TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chaptert01:tOverviewtoftProfessionaltNursingtConceptstfortMedical-
SurgicaltNursingtIgnatavicius:tMedical-SurgicaltNursing,t10thtEdition
MULTIPLEtCHOICE
1. Atnewtnursetistworkingtwithtatpreceptortontatmedical-
surgicaltunit.tThetpreceptortadvisestthetnewtnursetthattwhichtistthetprioritytwhentworkingtastat
professionaltnurse?
a. Attendingttotholistictclienttneeds
b. Ensuringtclienttsafety
c. Nottmakingtmedicationterrors
d. Providingtclient-focusedtcare
CORRECTtANSWER:t B
Alltactionstaretappropriatetfortthetprofessionaltnurse.tHowever,tensuringtclienttsafetytistthetpri
ority.tHealthtcareterrorsthavetbeentwidelytreportedtfort25tyears,tmanytoftwhichtresulttintclientti
njury,tdeath,tandtincreasedthealthtcaretcosts.tTheretaretseveraltnationaltandtinternationaltorga
nizationstthatthaveteithertrecommendedtortmandatedtsafetytinitiatives.
Everytnursethastthetresponsibilityttotguardtthetclient’stsafety.tThetothertactionstaretimportanttf
ortqualitytnursing,tbutttheytaretnottastvitaltastprovidingtsafety.tNottmakingtmedicationterrorstd
oestprovidetsafety,tbuttisttootnarrowtintscopettotbetthetbesttanswer.
DIF: Understanding
TOP:t IntegratedtProcess:tNursingtProcess:tInterventiontKEY:tClienttsafety
MSC:t ClienttNeedstCategory:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControl
2. Atnursetistorientingtatnewtclienttandtfamilyttotthetmedical-
surgicaltunit.tWhattinformationtdoestthetnursetprovidettotbestthelptthetclienttpromotethisto
rthertowntsafety?
a. Encouragetthetclienttandtfamilyttotbetactivetpartners.
b. Havetthetclienttmonitorthandthygienetintcaregivers.
c. Offertthetfamilytthetopportunityttotstaytwithtthetclient.
d. Telltthetclientttotalwaystwearthistorthertarmband.
CORRECTtANSWER:t A
, Eachtactiontcouldtbetimportanttfortthetclienttortfamilyttotperform.tHowever,tencouragingtthetcl
ientttotbetactivetinthistortherthealthtcaretastatsafetytpartnertistthetmosttcritical.tThetothertaction
staretverytlimitedtintscopetandtdotnottprovidetthetbroadtprotectiontthattbeingtactivetandtinvolv
edtdoes.
DIF: Understanding
TOP:tIntegratedtProcess:tTeaching/LearningtKEY:tClienttsafety
MSC:t ClienttNeedstCategory:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControl
3. Atnursetistcaringtfortatpostoperativetclienttontthetsurgicaltunit.tThetclient’stbloodtpressuretw
ast142/76tmmtHgt30tminutestago,tandtnowtist88/50tmmtHg.tWhattactiontwouldtthetnursettak
etfirst?
a. CalltthetRapidtResponsetTeam.
b. Documenttandtcontinuettotmonitor.
c. Notifytthetprimarythealthtcaretprovider.
d. Repeattthetbloodtpressuretint15tminutes.
, CORRECTtANSWER:t A
ThetpurposetoftthetRapidtResponsetTeamt(RRT)tisttotintervenetwhentclientstaretdeterioratingtb
eforettheytsufferteithertrespiratorytortcardiactarrest.tSincetthetclientthastmanifestedtatsignifica
nttchange,tthetnursetwouldtcalltthetRRT.tChangestintbloodtpressure,tmentaltstatus,thearttrate,tt
emperature,toxygentsaturation,tandtlastt2thours’turinetoutputtaretparticularlytsignificanttandta
retparttoftthetModifiedtEarlytWarningtSystemtguide.tDocumentationtistvital,tbuttthetnursetmust
t dotmoretthantdocument.tThetprimarythealthtcaretprovidertwouldtbetnotified,tbuttthististnottm
oretimportanttthantcallingtthetRRT.tThetclient’stbloodtpressuretwouldtbetreassessedtfrequently
,tbuttthetprioritytistgettingtthetrapidtcarettotthetclient.
