TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter r7g201: r7g2Overview r7g2of r7g2Professional r7g2Nursing r7g2Concepts r7g2for r7g2Medical-Surgical
Nursing r7g2Ignatavicius: r7g2Medical-Surgical r7g2Nursing, r7g210th r7g2Edition
r7g2
MULTIPLE r7g2CHOICE
1. A r7g2new r7g2nurse r7g2is r7g2working r7g2with r7g2a r7g2preceptor r7g2on r7g2a r7g2medical-surgical r7g2unit.
r7g2 The r7g2preceptor r7g2advises r7g2the r7g2new r7g2nurse r7g2that r7g2which r7g2is r7g2the r7g2priority r7g2when
r7g2 working r7g2as r7g2a r7g2professional r7g2nurse?
a. Attending r7g2to r7g2holistic r7g2client r7g2needs
b. Ensuring r7g2client r7g2safety
c. Not r7g2making r7g2medication r7g2errors
d. Providing r7g2client-focused r7g2care
CORRECT r7g2ANSWER:
r7g2 B
All r7g2actions r7g2are r7g2appropriate r7g2for r7g2the r7g2professional r7g2nurse. r7g2However, r7g2ensuring
r7g2 client r7g2safety r7g2is r7g2the r7g2priority. r7g2Health r7g2care r7g2errors r7g2have r7g2been r7g2widely
r7g2 reported r7g2for r7g225 r7g2years, r7g2many r7g2of r7g2which r7g2result r7g2in r7g2client r7g2injury, r7g2death,
r7g2 and r7g2increased r7g2health r7g2care r7g2costs. r7g2There r7g2are r7g2several r7g2national r7g2and
r7g2 international r7g2organizations r7g2that r7g2have r7g2either r7g2recommended r7g2or r7g2mandated
r7g2 safety r7g2initiatives.
Every nurse
r7g2 has
r7g2 r7g2 the responsibility
r7g2 to
r7g2 guard
r7g2 the
r7g2 r7g2 client’s safety.
r7g2 The
r7g2
r7g2 other r7g2actions r7g2are r7g2important r7g2for r7g2quality r7g2nursing, r7g2but r7g2they r7g2are r7g2not r7g2as
r7g2 vital r7g2 as providing
r7g2 safety.
r7g2 Not
r7g2 making
r7g2 r7g2 medication errors
r7g2 r7g2does provide
r7g2
r7g2 safety, r7g2but r7g2is r7g2too r7g2narrow r7g2in r7g2scope r7g2to r7g2be r7g2the r7g2best r7g2answer.
DIF: Understanding TOP: r 7 g 2 Integrated r7g2Process: r7g2Nursing r7g2Process:
Intervention r7g2KEY: r7g2Client r7g2safety
r7g2
MSC: r 7 g 2 Client r7g2Needs r7g2Category: r7g2Safe r7g2and r7g2Effective r7g2Care r7g2Environment: r7g2Safety r7g2and
Infection r7g2Control
r7g2
2. A r7g2nurse r7g2is r7g2orienting r7g2a r7g2new r7g2client r7g2and r7g2family r7g2to r7g2the r7g2medical-surgical
r7g2 unit. r7g2What r7g2information r7g2does r7g2the r7g2nurse r7g2provide r7g2to r7g2best r7g2help r7g2the
r7g2 client r7g2promote r7g2his r7g2or r7g2her r7g2own r7g2safety?
, a. Encourage r7g2the r7g2client r7g2and r7g2family r7g2to r7g2be r7g2active r7g2partners.
b. Have r7g2the r7g2client r7g2monitor r7g2hand r7g2hygiene r7g2in r7g2caregivers.
c. Offer r7g2the r7g2family r7g2the r7g2opportunity r7g2to r7g2stay r7g2with r7g2the r7g2client.
d. Tell r7g2the r7g2client r7g2to r7g2always r7g2wear r7g2his r7g2or r7g2her r7g2armband.
