,Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical
cogi cogi cogi cogi cogi cogi cogi cogi cogi
Nursing
cogi
MULTIPLE CHOICE cogi
1. A nurse wishes to provide client-centered care in all interactions. Which action
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi by the nurse best demonstrates this concept?
cogi cogi cogi cogi cogi cogi
a. Assesses for cultural influences affecting health care cogi cogi cogi cogi cogi cogi
b. Ensures that all the clients basic needs are met cogi cog i cogi cogi cogi cogi cogi cogi
c. Tells the client and family about all upcoming tests
cogi cogi cogi cogi cogi cogi cogi cogi
d. Thoroughly orients the client and family to the room cogi cogi cogi cogi cogi cogi cogi cogi
ANS: A cogi
Competency in client-focused care is demonstrated when the nursefocuses on
cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi communication, culture, respect compassion, client education, and empowerment. By cogi cogi cogi cogi cogi cogi cogi cogi
cogi assessing the effect of the clients culture on health care, this nurse is practicing client-
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
focused care. Providing for basic needs does not demonstrate this competence. Simply
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
telling the client about all upcoming tests is not providing empowering education.
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
Orienting the client andfamily to theroom is cogi cogi cogi cogi cogi cogi
cogi animportantsafetymeasure,
cogi butnotdirectlyrelatedtodemonstratingclient-centered care. cogi
DIF: Understanding/Comprehension REF: 3
cogi cogi cogi
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client Needs
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi Category: Psychosocial Integrity cogi cogi
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi the nurse isbest?
cogi cogi
a. Call the Rapid Response Team.
cogi cogi cogi cogi
b. Document and continue to monitor. cogi cogi cogi cogi
,c. Notify the primary care provider.
cogi cogi cogi cogi
d. Repeat blood pressure measurement in 15 minutes.
cogi cogi cogi co gi cogi cogi
, ANS: A cogi
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi deteriorating before they suffereitherrespiratoryorcardiacarrest. cogi cogi cogi
Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes in cogi cogi cogi cogi cogi cogi
cogi blood pressure, mental status, heart rate, and pain are particularly significant.
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi Documentation is vital, but the nursemust do more than document. The primary care cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi provider should be notified, but this is not the priority over calling the RRT. The clients
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi blood pressure should cogi cogi
be reassessed frequently, but the priority is getting the rapid care to theclient.
cogi cogi co gi cogi cogi cogi cogi cogi cogi cogi cogi cogi
DIF: Applying/Application REF: 3
cogi cogi cogi
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:
cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi Communication and Documentation cogi cogi
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
cogi cogi cogi cogi cogi cogi cogi
3. A nurse is orienting a new client and family to the inpatient unit. What information
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
does the nurse provide to help the client promote his or her own safety?
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
a. Encourage the client and family to be active partners. cogi cogi cogi cogi cogi cogi cogi cogi
b. Have the client monitor hand hygiene in caregivers.
cogi cogi cogi cogi cogi cogi cogi
c. Offer the family the opportunity to stay with the client.
cogi cogi cogi cogi cogi cogi cogi cogi cogi
d. Tell the client to always wear his or her armband.
cogi cogi cogi cogi cogi cogi cogi cogi cogi
ANS: A cogi
Each action could be important for the client or family to perform. However,
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi encouraging the client to be active in his or her health care as a partner is the most
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi critical. The other actions are very limited in scope and do not provide the broad
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi protection that being active and involveddoes. cogi cogi cogi cogi cogi
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
cogi cogi cogi cogi cogi cogi
cogi cogi cogi cogi cogi cogi cogi cogi cogi
Nursing
cogi
MULTIPLE CHOICE cogi
1. A nurse wishes to provide client-centered care in all interactions. Which action
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi by the nurse best demonstrates this concept?
cogi cogi cogi cogi cogi cogi
a. Assesses for cultural influences affecting health care cogi cogi cogi cogi cogi cogi
b. Ensures that all the clients basic needs are met cogi cog i cogi cogi cogi cogi cogi cogi
c. Tells the client and family about all upcoming tests
cogi cogi cogi cogi cogi cogi cogi cogi
d. Thoroughly orients the client and family to the room cogi cogi cogi cogi cogi cogi cogi cogi
ANS: A cogi
Competency in client-focused care is demonstrated when the nursefocuses on
cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi communication, culture, respect compassion, client education, and empowerment. By cogi cogi cogi cogi cogi cogi cogi cogi
cogi assessing the effect of the clients culture on health care, this nurse is practicing client-
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
focused care. Providing for basic needs does not demonstrate this competence. Simply
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
telling the client about all upcoming tests is not providing empowering education.
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
Orienting the client andfamily to theroom is cogi cogi cogi cogi cogi cogi
cogi animportantsafetymeasure,
cogi butnotdirectlyrelatedtodemonstratingclient-centered care. cogi
DIF: Understanding/Comprehension REF: 3
cogi cogi cogi
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client Needs
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi Category: Psychosocial Integrity cogi cogi
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi the nurse isbest?
cogi cogi
a. Call the Rapid Response Team.
cogi cogi cogi cogi
b. Document and continue to monitor. cogi cogi cogi cogi
,c. Notify the primary care provider.
cogi cogi cogi cogi
d. Repeat blood pressure measurement in 15 minutes.
cogi cogi cogi co gi cogi cogi
, ANS: A cogi
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi deteriorating before they suffereitherrespiratoryorcardiacarrest. cogi cogi cogi
Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes in cogi cogi cogi cogi cogi cogi
cogi blood pressure, mental status, heart rate, and pain are particularly significant.
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi Documentation is vital, but the nursemust do more than document. The primary care cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi provider should be notified, but this is not the priority over calling the RRT. The clients
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi blood pressure should cogi cogi
be reassessed frequently, but the priority is getting the rapid care to theclient.
cogi cogi co gi cogi cogi cogi cogi cogi cogi cogi cogi cogi
DIF: Applying/Application REF: 3
cogi cogi cogi
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:
cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi Communication and Documentation cogi cogi
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
cogi cogi cogi cogi cogi cogi cogi
3. A nurse is orienting a new client and family to the inpatient unit. What information
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
does the nurse provide to help the client promote his or her own safety?
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
a. Encourage the client and family to be active partners. cogi cogi cogi cogi cogi cogi cogi cogi
b. Have the client monitor hand hygiene in caregivers.
cogi cogi cogi cogi cogi cogi cogi
c. Offer the family the opportunity to stay with the client.
cogi cogi cogi cogi cogi cogi cogi cogi cogi
d. Tell the client to always wear his or her armband.
cogi cogi cogi cogi cogi cogi cogi cogi cogi
ANS: A cogi
Each action could be important for the client or family to perform. However,
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi encouraging the client to be active in his or her health care as a partner is the most
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi critical. The other actions are very limited in scope and do not provide the broad
cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi cogi
cogi protection that being active and involveddoes. cogi cogi cogi cogi cogi
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
cogi cogi cogi cogi cogi cogi
