Concepts For Interprofessional Collaborative Care
10th Edition Ignatavicius Workman Rebar
Heimargartner Medical Surgical Nursing Test Bank
Chapter |01: |Overview |of |Professional |Nursing |Concepts |for |Medical-Surgical |Nursing
|Ignatavicius: |Medical-Surgical |Nursing, |10th |Edition
MULTIPLE |CHOICE
1. A |nurse |working |on |a |cardiac |unit |delegated |taking |vital |signs |to |an |experienced
assistive |personnel |(AP). |Four |hours |later, |the |nurse |notes |that |the |client‘s |blood
|pressure |taken |by |the |AP |was |much |higher |than |previous |readings, |and |the |client‘s
|mental |status |has |changed. |What |action |by |the |nurse |would |most |likely |have
|prevented |this |negative |outcome?
a. Determining |if |the |AP |knew |how |to |take |blood |pressure
b. Double-checking |the |AP |by |taking |another |blood |pressure
c. Providing |more |appropriate |supervision |of |the |AP
d. Taking |the |blood |pressure |instead |of |delegating |the
task |ANS: |C
|
Supervision |is |one |of |the |five |rights |of |delegation |and |includes |directing, |evaluating, |and
|following |up |on |delegated |tasks. |The |nurse |would |either |have |asked |the |AP |about |the
|vital |signs |or |instructed |the |AP |to |report |them |right |away. |An |experienced |AP |would
|know |how |to |take |vital |signs |and |the |nurse |would |not |have |to |assess |this |at |this
|point. |Double- |checking |the |work |defeats |the |purpose |of |delegation. |Vital |signs |are
|within |the |scope |of |practice |for |a |AP |and |are |permissible |to |delegate. |The |only
|appropriate |answer |is |that |the |nurse |did |not |provide |adequate |instruction |to |the |AP.
DIF: Analyzing TOP: |Integrated |Process: |Communication |and |Documentation
|KEY: |Teamwork |and |collaboration, |Delegation
MSC: |Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Management |of |Care
,2 | A |newly |graduated |nurse |in |the |hospital |states |that |because |of |being |so |new,
|participation |in |quality |improvement |(QI) |projects |is |not |wise. |What |response |by |the
|precepting |nurse |is |best?
a. ―All |staff |nurses |are |required |to |participate |in |quality |improvement |here.‖
b. ―Even |being |new, |you |can |implement |activities |designed |to |improve |care.‖
c. ―It‘s |easy |to |identify |what |indicators |would |be |used |to |measure |quality.‖
d. ―You |should |ask |to |be |assigned |to |the |research |and |quality
committee.‖ |ANS: |B
|
The |preceptor |would |try |to |reassure |the |nurse |that |implementing |QI |measures |is |not
|out |of |line |for |a |newly |licensed |nurse. |Simply |stating |that |all |nurses |are |required
|to |participate |does |not |help |the |nurse |understand |how |that |is |possible |and |is
|dismissive. |Identifying |indicators |of |quality |is |not |an |easy, |quick |process |and |would
|not |be |the |best |place |to |suggest |a |new |nurse |to |start. |Asking |to |be |assigned |to
|the |QI |committee |does |not |give |the |nurse |information |about |how |to |implement |QI
|in |daily |practice.
DIF: Applying TOP: |Integrated |Process: |Communication |and |Documentation
KEY: |Systems |thinking, |Quality |improvement
MSC: |Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Management |of |Care
3. A |nurse |is |talking |with |a |co-worker |who |is |moving |to |a |new |state |and |needs
|to |find |new |employment |there. |What |advice |by |the |nurse |is |best?
a. Ask |the |hospitals |there |about |standard |nurse–client |ratios.
b. Choose |the |hospital |that |has |the |newest |technology.
c. Find |a |hospital |that |has |achieved |Magnet |status.
d. Work |in |a |facility |affiliated |with |a |medical |or |nursing
school. |ANS: |C
|
Client |Magnet |status |is |awarded |by |The |Joint |Commission |(TJC) |and |certifies |that
|nurses |can |demonstrate |how |best |current |evidence |guides |their |practice. |New
|technology |doesn‘t |necessarily |mean |that |the |hospital |is |safe. |Affiliation |with |a
|health |profession |school |has |several |advantages, |but |safety |is |most |important.
