Test Bank Medical Surgical Nursing,Concepts for Interprofessional
p p p p p p
pCollaborativeCare 9thEdition by IGNATAVICIUS
p p p p p
TEST BANK FOR MEDICAL SURGICAL :CONCEPTS
p p p p p
p FORINTERPROFFESSIONAL COLLABORATIVE CARE 9TH
p p p p
p EDITIONIGNATAVICIUS ALL CHAPTERS. p p
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional
p p p p p p
CollaborativeCare 9thEdition by IGNATAVICIUS
p p p p p p
Chapter 01: Overview of Professional Nursing Concepts for Medical-
p p p p p p p p
SurgicalNursing
p p
MULTIPLE CHOICE p
1. A nurse wishes to provide client-centered care in all interactions. Which
p p p p p p p p p p
p actionby thenurse best demonstrates this concept?
p p p p p p
a. Assesses for cultural influences affecting health care
p p p p p p
b. Ensures that all the clients basic needs are metp p p p p p p pp
c. Tells the client and family about all upcoming tests
p p p p p p p p
d. Thoroughly orients the client and family to the room p p p p p p p p
ANS: A p
Competency in client-focused care is demonstrated when the nursefocuses on
p p p p p p p p p
communication, culture, respect compassion, client education, and empowerment. By
p p p p p p p p p
assessing the effect of the clients culture on health care, this nurse is practicing client-
p p p p p p p p p p p p p p p
focused care. Providing for basic needs does not demonstrate this competence. Simply
p p p p p p p p p p p p
telling the client about all upcoming tests isnot providing empowering education.
p p p p p p p p p p p
Orienting the client andfamily to theroom is
p p p p p p
animportantsafetymeasure, butnotdirectlyrelatedtodemonstratingclient-
p p
centered care.
p p
DIF: Understanding/Comprehension REF: 3
p p p
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client
p p p p p p p p p
p NeedsCategory: Psychosocial Integrity
p p p
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood
p p p p p p p p p p p p p p
pressurewas 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What
p p p p p p p p p p p p p p
p action by the nurse isbest?
p p p p
a. Call the Rapid Response Team.
p p p p
b. Document and continue to monitor. p p p p
c. Notify the primary care provider. p p p p
d. Repeat blood pressure measurement in 15 minutes.
p p p p p p
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional
p p p p p p
pCollaborativeCare 9thEdition by IGNATAVICIUS p p p p p
ANS: A p
The purpose of the Rapid Response Team (RRT) is to intervene when clients
p p p p pp p p p p p p p
p aredeterioratingbefore they suffereitherrespiratoryorcardiacarrest.
p p p
Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes p p p p p
p inblood pressure, mental status, heart rate, and pain are particularly significant.
p p p p p p p p p p p
Documentation is vital, but the nursemust do more than document. The primary
p p p p p p p p p p p
p care provider should be notified, but thisis not the priority over calling the RRT. The
p p p p p p p p p p p p p p
p clientsblood pressure should
p p p
be reassessed frequently, but the priority is getting the rapid care to theclient.
p p p p p p p p p p p p
DIF: Applying/Application REF: 3
p p p
KEY: Rapid Response Team (RRT)| medical emergencies MSC:
p p p p p p p
p IntegratedProcess:Communication and Documentation
p p p p
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
p p p p p p p
3. A nurse is orienting a new client and family to the inpatient unit. What
p p p p p p p p p p p p p
p information doesthe nurse provide to help the client promote his or her own safety?
p p p p p p p p p p p p p
a. Encourage the client and family to be active partners. p p p p p p p p
b. Have the client monitor hand hygiene in caregivers.
p p p p p p p
c. Offer the family the opportunity to stay with the client.
p p p p p p p p p
d. Tell the client to always wear his or her armband.
p p p p p pp p p p
ANS: A p
Each action could be important for the client or family to perform. However,
p p p p p p p p p p p p
p encouraging the client to be active in his or her health care as a partner is the
p p p p p p p p p p p p p p p p
p most critical. The other actions are very limited in scope and do not provide the broad
p p p p p p p p p p p p p p p
p protection that beingactive and involveddoes.
