TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter 01: Overview of Professional Nursing Concepts for Medical-
c c c c c c c c
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
c c c c c c
MULTIPLEcCHOICE
1. Acnewcnurseciscworkingcwithcacpreceptorconcacmedical-
surgicalcunit.cThecpreceptorcadvisescthecnewcnursecthatcwhichciscthecprioritycwhencworkingcascac
professionalcnurse?
a. Attendingctocholisticcclientcneeds
b. Ensuringcclientcsafety
c. Notcmakingcmedicationcerrors
d. Providingcclient-focusedccare
CORRECTcANSWER:c B
Allcactionscarecappropriatecforcthecprofessionalcnurse.cHowever,censuringcclientcsafetyciscthecprio
rity.cHealthccarecerrorschavecbeencwidelycreportedcforc25cyears,cmanycofcwhichcresultcincclientcinj
ury,cdeath,candcincreasedchealthccareccosts.cTherecarecseveralcnationalcandcinternationalcorganiz
ationscthatchaveceithercrecommendedcorcmandatedcsafetycinitiatives.
Everycnursechascthecresponsibilityctocguardcthecclient’scsafety.cThecothercactionscarecimportantcf
orcqualitycnursing,cbutctheycarecnotcascvitalcascprovidingcsafety.cNotcmakingcmedicationcerrorscdo
escprovidecsafety,cbutcisctoocnarrowcincscopectocbecthecbestcanswer.
DIF: Understanding
TOP:c IntegratedcProcess:cNursingcProcess:cInterventioncKEY:cClientcsafety
MSC:c ClientcNeedscCategory:cSafecandcEffectivecCarecEnvironment:cSafetycandcInfectioncControl
2. Acnurseciscorientingcacnewcclientcandcfamilyctocthecmedical-
surgicalcunit.cWhatcinformationcdoescthecnursecprovidectocbestchelpcthecclientcpromotechiscor
hercowncsafety?
c
a. Encouragecthecclientcandcfamilyctocbecactivecpartners.
b. Havecthecclientcmonitorchandchygienecinccaregivers.
c. Offercthecfamilycthecopportunityctocstaycwithcthecclient.
d. Tellcthecclientctocalwayscwearchiscorchercarmband.
CORRECTcANSWER:c A
, Eachcactionccouldcbecimportantcforcthecclientcorcfamilyctocperform.cHowever,cencouragingctheccli
entctocbecactivecinchiscorcherchealthccarecascacsafetycpartnerciscthecmostccritical.cThecothercactionsc
arecveryclimitedcincscopecandcdocnotcprovidecthecbroadcprotectioncthatcbeingcactivecandcinvolvedc
does.
DIF: Understanding
TOP:cIntegratedcProcess:cTeaching/LearningcKEY:cClientcsafety
MSC:c ClientcNeedscCategory:cSafecandcEffectivecCarecEnvironment:cSafetycandcInfectioncControl
3. Acnursecisccaringcforcacpostoperativecclientconcthecsurgicalcunit.cThecclient’scbloodcpressurecwa
sc142/76cmmcHgc30cminutescago,candcnowcisc88/50cmmcHg.cWhatcactioncwouldcthecnursectakec
first?
a. CallcthecRapidcResponsecTeam.
b. Documentcandccontinuectocmonitor.
c. Notifycthecprimarychealthccarecprovider.
d. Repeatcthecbloodcpressurecinc15cminutes.
, CORRECTcANSWER:c A
ThecpurposecofcthecRapidcResponsecTeamc(RRT)cisctocintervenecwhencclientscarecdeterioratingcbe
forectheycsufferceithercrespiratorycorccardiaccarrest.cSincecthecclientchascmanifestedcacsignificantc
change,cthecnursecwouldccallcthecRRT.cChangescincbloodcpressure,cmentalcstatus,cheartcrate,ctem
perature,coxygencsaturation,candclastc2chours’curinecoutputcarecparticularlycsignificantcandcarecp
artcofcthecModifiedcEarlycWarningcSystemcguide.cDocumentationciscvital,cbutcthecnursecmustcdoc
morecthancdocument.cThecprimarychealthccarecprovidercwouldcbecnotified,cbutcthisciscnotcmoreci
mportantcthanccallingcthecRRT.cThecclient’scbloodcpressurecwouldcbecreassessedcfrequently,cbutc
thecpriorityciscgettingcthecrapidccarectocthecclient.