,DIF: Understanding
TOP: |Integrated |Process: |Communication |and |Documentation |KEY: |Evidence-based
|practice, |Magnet |status
MSC: |Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Safety |and |Infection
4. Which |action |by |the |nurse |working |with |a |client |best |demonstrates |respect |for |autonomy?
a. Asks |if |the |client |has |questions |before |signing |a |consent.
b. Gives |the |client |accurate |information |when |questioned.
c. Keeps |the |promises |made |to |the |client |and |family.
d. Treats |the |client |fairly |compared |to |other
clients. |ANS: |A
|
Autonomy |is |self-determination. |The |client |would |make |decisions |regarding |care.
|When |the |nurse |obtains |a |signature |on |the |consent |form, |assessing |if |the |client
|still |has |questions |is |vital, |because |without |full |information |the |client |cannot
|practice |autonomy. |Giving |accurate |information |is |practicing |with |veracity. |Keeping
|promises |is |upholding |fidelity. |Treating |the |client |fairly |is |providing |social |justice.
DIF: Applying TOP: |Integrated |Process: |Caring KEY: |Ethics, |Autonomy |MSC:
|Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Management |of
|Care
5. A |nurse |asks |a |more |seasoned |colleague |to |explain |best |practices |when
|communicating |with |a |person |from |the |lesbian, |gay, |bisexual, |transgender, |and
|questioning/queer |(LGBTQ) |community. |What |answer |by |the |faculty |is |most
|accurate?
a. Avoid |embarrassing |the |client |by |asking |questions.
b. Don‘t |make |assumptions |about |his |or |her |health |needs.
c. Most |LGBTQ |people |do |not |want |to |share |information.
d. No |differences |exist |in |communicating |with |this |population.
, ANS: |B
Many |members |of |the |LGBTQ |community |have |faced |discrimination |from |health |care
|providers |and |may |be |reluctant |to |seek |health |care. |The |nurse |would |never |make
|assumptions |about |the |needs |of |members |of |this |population. |Rather, |respectful
|questions |are |appropriate. |If |approached |with |sensitivity, |the |client |with |any |health
|care |need |is |more |likely |to |answer |honestly.
DIF: Understanding TOP: |Integrated |Process: |Teaching/Learning
KEY: |Health |care |disparities, |LGBTQ | | MSC: |Client |Needs |Category: |Psychosocial |Integrity
6 A |nurse |is |calling |the |on-call |health |care |provider |about |a |client |who |had |a
|
|hysterectomy |2 |days |ago |and |has |pain |that |is |unrelieved |by |the |prescribed |opioid
|pain |medication. |Which |statement |comprises |the |background |portion |of |the |SBAR
|format |for |communication?
a. ―I |would |like |you |to |order |a |different |pain |medication.‖
b. ―This |client |has |allergies |to |morphine |and |codeine.‖
c. ―Dr. |Smith |doesn‘t |like |nonsteroidal |anti-inflammatory |meds.‖
d. ―This |client |had |a |vaginal |hysterectomy |2 |days
ago.‖ |ANS: |B
|
7. A |new |nurse |is |working |with |a |preceptor |on |a |medical-surgical |unit. |The |preceptor
|advises |the |new |nurse |that |which |is |the |priority |when |working |as |a |professional
|nurse?
