TEST BANK for Medical-Surgical Nursing: Concepts
for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74
,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing
MULTIPLE CHOICE
1. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best
demonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
CORRECT ANSWER: A
Competency in client-focused care is demonstrated when the nurse focuses on communication, culture, respect
compassion, client education, and empowerment. By assessing the effect of the clients culture on health care,
this nurse is practicing client-focused care. Providing for basic needs does not demonstrate this competence.
Simply telling the client about all upcoming tests is not providing empowering education. Orienting the client
and family to the room is an important safety measure, but not directly related to demonstrating client-centered
care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring
NOT: Client Needs Category: Psychosocial Integrity
2. Ajknursejkisjkcaringjkforjkajkpostoperativejkclientjkonjkthejksurgicaljkunit.jkThejkclientsjkbloodjkpressurejkwasj
k142/76jkmmjkHgjk30jkminutesjkago,jkandjknowjkisjk88/50jkmmjkHg.jkWhatjkactionjkbyjkthejknursejkisjkbest
?
a. Calljk thejkRapidjk Responsejk Team.
b. Documentjk andjkcontinuejk tojk monitor.
c. Notifyjkthejk primaryjk carejkprovider.
d. Repeatjk bloodjk pressurejk measurementjk injk 15jk minutes.
CORRECTjkANSWER:jk A
ThejkpurposejkofjkthejkRapidjkResponsejkTeamjk(RRT)jkisjktojkintervenejkwhenjkclientsjkarejkdeterioratingjk
beforejktheyjksufferjkeitherjkrespiratoryjkorjkcardiacjkarrest.jkSincejkthejkclientjkhasjkmanifestedjkajksignificantjkch
ange,jkthejknursejkshouldjkcalljkthejkRRT.jkChangesjkinjkbloodjkpressure,jkmentaljkstatus,jkheartjkrate,jkandjkpa
injkarejkparticularlyjksignificant.
Documentationjkisjkvital,jkbutjkthejknursejkmustjkdojkmorejkthanjkdocument.jkThejkprimaryjkcarejkproviderj
kshouldjkbejknotified,jkbutjkthisjkisjknotjkthejkpriorityjkoverjkcallingjkthejkRRT.jkThejkclientsjkbloodjkpressur
ejkshouldjkbejkreassessedjkfrequently,jkbutjkthejkpriorityjkisjkgettingjkthejkrapidjkcarejktojkthejkclient.
for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74
,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing
MULTIPLE CHOICE
1. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best
demonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
CORRECT ANSWER: A
Competency in client-focused care is demonstrated when the nurse focuses on communication, culture, respect
compassion, client education, and empowerment. By assessing the effect of the clients culture on health care,
this nurse is practicing client-focused care. Providing for basic needs does not demonstrate this competence.
Simply telling the client about all upcoming tests is not providing empowering education. Orienting the client
and family to the room is an important safety measure, but not directly related to demonstrating client-centered
care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring
NOT: Client Needs Category: Psychosocial Integrity
2. Ajknursejkisjkcaringjkforjkajkpostoperativejkclientjkonjkthejksurgicaljkunit.jkThejkclientsjkbloodjkpressurejkwasj
k142/76jkmmjkHgjk30jkminutesjkago,jkandjknowjkisjk88/50jkmmjkHg.jkWhatjkactionjkbyjkthejknursejkisjkbest
?
a. Calljk thejkRapidjk Responsejk Team.
b. Documentjk andjkcontinuejk tojk monitor.
c. Notifyjkthejk primaryjk carejkprovider.
d. Repeatjk bloodjk pressurejk measurementjk injk 15jk minutes.
CORRECTjkANSWER:jk A
ThejkpurposejkofjkthejkRapidjkResponsejkTeamjk(RRT)jkisjktojkintervenejkwhenjkclientsjkarejkdeterioratingjk
beforejktheyjksufferjkeitherjkrespiratoryjkorjkcardiacjkarrest.jkSincejkthejkclientjkhasjkmanifestedjkajksignificantjkch
ange,jkthejknursejkshouldjkcalljkthejkRRT.jkChangesjkinjkbloodjkpressure,jkmentaljkstatus,jkheartjkrate,jkandjkpa
injkarejkparticularlyjksignificant.
Documentationjkisjkvital,jkbutjkthejknursejkmustjkdojkmorejkthanjkdocument.jkThejkprimaryjkcarejkproviderj
kshouldjkbejknotified,jkbutjkthisjkisjknotjkthejkpriorityjkoverjkcallingjkthejkRRT.jkThejkclientsjkbloodjkpressur
ejkshouldjkbejkreassessedjkfrequently,jkbutjkthejkpriorityjkisjkgettingjkthejkrapidjkcarejktojkthejkclient.
