TEST BANK For Medical-Surgical Nursing
vz vz vz vz vz
10th Edition Concepts for Interprofessional
vz vz vz vz
vz Collaborative Care, by Donna D. Ignatavicius,
vz vz vz vz vz vz
All chapters 1 – 69
vz vz vz vz
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
vz vz vz vz vz vz vz vz vz
vz Ignatavicius: Medical-Surgical Nursing, 10th Edition vz vz vz vz
MULTIPLECHOICE vz
1. A new nurseis working with a preceptor on a medical-surgical unit. The preceptor advises the new
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz nurse that which is the priority when working as a professional nurse?
vz vz vz vz vz vz vz vz vz vz vz
a. Attendingto holistic client needs vz vz vz vz
b. Ensuringclient safety vz vz
c. Not makingmedication errors vz vz vz
d. Providingclient-focused care vz vz
CORRECT ANSWER: B vz v z
All actionsare appropriatefor the professionalnurse. However, ensuring client safetyis the
vz vz vz vz vz vz vz vz vz vz vz vz vz
vz priority. Health care errors have been widely reported for 25 years, manyof which result in client
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz injury, death, and increased health care costs. There are several national and international
vz vz vz vz vz vz vz vz vz vz vz vz
vz organizations that have either recommended or mandated safety initiatives. vz vz vz vz vz vz vz vz
Every nurse has the responsibility to guard the client’s safety. The other actions are important for
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
quality nursing, but they are not as vital as providing safety. Not making medication errors does
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz provide safety, but is too narrow in scope to be the best answer. vz vz vz vz vz vz vz vz vz vz vz vz
DIF: Understanding TOP: IntegratedProcess:NursingProcess:Intervention v z vz vz vz vz
vz KEY: Client safety vz vz
MSC: Client Needs Category: SafeandEffective CareEnvironment: SafetyandInfection Control
v z vz vz vz vz vz vz vz vz vz vz vz
2. A nurseis orientinga new client and familyto the medical-surgical unit. What information does
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz the nurse provide to best help the client promote his or her own safety?
vz vz vz vz vz vz vz vz vz vz vz vz vz
a. Encouragethe client andfamilyto be active partners. vz vz vz vz vz vz vz vz
b. Have the client monitor hand hygiene in caregivers. vz vz vz vz vz vz vz
c. Offer the familythe opportunityto staywith the client. vz vz vz vz vz vz vz vz vz
d. Tellthe client to always wear his or her armband. vz vz vz vz vz vz vz vz vz
CORRECT ANSWER: A vz v z
Each action could be important for the client or familyto perform. However, encouraging the
vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz client to be active in his or her health care as a safety partner is the most critical. The other actions
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
, are verylimited in scope and do not provide the broad protection that being active and involved
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz does.
DIF: Understanding TOP:IntegratedProcess:Teaching/Learning
vz vz vz
vz KEY: Client safety
vz vz
MSC: Client Needs Category: SafeandEffective CareEnvironment: SafetyandInfection Control
v z vz vz vz vz vz vz vz vz vz vz vz
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure was
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
142/76 mm Hg30 minutes ago, and now is 88/50 mm Hg. What action would the nurse take
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz first?
a. Call the Rapid ResponseTeam.
vz vz vz vz
b. Document and continue to monitor. vz vz vz vz
c. Notifythe primaryhealth care provider. vz vz vz vz vz
d. Repeatthe blood pressure in15 minutes. vz vz vz vz vz vz
, CORRECT ANSWER: A vz v z
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz before they suffer either respiratory or cardiac arrest. Since the client has manifested a
vz vz vz vz vz vz vz vz vz vz vz vz vz
vz significant change, the nurse would call the RRT. Changes in blood pressure, mental status, heart vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly significant
vz vz vz vz vz vz vz vz vz vz vz vz
vz and are part of the Modified EarlyWarning System guide. Documentation is vital, but the nurse
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz must do more than document. The primary health care provider would be notified, but this is not
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz more important than calling the RRT. The client’s blood pressure would be reassessed frequently,
vz vz vz vz vz vz vz vz vz vz vz vz vz
vz but the priority is getting the rapid care to the client.
