NURSING:CONCEPTSgFORgCLINICAL
JUDGEMENTgAND gCOLLABORATIVE gCARE g11TH
g
EDITION IGNATAVICIUS
g
TESTBANK
,Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative
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Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
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v NursingMULTIPLE CHOICE v v
1. A nurse wishes to provide client-centered care in all interactions.
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v Whichaction by the nurse bestdemonstrates this concept? v v v v v v
a. Assesses for cultural influences affecting health care v v v v v v
b. Ensures that all the clients basic needs are met v v v v v v v v
c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room v v v v v v v v
ANS: A v
Competency in client-focused care is demonstrated when the nurse focuses v v v v v v v v v
v on communication, culture, respect compassion, client education, and
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v empowerment. By assessing the effect of the clients culture on health care, v v v v v v v v v v v
v this nurse is practicing client-focused care. Providing for basic needs does
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v not demonstrate this competence. Simplytelling the client about all upcoming
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v tests is not providing empowering education.
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Orienting the client and family to the room is an important safety v v v v v v v v v v v
v measure, but notdirectly related to demonstrating client-centered care. v v v v v v v v
DIF: Understanding/Comprehension REF: 3
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v KEY: Patient-centered care| culture MSC:
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IntegratedProcess: CaringNOT: Client Needs v v v v
Category:
Psychosocial Integrity v
2. A nurse is caring for a postoperative client on the surgical unit. The
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v clients blood pressure was 142/76 mm Hg 30 minutes ago, and now is
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v 88/50 mm Hg. What actionby the nurse is best? v v v v v v v v v
a. Call the Rapid Response Team. v v v v
b. Document and continue to monitor. v v v v
c. Notify the primary care provider. v v v v
d. Repeat blood pressure measurement in 15 minutes. v v v v v v
ANS: A v
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
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v deteriorating before they suffer either respiratory or cardiac arrest. Since v v v v v v v v v
,Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative
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v the
, Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative
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client hasmanifested a significant change, the nurse should call the RRT. Changes
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v in blood pressure, mental status, heart rate, and pain are particularly
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v significant.