,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
w w w w w w w w
Surgical Nursing
w w
MULTIPLEw CHOICE
1. Awnursewwisheswtowprovidewclient-
centeredwcarewinwallwinteractions.wWhichwactionwbywthewnursewbestwdemonstrates wthiswconcept?
a. Assessesw forw culturalw influencesw affectingw healthw care
b. Ensureswthatwallwthewclientsw basicw needswarew met
c. Tellswthewclientw andw familywaboutw allw upcomingw tests
d. Thoroughlyw orientswthew clientw andw familyw tow thewroom
CORRECTwANSWER:w A
Competencywinwclient-
focusedwcarewiswdemonstratedwwhenwthewnursewfocuseswonwcommunication,wculture,wrespectwcompassion, wclientwe
ducation, wandwempowerment. wBywassessingwtheweffectwofwthewclientswculturewonwhealthwcare,wthiswnursewiswpra
cticingwclient-
focusedwcare.wProvidingwfor wbasicwneedswdoeswnotwdemonstratewthiswcompetence. wSimplywtellingwthewclientwab
outwallwupcomingwtestswiswnotwprovidingwempoweringweducation. wOrientingwthewclientwandwfamilywtowthewroomw
iswanwimportantwsafetywmeasure,wbutwnotwdirectlywrelatedwtowdemonstratingwclient-centeredwcare.
DIF:w Understanding/Comprehensionw REF:w 3
KEY:wPatient-
centeredwcare|wculturewMSC:wIntegratedwProcess:wCaringwNOT:wClien
twNeedswCategory:wPsychosocialwIntegrity
2. Awnursewiswcaringwforwawpostoperativewclientwonwthewsurgicalwunit.wThewclientswbloodwpressurewwasw142/76wm
mwHgw30w minuteswago,wandw nowwisw88/50w mmw Hg.wWhatwactionwbywthewnursewiswbest?
a. Callw thewRapidw ResponsewTeam.
b. Documentw andw continuew tow monitor.
c. Notifywthew primaryw carewprovider.
d. Repeatw bloodw pressurew measurementw inw 15w minutes.
CORRECTwANSWER:w A
Thew purposewofwthewRapidwResponsew Teamw(RRT) wiswtowintervenew whenwclientswarewdeterioratingwbeforewthe
ywsufferweitherwrespiratoryworwcardiacwarrest.wSincewthewclientwhaswmanifestedwawsignificantwchange,wthewnursewsho
uldwcallwthewRRT.wChangeswinwbloodw pressure,w mentalwstatus,wheartwrate,wandwpainwarewparticularlywsignifica
nt.
Documentationwiswvital,wbutwthewnursewmustwdowmore wthanwdocument. wThewprimarywcarewprovider wshoul
dwbewnotified,wbutwthiswiswnotwthewprioritywoverwcallingwthewRRT.wThewclientswbloodwpressurewshouldwbewreas
sessedwfrequently,wbutwthew prioritywiswgettingwthewrapidwcarewtowthewclient.
DIF:w Applying/Applicationw REF:w 3
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
w w w w w w w w
Surgical Nursing
w w
MULTIPLEw CHOICE
1. Awnursewwisheswtowprovidewclient-
centeredwcarewinwallwinteractions.wWhichwactionwbywthewnursewbestwdemonstrates wthiswconcept?
a. Assessesw forw culturalw influencesw affectingw healthw care
b. Ensureswthatwallwthewclientsw basicw needswarew met
c. Tellswthewclientw andw familywaboutw allw upcomingw tests
d. Thoroughlyw orientswthew clientw andw familyw tow thewroom
CORRECTwANSWER:w A
Competencywinwclient-
focusedwcarewiswdemonstratedwwhenwthewnursewfocuseswonwcommunication,wculture,wrespectwcompassion, wclientwe
ducation, wandwempowerment. wBywassessingwtheweffectwofwthewclientswculturewonwhealthwcare,wthiswnursewiswpra
cticingwclient-
focusedwcare.wProvidingwfor wbasicwneedswdoeswnotwdemonstratewthiswcompetence. wSimplywtellingwthewclientwab
outwallwupcomingwtestswiswnotwprovidingwempoweringweducation. wOrientingwthewclientwandwfamilywtowthewroomw
iswanwimportantwsafetywmeasure,wbutwnotwdirectlywrelatedwtowdemonstratingwclient-centeredwcare.
DIF:w Understanding/Comprehensionw REF:w 3
KEY:wPatient-
centeredwcare|wculturewMSC:wIntegratedwProcess:wCaringwNOT:wClien
twNeedswCategory:wPsychosocialwIntegrity
2. Awnursewiswcaringwforwawpostoperativewclientwonwthewsurgicalwunit.wThewclientswbloodwpressurewwasw142/76wm
mwHgw30w minuteswago,wandw nowwisw88/50w mmw Hg.wWhatwactionwbywthewnursewiswbest?
a. Callw thewRapidw ResponsewTeam.
b. Documentw andw continuew tow monitor.
c. Notifywthew primaryw carewprovider.
d. Repeatw bloodw pressurew measurementw inw 15w minutes.
CORRECTwANSWER:w A
Thew purposewofwthewRapidwResponsew Teamw(RRT) wiswtowintervenew whenwclientswarewdeterioratingwbeforewthe
ywsufferweitherwrespiratoryworwcardiacwarrest.wSincewthewclientwhaswmanifestedwawsignificantwchange,wthewnursewsho
uldwcallwthewRRT.wChangeswinwbloodw pressure,w mentalwstatus,wheartwrate,wandwpainwarewparticularlywsignifica
nt.
Documentationwiswvital,wbutwthewnursewmustwdowmore wthanwdocument. wThewprimarywcarewprovider wshoul
dwbewnotified,wbutwthiswiswnotwthewprioritywoverwcallingwthewRRT.wThewclientswbloodwpressurewshouldwbewreas
sessedwfrequently,wbutwthew prioritywiswgettingwthewrapidwcarewtowthewclient.
DIF:w Applying/Applicationw REF:w 3