DIF: Applying
TOP:t IntegratedtProcess:tCommunicationtandtDocumentationtKEY:tRapidtRes
ponsetTeamt(RRT),tClinicaltjudgment
MSC:t ClienttNeedstCategory:tPhysiologicaltIntegrity:tPhysiologicaltAdaptation
4. Atnursetwishesttotprovidetclient-centeredtcaretintalltinteractions.tWhichtactiontbytthetnurse
besttdemonstratestthistconcept?
a. Assessestfortculturaltinfluencestaffectingthealthtcare.
b. Ensurestthattalltthetclient’stbasictneedstaretmet.
c. Tellstthetclienttandtfamilytabouttalltupcomingttests.
d. Thoroughlytorientstthetclienttandtfamilyttotthetroom.
CORRECTtANSWER:t A
Showingtrespecttfortthetclienttandtfamily’stpreferencestandtneedstistessentialttotensuretatholist
ictort“whole-
person”tapproachttotcare.tBytassessingttheteffecttoftthetclient’stculturetonthealthtcare,tthistnur
setistpracticingtclient-
focusedtcare.tProvidingtfortbasictneedstdoestnottdemonstratetthistcompetence.tSimplyttellingtt
hetclienttabouttalltupcomingtteststistnottprovidingtempoweringteducation.tOrientingtthetclientt
andtfamilyttotthetroomtistantimportanttsafetytmeasure,tbuttnottdirectlytrelatedttotdemonstrati
ngtclient-centeredtcare.
DIF: Understanding
TOP:tIntegratedtProcess:tCulturetandtSpiritualitytKEY:t Client-centeredtcare,tCulture
MSC:t ClienttNeedstCategory:tPsychosocialtIntegrity
5. Atclienttistgoingttotbetadmittedtfortatscheduledtsurgicaltprocedure.tWhichtactiontdoestthet
nursetexplaintistthetmosttimportanttthingtthetclienttcantdottotprotecttagainstterrors?
a. Bringtatlisttoftalltmedicationstandtwhatttheytaretfor.
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chaptert01:tOverviewtoftProfessionaltNursingtConceptstfortMedical-
SurgicaltNursingtIgnatavicius:tMedical-SurgicaltNursing,t10thtEdition
MULTIPLEtCHOICE
1. Atnewtnursetistworkingtwithtatpreceptortontatmedical-
surgicaltunit.tThetpreceptortadvisestthetnewtnursetthattwhichtistthetprioritytwhentworkingtastat
professionaltnurse?
a. Attendingttotholistictclienttneeds
b. Ensuringtclienttsafety
c. Nottmakingtmedicationterrors
d. Providingtclient-focusedtcare
CORRECTtANSWER:t B
Alltactionstaretappropriatetfortthetprofessionaltnurse.tHowever,tensuringtclienttsafetytistthetpri
ority.tHealthtcareterrorsthavetbeentwidelytreportedtfort25tyears,tmanytoftwhichtresulttintclientti
njury,tdeath,tandtincreasedthealthtcaretcosts.tTheretaretseveraltnationaltandtinternationaltorga
nizationstthatthaveteithertrecommendedtortmandatedtsafetytinitiatives.
Everytnursethastthetresponsibilityttotguardtthetclient’stsafety.tThetothertactionstaretimportanttf
ortqualitytnursing,tbutttheytaretnottastvitaltastprovidingtsafety.tNottmakingtmedicationterrorstd
oestprovidetsafety,tbuttisttootnarrowtintscopettotbetthetbesttanswer.
DIF: Understanding
TOP:t IntegratedtProcess:tNursingtProcess:tInterventiontKEY:tClienttsafety
MSC:t ClienttNeedstCategory:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControl
2. Atnursetistorientingtatnewtclienttandtfamilyttotthetmedical-
surgicaltunit.tWhattinformationtdoestthetnursetprovidettotbestthelptthetclienttpromotethisto
rthertowntsafety?
a. Encouragetthetclienttandtfamilyttotbetactivetpartners.
b. Havetthetclienttmonitorthandthygienetintcaregivers.
c. Offertthetfamilytthetopportunityttotstaytwithtthetclient.
d. Telltthetclientttotalwaystwearthistorthertarmband.
