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-
R R R R R R R R
R Surgical NursingR
MULTIPLER CHOICE
1. ARnurseRwishesRtoRprovideRclient-
centeredRcareRinRallRinteractions.RWhichRactionRbyRtheRnurseRbestRdemonstratesRthisRconcept?
a. AssessesR forR culturalR influencesR affectingR healthR care
b. EnsuresRthatRallRtheRclientsR basicRneedsRareRmet
c. TellsRtheRclientRandRfamilyRaboutR allRupcomingR tests
d. ThoroughlyRorientsRtheRclientR andRfamilyR toR theRroom
CORRECTRANSWER:R A
CompetencyRinRclient-
focusedRcareRisRdemonstratedRwhenRtheRnurseRfocusesRonRcommunication,Rculture,RrespectRcompassion,RclientRedu
cation,RandRempowerment.RByRassessingRtheReffectRofRtheRclientsRcultureRonRhealthRcare,RthisRnurseRisRpracticing
client-
R
focusedRcare.RProvidingRforRbasicRneedsRdoesRnotRdemonstrateRthisRcompetence.RSimplyRtellingRtheRclientRabout
allRupcomingRtestsRisRnotRprovidingRempoweringReducation.ROrientingRtheRclientRandRfamilyRtoRtheRroomRisRanRi
R
mportantRsafetyRmeasure,RbutRnotRdirectlyRrelatedRtoRdemonstratingRclient-centeredRcare.
DIF:R Understanding/ComprehensionR REF:R 3
KEY:RPatient-
centeredRcare|RcultureRMSC:RIntegratedRProcess:RCaringRNOT:RClientR
NeedsRCategory:RPsychosocialRIntegrity
2. ARnurseRisRcaringRforRaRpostoperativeRclientRonRtheRsurgicalRunit.RTheRclientsRbloodRpressureRwasR142/76RmmR
HgR30RminutesRago,RandRnowRisR88/50RmmRHg.RWhatRactionRbyRtheRnurseRisRbest?
a. CallRtheRRapidR ResponseRTeam.
b. DocumentRandRcontinueRtoR monitor.
c. NotifyRtheRprimaryRcareRprovider.
d. RepeatRbloodR pressureRmeasurementR inR15R minutes.
CORRECTRANSWER:R A
TheRpurposeRofRtheRRapidRResponseRTeamR(RRT)RisRtoRinterveneRwhenRclientsRareRdeterioratingRbeforeRtheyRs
ufferReitherRrespiratoryRorRcardiacRarrest.RSinceRtheRclientRhasRmanifestedRaRsignificantRchange,RtheRnurseRshouldRcal
lRtheRRRT.RChangesRinRbloodRpressure,RmentalRstatus,RheartRrate,RandRpainRareRparticularlyRsignificant.
DocumentationRisRvital,RbutRtheRnurseRmustRdoRmoreRthanRdocument.RTheRprimaryRcareRproviderRshouldRbe
R notified,RbutRthisRisRnotRtheRpriorityRoverRcallingRtheRRRT.RTheRclientsRbloodRpressureRshouldRbeRreassessedRf
requently,RbutRtheRpriorityRisRgettingRtheRrapidRcareRtoRtheRclient.
DIF:R Applying/ApplicationR REF:R 3
KEY:RRapidRResponseRTeamR(RRT)|RmedicalRemergenciesR MS