TESTBANK
Concepts For Interprofessional Collaborative Care 10th Edition by
Ignatavicius Workman Rebar Heimargartner.
,Chapter`1:`Introduction`to`Medical-
Surgical`Nursing`Practice`Ignatavicius:`Medical-
Surgical`Nursing,10th`Edition
MULTIPLE` CHOICE
1. A`new`nurse`is`working`with`a`preceptor`on`an`inpatient`medical-
surgical`unit.`The`preceptor`advises`the`student`that`which`is`the`priority`when`workin
g`as`a`professional`nurse?
a. Attending`to`holistic`client`needs
b. Ensuring`client`safety
c. Not`making`medication`errors
d. Providing` client-focused` care
ANS:` B
All`actions`are`appropriate`for`the`professional`nurse.`However,`ensuring`client`safety`is`the`pr
iority.`Up`to`98,000`deaths`result`each`year`from`errors`in`hospital`care,`according`to`the`2000
`Institute`of`Medicine`report.`Many`more`clients`have`suffered`injuries`and`less`serious`outcom
es.`Every`nurse`has`the`responsibility`to`guard`the`client‘s`safety.
DIF: Understanding/Comprehension REF: 2
KEY:`Patient`safety`MSC:`Integrated`Process:`Nursing`Process:`Intervention
NOT:` Client`Needs`Category:`Safe`and`Effective`Care`Environment:`Safety`and`Infection`Con
trol
2. A`nurse`is`orienting`a`new`client`and`family`to`the`inpatient`unit.`What`information`does`the`
nurse`provide`to`help`the`client`promote`his`or`her`own`safety?
a. Encourage`the`client`and`family`to`be`active`partners.
b. Have`the`client`monitor`hand`hygiene`in`caregivers.
c. Offer`the`family`the`opportunity`to`stay`with`the`client.
d. Tell`the`client`to`always`wear`his`or`her`armband.
ANS:` A
Each`action`could`be`important`for`the`client`or`family`to`perform.`However,`encouraging`th
e`client`to`be`active`in`his`or`her`health`care`as`a`partner`is`the`most`critical.`The`other`action
s`are`very`limited`in`scope`and`do`not`provide`the`broad`protection`that`being`active`and`invo
lved`does.
DIF: Understanding/Comprehension REF: 3
KEY:`Patient`safety`MSC:` Integrated`Process:`Teaching/Learning
NOT:` Client`Needs`Category:`Safe`and`Effective`Care`Environment:`Safety`and`Infection`Con
trol
3. A`nurse`is`caring`for`a`postoperative`client`on`the`surgical`unit.`The`client‘s`blood`pressure`
was`142/76`mm`Hg`30`minutes`ago,`and`now`is`88/50`mm`Hg.`What`action`by`the`nurse`is`
best?
a. Call`the`Rapid`Response`Team.
b. Document`and`continue`to`monitor.
c. Notify`the`primary`care`provider.
d. Repeat`blood`pressure`measurement`in`15`minutes.
, ANS:` A
The`purpose`of`the`Rapid`Response`Team`(RRT)`is`to`intervene`when`clients`are`deterioratin
g`before`they`suffer`either`respiratory`or`cardiac`arrest.`Since`the`client`has`manifested`a`signi
ficant`change,`the`nurse`should`call`the`RRT.`Changes`in`blood`pressure,`mental`status,`heart`
rate,`and`pain`are`particularly`significant.`Documentation`is`vital,`but`the`nurse`must`do`more`t
han`document.`The`primary`care`provider`should`be`notified,`but`this`is`not`the`priority`over`c
alling`the`RRT.`The`client‘s`blood`pressure`should`be`reassessed`frequently,`but`the`priority`i
s`getting`the`rapid`care`to`the`client.
DIF: Applying/Application REF:
3`KEY:` Rapid`Response`Team`(RRT)|`medical`em
ergencies
MSC:` Integrated` Process:` Communication` and` Documentation
NOT:` Client` Needs` Category:` Physiological` Integrity:` Physiological` Adaptation
4. A`nurse`wishes`to`provide`client-
centered`care`in`all`interactions.`Which`action`by`the`nurse`best`demonstrates`this`concept?
a. Assesses` for` cultural` influences` affecting` health` care
b. Ensures`that`all`the`clients‘`basic`needs`are`met
c. Tells`the`client`and`family`about`all`upcoming`tests
d. Thoroughly`orients`the`client`and`family`to`the`room
ANS:` A
Competency`in`client-
focused`care`is`demonstrated`when`the`nurse`focuses`on`communication,`culture,`respect,`co
mpassion,`client`education,`and`empowerment.`By`assessing`the`effect`of`the`client‘s`culture`o
n`health`care,`this`nurse`is`practicing
client-
focused`care.`Providing`for`basic`needs`does`not`demonstrate`this`competence.`Simply`telli
ng`the`client`about`all`upcoming`tests`is`not`providing`empowering`education.`Orienting`the
`client`and`family`to`the`room`is`an`important`safety`measure,`but`not`directly`related`to`dem
onstrating`client-centered`care.
