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