2
,3
, 4
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
x xx x x x x x x x x
, 5
MULTIPLE CHOICE x
1. A nurse wishes to provide client-
x x x x x
centered care in all interactions. Which action by the nurse best demonstrat
x x x x x x x x x x x
es this concept?
x x
a. Assesses for cultural influences affecting health care x x x x x x
b. Ensures that all the clients basic needs are met x x x x x x x x
c. Tells the client and family about all upcoming tests
x x x x x x x x
d. Thoroughly orients the client and family to the room x x x x x x x x
ANS: A x
Rationale: Competency in client- x x x
focused care is demonstrated when the nurse focuses on communication, culture, respect c
x x x x x x x x x x x x
ompassion, client education, and empowerment. By assessing the effect of the clients cultu
x x x x x x x x x x x x
re on health care, this nurse is practicing client-
x x x x x x x x
x focused care. Providing for basic needs does not demonstrate this competence. Simply telli
x x x x x x x x x x x x
ng the client about all upcoming tests is not providing empowering education.
x x x x x x x x x x x
Orienting the client and family to the room is an important safety measure, but not directly
x x x x x x x x x x x x x x x x
related to demonstrating client-centered care.
x x x x
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pres
x x x x x x x x x x x x x x x
sure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the
x x x x x x x x x x x x x x x x x x
nurse is best? x x
a. Call the Rapid Response Team.
x x x x
b. Document and continue to monitor. x x x x
c. Notify the primary care provider. x x x x
d. Repeat blood pressure measurement in 15 minutes. x x x x x x
ANS: A x
Rationale: The purpose of the Rapid Response Team (RRT) is to intervene when client
x x x x x x x x x x x x x
s are deteriorating before they suffer either respiratory or cardiac arrest. Since the client ha
x x x x x x x x x x x x x x
s manifested a significant change, the nurse should call the RRT. Changes in blood pressur
x x x x x x x x x x x x x x
e, mental status, heart rate, and pain are particularly significant.
x x x x x x x x x
,3
, 4
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
x xx x x x x x x x x
, 5
MULTIPLE CHOICE x
1. A nurse wishes to provide client-
x x x x x
centered care in all interactions. Which action by the nurse best demonstrat
x x x x x x x x x x x
es this concept?
x x
a. Assesses for cultural influences affecting health care x x x x x x
b. Ensures that all the clients basic needs are met x x x x x x x x
c. Tells the client and family about all upcoming tests
x x x x x x x x
d. Thoroughly orients the client and family to the room x x x x x x x x
ANS: A x
Rationale: Competency in client- x x x
focused care is demonstrated when the nurse focuses on communication, culture, respect c
x x x x x x x x x x x x
ompassion, client education, and empowerment. By assessing the effect of the clients cultu
x x x x x x x x x x x x
re on health care, this nurse is practicing client-
x x x x x x x x
x focused care. Providing for basic needs does not demonstrate this competence. Simply telli
x x x x x x x x x x x x
ng the client about all upcoming tests is not providing empowering education.
x x x x x x x x x x x
Orienting the client and family to the room is an important safety measure, but not directly
x x x x x x x x x x x x x x x x
related to demonstrating client-centered care.
x x x x
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pres
x x x x x x x x x x x x x x x
sure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the
x x x x x x x x x x x x x x x x x x
nurse is best? x x
a. Call the Rapid Response Team.
x x x x
b. Document and continue to monitor. x x x x
c. Notify the primary care provider. x x x x
d. Repeat blood pressure measurement in 15 minutes. x x x x x x
ANS: A x
Rationale: The purpose of the Rapid Response Team (RRT) is to intervene when client
x x x x x x x x x x x x x
s are deteriorating before they suffer either respiratory or cardiac arrest. Since the client ha
x x x x x x x x x x x x x x
s manifested a significant change, the nurse should call the RRT. Changes in blood pressur
x x x x x x x x x x x x x x
e, mental status, heart rate, and pain are particularly significant.
x x x x x x x x x