CORRECTtANSWER:t A
, Eachtactiontcouldtbetimportanttfortthetclienttortfamilyttotperform.tHowever,tencouragingtthetcl
ientttotbetactivetinthistortherthealthtcaretastatsafetytpartnertistthetmosttcritical.tThetothertaction
staretverytlimitedtintscopetandtdotnottprovidetthetbroadtprotectiontthattbeingtactivetandtinvolv
edtdoes.
DIF: Understanding
TOP:tIntegratedtProcess:tTeaching/LearningtKEY:tClienttsafety
MSC:t ClienttNeedstCategory:tSafetandtEffectivetCaretEnvironment:tSafetytandtInfectiontControl
3. Atnursetistcaringtfortatpostoperativetclienttontthetsurgicaltunit.tThetclient’stbloodtpressuretw
ast142/76tmmtHgt30tminutestago,tandtnowtist88/50tmmtHg.tWhattactiontwouldtthetnursettak
etfirst?
a. CalltthetRapidtResponsetTeam.
b. Documenttandtcontinuettotmonitor.
c. Notifytthetprimarythealthtcaretprovider.
d. Repeattthetbloodtpressuretint15tminutes.
, CORRECTtANSWER:t A
ThetpurposetoftthetRapidtResponsetTeamt(RRT)tisttotintervenetwhentclientstaretdeterioratingtb
eforettheytsufferteithertrespiratorytortcardiactarrest.tSincetthetclientthastmanifestedtatsignifica
nttchange,tthetnursetwouldtcalltthetRRT.tChangestintbloodtpressure,tmentaltstatus,thearttrate,tt
emperature,toxygentsaturation,tandtlastt2thours’turinetoutputtaretparticularlytsignificanttandta
retparttoftthetModifiedtEarlytWarningtSystemtguide.tDocumentationtistvital,tbuttthetnursetmust
t dotmoretthantdocument.tThetprimarythealthtcaretprovidertwouldtbetnotified,tbuttthististnottm
oretimportanttthantcallingtthetRRT.tThetclient’stbloodtpressuretwouldtbetreassessedtfrequently
,tbuttthetprioritytistgettingtthetrapidtcarettotthetclient.
DIF: Applying
TOP:t IntegratedtProcess:tCommunicationtandtDocumentationtKEY:tRapidtRes
ponsetTeamt(RRT),tClinicaltjudgment
MSC:t ClienttNeedstCategory:tPhysiologicaltIntegrity:tPhysiologicaltAdaptation
4. Atnursetwishesttotprovidetclient-centeredtcaretintalltinteractions.tWhichtactiontbytthetnurse
besttdemonstratestthistconcept?
a. Assessestfortculturaltinfluencestaffectingthealthtcare.
b. Ensurestthattalltthetclient’stbasictneedstaretmet.
c. Tellstthetclienttandtfamilytabouttalltupcomingttests.
d. Thoroughlytorientstthetclienttandtfamilyttotthetroom.
CORRECTtANSWER:t A
Showingtrespecttfortthetclienttandtfamily’stpreferencestandtneedstistessentialttotensuretatholist
ictort“whole-
person”tapproachttotcare.tBytassessingttheteffecttoftthetclient’stculturetonthealthtcare,tthistnur
setistpracticingtclient-
focusedtcare.tProvidingtfortbasictneedstdoestnottdemonstratetthistcompetence.tSimplyttellingtt
hetclienttabouttalltupcomingtteststistnottprovidingtempoweringteducation.tOrientingtthetclientt
andtfamilyttotthetroomtistantimportanttsafetytmeasure,tbuttnottdirectlytrelatedttotdemonstrati
ngtclient-centeredtcare.
DIF: Understanding
TOP:tIntegratedtProcess:tCulturetandtSpiritualitytKEY:t Client-centeredtcare,tCulture
MSC:t ClienttNeedstCategory:tPsychosocialtIntegrity
5. Atclienttistgoingttotbetadmittedtfortatscheduledtsurgicaltprocedure.tWhichtactiontdoestthet
nursetexplaintistthetmosttimportanttthingtthetclienttcantdottotprotecttagainstterrors?
a. Bringtatlisttoftalltmedicationstandtwhatttheytaretfor.
