Test Bank for Medical Surgical Nursing Concepts
c z c z cz c z c z c z
for Clinical Judgment and Collaborative Care 11th
cz cz cz cz cz cz
Edition (Donna d. Ignatavicius)
cz cz cz cz
All Chapters Completed
cz c z
,Chapter 01: Overview of Professional Nursing Concepts for cz cz cz cz cz cz cz
Medical-SurgicalNursing cz
MULTIPLE CHOICE c z
1. A nurse wishes to provide client-centered care in all interactions. Whichaction by the
cz cz cz cz cz cz cz cz cz cz cz cz
cz nurse best demonstrates this concept?
cz cz cz cz
a. Assesses for cultural influences affecting health care cz cz cz cz cz cz
b. Ensures that all the clients basic needs are met cz cz cz cz cz cz cz cz
c. Tells the client and family about all upcoming tests
cz cz cz cz cz cz cz cz
d. Thoroughly orients the client and family to the room cz cz cz c z cz cz cz cz
ANSWER: A c z
Competency in client-focused care is demonstrated when the nurse focuses on communication, culture, cz cz cz cz cz cz cz cz cz cz cz cz
cz respect compassion, client education, and empowerment. By assessing the effect of the clients culture on
cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz health care, this nurse is practicing client-focused care. Providing for basic needs does not demonstrate
cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz this competence. Simplytelling the client about all upcoming tests is not providing empowering
cz cz cz cz cz cz cz cz cz cz cz cz
cz education.
Orienting the client and family to the room is an important safety measure, but notdirectly related to
cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz demonstrating client-centered care. cz cz
DIF:Understanding/Comprehension REF:3
cz cz cz
KEY: Patient-centered care| culture MSC: IntegratedProcess:
cz cz cz cz cz
Caring NOT: Client Needs Category: cz cz cz cz
Psychosocial Integrity c z
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was
cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What actionby the nurse is best?
c z cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz
a. Call the Rapid Response Team.
cz cz c z cz
b. Document and continue to monitor. cz cz cz cz
, c. Notify the primary care provider. cz cz cz cz
d. Repeat blood pressure measurement in 15 minutes. cz cz c z cz cz cz
ANSWER: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they
cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz suffer either respiratory or cardiac arrest. Since the client hasmanifested a significant change, the nurse
cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz should call the RRT. Changes in blood pressure, mental status, heart rate, and pain are particularly
cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz significant.
Documentation is vital, but the nurse must do more than document. The primary care provider should cz cz cz cz cz cz cz c z c z cz cz cz cz cz cz
cz be notified, but this is not the priority over calling the RRT. The clients blood pressure should be
cz cz cz cz cz cz cz cz cz cz cz cz cz c z cz cz c z
cz reassessed frequently, but the priority is getting the rapid care to the client. c z cz cz c z c z cz cz cz cz cz cz cz
DIF:Applying/Application REF: 3
cz cz cz
KEY: Rapid Response Team(RRT)| medical
cz cz cz cz cz
cz emergencies MSC: Integrated Process: cz cz cz
Communication and Documentation c z cz
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
cz cz cz cz cz cz cz
3. A nurse is orienting a new client and family to the inpatient unit. What informationdoes the nurse
cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz provide to help the client promote his or her own safety?
cz cz cz cz cz cz cz cz cz cz
a. Encourage the client and family to be active partners. cz cz cz cz cz cz cz cz
b. Have the client monitor hand hygiene in caregivers. cz cz cz cz c z cz cz
c. Offer the family the opportunity to stay with the client.
cz cz cz cz c z cz cz c z cz
d. Tell the client to always wear his or her armband.
cz cz cz cz cz cz cz cz cz
ANSWER: A
Each action could be important for the client or family to perform. However, encouraging the client to be
cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz active in his or her health care as a partner is the mostcritical. The other actions are very limited in scope
cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz and do not provide the broad protection that being active and involved does.