a. Attending |to |holistic |client |needs
b. Ensuring |client |safety
c. Not |making |medication |errors
d. Providing |client-focused |care
ANS: |B
|
All |actions |are |appropriate |for |the |professional |nurse. |However, |ensuring |client |safety |is
|the |priority. |Health |care |errors |have |been |widely |reported |for |25 |years, |many |of
|which |result
10th Edition Ignatavicius Workman Rebar
Heimargartner Medical Surgical Nursing Test Bank
Chapter |01: |Overview |of |Professional |Nursing |Concepts |for |Medical-Surgical |Nursing
|Ignatavicius: |Medical-Surgical |Nursing, |10th |Edition
MULTIPLE |CHOICE
1. A |nurse |working |on |a |cardiac |unit |delegated |taking |vital |signs |to |an |experienced
assistive |personnel |(AP). |Four |hours |later, |the |nurse |notes |that |the |client‘s |blood
|pressure |taken |by |the |AP |was |much |higher |than |previous |readings, |and |the |client‘s
|mental |status |has |changed. |What |action |by |the |nurse |would |most |likely |have
|prevented |this |negative |outcome?
a. Determining |if |the |AP |knew |how |to |take |blood |pressure
b. Double-checking |the |AP |by |taking |another |blood |pressure
c. Providing |more |appropriate |supervision |of |the |AP
d. Taking |the |blood |pressure |instead |of |delegating |the
task |ANS: |C
|
Supervision |is |one |of |the |five |rights |of |delegation |and |includes |directing, |evaluating, |and
|following |up |on |delegated |tasks. |The |nurse |would |either |have |asked |the |AP |about |the
|vital |signs |or |instructed |the |AP |to |report |them |right |away. |An |experienced |AP |would
|know |how |to |take |vital |signs |and |the |nurse |would |not |have |to |assess |this |at |this
|point. |Double- |checking |the |work |defeats |the |purpose |of |delegation. |Vital |signs |are
|within |the |scope |of |practice |for |a |AP |and |are |permissible |to |delegate. |The |only
|appropriate |answer |is |that |the |nurse |did |not |provide |adequate |instruction |to |the |AP.
DIF: Analyzing TOP: |Integrated |Process: |Communication |and |Documentation
|KEY: |Teamwork |and |collaboration, |Delegation
MSC: |Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Management |of |Care
,2 | A |newly |graduated |nurse |in |the |hospital |states |that |because |of |being |so |new,
|participation |in |quality |improvement |(QI) |projects |is |not |wise. |What |response |by |the
|precepting |nurse |is |best?
a. ―All |staff |nurses |are |required |to |participate |in |quality |improvement |here.‖
b. ―Even |being |new, |you |can |implement |activities |designed |to |improve |care.‖
c. ―It‘s |easy |to |identify |what |indicators |would |be |used |to |measure |quality.‖
d. ―You |should |ask |to |be |assigned |to |the |research |and |quality
committee.‖ |ANS: |B
|
The |preceptor |would |try |to |reassure |the |nurse |that |implementing |QI |measures |is |not
|out |of |line |for |a |newly |licensed |nurse. |Simply |stating |that |all |nurses |are |required
|to |participate |does |not |help |the |nurse |understand |how |that |is |possible |and |is
|dismissive. |Identifying |indicators |of |quality |is |not |an |easy, |quick |process |and |would
|not |be |the |best |place |to |suggest |a |new |nurse |to |start. |Asking |to |be |assigned |to
|the |QI |committee |does |not |give |the |nurse |information |about |how |to |implement |QI
|in |daily |practice.
DIF: Applying TOP: |Integrated |Process: |Communication |and |Documentation
KEY: |Systems |thinking, |Quality |improvement
MSC: |Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Management |of |Care
3. A |nurse |is |talking |with |a |co-worker |who |is |moving |to |a |new |state |and |needs
|to |find |new |employment |there. |What |advice |by |the |nurse |is |best?
a. Ask |the |hospitals |there |about |standard |nurse–client |ratios.
b. Choose |the |hospital |that |has |the |newest |technology.
c. Find |a |hospital |that |has |achieved |Magnet |status.
d. Work |in |a |facility |affiliated |with |a |medical |or |nursing
school. |ANS: |C
|
Client |Magnet |status |is |awarded |by |The |Joint |Commission |(TJC) |and |certifies |that
|nurses |can |demonstrate |how |best |current |evidence |guides |their |practice. |New
|technology |doesn‘t |necessarily |mean |that |the |hospital |is |safe. |Affiliation |with |a
|health |profession |school |has |several |advantages, |but |safety |is |most |important.
