MED SURG. 3 TEST 1
Save
Terms in this set (228)
ANS: A
1. A nurse wishes to Competency in client-focused care is demonstrated
provide client-centered when the nurse focuses on communication, culture,
care in all interactions. respect,
Which action by the compassion, client education, and empowerment.
nurse best By assessing the effect of the clients culture on
demonstrates this health care,
concept? this nurse is practicing client-focused care.
a. Assesses for cultural Providing for basic needs does not demonstrate this
influences affecting competence.
health care Simply telling the client about all upcoming tests is
b. Ensures that all the not providing empowering education. Orienting the
clients basic needs are client
met and family to the room is an important safety
c. Tells the client and measure, but not directly related to demonstrating
family about all client-centered
upcoming tests care.
d. Thoroughly orients the DIF: Understanding/Comprehension REF: 3
client and family to the KEY: Patient-centered care| culture MSC: Integrated
room Process: Caring
NOT: Client Needs Category: Psychosocial Integrity
, ANS: A
The purpose of the Rapid Response Team (RRT) is to
intervene when clients are deteriorating before they
2. A nurse is caring for a suffer either respiratory or cardiac arrest. Since the
postoperative client on client has manifested a significant change, the nurse
the surgical unit. The should
clients blood pressure call the RRT. Changes in blood pressure, mental
was 142/76 mm status, heart rate, and pain are particularly
Hg 30 minutes ago, and significant.
now is 88/50 mm Hg. Documentation is vital, but the nurse must do more
What action by the nurse than document. The primary care provider should
is best? be
a. Call the Rapid notified, but this is not the priority over calling the
Response Team. RRT. The clients blood pressure should be
b. Document and reassessed
continue to monitor. frequently, but the priority is getting the rapid care
c. Notify the primary care to the client.
provider. DIF: Applying/Application REF: 3
d. Repeat blood pressure KEY: Rapid Response Team (RRT)| medical
measurement in 15 emergencies
minutes. MSC: Integrated Process: Communication and
Documentation
NOT: Client Needs Category: Physiological
Integrity: Physiological Adaptation
,3. A nurse is orienting a ANS: A
new client and family to Each action could be important for the client or
the inpatient unit. What family to perform. However, encouraging the client
information does the to be
nurse provide to active in his or her health care as a partner is the
help the client promote most critical. The other actions are very limited in
his or her own safety? scope and
a. Encourage the client do not provide the broad protection that being
and family to be active active and involved does.
partners. DIF: Understanding/Comprehension REF: 3
b. Have the client KEY: Patient safety
monitor hand hygiene in Test Bank - Medical-Surgical Nursing: Concepts for
caregivers. Interprofessional Collaborative Care 9e 3
c. Offer the family the MSC: Integrated Process: Teaching/Learning
opportunity to stay with
the client.
d. Tell the client to always
wear his or her armband.
NOT: Client Needs ANS: B
Category: Safe and All actions are appropriate for the professional
Effective Care nurse. However, ensuring client safety is the priority.
Environment: Safety and Up to
Infection Control 98,000 deaths result each year from errors in
4. A new nurse is working hospital care, according to the 2000 Institute of
with a preceptor on an Medicine report.
inpatient medical-surgical Many more clients have suffered injuries and less
unit. The preceptor serious outcomes. Every nurse has the responsibility
advises the to
student that which is the guard the clients safety.
priority when working as DIF: Understanding/Comprehension REF: 2
a professional nurse? KEY: Patient safety
a. Attending to holistic MSC: Integrated Process: Nursing Process:
client needs Intervention
b. Ensuring client safety NOT: Client Needs Category: Safe and Effective
c. Not making medication Care Environment: Safety and Infection Control
errors
d. Providing client-
focused care
, 5. A client is going to be ANS: A
admitted for a scheduled Medication errors are the most common type of
surgical procedure. health care mistake. The Joint Commissions Speak
Which action does the Up
nurse explain is campaign encourages clients to help ensure their
the most important thing safety. One recommendation is for clients to know
the client can do to all their
protect against errors? medications and why they take them. This will help
a. Bring a list of all prevent medication errors.
medications and what DIF: Applying/Application REF: 4
they are for. KEY: Speak Up campaign| patient safety MSC:
b. Keep the doctors Integrated Process: Teaching/Learning
phone number by the NOT: Client Needs Category: Safe and Effective
telephone. Care Environment: Safety and Infection Control
c. Make sure all providers
wash hands before
entering the room.
d. Write down the name
of each caregiver who
comes in the room.