DIF: Applying
TOP:c IntegratedcProcess:cCommunicationcandcDocumentationcKEY:cRapidcRes
ponsecTeamc(RRT),cClinicalcjudgment
MSC:c ClientcNeedscCategory:cPhysiologicalcIntegrity:cPhysiologicalcAdaptation
4. Acnursecwishesctocprovidecclient-centeredccarecincallcinteractions.cWhichcactioncbycthecnurse
bestcdemonstratescthiscconcept?
a. Assessescforcculturalcinfluencescaffectingchealthccare.
b. Ensurescthatcallcthecclient’scbasiccneedscarecmet.
c. Tellscthecclientcandcfamilycaboutcallcupcomingctests.
d. Thoroughlycorientscthecclientcandcfamilyctocthecroom.
CORRECTcANSWER:c A
Showingcrespectcforcthecclientcandcfamily’scpreferencescandcneedsciscessentialctocensurecacholisti
ccorc“whole-
person”capproachctoccare.cBycassessingctheceffectcofcthecclient’sccultureconchealthccare,cthiscnurs
eciscpracticingcclient-
focusedccare.cProvidingcforcbasiccneedscdoescnotcdemonstratecthisccompetence.cSimplyctellingct
hecclientcaboutcallcupcomingctestsciscnotcprovidingcempoweringceducation.cOrientingcthecclientca
ndcfamilyctocthecroomciscancimportantcsafetycmeasure,cbutcnotcdirectlycrelatedctocdemonstratingc
client-centeredccare.
DIF: Understanding
TOP:cIntegratedcProcess:cCulturecandcSpiritualitycKEY:c Client-centeredccare,cCulture
MSC:c ClientcNeedscCategory:cPsychosocialcIntegrity
5. Acclientciscgoingctocbecadmittedcforcacscheduledcsurgicalcprocedure.cWhichcactioncdoescthecn
ursecexplainciscthecmostcimportantcthingcthecclientccancdoctocprotectcagainstcerrors?
a. Bringcaclistcofcallcmedicationscandcwhatctheycarecfor.
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter 01: Overview of Professional Nursing Concepts for Medical-
c c c c c c c c
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
c c c c c c
MULTIPLEcCHOICE
1. Acnewcnurseciscworkingcwithcacpreceptorconcacmedical-
surgicalcunit.cThecpreceptorcadvisescthecnewcnursecthatcwhichciscthecprioritycwhencworkingcascac
professionalcnurse?
a. Attendingctocholisticcclientcneeds
b. Ensuringcclientcsafety
c. Notcmakingcmedicationcerrors
d. Providingcclient-focusedccare
CORRECTcANSWER:c B
Allcactionscarecappropriatecforcthecprofessionalcnurse.cHowever,censuringcclientcsafetyciscthecprio
rity.cHealthccarecerrorschavecbeencwidelycreportedcforc25cyears,cmanycofcwhichcresultcincclientcinj
ury,cdeath,candcincreasedchealthccareccosts.cTherecarecseveralcnationalcandcinternationalcorganiz
ationscthatchaveceithercrecommendedcorcmandatedcsafetycinitiatives.
Everycnursechascthecresponsibilityctocguardcthecclient’scsafety.cThecothercactionscarecimportantcf
orcqualitycnursing,cbutctheycarecnotcascvitalcascprovidingcsafety.cNotcmakingcmedicationcerrorscdo
escprovidecsafety,cbutcisctoocnarrowcincscopectocbecthecbestcanswer.
DIF: Understanding
TOP:c IntegratedcProcess:cNursingcProcess:cInterventioncKEY:cClientcsafety
MSC:c ClientcNeedscCategory:cSafecandcEffectivecCarecEnvironment:cSafetycandcInfectioncControl
2. Acnurseciscorientingcacnewcclientcandcfamilyctocthecmedical-
surgicalcunit.cWhatcinformationcdoescthecnursecprovidectocbestchelpcthecclientcpromotechiscor
hercowncsafety?
c
a. Encouragecthecclientcandcfamilyctocbecactivecpartners.
b. Havecthecclientcmonitorchandchygienecinccaregivers.
c. Offercthecfamilycthecopportunityctocstaycwithcthecclient.
d. Tellcthecclientctocalwayscwearchiscorchercarmband.
