TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,07
MULTIPLE07CHOICE
1. A07new07nurse07is07working07with07a07preceptor07on07a07medical-
surgical07unit.07The07preceptor07advises07the07new07nurse07that07which07is07the07p
riority07when07working07as07a07professional07nurse?
a. Attending07to07holistic07client07needs
b. Ensuring07client07safety
c. Not07making07medication07errors
d. Providing07client-focused07care
CORRECT07ANSWER:07B
All07actions07are07appropriate07for07the07professional07nurse.07However,07ensuring07
client07safety07is07the07priority.07Health07care07errors07have07been07widely07reporte
d07for072507years,07many07of07which07result07in07client07injury,07death,07and07incre
ased07health07care07costs.07There07are07several07national07and07international07organ
izations07that07have07either07recommended07or07mandated07safety07initiatives.
Every07nurse07has07the07responsibility07to07guard07the07client’s07safety.07The07other
07actions07are07important07for07quality07nursing,07but07they07are07not07as07vital07a
s07providing07safety.07Not07making07medication07errors07does07provide07safety,07but
07is07too07narrow07in07scope07to07be07the07best07answer.
DIF: Understanding
TOP:0 7 Integrated07Process:07Nursing07Process:07Intervention07KEY:07Client07safety
MSC:0 7 Client07Needs07Category:07Safe07and07Effective07Care07Environment:07Safety07and07Infe
ction07Control
2. A07nurse07is07orienting07a07new07client07and07family07to07the07medical-
surgical07unit.07What07information07does07the07nurse07provide07to07best07help07
the07client07promote07his07or07her07own07safety?
a. Encourage07the07client07and07family07to07be07active07partners.
b. Have07the07client07monitor07hand07hygiene07in07caregivers.
c. Offer07the07family07the07opportunity07to07stay07with07the07client.
d. Tell07the07client07to07always07wear07his07or07her07armband.
CORRECT07ANSWER:07A
, Each07action07could07be07important07for07the07client07or07family07to07perform.07Ho
wever,07encouraging07the07client07to07be07active07in07his07or07her07health07care07a
s07a07safety07partner07is07the07most07critical.07The07other07actions07are07very07limi
ted07in07scope07and07do07not07provide07the07broad07protection07that07being07activ
e07and07involved07does.
DIF: Understanding
TOP:07Integrated07Process:07Teaching/Learning07KEY:07Client07safety
MSC:0 7 Client07Needs07Category:07Safe07and07Effective07Care07Environment:07Safety07and07Infe
ction07Control
3. A07nurse07is07caring07for07a07postoperative07client07on07the07surgical07unit.07The
07client’s07blood07pressure07was07142/7607mm07Hg073007minutes07ago,07and07no
w07is0788/5007mm07Hg.07What07action07would07the07nurse07take07first?
a. Call07the07Rapid07Response07Team.
b. Document07and07continue07to07monitor.
c. Notify07the07primary07health07care07provider.
d. Repeat07the07blood07pressure07in071507minutes.
, CORRECT07ANSWER:07A
The07purpose07of07the07Rapid07Response07Team07(RRT)07is07to07intervene07when07c
lients07are07deteriorating07before07they07suffer07either07respiratory07or07cardiac07arr
est.07Since07the07client07has07manifested07a07significant07change,07the07nurse07woul
d07call07the07RRT.07Changes07in07blood07pressure,07mental07status,07heart07rate,07t
emperature,07oxygen07saturation,07and07last07207hours’07urine07output07are07particu
larly07significant07and07are07part07of07the07Modified07Early07Warning07System07guid
e.07Documentation07is07vital,07but07the07nurse07must07do07more07than07document.
07The07primary07health07care07provider07would07be07notified,07but07this07is07not07
more07important07than07calling07the07RRT.07The07client’s07blood07pressure07would07
be07reassessed07frequently,07but07the07priority07is07getting07the07rapid07care07to07t
he07client.
DIF: Applying
TOP:0 7 Integrated07Process:07Communication07and07Documentation07KE
Y:07Rapid07Response07Team07(RRT),07Clinical07judgment
MSC:0 7 Client07Needs07Category:07Physiological07Integrity:07Physiological07Adaptation
4. A07nurse07wishes07to07provide07client-
centered07care07in07all07interactions.07Which07action07by07the07nurse
best07demonstrates07this07concept?
a. Assesses07for07cultural07influences07affecting07health07care.
b. Ensures07that07all07the07client’s07basic07needs07are07met.
c. Tells07the07client07and07family07about07all07upcoming07tests.
d. Thoroughly07orients07the07client07and07family07to07the07room.
CORRECT07ANSWER:07A
Showing07respect07for07the07client07and07family’s07preferences07and07needs07is07ess
ential07to07ensure07a07holistic07or07“whole-
person”07approach07to07care.07By07assessing07the07effect07of07the07client’s07culture
07on07health07care,07this07nurse07is07practicing07client-
focused07care.07Providing07for07basic07needs07does07not07demonstrate07this07compe
tence.07Simply07telling07the07client07about07all07upcoming07tests07is07not07providing
07empowering07education.07Orienting07the07client07and07family07to07the07room07is07
an07important07safety07measure,07but07not07directly07related07to07demonstrating07cl
ient-centered07care.