DIF: Understanding/Comprehension REF: 3
KEY:` Patient-centered`care|`culture
MSC:`Integrated`Process:`Caring
`NOT:` Client`Needs`Category:`Psychosocial`Integrity
5. A`client`is`going`to`be`admitted`for`a`scheduled`surgical`procedure.`Which`action`does`the`
nurse`explain`is`the`most`important`thing`the`client`can`do`to`protect`against`errors?
a. Bring`a`list`of`all`medications`and`what`they`are`for.
b. Keep`the`doctor‘s`phone`number`by`the`telephone.
c. Make`sure`all`providers`wash`hands`before`entering`the`room.
d. Write`down`the`name`of`each`caregiver`who`comes`in`the`room.
ANS:` A
Medication`errors`are`the`most`common`type`of`health`care`mistake.`The`Joint`Commission
‘s`Speak`Up`campaign`encourages`clients`to`help`ensure`their`safety.`One`recommendation`
is`for`clients`to`know`all`their`medications`and`why`they`take`them.`This`will`help`prevent`m
edication`errors.
DIF: Applying/Application REF: 4
KEY:` Speak`Up`campaign|`patient`safety MSC:`Integrated`Process:`Teaching/Learning
, NOT:` Client`Needs`Category:`Safe`and`Effective`Care`Environment:`Safety`and`Infection`Con
trol
6. Which`action`by`the`nurse`working`with`a`client`best`demonstrates`respect`for`autonomy?
a. Asks`if`the`client`has`questions`before`signing`a`consent
b. Gives` the` client` accurate` information` when` questioned
c. Keeps`the`promises`made`to`the`client`and`family
d. Treats`the`client`fairly`compared`to`other`clients
ANS:` A
Autonomy`is`self-
determination.`The`client`should`make`decisions`regarding`care.`When`the`nurse`obtains`a`sig
nature`on`the`consent`form,`assessing`if`the`client`still`has`questions`is`vital,`because`without
`full`information`the`client`cannot`practice`autonomy.`Giving`accurate`information`is`practici
ng`with`veracity.`Keeping`promises`is`upholding`fidelity.`Treating`the`client`fairly`is`providi
ng`social`justice.
DIF: Applying/Application REF: 4
KEY:` Autonomy|`ethical`principles MSC:`Integrated`Process:`Caring
NOT:` Client`Needs`Category:`Safe`and`Effective`Care`Environment:`Management`of`Care
7. A`student`nurse`asks`the`faculty`to`explain`best`practices`when`communicating`with`a`
person`from`the`lesbian,`gay,`bisexual,`transgender,`and`queer/questioning`(LGBTQ)`
community.`What`answer`by`the`faculty`is`most`accurate?
a. Avoid`embarrassing`the`client`by`asking`questions.
b. Don‘t`make`assumptions`about`their`health`needs.
c. Most`LGBTQ`people`do`not`want`to`share`information.
d. No`differences`exist`in`communicating`with`this`population.
ANS:` B
Many`members`of`the`LGBTQ`community`have`faced`discrimination`from`health`care`prov
iders`and`may`be`reluctant`to`seek`health`care.`The`nurse`should`never`make`assumptions`ab
out`the`needs`of`members`of`this`population.`Rather,`respectful`questions`are`appropriate.`If`
approached`with`sensitivity,`the`client`with`any`health`care`need`is`more`likely`to`answer`ho
nestly.
DIF: Understanding/Comprehension REF: 4
KEY:` LGBTQ|`diversity`MSC:` Integrated`Process:`Teaching/Learning
NOT:` Client`Needs`Category:`Psychosocial`Integrity
8. A`nurse`is`calling`the`on-
call`physician`about`a`client`who`had`a`hysterectomy`2`days`ago`and`has`pain`that`is`unrelie
ved`by`the`prescribed`narcotic`pain`medication.`Which`statement`is`part`of`the`SBAR`forma
t`for`communication?
a. A:`―I`would`like`you`to`order`a`different`pain`medication.‖
b. B:`―This`client`has`allergies`to`morphine`and`codeine.‖
c. R:`―Dr.`Smith`doesn‘t`like`nonsteroidal`anti-inflammatory`meds.‖
d. S:`―This`client`had`a`vaginal`hysterectomy`2`days`ago.‖`
ANS:` B
Concepts For Interprofessional Collaborative Care 10th Edition by
Ignatavicius Workman Rebar Heimargartner.
