client has questions before signing a consent
◦ Gives the client accurate information when questioned
◦ Keeps the promises made to the client and family
◦ Treats the client fairly
compared to other clients
ANS: A
◦ Autonomy is self-determination. The client should 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/Application REF: 4
◦ KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
◦ NOT: Client Needs Category: Safe and Effective Care Environment: Management
of Care