CORRECTcANSWER:c A
, Eachcactionccouldcbecimportantcforcthecclientcorcfamilyctocperform.cHowever,cencouragingctheccli
entctocbecactivecinchiscorcherchealthccarecascacsafetycpartnerciscthecmostccritical.cThecothercactionsc
arecveryclimitedcincscopecandcdocnotcprovidecthecbroadcprotectioncthatcbeingcactivecandcinvolvedc
does.
DIF: Understanding
TOP:cIntegratedcProcess:cTeaching/LearningcKEY:cClientcsafety
MSC:c ClientcNeedscCategory:cSafecandcEffectivecCarecEnvironment:cSafetycandcInfectioncControl
3. Acnursecisccaringcforcacpostoperativecclientconcthecsurgicalcunit.cThecclient’scbloodcpressurecwa
sc142/76cmmcHgc30cminutescago,candcnowcisc88/50cmmcHg.cWhatcactioncwouldcthecnursectakec
first?
a. CallcthecRapidcResponsecTeam.
b. Documentcandccontinuectocmonitor.
c. Notifycthecprimarychealthccarecprovider.
d. Repeatcthecbloodcpressurecinc15cminutes.
, CORRECTcANSWER:c A
ThecpurposecofcthecRapidcResponsecTeamc(RRT)cisctocintervenecwhencclientscarecdeterioratingcbe
forectheycsufferceithercrespiratorycorccardiaccarrest.cSincecthecclientchascmanifestedcacsignificantc
change,cthecnursecwouldccallcthecRRT.cChangescincbloodcpressure,cmentalcstatus,cheartcrate,ctem
perature,coxygencsaturation,candclastc2chours’curinecoutputcarecparticularlycsignificantcandcarecp
artcofcthecModifiedcEarlycWarningcSystemcguide.cDocumentationciscvital,cbutcthecnursecmustcdoc
morecthancdocument.cThecprimarychealthccarecprovidercwouldcbecnotified,cbutcthisciscnotcmoreci
mportantcthanccallingcthecRRT.cThecclient’scbloodcpressurecwouldcbecreassessedcfrequently,cbutc
thecpriorityciscgettingcthecrapidccarectocthecclient.
DIF: Applying
TOP:c IntegratedcProcess:cCommunicationcandcDocumentationcKEY:cRapidcRes
ponsecTeamc(RRT),cClinicalcjudgment
MSC:c ClientcNeedscCategory:cPhysiologicalcIntegrity:cPhysiologicalcAdaptation
4. Acnursecwishesctocprovidecclient-centeredccarecincallcinteractions.cWhichcactioncbycthecnurse
bestcdemonstratescthiscconcept?
a. Assessescforcculturalcinfluencescaffectingchealthccare.
b. Ensurescthatcallcthecclient’scbasiccneedscarecmet.
c. Tellscthecclientcandcfamilycaboutcallcupcomingctests.
d. Thoroughlycorientscthecclientcandcfamilyctocthecroom.
CORRECTcANSWER:c A
Showingcrespectcforcthecclientcandcfamily’scpreferencescandcneedsciscessentialctocensurecacholisti
ccorc“whole-
person”capproachctoccare.cBycassessingctheceffectcofcthecclient’sccultureconchealthccare,cthiscnurs
eciscpracticingcclient-
focusedccare.cProvidingcforcbasiccneedscdoescnotcdemonstratecthisccompetence.cSimplyctellingct
hecclientcaboutcallcupcomingctestsciscnotcprovidingcempoweringceducation.cOrientingcthecclientca
ndcfamilyctocthecroomciscancimportantcsafetycmeasure,cbutcnotcdirectlycrelatedctocdemonstratingc
client-centeredccare.
DIF: Understanding
TOP:cIntegratedcProcess:cCulturecandcSpiritualitycKEY:c Client-centeredccare,cCulture
MSC:c ClientcNeedscCategory:cPsychosocialcIntegrity
5. Acclientciscgoingctocbecadmittedcforcacscheduledcsurgicalcprocedure.cWhichcactioncdoescthecn
ursecexplainciscthecmostcimportantcthingcthecclientccancdoctocprotectcagainstcerrors?
a. Bringcaclistcofcallcmedicationscandcwhatctheycarecfor.