,DIF: Understanding
TOP: |Integrated |Process: |Communication |and |Documentation |KEY: |Evidence-based
|practice, |Magnet |status
MSC: |Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Safety |and |Infection
4. Which |action |by |the |nurse |working |with |a |client |best |demonstrates |respect |for |autonomy?
a. Asks |if |the |client |has |questions |before |signing |a |consent.
b. Gives |the |client |accurate |information |when |questioned.
c. Keeps |the |promises |made |to |the |client |and |family.
d. Treats |the |client |fairly |compared |to |other
clients. |ANS: |A
|
Autonomy |is |self-determination. |The |client |would |make |decisions |regarding |care.
|When |the |nurse |obtains |a |signature |on |the |consent |form, |assessing |if |the |client
|still |has |questions |is |vital, |because |without |full |information |the |client |cannot
|practice |autonomy. |Giving |accurate |information |is |practicing |with |veracity. |Keeping
|promises |is |upholding |fidelity. |Treating |the |client |fairly |is |providing |social |justice.
DIF: Applying TOP: |Integrated |Process: |Caring KEY: |Ethics, |Autonomy |MSC:
|Client |Needs |Category: |Safe |and |Effective |Care |Environment: |Management |of
|Care
5. A |nurse |asks |a |more |seasoned |colleague |to |explain |best |practices |when
|communicating |with |a |person |from |the |lesbian, |gay, |bisexual, |transgender, |and
|questioning/queer |(LGBTQ) |community. |What |answer |by |the |faculty |is |most
|accurate?
a. Avoid |embarrassing |the |client |by |asking |questions.
b. Don‘t |make |assumptions |about |his |or |her |health |needs.
c. Most |LGBTQ |people |do |not |want |to |share |information.
d. No |differences |exist |in |communicating |with |this |population.
, ANS: |B
Many |members |of |the |LGBTQ |community |have |faced |discrimination |from |health |care
|providers |and |may |be |reluctant |to |seek |health |care. |The |nurse |would |never |make
|assumptions |about |the |needs |of |members |of |this |population. |Rather, |respectful
|questions |are |appropriate. |If |approached |with |sensitivity, |the |client |with |any |health
|care |need |is |more |likely |to |answer |honestly.
DIF: Understanding TOP: |Integrated |Process: |Teaching/Learning
KEY: |Health |care |disparities, |LGBTQ | | MSC: |Client |Needs |Category: |Psychosocial |Integrity
6 A |nurse |is |calling |the |on-call |health |care |provider |about |a |client |who |had |a
|
|hysterectomy |2 |days |ago |and |has |pain |that |is |unrelieved |by |the |prescribed |opioid
|pain |medication. |Which |statement |comprises |the |background |portion |of |the |SBAR
|format |for |communication?
a. ―I |would |like |you |to |order |a |different |pain |medication.‖
b. ―This |client |has |allergies |to |morphine |and |codeine.‖
c. ―Dr. |Smith |doesn‘t |like |nonsteroidal |anti-inflammatory |meds.‖
d. ―This |client |had |a |vaginal |hysterectomy |2 |days
ago.‖ |ANS: |B
|
7. A |new |nurse |is |working |with |a |preceptor |on |a |medical-surgical |unit. |The |preceptor
|advises |the |new |nurse |that |which |is |the |priority |when |working |as |a |professional
|nurse?
a. Attending |to |holistic |client |needs
b. Ensuring |client |safety
c. Not |making |medication |errors
d. Providing |client-focused |care
ANS: |B
|
All |actions |are |appropriate |for |the |professional |nurse. |However, |ensuring |client |safety |is
|the |priority. |Health |care |errors |have |been |widely |reported |for |25 |years, |many |of
|which |result
