1|Page
TIMBY’S INTRODUCTORY MEDICAL-SURGICAL
NURSING, 13TH EDITION: BY DONNELY-
MORENO: CHAPTERS 1-17: PDF: TEST BANK
,2|Page
,3|Page
, 4|Page
◦
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
◦ Ensuring\ client\ safety
◦ Not\ making\ medication\ errors
◦ Providing\client-\
focused\ care\
ANSWER:\ B
◦ All\ actions\ are\ appropriate\ for\ the\ professional\ nurse.\ However,\
ensuring\ client\ safety\ is\ the\ priority.\ Up\ to\ 98,000\ deaths\ result\ each\ year\ from\ errors\
in\ hospital\ care,\ according\ to\ the\ 2000\ Institute\ of\ Medicine\ report.\ Many\ more\ clients\
have\ suffered\ injuries\ and\ less\ serious\ outcomes.\ Every\ nurse\ has\ the\ responsibility\ to\
guard\ the\ clients\ safety.
◦ DIF:\Understanding/Comprehension\REF:\2\
KEY:\ Patient\ safety\ MSC:\ Integrated\ Process:\ Nursing\
Process:\ Intervention
◦ NOT:\ Client\ Needs\ Category:\ Safe\ and\ Effective\ Care\
Environment:\ Safety\ and\ Infection\ Control
◦ A\ nurse\ is\ orienting\ a\ new\ client\ and\ family\ to\ the\ inpatient\ unit.\ What\
information\ does\ the\ nurse\ provide\ to\ help\ the\ client\ promote\ his\ or\ her\ own\
safety?
◦ Encourage\ the\ client\ and\ family\ to\ be\ active\ partners.
◦ Have\ the\ client\ monitor\ hand\ hygiene\ in\ caregivers.
◦ Offer\ the\ family\ the\ opportunity\ to\ stay\ with\ the\ client.
◦ Tell\ the\ client\ to\ always\ wear\ his\or\
her\ armband.
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\ 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
TIMBY’S INTRODUCTORY MEDICAL-SURGICAL
NURSING, 13TH EDITION: BY DONNELY-
MORENO: CHAPTERS 1-17: PDF: TEST BANK
,2|Page
,3|Page
, 4|Page
◦
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
◦ Ensuring\ client\ safety
◦ Not\ making\ medication\ errors
◦ Providing\client-\
focused\ care\
ANSWER:\ B
◦ All\ actions\ are\ appropriate\ for\ the\ professional\ nurse.\ However,\
ensuring\ client\ safety\ is\ the\ priority.\ Up\ to\ 98,000\ deaths\ result\ each\ year\ from\ errors\
in\ hospital\ care,\ according\ to\ the\ 2000\ Institute\ of\ Medicine\ report.\ Many\ more\ clients\
have\ suffered\ injuries\ and\ less\ serious\ outcomes.\ Every\ nurse\ has\ the\ responsibility\ to\
guard\ the\ clients\ safety.
◦ DIF:\Understanding/Comprehension\REF:\2\
KEY:\ Patient\ safety\ MSC:\ Integrated\ Process:\ Nursing\
Process:\ Intervention
◦ NOT:\ Client\ Needs\ Category:\ Safe\ and\ Effective\ Care\
Environment:\ Safety\ and\ Infection\ Control
◦ A\ nurse\ is\ orienting\ a\ new\ client\ and\ family\ to\ the\ inpatient\ unit.\ What\
information\ does\ the\ nurse\ provide\ to\ help\ the\ client\ promote\ his\ or\ her\ own\
safety?
◦ Encourage\ the\ client\ and\ family\ to\ be\ active\ partners.
◦ Have\ the\ client\ monitor\ hand\ hygiene\ in\ caregivers.
◦ Offer\ the\ family\ the\ opportunity\ to\ stay\ with\ the\ client.
◦ Tell\ the\ client\ to\ always\ wear\ his\or\
her\ armband.
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\ 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
