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Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical
Nursing
MULTIPLEf CHOICE
1. Afnursefwishesftofprovidefclient-
centeredfcarefinfallfinteractions.fWhichfactionfbyfthefnursefbestfdemonstratesfthisfconcept?
a. Assessesf forf culturalf influencesf affectingf healthf care
b. Ensuresfthatfallfthefclientsf basicfneedsfarefmet
c. Tellsfthefclientfandffamilyfaboutf allfupcomingf tests
d. Thoroughlyforientsfthefclientf andffamilyftof thefroom
ANS:f A
Competencyfinfclient-
focusedfcarefisfdemonstratedfwhenfthefnurseffocusesfonfcommunication,fculture,frespectfcompassion,fclientfeducati
on,fandfempowerment.fByfassessingfthefeffectfoffthefclientsfculturefonfhealthfcare,fthisfnursefisfpracticingfclient-
focusedfcare.fProvidingfforfbasicfneedsfdoesfnotfdemonstratefthisfcompetence.fSimplyftellingfthefclientfaboutfallfu
pcomingftestsfisfnotfprovidingfempoweringfeducation.fOrientingfthefclientfandffamilyftofthefroomfisfanfimportantfsaf
etyfmeasure,fbutfnotfdirectlyfrelatedftofdemonstratingfclient-centeredfcare.
DIF:f Understanding/Comprehensionf REF:f 3
KEY:fPatient-
centeredfcare|fculturefMSC:fIntegratedfProcess:fCaringfNOT:fClientfNee
dsfCategory:fPsychosocialfIntegrity
2. Afnursefisfcaringfforfafpostoperativefclientfonfthefsurgicalfunit.fThefclientsfbloodfpressurefwasf142/76fmmfHgf30f
minutesfago,fandfnowfisf88/50fmmfHg.fWhatfactionfbyfthefnursefisfbest?
a. CallfthefRapidfResponsefTeam.
b. Documentfandfcontinuef tof monitor.
c. Notifyfthefprimaryfcarefprovider.
d. Repeatfbloodf pressurefmeasurementf inf15fminutes.
ANS:f A
ThefpurposefoffthefRapidfResponsefTeamf(RRT)fisftofintervenefwhenfclientsfarefdeterioratingfbeforeftheyfsufferfeit
herfrespiratoryforfcardiacfarrest.fSincefthefclientfhasfmanifestedfafsignificantfchange,fthefnursefshouldfcallfthefRRT.fC
hangesfinfbloodfpressure,fmentalfstatus,fheartfrate,fandfpainfarefparticularlyfsignificant.
Documentationfisfvital,fbutfthefnursefmustfdofmorefthanfdocument.fThefprimaryfcarefproviderfshouldfbefnotifi
ed,fbutfthisfisfnotfthefpriorityfoverfcallingfthefRRT.fThefclientsfbloodfpressurefshouldfbefreassessedffrequently,fb
utfthefpriorityfisfgettingfthefrapidfcareftofthefclient.
DIF:f Applying/Applicationf REF:f 3
KEY:fRapidfResponsefTeamf(RRT)|fmedicalfemergenciesf MSC:fInt
egratedfProcess:fCommunicationfandfDocumentation
NOT:fClientf Needsf Category:f Physiologicalf Integrity:f Physiologicalf Adaptation
3. Afnursefisforientingfafnewfclientfandffamilyftofthefinpatientfunit.fWhatfinformationfdoesfthefnursefprovideftofhelpfthe
fclientfpromotefhisforfherfownfsafety?
a. Encouragefthefclientfandffamilyftofbefactivef partners.
b. Havefthefclientfmonitorf handfhygienefinfcaregivers.
c. Offerftheffamilyf thefopportunityftofstayfwithf thefclient.
d. Tellfthefclientftofalwaysf wearfhisforfherfarmband.
ANS:f A
Eachfactionfcouldfbefimportantfforfthefclientforffamilyftofperform.fHowever,fencouragingfthefclientftofbefactivefinf
hisforfherfhealthfcarefasfafpartnerfisfthefmostfcritical.fThefotherfactionsfarefveryflimitedfinfscopefandfdofnotfprovidef
thefbroadfprotectionfthatfbeingfactivefandfinvolvedfdoes.
DIF:fUnderstanding/ComprehensionfREF:f3fKE
Y:fPatientfsafety
MSC:f Integratedf Process:f Teaching/Learning
NOT:f Clientf Needsf Category:f Safef andfEffectivef Caref Environment:f Safetyf andfInfectionf Control
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