TEST BANK for Medical-Surgical Nursing: Concepts for
f f f f f f
f Clinical fJudgment fand fCollaborative fCare
11th Edition by Donna D. Ignatavicius,
f f f f f
All chapters 1 - 74
f f f f
,
,
, Chapter f01: fOverview fof fProfessional fNursing fConcepts ffor fMedical-
f Surgical fNursing
MULTIPLE f CHOICE
1. A fnurse fwishes fto fprovide fclient-centered fcare fin fall finteractions. fWhich faction fby fthe
fnurse fbest fdemonstrates fthis fconcept?
a. Assesses f for f cultural f influences f affecting f health f care
b. Ensures fthat fall f the fclients f basic f needs f are f met
c. Tells fthe f client f and ffamily f about f all f upcoming f tests
d. Thoroughly f orients f the f client f and ffamily f to f the f room
CORRECT fANSWER: f A
Competency fin fclient-focused fcare fis fdemonstrated fwhen fthe fnurse ffocuses fon fcommunication, fculture,
frespect fcompassion, fclient feducation, fand fempowerment. fBy fassessing fthe feffect fof fthe fclients
fculture fon fhealth fcare, fthis fnurse fis fpracticing fclient-focused fcare. fProviding ffor fbasic fneeds fdoes
fnot fdemonstrate fthis fcompetence. fSimply ftelling fthe fclient fabout fall fupcoming ftests fis fnot fproviding
fempowering feducation. fOrienting fthe fclient fand ffamily fto fthe froom fis fan fimportant fsafety fmeasure,
fbut fnot fdirectly frelated fto fdemonstrating fclient-centered fcare.
DIF: f Understanding/Comprehension f REF: f 3
KEY: fPatient-centered fcare| fculture fMSC: fIntegrated fProcess:
fCaring fNOT: fClient fNeeds fCategory: fPsychosocial fIntegrity
2. A fnurse fis fcaring ffor fa fpostoperative fclient fon fthe fsurgical funit. fThe fclients fblood fpressure fwas
f142/76 fmm fHg f30 fminutes fago, fand fnow fis f88/50 fmm fHg. fWhat faction fby fthe fnurse fis fbest?
a. Call f the f Rapid f Response f Team.
b. Document f and fcontinue f to f monitor.
c. Notify fthe f primary f care f provider.
d. Repeat f blood f pressure f measurement f in f 15 f minutes.
CORRECT fANSWER: f A
The fpurpose fof fthe fRapid fResponse fTeam f(RRT) fis fto fintervene fwhen fclients fare fdeteriorating
fbefore fthey fsuffer feither frespiratory for fcardiac farrest. fSince fthe fclient fhas fmanifested fa fsignificant
fchange, fthe fnurse fshould fcall fthe fRRT. fChanges fin fblood fpressure, fmental fstatus, fheart frate, fand
fpain fare fparticularly fsignificant.
Documentation fis fvital, fbut fthe fnurse fmust fdo fmore fthan fdocument. fThe fprimary fcare fprovider
fshould fbe fnotified, fbut fthis fis fnot fthe fpriority fover fcalling fthe fRRT. fThe fclients fblood fpressure
fshould fbe freassessed ffrequently, fbut fthe fpriority fis fgetting fthe frapid fcare fto fthe fclient.
DIF: f Applying/Application f REF: f 3
f f f f f f
f Clinical fJudgment fand fCollaborative fCare
11th Edition by Donna D. Ignatavicius,
f f f f f
All chapters 1 - 74
f f f f
,
,
, Chapter f01: fOverview fof fProfessional fNursing fConcepts ffor fMedical-
f Surgical fNursing
MULTIPLE f CHOICE
1. A fnurse fwishes fto fprovide fclient-centered fcare fin fall finteractions. fWhich faction fby fthe
fnurse fbest fdemonstrates fthis fconcept?
a. Assesses f for f cultural f influences f affecting f health f care
b. Ensures fthat fall f the fclients f basic f needs f are f met
c. Tells fthe f client f and ffamily f about f all f upcoming f tests
d. Thoroughly f orients f the f client f and ffamily f to f the f room
CORRECT fANSWER: f A
Competency fin fclient-focused fcare fis fdemonstrated fwhen fthe fnurse ffocuses fon fcommunication, fculture,
frespect fcompassion, fclient feducation, fand fempowerment. fBy fassessing fthe feffect fof fthe fclients
fculture fon fhealth fcare, fthis fnurse fis fpracticing fclient-focused fcare. fProviding ffor fbasic fneeds fdoes
fnot fdemonstrate fthis fcompetence. fSimply ftelling fthe fclient fabout fall fupcoming ftests fis fnot fproviding
fempowering feducation. fOrienting fthe fclient fand ffamily fto fthe froom fis fan fimportant fsafety fmeasure,
fbut fnot fdirectly frelated fto fdemonstrating fclient-centered fcare.
DIF: f Understanding/Comprehension f REF: f 3
KEY: fPatient-centered fcare| fculture fMSC: fIntegrated fProcess:
fCaring fNOT: fClient fNeeds fCategory: fPsychosocial fIntegrity
2. A fnurse fis fcaring ffor fa fpostoperative fclient fon fthe fsurgical funit. fThe fclients fblood fpressure fwas
f142/76 fmm fHg f30 fminutes fago, fand fnow fis f88/50 fmm fHg. fWhat faction fby fthe fnurse fis fbest?
a. Call f the f Rapid f Response f Team.
b. Document f and fcontinue f to f monitor.
c. Notify fthe f primary f care f provider.
d. Repeat f blood f pressure f measurement f in f 15 f minutes.
CORRECT fANSWER: f A
The fpurpose fof fthe fRapid fResponse fTeam f(RRT) fis fto fintervene fwhen fclients fare fdeteriorating
fbefore fthey fsuffer feither frespiratory for fcardiac farrest. fSince fthe fclient fhas fmanifested fa fsignificant
fchange, fthe fnurse fshould fcall fthe fRRT. fChanges fin fblood fpressure, fmental fstatus, fheart frate, fand
fpain fare fparticularly fsignificant.
Documentation fis fvital, fbut fthe fnurse fmust fdo fmore fthan fdocument. fThe fprimary fcare fprovider
fshould fbe fnotified, fbut fthis fis fnot fthe fpriority fover fcalling fthe fRRT. fThe fclients fblood fpressure
fshould fbe freassessed ffrequently, fbut fthe fpriority fis fgetting fthe frapid fcare fto fthe fclient.
DIF: f Applying/Application f REF: f 3