,Chapter`1:`Introduction`to`Medical-
Surgical`Nursing`Practice`Ignatavicius:`Medical-
Surgical`Nursing,10th`Edition
MULTIPLE` CHOICE
1. A`new`nurse`is`working`with`a`preceptor`on`an`inpatient`medical-
surgical`unit.`The`preceptor`advises`the`student`that`which`is`the`priority`when`workin
g`as`a`professional`nurse?
a. Attending`to`holistic`client`needs
b. Ensuring`client`safety
c. Not`making`medication`errors
d. Providing` client-focused` care
ANS:` B
All`actions`are`appropriate`for`the`professional`nurse.`However,`ensuring`client`safety`is`the`pr
iority.`Up`to`98,000`deaths`result`each`year`from`errors`in`hospital`care,`according`to`the`2000
`Institute`of`Medicine`report.`Many`more`clients`have`suffered`injuries`and`less`serious`outcom
es.`Every`nurse`has`the`responsibility`to`guard`the`client‘s`safety.
DIF: Understanding/Comprehension REF: 2
KEY:`Patient`safety`MSC:`Integrated`Process:`Nursing`Process:`Intervention
NOT:` Client`Needs`Category:`Safe`and`Effective`Care`Environment:`Safety`and`Infection`Con
trol
2. A`nurse`is`orienting`a`new`client`and`family`to`the`inpatient`unit.`What`information`does`the`
nurse`provide`to`help`the`client`promote`his`or`her`own`safety?
a. Encourage`the`client`and`family`to`be`active`partners.
b. Have`the`client`monitor`hand`hygiene`in`caregivers.
c. Offer`the`family`the`opportunity`to`stay`with`the`client.
d. Tell`the`client`to`always`wear`his`or`her`armband.
ANS:` A
Each`action`could`be`important`for`the`client`or`family`to`perform.`However,`encouraging`th
e`client`to`be`active`in`his`or`her`health`care`as`a`partner`is`the`most`critical.`The`other`action
s`are`very`limited`in`scope`and`do`not`provide`the`broad`protection`that`being`active`and`invo
lved`does.
DIF: Understanding/Comprehension REF: 3
KEY:`Patient`safety`MSC:` Integrated`Process:`Teaching/Learning
NOT:` Client`Needs`Category:`Safe`and`Effective`Care`Environment:`Safety`and`Infection`Con
trol
3. A`nurse`is`caring`for`a`postoperative`client`on`the`surgical`unit.`The`client‘s`blood`pressure`
was`142/76`mm`Hg`30`minutes`ago,`and`now`is`88/50`mm`Hg.`What`action`by`the`nurse`is`
best?
a. Call`the`Rapid`Response`Team.
b. Document`and`continue`to`monitor.
c. Notify`the`primary`care`provider.
d. Repeat`blood`pressure`measurement`in`15`minutes.
, ANS:` A
The`purpose`of`the`Rapid`Response`Team`(RRT)`is`to`intervene`when`clients`are`deterioratin
g`before`they`suffer`either`respiratory`or`cardiac`arrest.`Since`the`client`has`manifested`a`signi
ficant`change,`the`nurse`should`call`the`RRT.`Changes`in`blood`pressure,`mental`status,`heart`
rate,`and`pain`are`particularly`significant.`Documentation`is`vital,`but`the`nurse`must`do`more`t
han`document.`The`primary`care`provider`should`be`notified,`but`this`is`not`the`priority`over`c
alling`the`RRT.`The`client‘s`blood`pressure`should`be`reassessed`frequently,`but`the`priority`i
s`getting`the`rapid`care`to`the`client.
DIF: Applying/Application REF:
3`KEY:` Rapid`Response`Team`(RRT)|`medical`em
ergencies
MSC:` Integrated` Process:` Communication` and` Documentation
NOT:` Client` Needs` Category:` Physiological` Integrity:` Physiological` Adaptation
4. A`nurse`wishes`to`provide`client-
centered`care`in`all`interactions.`Which`action`by`the`nurse`best`demonstrates`this`concept?
a. Assesses` for` cultural` influences` affecting` health` care
b. Ensures`that`all`the`clients‘`basic`needs`are`met
c. Tells`the`client`and`family`about`all`upcoming`tests
d. Thoroughly`orients`the`client`and`family`to`the`room
ANS:` A
Competency`in`client-
focused`care`is`demonstrated`when`the`nurse`focuses`on`communication,`culture,`respect,`co
mpassion,`client`education,`and`empowerment.`By`assessing`the`effect`of`the`client‘s`culture`o
n`health`care,`this`nurse`is`practicing
client-
focused`care.`Providing`for`basic`needs`does`not`demonstrate`this`competence.`Simply`telli
ng`the`client`about`all`upcoming`tests`is`not`providing`empowering`education.`Orienting`the
`client`and`family`to`the`room`is`an`important`safety`measure,`but`not`directly`related`to`dem
onstrating`client-centered`care.
