10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapteroo01:ooOverviewooofooProfessionalooNursingooConceptsooforooMedical-
SurgicalooNursingooIgnatavicius:ooMedical-SurgicalooNursing,oo10thooEdition
MULTIPLEooCHOICE
1. Aoonewoonurseooisooworkingoowithooaoopreceptorooonooaoomedical-
surgicaloounit.ooTheoopreceptorooadvisesootheoonewoonurseoothatoowhichooisootheoopriorityoo
whenooworkingooasooaooprofessionaloonurse?
a. Attendingootoooholisticooclientooneeds
b. Ensuringooclientoosafety
c. Notoomakingoomedicationooerrors
d. Providingooclient-focusedoocare
CORRECTooANSWER:o o B
Allooactionsooareooappropriateooforootheooprofessionaloonurse.ooHowever,ooensuringooclientoos
afetyooisootheoopriority.ooHealthoocareooerrorsoohaveoobeenoowidelyooreportedooforoo25ooyears
,oomanyooofoowhichooresultooinooclientooinjury,oodeath,ooandooincreasedoohealthoocareoocosts.o
oThereooareooseveraloonationalooandoointernationalooorganizationsoothatoohaveooeitherooreco
mmendedoooroomandatedoosafetyooinitiatives.
Everyoonurseoohasootheooresponsibilityootoooguardootheooclient’soosafety.ooTheoootherooaction
sooareooimportantooforooqualityoonursing,oobutootheyooareoonotooasoovitalooasooprovidingoosafe
ty.ooNotoomakingoomedicationooerrorsoodoesooprovideoosafety,oobutooisootoooonarrowooinoosc
opeootooobeootheoobestooanswer.
DIF: Understanding
TOP:o o IntegratedooProcess:ooNursingooProcess:ooInterventionooKEY:ooClientoosafety
MSC:o o ClientooNeedsooCategory:ooSafeooandooEffectiveooCareooEnvironment:ooSafetyooandooInfectionoo
Control
2. Aoonurseooisooorientingooaoonewooclientooandoofamilyootoootheoomedical-
surgicaloounit.ooWhatooinformationoodoesootheoonurseooprovideootooobestoohelpootheooclie
ntoopromoteoohisooorooherooownoosafety?
a. Encourageootheooclientooandoofamilyootooobeooactiveoopartners.
b. Haveootheooclientoomonitoroohandoohygieneooinoocaregivers.
c. Offerootheoofamilyootheooopportunityootooostayoowithootheooclient.
, d. Tellootheooclientootoooalwaysoowearoohisooorooherooarmband.
CORRECTooANSWER:o o A
Eachooactionoocouldoobeooimportantooforootheooclientoooroofamilyootoooperform.ooHowever,oo
encouragingootheooclientootooobeooactiveooinoohisooorooheroohealthoocareooasooaoosafetyoopart
nerooisootheoomostoocritical.ooTheoootherooactionsooareooveryoolimitedooinooscopeooandoodooon
otooprovideootheoobroadooprotectionoothatoobeingooactiveooandooinvolvedoodoes.
DIF: Understanding
TOP:ooIntegratedooProcess:ooTeaching/LearningooKEY:ooClientoosafety
MSC:o o ClientooNeedsooCategory:ooSafeooandooEffectiveooCareooEnvironment:ooSafetyooandooInfectionoo
Control
3. Aoonurseooisoocaringooforooaoopostoperativeooclientooonootheoosurgicaloounit.ooTheooclient’so
obloodoopressureoowasoo142/76oommooHgoo30oominutesooago,ooandoonowooisoo88/50oommo
oHg.ooWhatooactionoowouldootheoonurseootakeoofirst?
a. CallootheooRapidooResponseooTeam.
b. Documentooandoocontinueootooomonitor.
c. Notifyootheooprimaryoohealthoocareooprovider.
d. Repeatootheoobloodoopressureooinoo15oominutes.
, CORRECTooANSWER:o o A
TheoopurposeooofootheooRapidooResponseooTeamoo(RRT)ooisootooointerveneoowhenooclientsooar
eoodeterioratingoobeforeootheyoosufferooeitheroorespiratoryoooroocardiacooarrest.ooSinceootheo
oclientoohasoomanifestedooaoosignificantoochange,ootheoonurseoowouldoocallootheooRRT.ooChan
gesooinoobloodoopressure,oomentaloostatus,ooheartoorate,ootemperature,oooxygenoosaturation,
ooandoolastoo2oohours’oourineoooutputooareooparticularlyoosignificantooandooareoopartooofoothe
ooModifiedooEarlyooWarningooSystemooguide.ooDocumentationooisoovital,oobutootheoonurseoom
ustoodooomoreoothanoodocument.ooTheooprimaryoohealthoocareooprovideroowouldoobeoonotifi
ed,oobutoothisooisoonotoomoreooimportantoothanoocallingootheooRRT.ooTheooclient’soobloodoopr
essureoowouldoobeooreassessedoofrequently,oobutootheoopriorityooisoogettingootheoorapidoocar
eootoootheooclient.
DIF: Applying
TOP:o o IntegratedooProcess:ooCommunicationooandooDocumentationooKEY:oo
RapidooResponseooTeamoo(RRT),ooClinicaloojudgment
MSC:o o ClientooNeedsooCategory:ooPhysiologicalooIntegrity:ooPhysiologicalooAdaptation
4. Aoonurseoowishesootoooprovideooclient-
centeredoocareooinooalloointeractions.ooWhichooactionoobyootheoonurse
bestoodemonstratesoothisooconcept?
a. Assessesooforooculturalooinfluencesooaffectingoohealthoocare.
b. Ensuresoothatooallootheooclient’soobasicooneedsooareoomet.
c. Tellsootheooclientooandoofamilyooaboutooallooupcomingootests.
d. Thoroughlyooorientsootheooclientooandoofamilyootoootheooroom.
CORRECTooANSWER:o o A
Showingoorespectooforootheooclientooandoofamily’soopreferencesooandooneedsooisooessentialoot
oooensureooaooholisticoooroo“whole-
person”ooapproachootooocare.ooByooassessingootheooeffectooofootheooclient’soocultureooonoohe
althoocare,oothisoonurseooisoopracticingooclient-
focusedoocare.ooProvidingooforoobasicooneedsoodoesoonotoodemonstrateoothisoocompetence.oo
Simplyootellingootheooclientooaboutooallooupcomingootestsooisoonotooprovidingooempoweringoo
education.ooOrientingootheooclientooandoofamilyootoootheooroomooisooanooimportantoosafetyoo
measure,oobutoonotoodirectlyoorelatedootooodemonstratingooclient-centeredoocare.
DIF: Understanding
TOP:ooIntegratedooProcess:ooCultureooandooSpiritualityooKEY:o o Client-
centeredoocare,ooCulture