p p p p p
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
p p p p p p
, Test Bank Medical Surgical Nursing,Concepts for Interprofessional
p p p p p p
pCollaborativeCare 9thEdition by IGNATAVICIUS p p p p p
MSC: Integrated Process: Teaching/Learning
p p p
NOT: Client Needs Category: Safe and Effective Care Environment: Safety
p p p p p p p p p
p andInfectionControl
p p
4. A new nurse is working with a preceptor on an inpatientmedical-surgical
p p p p p p p p p p
p unit.The preceptor advises the student that which is the priority when working as a
p p p p p p p p p p p p p p
p professionalnurse?
a. Attending to holistic client needs p p p p
b. Ensuring client safety p p
c. Not making medication errors
p p p
d. Providing client-focused care p p
ANS: B p
All actions are appropriate for the professional nurse. However, ensuring client
p p p p p p p p p p
p safety is the priority. Up to 98,000 deaths result each year from errors in
p p p p p p p p p p p p p
p hospital care, accordingto the 2000 Institute of Medicine report. Many more
p p p p p p p p p p p
p clients have suffered injuries and less serious outcomes.Every nurse has the
p p p p p p p p p p p
p responsibility to guard the clients safety. p p p p p
DIF: Understanding/Comprehension REF: 2 KEY: Patient
p p p p p
p safetyMSC: Integrated Process: Nursing Process: p p p p
p Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety
p p p p p p p p p
p andInfectionControl
p p
5. A client is going to be admitted for a scheduled surgical procedure. Which
p p p p p p p p p p p p
paction doesthe nurse explain is the most important thing the client can do to
p p p p p p p p p p p p p
pprotectagainsterrors? p
a. Bring a list of all medications and what they are for.
p p p p p p p p p p
b. Keep the doctors phone number by the telephone.
p p p p p p p
c. Make sure all providers wash hands before entering the room.
p p p p p p p p p
d. Write down the name of each caregiver who comes in the room.
p p p p p p p p p p p
ANS: A p
p p p p p p
pCollaborativeCare 9thEdition by IGNATAVICIUS
p p p p p
TEST BANK FOR MEDICAL SURGICAL :CONCEPTS
p p p p p
p FORINTERPROFFESSIONAL COLLABORATIVE CARE 9TH
p p p p
p EDITIONIGNATAVICIUS ALL CHAPTERS. p p
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional
p p p p p p
CollaborativeCare 9thEdition by IGNATAVICIUS
p p p p p p
Chapter 01: Overview of Professional Nursing Concepts for Medical-
p p p p p p p p
SurgicalNursing
p p
MULTIPLE CHOICE p
1. A nurse wishes to provide client-centered care in all interactions. Which
p p p p p p p p p p
p actionby thenurse best demonstrates this concept?
p p p p p p
a. Assesses for cultural influences affecting health care
p p p p p p
b. Ensures that all the clients basic needs are metp p p p p p p pp
c. Tells the client and family about all upcoming tests
p p p p p p p p
d. Thoroughly orients the client and family to the room p p p p p p p p
ANS: A p
Competency in client-focused care is demonstrated when the nursefocuses on
p p p p p p p p p
communication, culture, respect compassion, client education, and empowerment. By
p p p p p p p p p
assessing the effect of the clients culture on health care, this nurse is practicing client-
p p p p p p p p p p p p p p p
focused care. Providing for basic needs does not demonstrate this competence. Simply
p p p p p p p p p p p p
telling the client about all upcoming tests isnot providing empowering education.
p p p p p p p p p p p
Orienting the client andfamily to theroom is
p p p p p p
animportantsafetymeasure, butnotdirectlyrelatedtodemonstratingclient-
p p
centered care.
p p
DIF: Understanding/Comprehension REF: 3
p p p
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client
p p p p p p p p p
p NeedsCategory: Psychosocial Integrity
p p p
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood
p p p p p p p p p p p p p p
pressurewas 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What
p p p p p p p p p p p p p p
p action by the nurse isbest?