DIF: Understanding/Comprehension REF: 3
KEY:` Patient-centered`care|`culture
MSC:`Integrated`Process:`Caring
`NOT:` Client`Needs`Category:`Psychosocial`Integrity
5. A`client`is`going`to`be`admitted`for`a`scheduled`surgical`procedure.`Which`action`does`the`
nurse`explain`is`the`most`important`thing`the`client`can`do`to`protect`against`errors?
a. Bring`a`list`of`all`medications`and`what`they`are`for.
b. Keep`the`doctor‘s`phone`number`by`the`telephone.
c. Make`sure`all`providers`wash`hands`before`entering`the`room.
d. Write`down`the`name`of`each`caregiver`who`comes`in`the`room.
ANS:` A
Medication`errors`are`the`most`common`type`of`health`care`mistake.`The`Joint`Commission
‘s`Speak`Up`campaign`encourages`clients`to`help`ensure`their`safety.`One`recommendation`
is`for`clients`to`know`all`their`medications`and`why`they`take`them.`This`will`help`prevent`m
edication`errors.
DIF: Applying/Application REF: 4
KEY:` Speak`Up`campaign|`patient`safety MSC:`Integrated`Process:`Teaching/Learning
, NOT:` Client`Needs`Category:`Safe`and`Effective`Care`Environment:`Safety`and`Infection`Con
trol
6. Which`action`by`the`nurse`working`with`a`client`best`demonstrates`respect`for`autonomy?
a. Asks`if`the`client`has`questions`before`signing`a`consent
b. Gives` the` client` accurate` information` when` questioned
c. Keeps`the`promises`made`to`the`client`and`family
d. Treats`the`client`fairly`compared`to`other`clients
ANS:` A
Autonomy`is`self-
determination.`The`client`should`make`decisions`regarding`care.`When`the`nurse`obtains`a`sig
nature`on`the`consent`form,`assessing`if`the`client`still`has`questions`is`vital,`because`without
`full`information`the`client`cannot`practice`autonomy.`Giving`accurate`information`is`practici
ng`with`veracity.`Keeping`promises`is`upholding`fidelity.`Treating`the`client`fairly`is`providi
ng`social`justice.
DIF: Applying/Application REF: 4
KEY:` Autonomy|`ethical`principles MSC:`Integrated`Process:`Caring
NOT:` Client`Needs`Category:`Safe`and`Effective`Care`Environment:`Management`of`Care
7. A`student`nurse`asks`the`faculty`to`explain`best`practices`when`communicating`with`a`
person`from`the`lesbian,`gay,`bisexual,`transgender,`and`queer/questioning`(LGBTQ)`
community.`What`answer`by`the`faculty`is`most`accurate?
a. Avoid`embarrassing`the`client`by`asking`questions.
b. Don‘t`make`assumptions`about`their`health`needs.
c. Most`LGBTQ`people`do`not`want`to`share`information.
d. No`differences`exist`in`communicating`with`this`population.
ANS:` B
Many`members`of`the`LGBTQ`community`have`faced`discrimination`from`health`care`prov
iders`and`may`be`reluctant`to`seek`health`care.`The`nurse`should`never`make`assumptions`ab
out`the`needs`of`members`of`this`population.`Rather,`respectful`questions`are`appropriate.`If`
approached`with`sensitivity,`the`client`with`any`health`care`need`is`more`likely`to`answer`ho
nestly.
DIF: Understanding/Comprehension REF: 4
KEY:` LGBTQ|`diversity`MSC:` Integrated`Process:`Teaching/Learning
NOT:` Client`Needs`Category:`Psychosocial`Integrity
8. A`nurse`is`calling`the`on-
call`physician`about`a`client`who`had`a`hysterectomy`2`days`ago`and`has`pain`that`is`unrelie
ved`by`the`prescribed`narcotic`pain`medication.`Which`statement`is`part`of`the`SBAR`forma
t`for`communication?
a. A:`―I`would`like`you`to`order`a`different`pain`medication.‖
b. B:`―This`client`has`allergies`to`morphine`and`codeine.‖
c. R:`―Dr.`Smith`doesn‘t`like`nonsteroidal`anti-inflammatory`meds.‖
d. S:`―This`client`had`a`vaginal`hysterectomy`2`days`ago.‖`
ANS:` B