CORRECT r7g2ANSWER:
r7g2 A
Each r7g2action r7g2could r7g2be r7g2important r7g2for r7g2the r7g2client r7g2or r7g2family r7g2to r7g2perform.
r7g2 However, r7g2encouraging r7g2the r7g2client r7g2to r7g2be r7g2active r7g2in r7g2his r7g2or r7g2her r7g2health
r7g2 care r7g2as r7g2a r7g2safety r7g2partner r7g2is r7g2the r7g2most r7g2critical. r7g2The r7g2other r7g2actions r7g2are
r7g2 very r7g2limited r7g2in r7g2scope r7g2and r7g2do r7g2not r7g2provide r7g2the r7g2broad r7g2protection r7g2that
r7g2 being r7g2active r7g2and r7g2involved r7g2does.
DIF: Understanding TOP: r7g2Integrated r7g2Process:
Teaching/Learning r7g2KEY: r7g2Client r7g2safety
r7g2
MSC: r 7 g 2 Client r7g2Needs r7g2Category: r7g2Safe r7g2and r7g2Effective r7g2Care r7g2Environment: r7g2Safety r7g2and
r7g2 Infection r7g2Control
3. A r7g2nurse r7g2is r7g2caring r7g2for r7g2a r7g2postoperative r7g2client r7g2on r7g2the r7g2surgical r7g2unit. r7g2The
r7g2 client’s r7g2blood r7g2pressure r7g2was r7g2142/76 r7g2mm r7g2Hg r7g230 r7g2minutes r7g2ago, r7g2and
r7g2 now r7g2is r7g288/50 r7g2mm r7g2Hg. r7g2What r7g2action r7g2would r7g2the r7g2nurse r7g2take r7g2first?
a. Call r7g2the r7g2Rapid r7g2Response r7g2Team.
b. Document r7g2and r7g2continue r7g2to r7g2monitor.
c. Notify r7g2the r7g2primary r7g2health r7g2care r7g2provider.
d. Repeat r7g2the r7g2blood r7g2pressure r7g2in r7g215 r7g2minutes.
, CORRECT r7g2ANSWER: r 7 g 2 A
The r7g2purpose r7g2of r7g2the r7g2Rapid r7g2Response r7g2Team r7g2(RRT) r7g2is r7g2to r7g2intervene r7g2when
r7g2 clients r7g2are r7g2deteriorating r7g2before r7g2they r7g2suffer r7g2either r7g2respiratory r7g2or r7g2cardiac
r7g2 arrest. r7g2Since r7g2the r7g2client r7g2has r7g2manifested r7g2a r7g2significant r7g2change, r7g2the r7g2nurse
r7g2 would r7g2call r7g2the r7g2RRT. r7g2Changes r7g2in r7g2blood r7g2pressure, r7g2mental r7g2status, r7g2heart
r7g2 rate, r7g2temperature, r7g2oxygen r7g2saturation, r7g2and r7g2last r7g22 r7g2hours’ r7g2urine r7g2output
r7g2 are r7g2particularly r7g2significant r7g2and r7g2are r7g2part r7g2of r7g2the r7g2Modified r7g2Early r7g2Warning
r7g2 System r7g2guide. r7g2Documentation r7g2is r7g2vital, r7g2but r7g2the r7g2nurse r7g2must r7g2do r7g2more
r7g2 than r7g2document. r7g2The r7g2primary r7g2health r7g2care r7g2provider r7g2would r7g2be r7g2notified,
r7g2 but r7g2this r7g2is r7g2not r7g2more r7g2important r7g2than r7g2calling r7g2the r7g2RRT. r7g2The r7g2client’s
r7g2 blood r7g2pressure r7g2would r7g2be r7g2reassessed r7g2frequently, r7g2but r7g2the r7g2priority r7g2is
r7g2 getting r7g2the r7g2rapid r7g2care r7g2to r7g2the r7g2client.
