TEST BANK for Medical-Surgical Nursing: Concepts
for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74
,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
rl rl rl rl rl rl rl rl
rl Surgical Nursing rl
MULTIPLE rl CHOICE
1. A rlnurse rlwishes rlto rlprovide rlclient-centered rlcare rlin rlall rlinteractions. rlWhich rlaction rlby rlthe
rl nurse rlbest rldemonstrates rlthis rlconcept?
a. Assesses rlfor r l cultural r l influences rlaffecting r l health r l care
b. Ensures rlthat rlall rlthe rlclients rlbasic rlneeds rlare rlmet
c. Tells rlthe rlclient rland rlfamily rlabout r lall rlupcoming rltests
d. Thoroughly rlorients rlthe rlclient r l and rlfamily rlto rlthe rlroom
CORRECT rlANSWER: r l A
Competency rlin rlclient-focused rlcare rlis rldemonstrated rlwhen rlthe rlnurse rlfocuses rlon rlcommunication, rlculture,
rl respect rlcompassion, rlclient rleducation, rland rlempowerment. rlBy rlassessing rlthe rleffect rlof rlthe rlclients rlculture
on rlhealth rlcare, rlthis rlnurse rlis rlpracticing rlclient-focused rlcare. rlProviding rlfor rlbasic rlneeds rldoes rlnot
rl
demonstrate rlthis rlcompetence. rlSimply rltelling rlthe rlclient rlabout rlall rlupcoming rltests rlis rlnot rlproviding
rl
empowering rleducation. rlOrienting rlthe rlclient rland rlfamily rlto rlthe rlroom rlis rlan rlimportant rlsafety rlmeasure, rlbut
rl
rl not rldirectly rlrelated rlto rldemonstrating rlclient-centered rlcare.
DIF: r lUnderstanding/Comprehension r l REF: r l 3
KEY: rlPatient-centered rlcare| rlculture rlMSC: rlIntegrated rlProcess:
rl Caring rlNOT: rlClient rlNeeds rlCategory: rlPsychosocial rlIntegrity
2. A rlnurse rlis rlcaring rlfor rla rlpostoperative rlclient rlon rlthe rlsurgical rlunit. rlThe rlclients rlblood rlpressure rlwas
rl 142/76 rlmm rlHg rl30 rlminutes rlago, rland rlnow rlis rl88/50 rlmm rlHg. rlWhat rlaction rlby rlthe rlnurse rlis rlbest?
a. Call rlthe rlRapid rlResponse rlTeam.
b. Document rland rlcontinue rlto r l monitor.
c. Notify rlthe rlprimary rlcare rlprovider.
d. Repeat rlblood rlpressure rlmeasurement r lin rl15 rlminutes.
CORRECT rlANSWER: r l A
The rlpurpose rlof rlthe rlRapid rlResponse rlTeam rl(RRT) rlis rlto rlintervene rlwhen rlclients rlare rldeteriorating
rl before rlthey rlsuffer rleither rlrespiratory rlor rlcardiac rlarrest. rlSince rlthe rlclient rlhas rlmanifested rla rlsignificant
rl change, rlthe rlnurse rlshould rlcall rlthe rlRRT. rlChanges rlin rlblood rlpressure, rlmental rlstatus, rlheart rlrate, rland
rl pain rlare rlparticularly rlsignificant.
Documentation rlis rlvital, rlbut rlthe rlnurse rlmust rldo rlmore rlthan rldocument. rlThe rlprimary rlcare rlprovider
should rlbe rlnotified, rlbut rlthis rlis rlnot rlthe rlpriority rlover rlcalling rlthe rlRRT. rlThe rlclients rlblood rlpressure
rl
rl should rlbe rlreassessed rlfrequently, rlbut rlthe rlpriority rlis rlgetting rlthe rlrapid rlcare rlto rlthe rlclient.