DIF: Understanding
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,07
MULTIPLE07CHOICE
1. A07new07nurse07is07working07with07a07preceptor07on07a07medical-
surgical07unit.07The07preceptor07advises07the07new07nurse07that07which07is07the07p
riority07when07working07as07a07professional07nurse?
a. Attending07to07holistic07client07needs
b. Ensuring07client07safety
c. Not07making07medication07errors
d. Providing07client-focused07care
CORRECT07ANSWER:07B
All07actions07are07appropriate07for07the07professional07nurse.07However,07ensuring07
client07safety07is07the07priority.07Health07care07errors07have07been07widely07reporte
d07for072507years,07many07of07which07result07in07client07injury,07death,07and07incre
ased07health07care07costs.07There07are07several07national07and07international07organ
izations07that07have07either07recommended07or07mandated07safety07initiatives.
Every07nurse07has07the07responsibility07to07guard07the07client’s07safety.07The07other
07actions07are07important07for07quality07nursing,07but07they07are07not07as07vital07a
s07providing07safety.07Not07making07medication07errors07does07provide07safety,07but
07is07too07narrow07in07scope07to07be07the07best07answer.
DIF: Understanding
TOP:0 7 Integrated07Process:07Nursing07Process:07Intervention07KEY:07Client07safety
MSC:0 7 Client07Needs07Category:07Safe07and07Effective07Care07Environment:07Safety07and07Infe
ction07Control
2. A07nurse07is07orienting07a07new07client07and07family07to07the07medical-
surgical07unit.07What07information07does07the07nurse07provide07to07best07help07
the07client07promote07his07or07her07own07safety?
a. Encourage07the07client07and07family07to07be07active07partners.
b. Have07the07client07monitor07hand07hygiene07in07caregivers.
c. Offer07the07family07the07opportunity07to07stay07with07the07client.
d. Tell07the07client07to07always07wear07his07or07her07armband.
CORRECT07ANSWER:07A
, Each07action07could07be07important07for07the07client07or07family07to07perform.07Ho
wever,07encouraging07the07client07to07be07active07in07his07or07her07health07care07a
s07a07safety07partner07is07the07most07critical.07The07other07actions07are07very07limi
ted07in07scope07and07do07not07provide07the07broad07protection07that07being07activ
e07and07involved07does.
DIF: Understanding
TOP:07Integrated07Process:07Teaching/Learning07KEY:07Client07safety
MSC:0 7 Client07Needs07Category:07Safe07and07Effective07Care07Environment:07Safety07and07Infe
ction07Control
3. A07nurse07is07caring07for07a07postoperative07client07on07the07surgical07unit.07The
07client’s07blood07pressure07was07142/7607mm07Hg073007minutes07ago,07and07no
w07is0788/5007mm07Hg.07What07action07would07the07nurse07take07first?
a. Call07the07Rapid07Response07Team.
b. Document07and07continue07to07monitor.
c. Notify07the07primary07health07care07provider.
d. Repeat07the07blood07pressure07in071507minutes.
, CORRECT07ANSWER:07A
The07purpose07of07the07Rapid07Response07Team07(RRT)07is07to07intervene07when07c
lients07are07deteriorating07before07they07suffer07either07respiratory07or07cardiac07arr
est.07Since07the07client07has07manifested07a07significant07change,07the07nurse07woul
d07call07the07RRT.07Changes07in07blood07pressure,07mental07status,07heart07rate,07t
emperature,07oxygen07saturation,07and07last07207hours’07urine07output07are07particu
larly07significant07and07are07part07of07the07Modified07Early07Warning07System07guid
e.07Documentation07is07vital,07but07the07nurse07must07do07more07than07document.
07The07primary07health07care07provider07would07be07notified,07but07this07is07not07
more07important07than07calling07the07RRT.07The07client’s07blood07pressure07would07
be07reassessed07frequently,07but07the07priority07is07getting07the07rapid07care07to07t
he07client.
DIF: Applying
TOP:0 7 Integrated07Process:07Communication07and07Documentation07KE
Y:07Rapid07Response07Team07(RRT),07Clinical07judgment
MSC:0 7 Client07Needs07Category:07Physiological07Integrity:07Physiological07Adaptation
4. A07nurse07wishes07to07provide07client-
centered07care07in07all07interactions.07Which07action07by07the07nurse
best07demonstrates07this07concept?
a. Assesses07for07cultural07influences07affecting07health07care.
b. Ensures07that07all07the07client’s07basic07needs07are07met.
c. Tells07the07client07and07family07about07all07upcoming07tests.
d. Thoroughly07orients07the07client07and07family07to07the07room.
CORRECT07ANSWER:07A
Showing07respect07for07the07client07and07family’s07preferences07and07needs07is07ess
ential07to07ensure07a07holistic07or07“whole-
person”07approach07to07care.07By07assessing07the07effect07of07the07client’s07culture
07on07health07care,07this07nurse07is07practicing07client-
focused07care.07Providing07for07basic07needs07does07not07demonstrate07this07compe
tence.07Simply07telling07the07client07about07all07upcoming07tests07is07not07providing
07empowering07education.07Orienting07the07client07and07family07to07the07room07is07
an07important07safety07measure,07but07not07directly07related07to07demonstrating07cl
ient-centered07care.
DIF: Understanding