DIF: Applying TOP: r 7 g 2 Integrated r7g2Process: r7g2Communication r7g2and
Documentation r7g2KEY: r7g2Rapid r7g2Response r7g2Team r7g2(RRT), r7g2Clinical
r7g2
r7g2 judgment
MSC: r 7 g 2 Client r7g2Needs r7g2Category: r7g2Physiological r7g2Integrity: r7g2Physiological r7g2Adaptation
4. A r7g2nurse r7g2wishes r7g2to r7g2provide r7g2client-centered r7g2care r7g2in r7g2all r7g2interactions. r7g2Which
r7g2 action r7g2by r7g2the r7g2nurse
best r7g2demonstrates r7g2this r7g2concept?
a. Assesses r7g2for r7g2cultural r7g2influences r7g2affecting r7g2health r7g2care.
b. Ensures r7g2that r7g2all r7g2the r7g2client’s r7g2basic r7g2needs r7g2are r7g2met.
c. Tells r7g2the r7g2client r7g2and r7g2family r7g2about r7g2all r7g2upcoming r7g2tests.
d. Thoroughly r7g2orients r7g2the r7g2client r7g2and r7g2family r7g2to r7g2the r7g2room.
CORRECT r7g2ANSWER: r 7 g 2 A
Showing r7g2respect r7g2for r7g2the r7g2client r7g2and r7g2family’s r7g2preferences r7g2and r7g2needs r7g2is
r7g2 essential r7g2to r7g2ensure r7g2a r7g2holistic r7g2or r7g2“whole-person” r7g2approach r7g2to r7g2care. r7g2By
r7g2 assessing r7g2the r7g2effect r7g2of r7g2the r7g2client’s r7g2culture r7g2on r7g2health r7g2care, r7g2this r7g2nurse
r7g2 is r7g2practicing r7g2client-focused r7g2care. r7g2Providing r7g2for r7g2basic r7g2needs r7g2does r7g2not
r7g2 demonstrate r7g2this r7g2competence. r7g2Simply r7g2telling r7g2the r7g2client r7g2about r7g2all
r7g2 upcoming r7g2tests r7g2is r7g2not r7g2providing r7g2empowering r7g2education. r7g2Orienting r7g2the
r7g2 client r7g2and r7g2family r7g2to r7g2the r7g2room r7g2is r7g2an r7g2important r7g2safety r7g2measure, r7g2but
r7g2 not r7g2directly r7g2related r7g2to r7g2demonstrating r7g2client-centered r7g2care.
DIF: Understanding TOP: r7g2Integrated r7g2Process: r7g2Culture r7g2and
r7g2 Spirituality r7g2KEY: r7g2 Client-centered r7g2care, r7g2Culture MSC: r 7 g 2 Client r7g2Needs
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter r7g201: r7g2Overview r7g2of r7g2Professional r7g2Nursing r7g2Concepts r7g2for r7g2Medical-Surgical
Nursing r7g2Ignatavicius: r7g2Medical-Surgical r7g2Nursing, r7g210th r7g2Edition
r7g2
MULTIPLE r7g2CHOICE
1. A r7g2new r7g2nurse r7g2is r7g2working r7g2with r7g2a r7g2preceptor r7g2on r7g2a r7g2medical-surgical r7g2unit.
r7g2 The r7g2preceptor r7g2advises r7g2the r7g2new r7g2nurse r7g2that r7g2which r7g2is r7g2the r7g2priority r7g2when
r7g2 working r7g2as r7g2a r7g2professional r7g2nurse?
a. Attending r7g2to r7g2holistic r7g2client r7g2needs
b. Ensuring r7g2client r7g2safety
c. Not r7g2making r7g2medication r7g2errors
d. Providing r7g2client-focused r7g2care
CORRECT r7g2ANSWER:
r7g2 B
All r7g2actions r7g2are r7g2appropriate r7g2for r7g2the r7g2professional r7g2nurse. r7g2However, r7g2ensuring
r7g2 client r7g2safety r7g2is r7g2the r7g2priority. r7g2Health r7g2care r7g2errors r7g2have r7g2been r7g2widely
r7g2 reported r7g2for r7g225 r7g2years, r7g2many r7g2of r7g2which r7g2result r7g2in r7g2client r7g2injury, r7g2death,
r7g2 and r7g2increased r7g2health r7g2care r7g2costs. r7g2There r7g2are r7g2several r7g2national r7g2and
r7g2 international r7g2organizations r7g2that r7g2have r7g2either r7g2recommended r7g2or r7g2mandated
r7g2 safety r7g2initiatives.
