TEST BANK FOR MEDICAL SURGICAL :CONCEPTS FOR INTERPROFFESSIONAL COLLABORATIVE CARE 9TH EDITION IGNATAVICIUS ALL CHAPTERS.

Test5Bank5Medical5Surgical5Nursing,Concepts5for5Interprofessional5Collaborative5Care59
th5Edition5by5IGNATAVICIUS
TEST BANK FOR MEDICAL SURGICAL :CONCEPTS FOR
INTERPROFFESSIONAL COLLABORATIVE CARE 9TH EDITION
IGNATAVICIUS ALL CHAPTERS.

,Test5Bank5Medical5Surgical5Nursing,Concepts5for5Interprofessional5Collaborative5Care59
th5Edition5by5IGNATAVICIUS


Chapter501:5Overview5of5Professional5Nursing5Concepts5for5Medical-5Surgical5Nursing


MULTIPLE5CHOICE


1. A5nurse5wishes5to5provide5client-
centered5care5in5all5interactions.5 Which5action5by5the5nurse5best5 demonstrates5this5concept?
a. Assesses5for5cultural5influences5affecting5health5care
b. Ensures5that5all5the5clients5basic5needs5are5met
c. Tells5the5client5and5family5about5all5upcoming5tests
d. Thoroughly5orients5the5client5and5family5to5the5room


ANS:5A
Competency5in5client-
focused5care5is5demonstrated5when5the5nursefocuses5on5communication,5culture,5respect5comp
assion,5client5education,5and5empowerment.5By5assessing5the5effect5of5the5clients5culture5on5h
ealth5care,5this5nurse5is5practicing5client-
focused5care.5Providing5for5basic5needs5does5not5demonstrate5this5competence.5Simply5telling5
the5client5about5all5upcoming5tests5is5not5providing5empowering5education.
Orienting5the5client5andfamily5to5theroom5is5animportantsafetymeasur
e,5butnotdirectlyrelatedtodemonstratingclient-centered5care.


DIF:5Understanding/Comprehension5REF:53
KEY:5Patient-
centered5care|5culture5MSC:5Integrated5Process:5Caring5NOT:5Client5Needs5Category:5Psychos
ocial5Integrity


2. A5nurse5is5caring5for5a5postoperative5client5on5the5surgical5unit.5The5clients5blood5press
ure5was5142/765mm5Hg5305minutes5ago,5and5now5is588/505mm5Hg.5What5action5by5the5nurse5i
sbest?
a. Call5the5Rapid5Response5Team.
b. Document5and5continue5to5monitor.
c. Notify5the5primary5care5provider.
d. Repeat5blood5pressure5measurement5in5155minutes.

,Test5Bank5Medical5Surgical5Nursing,Concepts5for5Interprofessional5Collaborative5Care59
th5Edition5by5IGNATAVICIUS


ANS:5A
The5purpose5of5the5Rapid5Response5Team5(RRT)5is5to5intervene5when5clients5are5deteriorating5
before5they5suffereitherrespiratoryorcardiacarrest.
Sincetheclienthasmanifestedasignificantchange,5thenurseshould5call5the5RRT.5Changes5in5bloo
d5pressure,5mental5status,5heart5rate,5and5pain5are5particularly5significant.5Documentation5is5vit
al,5but5the5nursemust5do5more5than5document.5The5primary5care5provider5should5be5notified,5b
ut5this5is5not5the5priority5over5calling5the5RRT.5The5clients5blood5pressure5should
be5reassessed5frequently,5but5the5priority5is5getting5the5rapid5care5to5theclient.


DIF:5Applying/Application5REF:53
KEY:5Rapid5Response5Team5(RRT)|5medical5emergencies5MSC:5Integrated5Process:5C
ommunication5and5Documentation
NOT:5Client5Needs5Category:5Physiological5Integrity:5Physiological5Adaptation


3. A5nurse5is5orienting5a5new5client5and5family5to5the5inpatient5unit.5What5information5d
oes5the5nurse5provide5to5help5the5client5 promote5his5or5her5own5safety?
a. Encourage5the5client5and5family5to5be5active5partners.
b. Have5the5client5monitor5hand5hygiene5in5caregivers.
c. Offer5the5family5the5opportunity5to5stay5with5the5client.
d. Tell5the5client5to5always5wear5his5or5her5armband.


ANS:5A
Each5action5could5be5important5for5the5client5or5family5to5perform.5However,5encouraging5the5c
lient5to5be5active5in5his5or5her5health5care5as5a5partner5is5the5most5critical.5The5other5actions5are
5very5limited5in5scope5and5do5not5provide5the5broad5protection5that5being5active5and5involveddo

es.


DIF:5Understanding/Comprehension5REF:535KEY:5Patient5safety

, Test5Bank5Medical5Surgical5Nursing,Concepts5for5Interprofessional5Collaborative5Care59
th5Edition5by5IGNATAVICIUS
MSC:5Integrated5Process:5Teaching/Learning
NOT:5Client5Needs5Category:5Safe5and5Effective5Care5Environment:5Safety5and5Infecti
on5Control


4. A5new5nurse5is5working5with5a5preceptor5on5an5inpatientmedical-
surgical5unit.5The5preceptor5advises5the5student5that5which5is5the5priority5when5working5as
5a5professionalnurse?

a. Attending5to5holistic5client5needs
b. Ensuring5client5safety
c. Not5making5medication5errors
d. Providing5client-focused5care


ANS:5B
All5actions5are5appropriate5for5the5professional5nurse.5However,5ensuring5client5safety5is5the5pri
ority.5Up5to598,0005deaths5result5each5year5from5errors5in5hospital5care,5according5to5the520005I
nstitute5of5Medicine5report.5Many5more5clients5have5suffered5injuries5and5less5serious5outcomes.5
Every5nurse5 has5the5responsibility5to5guard5the5clients5safety.


DIF:5Understanding/Comprehension5REF:525KEY:5Patient5safety5
MSC:5Integrated5Process:5Nursing5Process:5Intervention
NOT:5Client5Needs5Category:5Safe5and5Effective5Care5Environment:5Safety5and5Infecti
on5Control


5. A5client5is5going5to5be5admitted5for5a5scheduled5surgical5procedure.5Which5action5d
oes5the5nurse5explain5is5the5most5important5thing5the5client5can5do5to5protect5againsterrors?
a. Bring5a5list5of5all5medications5and5what5they5are5for.
b. Keep5the5doctors5phone5number5by5the5telephone.
c. Make5sure5all5providers5wash5hands5before5entering5the5room.
d. Write5down5the5name5of5each5caregiver5who5comes5in5the5room.


ANS:5A