NURSING:CONCEPTS FOR CLINICAL JUDGEMENT
AND COLLABORATIVE CARE 11TH EDITION
IGNATAVICIUS
,TESTBANK
,Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative
l o l o l o l o l o l o l o l o 2
Chapter 01: Overview of Professional Nursing Concepts for Medical- l o l o l o l o l o l o l o l o
Surgical Nursing MULTIPLE CHOICE l o lo l o
1. A nurse wishes to provide client-
l o l o l o l o l o
centered care in all interactions. Which action by the nurse bestde l o l o l o l o lo l o l o l o l o l o
monstrates this concept? l o l o
a. Assesses for cultural influences affecting health care l o l o l o l o l o l o
b. Ensures that all the clients basic needs are met l o l o l o l o l o l o l o l o
c. Tells the client and family about all upcoming tests
l o l o l o l o l o l o l o l o
d. Thoroughly orients the client and family to the room l o l o l o l o l o l o l o l o
ANS: A l o
Competency in client- l o l o
focused care is demonstrated when the nurse focuses on communication, culture,
l o l o l o l o l o l o l o l o lo l o
l o respect compassion, client education, and empowerment. By assessing the effect
l o l o l o l o l o lo l o l o l o l
o of the clients culture on health care, this nurse is practicing client-
l o l o l o l o l o l o l o l o l o l o l o
l o focused care. Providing for basic needs does not demonstrate this competence. l o l o l o l o l o l o l o l o l o l o l o
Simply telling the client about all upcoming tests is not providing empowering e
l o l o l o l o l o l o l o l o l o l o l o l o
ducation.
Orienting the client and family to the room is an important safety measure, but l o l o l o l o l o l o l o l o l o l o l o l o l o lo
not directly related to demonstrating client-centered care.
l o l o l o l o l o l o
DIF: Understanding/Comprehension REF: 3
l o l o l o
KEY: Patient- l o
centered care| culture MSC: Integrated Process: Ca l o l o l o l o lo l o
ringNOT: Client Needs Category: l o l o l o
Psychosocial Integrity l o
2. A nurse is caring for a postoperative client on the surgical unit. The clients
l o l o l o l o l o l o l o l o l o l o l o l o l o l
o blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm
l o l o l o l o l o l o l o l o l o l o l o l o l o l
o Hg. What action by the nurse is best?
l o l o l o l o l o l o l o
a. Call the Rapid Response Team. l o l o l o l o
b. Document and continue to monitor. l o l o l o l o
c. Notify the primary care provider. l o l o l o l o
d. Repeat blood pressure measurement in 15 minutes. l o l o l o l o l o l o
ANS: A l o
, Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative
l o l o l o l o l o l o l o l o 3
The purpose of the Rapid Response Team (RRT)
l o l o l o l o l o l o l o
is to intervene when c
l o l o l o lo
lients are deteriorating before they suffer either respiratory or cardiac arrest. S
l o l o l o l o l o l o l o l o l o l o lo
ince the client has manifested a significant change, the nurse should call t
l o l o l o l o l o l o l o l o l o l o l o l o
he