TEST BANK for Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care 11th Edition by Donna D. Ignatavicius, All chapters 1 - 74Download as Pdf File UPDATED 2025

TEST BANK for Medical-Surgical Nursing:
Concepts for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74

,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
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N4 Surgical Nursing N4




MULTIPLE CHOICE N4




1. A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse best demonstrates this concept?
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a. Assesses for cultural influences affecting health care
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b. Ensures that all the clients basic needs are met
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c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room N4 N4 N4 N4 N4 N4 N4 N4




CORRECT ANSWER: A N4 N4




Competency in client- N4 N4




focused care is demonstrated when the nurse focuses on communication, culture, respect compassion, c
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lient education, and empowerment. By assessing the effect of the clients culture on health care, this n
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urse is practicing client-
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focused care. Providing for basic needs does not demonstrate this competence. Simply telling the clie
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nt about all upcoming tests is not providing empowering education. Orienting the client and family to
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N4 the room is an important safety measure, but not directly related to demonstrating client-centered care.
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DIF: Understanding/Comprehension REF: 3
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KEY: Patient- N4




centered care| culture MSC: Integrated Process: Caring NOT:
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Client Needs Category: Psychosocial Integrity
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2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142
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/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. N4 N4 N4 N4




c. Notify the primary care provider.
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d. Repeat blood pressure measurement in 15 minutes.
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CORRECT ANSWER: A N4 N4




The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating bef
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ore they suffer either respiratory or cardiac arrest. Since the client has manifested a significant change,
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the nurse should call the RRT. Changes in blood pressure, mental status, heart rate, and pain are p
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articularly significant. N4




Documentation is vital, but the nurse must do more than document. The primary care provider s
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hould be notified, but this is not the priority over calling the RRT. The clients blood pressure sho
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uld be reassessed frequently, but the priority is getting the rapid care to the client.
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DIF: Applying/Application REF: 3
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