vz vz vz vz vz vz vz vz vz vz
DIF: Applying TOP: IntegratedProcess:CommunicationandDocumentation v z vz vz vz vz
vz KEY: Rapid Response Team (RRT), Clinical judgment
vz vz vz vz vz vz
MSC: ClientNeedsCategory:PhysiologicalIntegrity:PhysiologicalAdaptation
v z vz vz vz vz vz vz
4. Anurse wishes to provide client-centered care in allinteractions.Which action bythe nurse
vz vz vz vz vz vz vz vz vz vz vz vz vz vz
best demonstrates this concept? vz vz vz
a. Assesses for cultural influences affecting health care. vz vz vz vz vz vz
b. Ensuresthat all the client’s basic needs are met. vz vz vz vz vz vz vz vz
c. Tells the client and family about all upcoming tests. vz vz vz vz vz vz vz vz
d. Thoroughlyorients theclient and familyto the room. vz vz vz vz vz vz vz vz
CORRECT ANSWER: A vz v z
Showing respect for the client and family’s preferences and needs is essential to ensure a holistic
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
or “whole-person” approach to care. Byassessingthe effect of the client’s culture on health care,
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz this nurse is practicing client-focused care. Providing for basic needs does not demonstrate this
vz vz vz vz vz vz vz vz vz vz vz vz vz
vz competence. Simply telling the client about all upcoming tests is not providingempowering vz vz vz vz vz vz vz vz vz vz vz vz
education. Orientingthe client and familyto the room is an important safety measure, but not
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz directly related to demonstrating client-centered care. vz vz vz vz vz
DIF: Understanding TOP: Integrated Process: Culture and Spirituality KEY: vz vz vz vz vz vz
v z Client-centered care, Culture vz vz MSC: ClientNeedsCategory:PsychosocialIntegrity v z vz vz vz vz
5. A client is going to be admitted for a scheduled surgical procedure. Which actiondoes the
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz nurse explain is the most important thing the client can do to protect against errors?
vz vz vz vz vz vz vz vz vz vz vz vz vz vz
a. Bringa list of all medications and what theyare for. vz vz vz vz vz vz vz vz vz vz
b. Keep the provider’s phone numberbythe telephone. vz vz vz vz vz vz vz
c. Make surethat all providers wash hands before entering the room. vz vz vz vz vz vz vz vz vz vz
d. Write down the name ofeach caregiver who comes in the room. vz vz vz vz vz vz vz vz vz vz vz
vz vz vz vz vz
10th Edition Concepts for Interprofessional
vz vz vz vz
vz Collaborative Care, by Donna D. Ignatavicius,
vz vz vz vz vz vz
All chapters 1 – 69
vz vz vz vz
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
vz vz vz vz vz vz vz vz vz
vz Ignatavicius: Medical-Surgical Nursing, 10th Edition vz vz vz vz
MULTIPLECHOICE vz
1. A new nurseis working with a preceptor on a medical-surgical unit. The preceptor advises the new
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz nurse that which is the priority when working as a professional nurse?
vz vz vz vz vz vz vz vz vz vz vz
a. Attendingto holistic client needs vz vz vz vz
b. Ensuringclient safety vz vz
c. Not makingmedication errors vz vz vz
d. Providingclient-focused care vz vz
CORRECT ANSWER: B vz v z
All actionsare appropriatefor the professionalnurse. However, ensuring client safetyis the
vz vz vz vz vz vz vz vz vz vz vz vz vz
vz priority. Health care errors have been widely reported for 25 years, manyof which result in client
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz injury, death, and increased health care costs. There are several national and international
vz vz vz vz vz vz vz vz vz vz vz vz
vz organizations that have either recommended or mandated safety initiatives. vz vz vz vz vz vz vz vz
Every nurse has the responsibility to guard the client’s safety. The other actions are important for
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
quality nursing, but they are not as vital as providing safety. Not making medication errors does
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz provide safety, but is too narrow in scope to be the best answer. vz vz vz vz vz vz vz vz vz vz vz vz
DIF: Understanding TOP: IntegratedProcess:NursingProcess:Intervention v z vz vz vz vz
vz KEY: Client safety vz vz
MSC: Client Needs Category: SafeandEffective CareEnvironment: SafetyandInfection Control
v z vz vz vz vz vz vz vz vz vz vz vz
2. A nurseis orientinga new client and familyto the medical-surgical unit. What information does
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz the nurse provide to best help the client promote his or her own safety?
vz vz vz vz vz vz vz vz vz vz vz vz vz
a. Encouragethe client andfamilyto be active partners. vz vz vz vz vz vz vz vz
b. Have the client monitor hand hygiene in caregivers. vz vz vz vz vz vz vz
c. Offer the familythe opportunityto staywith the client. vz vz vz vz vz vz vz vz vz
d. Tellthe client to always wear his or her armband. vz vz vz vz vz vz vz vz vz
CORRECT ANSWER: A vz v z
Each action could be important for the client or familyto perform. However, encouraging the
vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz client to be active in his or her health care as a safety partner is the most critical. The other actions
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
, are verylimited in scope and do not provide the broad protection that being active and involved
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz does.
