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Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
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1. A nurse wishes to provide client-centered care in all interactions.
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Which action by the nurse bestdemonstrates this concept?
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a. Assesses for ud u d cultural u d influences u d affecting health u d u d care
b. Ensures that ud u d all the clients u d u d u d basic u d needs u d are met u d
c. Tells u d the client and family u d ud u d u d about u d all upcoming ud ud u d tests
d. Thoroughly u d orients the client ud u d u d and family u d u d to the room u d u d
ANS: A u d
Competency in client-focused care is demonstrated when the nurse focuses on ud ud ud ud ud ud ud ud ud ud
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u d empowerment.By assessing the effect of the clients culture on health care, d
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u d this nurse is practicing client- focused care. Providing for basic needs
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u d does not demonstrate this competence. Simply telling the client about
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u d all upcoming tests is not providing empowering education.
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Orienting the client and family to the room is an important safety
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u d measure, butnot directly related to demonstrating client-centered care.
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DIF: Understanding/Comprehension
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KEY: Patient-centered care| culture MSC: Integrated
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Process: CaringNOT: Client Needs Category:
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Psychosocial Integrity u d
2. A nurse is caring for a postoperative client on the
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blood pressure was 142/76 mm Hg 30 minutes ago, and now is
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u d 88/50 mm Hg. What action by the nurse is best?
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a. Call the Rapid ud u d u d Response u d Team.
b. Document and ud u d continue u d to u d monitor.
c. Notify the ud u d primary u d care provider. u d
d. Repeat blood ud u d pressure u d measurement u d in u d 15 minutes. u d
ANS: A u d
The purpose ud ud u d ud ud u d of the Rapid Response ud ud u d ud ud u d ud ud u d ud ud u d Team (RRT) ud ud u d is to intervene ud ud
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u d arrest. Since the client has manifested a significant change, the nurse
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