6. Which action by the ANS: A
nurse working with a Autonomy is self-determination. The client should
client best demonstrates make decisions regarding care. When the nurse
respect for autonomy? obtains a
a. Asks if the client has signature on the consent form, assessing if the client
questions before signing still has questions is vital, because without full
a consent information the client cannot practice autonomy.
b. Gives the client Giving accurate information is practicing with
accurate information veracity.
when questioned Keeping promises is upholding fidelity. Treating the
c. Keeps the promises client fairly is providing social justice.
made to the client and DIF: Applying/Application REF: 4
family KEY: Autonomy| ethical principles MSC: Integrated
d. Treats the client fairly Process: Caring
compared to other NOT: Client Needs Category: Safe and Effective
clients Care Environment: Management of Care
Save
Terms in this set (228)
ANS: A
1. A nurse wishes to Competency in client-focused care is demonstrated
provide client-centered when the nurse focuses on communication, culture,
care in all interactions. respect,
Which action by the compassion, client education, and empowerment.
nurse best By assessing the effect of the clients culture on
demonstrates this health care,
concept? this nurse is practicing client-focused care.
a. Assesses for cultural Providing for basic needs does not demonstrate this
influences affecting competence.
health care Simply telling the client about all upcoming tests is
b. Ensures that all the not providing empowering education. Orienting the
clients basic needs are client
met and family to the room is an important safety
c. Tells the client and measure, but not directly related to demonstrating
family about all client-centered
upcoming tests care.
d. Thoroughly orients the DIF: Understanding/Comprehension REF: 3
client and family to the KEY: Patient-centered care| culture MSC: Integrated
room Process: Caring
NOT: Client Needs Category: Psychosocial Integrity
, ANS: A
The purpose of the Rapid Response Team (RRT) is to
intervene when clients are deteriorating before they
2. A nurse is caring for a suffer either respiratory or cardiac arrest. Since the
postoperative client on client has manifested a significant change, the nurse
the surgical unit. The should
clients blood pressure call the RRT. Changes in blood pressure, mental
was 142/76 mm status, heart rate, and pain are particularly
Hg 30 minutes ago, and significant.
now is 88/50 mm Hg. Documentation is vital, but the nurse must do more
What action by the nurse than document. The primary care provider should
is best? be
a. Call the Rapid notified, but this is not the priority over calling the
Response Team. RRT. The clients blood pressure should be
b. Document and reassessed
continue to monitor. frequently, but the priority is getting the rapid care
c. Notify the primary care to the client.
provider. DIF: Applying/Application REF: 3
d. Repeat blood pressure KEY: Rapid Response Team (RRT)| medical
measurement in 15 emergencies
minutes. MSC: Integrated Process: Communication and
Documentation
NOT: Client Needs Category: Physiological
Integrity: Physiological Adaptation
,3. A nurse is orienting a ANS: A
new client and family to Each action could be important for the client or
the inpatient unit. What family to perform. However, encouraging the client
information does the to be
nurse provide to active in his or her health care as a partner is the
help the client promote most critical. The other actions are very limited in
his or her own safety? scope and
a. Encourage the client do not provide the broad protection that being
and family to be active active and involved does.
partners. DIF: Understanding/Comprehension REF: 3
b. Have the client KEY: Patient safety
monitor hand hygiene in Test Bank - Medical-Surgical Nursing: Concepts for
caregivers. Interprofessional Collaborative Care 9e 3
c. Offer the family the MSC: Integrated Process: Teaching/Learning
opportunity to stay with
the client.
d. Tell the client to always
wear his or her armband.
NOT: Client Needs ANS: B
Category: Safe and All actions are appropriate for the professional
Effective Care nurse. However, ensuring client safety is the priority.
Environment: Safety and Up to
Infection Control 98,000 deaths result each year from errors in
4. A new nurse is working hospital care, according to the 2000 Institute of
with a preceptor on an Medicine report.
inpatient medical-surgical Many more clients have suffered injuries and less
unit. The preceptor serious outcomes. Every nurse has the responsibility
advises the to
student that which is the guard the clients safety.
priority when working as DIF: Understanding/Comprehension REF: 2
a professional nurse? KEY: Patient safety
a. Attending to holistic MSC: Integrated Process: Nursing Process:
client needs Intervention
b. Ensuring client safety NOT: Client Needs Category: Safe and Effective
c. Not making medication Care Environment: Safety and Infection Control
errors
d. Providing client-
focused care
, 5. A client is going to be ANS: A
admitted for a scheduled Medication errors are the most common type of
surgical procedure. health care mistake. The Joint Commissions Speak
Which action does the Up
nurse explain is campaign encourages clients to help ensure their
the most important thing safety. One recommendation is for clients to know
the client can do to all their
protect against errors? medications and why they take them. This will help
a. Bring a list of all prevent medication errors.
medications and what DIF: Applying/Application REF: 4
they are for. KEY: Speak Up campaign| patient safety MSC:
b. Keep the doctors Integrated Process: Teaching/Learning
phone number by the NOT: Client Needs Category: Safe and Effective
telephone. Care Environment: Safety and Infection Control
c. Make sure all providers
wash hands before
entering the room.
d. Write down the name
of each caregiver who
comes in the room.
6. Which action by the ANS: A
nurse working with a Autonomy is self-determination. The client should
client best demonstrates make decisions regarding care. When the nurse
respect for autonomy? obtains a
a. Asks if the client has signature on the consent form, assessing if the client
questions before signing still has questions is vital, because without full
a consent information the client cannot practice autonomy.
b. Gives the client Giving accurate information is practicing with
accurate information veracity.
when questioned Keeping promises is upholding fidelity. Treating the
c. Keeps the promises client fairly is providing social justice.
made to the client and DIF: Applying/Application REF: 4
family KEY: Autonomy| ethical principles MSC: Integrated
d. Treats the client fairly Process: Caring
compared to other NOT: Client Needs Category: Safe and Effective
clients Care Environment: Management of Care