DIF: Understanding TOP:IntegratedProcess:Teaching/Learning
vz vz vz
vz KEY: Client safety
vz vz
MSC: Client Needs Category: SafeandEffective CareEnvironment: SafetyandInfection Control
v z vz vz vz vz vz vz vz vz vz vz vz
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure was
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
142/76 mm Hg30 minutes ago, and now is 88/50 mm Hg. What action would the nurse take
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz first?
a. Call the Rapid ResponseTeam.
vz vz vz vz
b. Document and continue to monitor. vz vz vz vz
c. Notifythe primaryhealth care provider. vz vz vz vz vz
d. Repeatthe blood pressure in15 minutes. vz vz vz vz vz vz
, CORRECT ANSWER: A vz v z
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz before they suffer either respiratory or cardiac arrest. Since the client has manifested a
vz vz vz vz vz vz vz vz vz vz vz vz vz
vz significant change, the nurse would call the RRT. Changes in blood pressure, mental status, heart vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly significant
vz vz vz vz vz vz vz vz vz vz vz vz
vz and are part of the Modified EarlyWarning System guide. Documentation is vital, but the nurse
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz must do more than document. The primary health care provider would be notified, but this is not
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz more important than calling the RRT. The client’s blood pressure would be reassessed frequently,
vz vz vz vz vz vz vz vz vz vz vz vz vz
vz but the priority is getting the rapid care to the client.
vz vz vz vz vz vz vz vz vz vz
DIF: Applying TOP: IntegratedProcess:CommunicationandDocumentation v z vz vz vz vz
vz KEY: Rapid Response Team (RRT), Clinical judgment
vz vz vz vz vz vz
MSC: ClientNeedsCategory:PhysiologicalIntegrity:PhysiologicalAdaptation
v z vz vz vz vz vz vz
4. Anurse wishes to provide client-centered care in allinteractions.Which action bythe nurse
vz vz vz vz vz vz vz vz vz vz vz vz vz vz
best demonstrates this concept? vz vz vz
a. Assesses for cultural influences affecting health care. vz vz vz vz vz vz
b. Ensuresthat all the client’s basic needs are met. vz vz vz vz vz vz vz vz
c. Tells the client and family about all upcoming tests. vz vz vz vz vz vz vz vz
d. Thoroughlyorients theclient and familyto the room. vz vz vz vz vz vz vz vz
CORRECT ANSWER: A vz v z
Showing respect for the client and family’s preferences and needs is essential to ensure a holistic
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
or “whole-person” approach to care. Byassessingthe effect of the client’s culture on health care,
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz this nurse is practicing client-focused care. Providing for basic needs does not demonstrate this
vz vz vz vz vz vz vz vz vz vz vz vz vz
vz competence. Simply telling the client about all upcoming tests is not providingempowering vz vz vz vz vz vz vz vz vz vz vz vz
education. Orientingthe client and familyto the room is an important safety measure, but not
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz directly related to demonstrating client-centered care. vz vz vz vz vz
DIF: Understanding TOP: Integrated Process: Culture and Spirituality KEY: vz vz vz vz vz vz
v z Client-centered care, Culture vz vz MSC: ClientNeedsCategory:PsychosocialIntegrity v z vz vz vz vz
5. A client is going to be admitted for a scheduled surgical procedure. Which actiondoes the
vz vz vz vz vz vz vz vz vz vz vz vz vz vz vz
vz nurse explain is the most important thing the client can do to protect against errors?
vz vz vz vz vz vz vz vz vz vz vz vz vz vz
a. Bringa list of all medications and what theyare for. vz vz vz vz vz vz vz vz vz vz
b. Keep the provider’s phone numberbythe telephone. vz vz vz vz vz vz vz
c. Make surethat all providers wash hands before entering the room. vz vz vz vz vz vz vz vz vz vz
d. Write down the name ofeach caregiver who comes in the room. vz vz vz vz vz vz vz vz vz vz vz
