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CONCEPTS FOR CLINICAL JUDGEMENT AND CO
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Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
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InterprofessionalNursing Concepts for Medical-
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Surgical Nursing MULTIPLE CHOICE
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1. A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse bestdemo
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nstrates this concept? w# w#
a. Assesses for cultural influences affecting health care
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b. Ensures that all the clients basic needs are met
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c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room
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ANS: A w#
Competency in client- w# w#
focused care is demonstrated when the nurse focuses on communication, culture, re
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spect compassion, client education, and empowerment. By assessing the effect of th
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e clients culture on health care, this nurse is practicing client-
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focused care. Providing for basic needs does not demonstrate this competence. Sim
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ply telling the client about all upcoming tests is not providing empowering educatio
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n.
Orienting the client and family to the room is an important safety measure, but no
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t directly related to demonstrating client-centered care.
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DIF: Understanding/Comprehension REF: 3
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KEY: Patient- w#
centered care| culture MSC: Integrated Process: Cari
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ngNOT: Client Needs Category: w# w# w#
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2. A nurse is caring for a postoperative client on the surgical unit. The clients blo
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od pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. Wh
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at action by the nurse is best?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. w# w# w# w#
c. Notify the primary care provider.
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d. Repeat blood pressure measurement in 15 minutes.
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ANS: A w#
The purpose of the Rapid Response Team (RRT) is to intervene when clie
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