cz cz cz cz cz cz cz cz cz cz cz cz
DIF:
c z c z cz c z c z c z
for Clinical Judgment and Collaborative Care 11th
cz cz cz cz cz cz
Edition (Donna d. Ignatavicius)
cz cz cz cz
All Chapters Completed
cz c z
,Chapter 01: Overview of Professional Nursing Concepts for cz cz cz cz cz cz cz
Medical-SurgicalNursing cz
MULTIPLE CHOICE c z
1. A nurse wishes to provide client-centered care in all interactions. Whichaction by the
cz cz cz cz cz cz cz cz cz cz cz cz
cz nurse best demonstrates this concept?
cz cz cz cz
a. Assesses for cultural influences affecting health care cz cz cz cz cz cz
b. Ensures that all the clients basic needs are met cz cz cz cz cz cz cz cz
c. Tells the client and family about all upcoming tests
cz cz cz cz cz cz cz cz
d. Thoroughly orients the client and family to the room cz cz cz c z cz cz cz cz
ANSWER: A c z
Competency in client-focused care is demonstrated when the nurse focuses on communication, culture, cz cz cz cz cz cz cz cz cz cz cz cz
cz respect compassion, client education, and empowerment. By assessing the effect of the clients culture on
cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz health care, this nurse is practicing client-focused care. Providing for basic needs does not demonstrate
cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz this competence. Simplytelling the client about all upcoming tests is not providing empowering
cz cz cz cz cz cz cz cz cz cz cz cz
cz education.
Orienting the client and family to the room is an important safety measure, but notdirectly related to
cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz demonstrating client-centered care. cz cz
DIF:Understanding/Comprehension REF:3
cz cz cz
KEY: Patient-centered care| culture MSC: IntegratedProcess:
cz cz cz cz cz
Caring NOT: Client Needs Category: cz cz cz cz
Psychosocial Integrity c z
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was
cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What actionby the nurse is best?
c z cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz
a. Call the Rapid Response Team.
cz cz c z cz
b. Document and continue to monitor. cz cz cz cz
, c. Notify the primary care provider. cz cz cz cz
d. Repeat blood pressure measurement in 15 minutes. cz cz c z cz cz cz
ANSWER: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they
cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz suffer either respiratory or cardiac arrest. Since the client hasmanifested a significant change, the nurse
cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz should call the RRT. Changes in blood pressure, mental status, heart rate, and pain are particularly
cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz significant.
Documentation is vital, but the nurse must do more than document. The primary care provider should cz cz cz cz cz cz cz c z c z cz cz cz cz cz cz
cz be notified, but this is not the priority over calling the RRT. The clients blood pressure should be
cz cz cz cz cz cz cz cz cz cz cz cz cz c z cz cz c z
cz reassessed frequently, but the priority is getting the rapid care to the client. c z cz cz c z c z cz cz cz cz cz cz cz
DIF:Applying/Application REF: 3
cz cz cz
KEY: Rapid Response Team(RRT)| medical
cz cz cz cz cz
cz emergencies MSC: Integrated Process: cz cz cz
Communication and Documentation c z cz
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
cz cz cz cz cz cz cz
3. A nurse is orienting a new client and family to the inpatient unit. What informationdoes the nurse
cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz provide to help the client promote his or her own safety?
cz cz cz cz cz cz cz cz cz cz
a. Encourage the client and family to be active partners. cz cz cz cz cz cz cz cz
b. Have the client monitor hand hygiene in caregivers. cz cz cz cz c z cz cz
c. Offer the family the opportunity to stay with the client.
cz cz cz cz c z cz cz c z cz
d. Tell the client to always wear his or her armband.
cz cz cz cz cz cz cz cz cz
ANSWER: A
Each action could be important for the client or family to perform. However, encouraging the client to be
cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz active in his or her health care as a partner is the mostcritical. The other actions are very limited in scope
cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz cz
cz and do not provide the broad protection that being active and involved does.
cz cz cz cz cz cz cz cz cz cz cz cz
DIF:
