Stuvia.com !!- !!The !!Marketplace !!to !!Buy !!and !!Sell !!your !!Study !!Material
TESTBANKFOR
! !
MEDICAL SURGICAL :CONCEPTS FOR
!! !! !!
TH
!! INTERPROFFESSIONAL COLLABORATIVE CARE 9 !! !! !!
EDITION IGNATAVICIUS
!!
!!
Downloaded !!by: !!PASSGRADES !!| !!
Distribution !!of !!this !!document !!is
!!illegal
, lOMoAR
!! cPSD|
Test ! ! Bank !! - !! Medical-SurgicalSN
tuu
viras.c
inog
m: -!C
Toh enc
Meaprktestpflo
a cr eIn te r p r o fe s s i o n a l C o l l a b o r eartiiavl e
!! !! B u y a n d S e l l ! ! y o ur !! S t u d y M a te
to 60 78199
!! Care !! 9e
1
Chapter 01: Overview of Professional Nursing Concepts for Medical-
!! !! !! !! !! !! !! !!
Surgical Nursing
!! !!
MULTIPLE ! ! CHOICE
1. A !!nurse !!wishes !!to !!provide !!client-centered !!care !!in !!all !!interactions. !!Which !!action !!by
!!the !!nurse !!best !!demonstrates !!this !!concept?
a. Assesses !!for !!cultural !!influences !!affecting !!health !!care
b. Ensures !!that !!all !!the !!clients !!basic !!needs !!are !!met
c. Tells !!the !!client !!and !!family !!about !!all !!upcoming !!tests
d. Thoroughly !!orients !!the !!client !!and !!family !!to !!the !!room
ANS: !!A
Competency !!in !!client-focused !!care !!is !!demonstrated !!when !!the !!nursefocuses !!on !!communication,
!!culture, !!respect !!compassion, !!client !!education, !!and !!empowerment. !!By !!assessing !!the !!effect !!of !!the
!!clients !!culture !!on !!health !!care, !!this !!nurse !!is !!practicing !!client-focused !!care. !!Providing !!for !!basic
!!needs !!does !!not !!demonstrate !!this !!competence. !!Simply !!telling !!the !!client !!about !!all !!upcoming !!tests !!is
!!not !!providing !!empowering !!education.
Orienting !!the !!client !!andfamily !!to !!theroom !!is
!!animportantsafetymeasure,
!!butnotdirectlyrelatedtodemonstratingclient-centered !!care.
DIF: !!Understanding/Comprehension !!REF: !!3
KEY: !!Patient-centered !!care| !!culture !!MSC: !!Integrated !!Process:
!!Caring !!NOT: !!Client !!Needs !!Category: !!Psychosocial !!Integrity
2. A !!nurse !!is !!caring !!for !!a !!postoperative !!client !!on !!the !!surgical !!unit. !!The !!clients !!blood !!pressure
!!was !!142/76 !!mm !!Hg !!30 !!minutes !!ago, !!and !!now !!is !!88/50 !!mm !!Hg. !!What !!action !!by !!the !!nurse
!!isbest?
a. Call !!the !!Rapid !!Response !!Team.
b. Document !!and !!continue !!to !!monitor.
c. Notify !!the !!primary !!care !!provider.
d. Repeat !!blood !!pressure !!measurement !!in !!15 !!minutes.
ANS: !!A
The !!purpose !!of !!the !!Rapid !!Response !!Team !!(RRT) !!is !!to !!intervene !!when !!clients !!are !!deteriorating
!!before !!they !!suffereitherrespiratoryorcardiacarrest. !!Sincetheclienthasmanifestedasignificantchange,
!!thenurseshould !!call !!the !!RRT. !!Changes !!in !!blood !!pressure, !!mental !!status, !!heart !!rate, !!and !!pain
!!are !!particularly !!significant. !!Documentation ! ! is ! ! vital, ! ! but ! ! the ! ! nursemust ! ! do ! ! more
! ! than ! ! document. ! ! The ! ! primary ! ! care ! ! provider !!should !!be !!notified, !!but !!this !!is !!not !!the
!!priority !!over !!calling !!the !!RRT. !!The !!clients !!blood !!pressure !!should
be !!reassessed !!frequently, !!but !!the !!priority !!is !!getting !!the !!rapid !!care !!to !!theclient.
DIF: !!Applying/Application !!REF: !!3
KEY: !!Rapid !!Response !!Team !!(RRT)| !!medical
!!emergencies !!MSC: !!Integrated !!Process: !!Communication
!!and !!Documentation
NOT: !!Client !!Needs !!Category: !!Physiological !!Integrity: !!Physiological !!Adaptation
3. A !!nurse !!is !!orienting !!a !!new !!client !!and !!family !!to !!the !!inpatient !!unit. !!What !!information !!does
!!the !!nurse !!provide !!to !!help !!the !!client !!promote !!his !!or !!her !!own !!safety?
a. Encourage !!the !!client !!and !!family !!to !!be !!active !!partners.
b. Have !!the !!client !!monitor !!hand !!hygiene !!in !!caregivers.
c. Offer !!the !!family !!the !!opportunity !!to !!stay !!with !!the !!client.
d. Tell !!the !!client !!to !!always !!wear !!his !!or !!her !!armband.
ANS: !!A
Each !!action !!could !!be !!important !!for !!the !!client !!or !!family !!to !!perform. !!However, !!encouraging !!the
!!client !!to !!be !!active !!in !!his !!or !!her !!health !!care !!as !!a !!partner !!is !!the !!most !!critical. !!The !!other
Distribution !!of !!this !!document !!is
!!illegal
, lOMoAR
!!actions !!are !!very !!limited !!in !! scope !!and !!do !!not!!!! !!!!provide !!the !!broad !!protection !!that !!being !!active
cPSD|
60 78199
!!and !!involveddoes.
DIF: !!Understanding/Comprehension !!REF: !!3
!!KEY: !!Patient !!safety
Downloaded !!by: !!PASSGRADES !!| !!
Distribution !!of !!this !!document !!is
!!illegal
, lOMoAR
!! cPSD|
Stuvia.com !! - !! TThhee !!Marketplac e!! !!!! too !! B uy !! aanndd !!Sell !!yyoouur !! Study !!Material
60 78199
Test !!Bank !! - !! Medical-Surgical !! Nursing: ! ! Concepts !! for !!Interprofessional ! ! Collaborative 2
! ! Care ! ! 9e
MSC: !!Integrated !!Process: !!Teaching/Learning
NOT: !!Client !!Needs !!Category: !!Safe !!and !!Effective !!Care !!Environment: !!Safety !!and !!Infection !!Control
4. A !!new !!nurse !!is !!working !!with !!a !!preceptor !!on !!an !!inpatientmedical-surgical !!unit. !!The
!!preceptor !!advises !!the !!student !!that !!which !!is !!the !!priority !!when !!working !!as !!a
!!professionalnurse?
a. Attending !!to !!holistic !!client !!needs
b. Ensuring !!client !!safety
c. Not !!making !!medication !!errors
d. Providing ! ! client-focused !!care
ANS: !!B
All !!actions !!are !!appropriate !!for !!the !!professional !!nurse. !!However, !!ensuring !!client !!safety !!is !!the
!!priority. !!Up !!to !!98,000 !!deaths !!result !!each !!year !!from !!errors !!in !!hospital !!care, !!according !!to !!the
!!2000 !!Institute !!of !!Medicine !!report. !!Many !!more !!clients !!have !!suffered !!injuries !!and !!less !!serious
!!outcomes. !!Every !!nurse !!has !!the !!responsibility !!to !!guard !!the !!clients !!safety.
DIF: !!Understanding/Comprehension !!REF: !!2
!!KEY: !!Patient !!safety
MSC: !!Integrated !!Process: !!Nursing !!Process: !!Intervention
NOT: !!Client !!Needs !!Category: !!Safe !!and !!Effective !!Care !!Environment: !!Safety !!and !!Infection !!Control
5. A !!client !!is !!going !!to !!be !!admitted !!for !!a !!scheduled !!surgical !!procedure. !!Which !!action !!does
!!the !!nurse !!explain !!is !!the !!most !!important !!thing !!the !!client !!can !!do !!to !!protect !!againsterrors?
a. Bring !!a !!list !!of !!all !!medications !!and !!what !!they !!are !!for.
b. Keep !!the !!doctors !!phone !!number !!by !!the !!telephone.
c. Make !!sure !!all !!providers !!wash !!hands !!before !!entering !!the !!room.
d. Write !!down !!the !!name !!of !!each !!caregiver !!who !!comes !!in !!the !!room.
ANS: !!A
Medication !!errors !!are !!the !!most !!common !!type !!of !!health !!care !!mistake. !!The !!Joint !!Commissions !!Speak
!!Up !!campaign !!encourages !!clients !!to !!help !!ensure !!their !!safety. !!One !!recommendation !!is !!for !!clients !!to
!!know !!all !!their !!medications !!and !!why !!they !!take !!them. !!This !!will !!help !!prevent !!medication !!errors.
DIF: !!Applying/Application !!REF: !!4
KEY: !!Speak !!Up !!campaign| !!patient !!safety !!MSC: !!Integrated !!Process: !!Teaching/Learning
NOT: !!Client !!Needs !!Category: !!Safe !!and !!Effective !!Care !!Environment: !!Safety !!and !!Infection !!Control
6. Which !!action !!by !!the !!nurse !!working !!with !!a !!client !!best !!demonstrates !!respect !!for !!autonomy?
a. Asks !!if !!the !!client !!has !!questions !!before !!signing !!a !!consent
b. Gives !!the !!client !!accurate !!information !!when !!questioned
c. Keeps !!the !!promises !!made !!to !!the !!client !!and !!family
d. Treats !!the !!client !!fairly !!compared !!to !!other !!clients
ANS: !!A
Autonomy !!is !!self-determination. !!The !!client !!should !!make !!decisions !!regarding !!care. !!When !!the
!!nurseobtainsa !!signature !!on !!the !!consent !!form, !!assessing !!if !!the !!client !!still !!has !!questions !!is !!vital,
!!because !!without !!full !!information !!the !!client !!cannot !!practice !!autonomy. !!Giving !!accurate
!!information !!is !!practicing !!with !!veracity. !!Keeping !!promises !!is !!upholding !!fidelity. !!Treating !!the !!client
!!fairly !!is !!providing !!social !!justice.
DIF: !!Applying/Application !!REF: !!4
KEY: !!Autonomy| !!ethical !!principles !!MSC: !!Integrated !!Process: !!Caring
NOT: !!Client !!Needs !!Category: !!Safe !!and !!Effective !!Care !!Environment: !!Management !!of !!Care
7. A !!student !!nurse !!asks !!the !!faculty !!to !!explain !!best !!practices !!when !!communicating !!with !!a !!person
!!from !!the !!lesbian, !!gay, !!bisexual, !!transgender, !!andqueer/questioning !!(LGBTQ) !!community.
!!Whatanswerbythe !!faculty !!is !!most !!accurate?
a. Avoid !!embarrassing !!the !!client !!by !!asking !!questions.
b. Dont !!make !!assumptions !!about !!their !!health !!needs.
c. Most !!LGBTQ !!people !!do !!not !!want !!to !!share !!information.
Distribution ! ! oof ! ! thhis ! ! d o c u m e n t ! ! is
! ! ileeggaal
TESTBANKFOR
! !
MEDICAL SURGICAL :CONCEPTS FOR
!! !! !!
TH
!! INTERPROFFESSIONAL COLLABORATIVE CARE 9 !! !! !!
EDITION IGNATAVICIUS
!!
!!
Downloaded !!by: !!PASSGRADES !!| !!
Distribution !!of !!this !!document !!is
!!illegal
, lOMoAR
!! cPSD|
Test ! ! Bank !! - !! Medical-SurgicalSN
tuu
viras.c
inog
m: -!C
Toh enc
Meaprktestpflo
a cr eIn te r p r o fe s s i o n a l C o l l a b o r eartiiavl e
!! !! B u y a n d S e l l ! ! y o ur !! S t u d y M a te
to 60 78199
!! Care !! 9e
1
Chapter 01: Overview of Professional Nursing Concepts for Medical-
!! !! !! !! !! !! !! !!
Surgical Nursing
!! !!
MULTIPLE ! ! CHOICE
1. A !!nurse !!wishes !!to !!provide !!client-centered !!care !!in !!all !!interactions. !!Which !!action !!by
!!the !!nurse !!best !!demonstrates !!this !!concept?
a. Assesses !!for !!cultural !!influences !!affecting !!health !!care
b. Ensures !!that !!all !!the !!clients !!basic !!needs !!are !!met
c. Tells !!the !!client !!and !!family !!about !!all !!upcoming !!tests
d. Thoroughly !!orients !!the !!client !!and !!family !!to !!the !!room
ANS: !!A
Competency !!in !!client-focused !!care !!is !!demonstrated !!when !!the !!nursefocuses !!on !!communication,
!!culture, !!respect !!compassion, !!client !!education, !!and !!empowerment. !!By !!assessing !!the !!effect !!of !!the
!!clients !!culture !!on !!health !!care, !!this !!nurse !!is !!practicing !!client-focused !!care. !!Providing !!for !!basic
!!needs !!does !!not !!demonstrate !!this !!competence. !!Simply !!telling !!the !!client !!about !!all !!upcoming !!tests !!is
!!not !!providing !!empowering !!education.
Orienting !!the !!client !!andfamily !!to !!theroom !!is
!!animportantsafetymeasure,
!!butnotdirectlyrelatedtodemonstratingclient-centered !!care.
DIF: !!Understanding/Comprehension !!REF: !!3
KEY: !!Patient-centered !!care| !!culture !!MSC: !!Integrated !!Process:
!!Caring !!NOT: !!Client !!Needs !!Category: !!Psychosocial !!Integrity
2. A !!nurse !!is !!caring !!for !!a !!postoperative !!client !!on !!the !!surgical !!unit. !!The !!clients !!blood !!pressure
!!was !!142/76 !!mm !!Hg !!30 !!minutes !!ago, !!and !!now !!is !!88/50 !!mm !!Hg. !!What !!action !!by !!the !!nurse
!!isbest?
a. Call !!the !!Rapid !!Response !!Team.
b. Document !!and !!continue !!to !!monitor.
c. Notify !!the !!primary !!care !!provider.
d. Repeat !!blood !!pressure !!measurement !!in !!15 !!minutes.
ANS: !!A
The !!purpose !!of !!the !!Rapid !!Response !!Team !!(RRT) !!is !!to !!intervene !!when !!clients !!are !!deteriorating
!!before !!they !!suffereitherrespiratoryorcardiacarrest. !!Sincetheclienthasmanifestedasignificantchange,
!!thenurseshould !!call !!the !!RRT. !!Changes !!in !!blood !!pressure, !!mental !!status, !!heart !!rate, !!and !!pain
!!are !!particularly !!significant. !!Documentation ! ! is ! ! vital, ! ! but ! ! the ! ! nursemust ! ! do ! ! more
! ! than ! ! document. ! ! The ! ! primary ! ! care ! ! provider !!should !!be !!notified, !!but !!this !!is !!not !!the
!!priority !!over !!calling !!the !!RRT. !!The !!clients !!blood !!pressure !!should
be !!reassessed !!frequently, !!but !!the !!priority !!is !!getting !!the !!rapid !!care !!to !!theclient.
DIF: !!Applying/Application !!REF: !!3
KEY: !!Rapid !!Response !!Team !!(RRT)| !!medical
!!emergencies !!MSC: !!Integrated !!Process: !!Communication
!!and !!Documentation
NOT: !!Client !!Needs !!Category: !!Physiological !!Integrity: !!Physiological !!Adaptation
3. A !!nurse !!is !!orienting !!a !!new !!client !!and !!family !!to !!the !!inpatient !!unit. !!What !!information !!does
!!the !!nurse !!provide !!to !!help !!the !!client !!promote !!his !!or !!her !!own !!safety?
a. Encourage !!the !!client !!and !!family !!to !!be !!active !!partners.
b. Have !!the !!client !!monitor !!hand !!hygiene !!in !!caregivers.
c. Offer !!the !!family !!the !!opportunity !!to !!stay !!with !!the !!client.
d. Tell !!the !!client !!to !!always !!wear !!his !!or !!her !!armband.
ANS: !!A
Each !!action !!could !!be !!important !!for !!the !!client !!or !!family !!to !!perform. !!However, !!encouraging !!the
!!client !!to !!be !!active !!in !!his !!or !!her !!health !!care !!as !!a !!partner !!is !!the !!most !!critical. !!The !!other
Distribution !!of !!this !!document !!is
!!illegal
, lOMoAR
!!actions !!are !!very !!limited !!in !! scope !!and !!do !!not!!!! !!!!provide !!the !!broad !!protection !!that !!being !!active
cPSD|
60 78199
!!and !!involveddoes.
DIF: !!Understanding/Comprehension !!REF: !!3
!!KEY: !!Patient !!safety
Downloaded !!by: !!PASSGRADES !!| !!
Distribution !!of !!this !!document !!is
!!illegal
, lOMoAR
!! cPSD|
Stuvia.com !! - !! TThhee !!Marketplac e!! !!!! too !! B uy !! aanndd !!Sell !!yyoouur !! Study !!Material
60 78199
Test !!Bank !! - !! Medical-Surgical !! Nursing: ! ! Concepts !! for !!Interprofessional ! ! Collaborative 2
! ! Care ! ! 9e
MSC: !!Integrated !!Process: !!Teaching/Learning
NOT: !!Client !!Needs !!Category: !!Safe !!and !!Effective !!Care !!Environment: !!Safety !!and !!Infection !!Control
4. A !!new !!nurse !!is !!working !!with !!a !!preceptor !!on !!an !!inpatientmedical-surgical !!unit. !!The
!!preceptor !!advises !!the !!student !!that !!which !!is !!the !!priority !!when !!working !!as !!a
!!professionalnurse?
a. Attending !!to !!holistic !!client !!needs
b. Ensuring !!client !!safety
c. Not !!making !!medication !!errors
d. Providing ! ! client-focused !!care
ANS: !!B
All !!actions !!are !!appropriate !!for !!the !!professional !!nurse. !!However, !!ensuring !!client !!safety !!is !!the
!!priority. !!Up !!to !!98,000 !!deaths !!result !!each !!year !!from !!errors !!in !!hospital !!care, !!according !!to !!the
!!2000 !!Institute !!of !!Medicine !!report. !!Many !!more !!clients !!have !!suffered !!injuries !!and !!less !!serious
!!outcomes. !!Every !!nurse !!has !!the !!responsibility !!to !!guard !!the !!clients !!safety.
DIF: !!Understanding/Comprehension !!REF: !!2
!!KEY: !!Patient !!safety
MSC: !!Integrated !!Process: !!Nursing !!Process: !!Intervention
NOT: !!Client !!Needs !!Category: !!Safe !!and !!Effective !!Care !!Environment: !!Safety !!and !!Infection !!Control
5. A !!client !!is !!going !!to !!be !!admitted !!for !!a !!scheduled !!surgical !!procedure. !!Which !!action !!does
!!the !!nurse !!explain !!is !!the !!most !!important !!thing !!the !!client !!can !!do !!to !!protect !!againsterrors?
a. Bring !!a !!list !!of !!all !!medications !!and !!what !!they !!are !!for.
b. Keep !!the !!doctors !!phone !!number !!by !!the !!telephone.
c. Make !!sure !!all !!providers !!wash !!hands !!before !!entering !!the !!room.
d. Write !!down !!the !!name !!of !!each !!caregiver !!who !!comes !!in !!the !!room.
ANS: !!A
Medication !!errors !!are !!the !!most !!common !!type !!of !!health !!care !!mistake. !!The !!Joint !!Commissions !!Speak
!!Up !!campaign !!encourages !!clients !!to !!help !!ensure !!their !!safety. !!One !!recommendation !!is !!for !!clients !!to
!!know !!all !!their !!medications !!and !!why !!they !!take !!them. !!This !!will !!help !!prevent !!medication !!errors.
DIF: !!Applying/Application !!REF: !!4
KEY: !!Speak !!Up !!campaign| !!patient !!safety !!MSC: !!Integrated !!Process: !!Teaching/Learning
NOT: !!Client !!Needs !!Category: !!Safe !!and !!Effective !!Care !!Environment: !!Safety !!and !!Infection !!Control
6. Which !!action !!by !!the !!nurse !!working !!with !!a !!client !!best !!demonstrates !!respect !!for !!autonomy?
a. Asks !!if !!the !!client !!has !!questions !!before !!signing !!a !!consent
b. Gives !!the !!client !!accurate !!information !!when !!questioned
c. Keeps !!the !!promises !!made !!to !!the !!client !!and !!family
d. Treats !!the !!client !!fairly !!compared !!to !!other !!clients
ANS: !!A
Autonomy !!is !!self-determination. !!The !!client !!should !!make !!decisions !!regarding !!care. !!When !!the
!!nurseobtainsa !!signature !!on !!the !!consent !!form, !!assessing !!if !!the !!client !!still !!has !!questions !!is !!vital,
!!because !!without !!full !!information !!the !!client !!cannot !!practice !!autonomy. !!Giving !!accurate
!!information !!is !!practicing !!with !!veracity. !!Keeping !!promises !!is !!upholding !!fidelity. !!Treating !!the !!client
!!fairly !!is !!providing !!social !!justice.
DIF: !!Applying/Application !!REF: !!4
KEY: !!Autonomy| !!ethical !!principles !!MSC: !!Integrated !!Process: !!Caring
NOT: !!Client !!Needs !!Category: !!Safe !!and !!Effective !!Care !!Environment: !!Management !!of !!Care
7. A !!student !!nurse !!asks !!the !!faculty !!to !!explain !!best !!practices !!when !!communicating !!with !!a !!person
!!from !!the !!lesbian, !!gay, !!bisexual, !!transgender, !!andqueer/questioning !!(LGBTQ) !!community.
!!Whatanswerbythe !!faculty !!is !!most !!accurate?
a. Avoid !!embarrassing !!the !!client !!by !!asking !!questions.
b. Dont !!make !!assumptions !!about !!their !!health !!needs.
c. Most !!LGBTQ !!people !!do !!not !!want !!to !!share !!information.
Distribution ! ! oof ! ! thhis ! ! d o c u m e n t ! ! is
! ! ileeggaal