DIF: r l Applying/Application r l REF: r l 3
KEY: rlRapid rlResponse rlTeam rl(RRT)| rlmedical rlemergencies
rl MSC: rlIntegrated rlProcess: rlCommunication rland
for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74
,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
rl rl rl rl rl rl rl rl
rl Surgical Nursing rl
MULTIPLE rl CHOICE
1. A rlnurse rlwishes rlto rlprovide rlclient-centered rlcare rlin rlall rlinteractions. rlWhich rlaction rlby rlthe
rl nurse rlbest rldemonstrates rlthis rlconcept?
a. Assesses rlfor r l cultural r l influences rlaffecting r l health r l care
b. Ensures rlthat rlall rlthe rlclients rlbasic rlneeds rlare rlmet
c. Tells rlthe rlclient rland rlfamily rlabout r lall rlupcoming rltests
d. Thoroughly rlorients rlthe rlclient r l and rlfamily rlto rlthe rlroom
CORRECT rlANSWER: r l A
Competency rlin rlclient-focused rlcare rlis rldemonstrated rlwhen rlthe rlnurse rlfocuses rlon rlcommunication, rlculture,
rl respect rlcompassion, rlclient rleducation, rland rlempowerment. rlBy rlassessing rlthe rleffect rlof rlthe rlclients rlculture
on rlhealth rlcare, rlthis rlnurse rlis rlpracticing rlclient-focused rlcare. rlProviding rlfor rlbasic rlneeds rldoes rlnot
rl
demonstrate rlthis rlcompetence. rlSimply rltelling rlthe rlclient rlabout rlall rlupcoming rltests rlis rlnot rlproviding
rl
empowering rleducation. rlOrienting rlthe rlclient rland rlfamily rlto rlthe rlroom rlis rlan rlimportant rlsafety rlmeasure, rlbut
rl
rl not rldirectly rlrelated rlto rldemonstrating rlclient-centered rlcare.
DIF: r lUnderstanding/Comprehension r l REF: r l 3
KEY: rlPatient-centered rlcare| rlculture rlMSC: rlIntegrated rlProcess:
rl Caring rlNOT: rlClient rlNeeds rlCategory: rlPsychosocial rlIntegrity
2. A rlnurse rlis rlcaring rlfor rla rlpostoperative rlclient rlon rlthe rlsurgical rlunit. rlThe rlclients rlblood rlpressure rlwas
rl 142/76 rlmm rlHg rl30 rlminutes rlago, rland rlnow rlis rl88/50 rlmm rlHg. rlWhat rlaction rlby rlthe rlnurse rlis rlbest?
a. Call rlthe rlRapid rlResponse rlTeam.
b. Document rland rlcontinue rlto r l monitor.
c. Notify rlthe rlprimary rlcare rlprovider.
d. Repeat rlblood rlpressure rlmeasurement r lin rl15 rlminutes.
CORRECT rlANSWER: r l A
The rlpurpose rlof rlthe rlRapid rlResponse rlTeam rl(RRT) rlis rlto rlintervene rlwhen rlclients rlare rldeteriorating
rl before rlthey rlsuffer rleither rlrespiratory rlor rlcardiac rlarrest. rlSince rlthe rlclient rlhas rlmanifested rla rlsignificant
rl change, rlthe rlnurse rlshould rlcall rlthe rlRRT. rlChanges rlin rlblood rlpressure, rlmental rlstatus, rlheart rlrate, rland
rl pain rlare rlparticularly rlsignificant.
Documentation rlis rlvital, rlbut rlthe rlnurse rlmust rldo rlmore rlthan rldocument. rlThe rlprimary rlcare rlprovider
should rlbe rlnotified, rlbut rlthis rlis rlnot rlthe rlpriority rlover rlcalling rlthe rlRRT. rlThe rlclients rlblood rlpressure
rl
rl should rlbe rlreassessed rlfrequently, rlbut rlthe rlpriority rlis rlgetting rlthe rlrapid rlcare rlto rlthe rlclient.
DIF: r l Applying/Application r l REF: r l 3
KEY: rlRapid rlResponse rlTeam rl(RRT)| rlmedical rlemergencies
rl MSC: rlIntegrated rlProcess: rlCommunication rland