p p p p
a. Call the Rapid Response Team.
p p p p
b. Document and continue to monitor. p p p p
c. Notify the primary care provider. p p p p
d. Repeat blood pressure measurement in 15 minutes.
p p p p p p
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional
p p p p p p
pCollaborativeCare 9thEdition by IGNATAVICIUS p p p p p
ANS: A p
The purpose of the Rapid Response Team (RRT) is to intervene when clients
p p p p pp p p p p p p p
p aredeterioratingbefore they suffereitherrespiratoryorcardiacarrest.
p p p
Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes p p p p p
p inblood pressure, mental status, heart rate, and pain are particularly significant.
p p p p p p p p p p p
Documentation is vital, but the nursemust do more than document. The primary
p p p p p p p p p p p
p care provider should be notified, but thisis not the priority over calling the RRT. The
p p p p p p p p p p p p p p
p clientsblood pressure should
p p p
be reassessed frequently, but the priority is getting the rapid care to theclient.
p p p p p p p p p p p p
DIF: Applying/Application REF: 3
p p p
KEY: Rapid Response Team (RRT)| medical emergencies MSC:
p p p p p p p
p IntegratedProcess:Communication and Documentation
p p p p
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
p p p p p p p
3. A nurse is orienting a new client and family to the inpatient unit. What
p p p p p p p p p p p p p
p information doesthe nurse provide to help the client promote his or her own safety?
p p p p p p p p p p p p p
a. Encourage the client and family to be active partners. p p p p p p p p
b. Have the client monitor hand hygiene in caregivers.
p p p p p p p
c. Offer the family the opportunity to stay with the client.
p p p p p p p p p
d. Tell the client to always wear his or her armband.
p p p p p pp p p p
ANS: A p
Each action could be important for the client or family to perform. However,
p p p p p p p p p p p p
p encouraging the client to be active in his or her health care as a partner is the
p p p p p p p p p p p p p p p p
p most critical. The other actions are very limited in scope and do not provide the broad
p p p p p p p p p p p p p p p
p protection that beingactive and involveddoes.
p p p p p
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
p p p p p p
, Test Bank Medical Surgical Nursing,Concepts for Interprofessional
p p p p p p
pCollaborativeCare 9thEdition by IGNATAVICIUS p p p p p
MSC: Integrated Process: Teaching/Learning
p p p
NOT: Client Needs Category: Safe and Effective Care Environment: Safety
p p p p p p p p p
p andInfectionControl
p p
4. A new nurse is working with a preceptor on an inpatientmedical-surgical
p p p p p p p p p p
p unit.The preceptor advises the student that which is the priority when working as a
p p p p p p p p p p p p p p
p professionalnurse?
a. Attending to holistic client needs p p p p
b. Ensuring client safety p p
c. Not making medication errors
p p p
d. Providing client-focused care p p
ANS: B p
All actions are appropriate for the professional nurse. However, ensuring client
p p p p p p p p p p
p safety is the priority. Up to 98,000 deaths result each year from errors in
p p p p p p p p p p p p p
p hospital care, accordingto the 2000 Institute of Medicine report. Many more
p p p p p p p p p p p
p clients have suffered injuries and less serious outcomes.Every nurse has the
p p p p p p p p p p p
p responsibility to guard the clients safety. p p p p p
DIF: Understanding/Comprehension REF: 2 KEY: Patient
p p p p p
p safetyMSC: Integrated Process: Nursing Process: p p p p
p Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety
p p p p p p p p p
p andInfectionControl
p p
5. A client is going to be admitted for a scheduled surgical procedure. Which
p p p p p p p p p p p p
paction doesthe nurse explain is the most important thing the client can do to
p p p p p p p p p p p p p
pprotectagainsterrors? p
a. Bring a list of all medications and what they are for.
p p p p p p p p p p
b. Keep the doctors phone number by the telephone.
p p p p p p p
c. Make sure all providers wash hands before entering the room.
p p p p p p p p p
d. Write down the name of each caregiver who comes in the room.
p p p p p p p p p p p
ANS: A p