Every nurse
r7g2 has
r7g2 r7g2 the responsibility
r7g2 to
r7g2 guard
r7g2 the
r7g2 r7g2 client’s safety.
r7g2 The
r7g2
r7g2 other r7g2actions r7g2are r7g2important r7g2for r7g2quality r7g2nursing, r7g2but r7g2they r7g2are r7g2not r7g2as
r7g2 vital r7g2 as providing
r7g2 safety.
r7g2 Not
r7g2 making
r7g2 r7g2 medication errors
r7g2 r7g2does provide
r7g2
r7g2 safety, r7g2but r7g2is r7g2too r7g2narrow r7g2in r7g2scope r7g2to r7g2be r7g2the r7g2best r7g2answer.
DIF: Understanding TOP: r 7 g 2 Integrated r7g2Process: r7g2Nursing r7g2Process:
Intervention r7g2KEY: r7g2Client r7g2safety
r7g2
MSC: r 7 g 2 Client r7g2Needs r7g2Category: r7g2Safe r7g2and r7g2Effective r7g2Care r7g2Environment: r7g2Safety r7g2and
Infection r7g2Control
r7g2
2. A r7g2nurse r7g2is r7g2orienting r7g2a r7g2new r7g2client r7g2and r7g2family r7g2to r7g2the r7g2medical-surgical
r7g2 unit. r7g2What r7g2information r7g2does r7g2the r7g2nurse r7g2provide r7g2to r7g2best r7g2help r7g2the
r7g2 client r7g2promote r7g2his r7g2or r7g2her r7g2own r7g2safety?
, a. Encourage r7g2the r7g2client r7g2and r7g2family r7g2to r7g2be r7g2active r7g2partners.
b. Have r7g2the r7g2client r7g2monitor r7g2hand r7g2hygiene r7g2in r7g2caregivers.
c. Offer r7g2the r7g2family r7g2the r7g2opportunity r7g2to r7g2stay r7g2with r7g2the r7g2client.
d. Tell r7g2the r7g2client r7g2to r7g2always r7g2wear r7g2his r7g2or r7g2her r7g2armband.
CORRECT r7g2ANSWER:
r7g2 A
Each r7g2action r7g2could r7g2be r7g2important r7g2for r7g2the r7g2client r7g2or r7g2family r7g2to r7g2perform.
r7g2 However, r7g2encouraging r7g2the r7g2client r7g2to r7g2be r7g2active r7g2in r7g2his r7g2or r7g2her r7g2health
r7g2 care r7g2as r7g2a r7g2safety r7g2partner r7g2is r7g2the r7g2most r7g2critical. r7g2The r7g2other r7g2actions r7g2are
r7g2 very r7g2limited r7g2in r7g2scope r7g2and r7g2do r7g2not r7g2provide r7g2the r7g2broad r7g2protection r7g2that
r7g2 being r7g2active r7g2and r7g2involved r7g2does.
DIF: Understanding TOP: r7g2Integrated r7g2Process:
Teaching/Learning r7g2KEY: r7g2Client r7g2safety
r7g2
MSC: r 7 g 2 Client r7g2Needs r7g2Category: r7g2Safe r7g2and r7g2Effective r7g2Care r7g2Environment: r7g2Safety r7g2and
r7g2 Infection r7g2Control
3. A r7g2nurse r7g2is r7g2caring r7g2for r7g2a r7g2postoperative r7g2client r7g2on r7g2the r7g2surgical r7g2unit. r7g2The
r7g2 client’s r7g2blood r7g2pressure r7g2was r7g2142/76 r7g2mm r7g2Hg r7g230 r7g2minutes r7g2ago, r7g2and
r7g2 now r7g2is r7g288/50 r7g2mm r7g2Hg. r7g2What r7g2action r7g2would r7g2the r7g2nurse r7g2take r7g2first?
a. Call r7g2the r7g2Rapid r7g2Response r7g2Team.
b. Document r7g2and r7g2continue r7g2to r7g2monitor.
c. Notify r7g2the r7g2primary r7g2health r7g2care r7g2provider.
d. Repeat r7g2the r7g2blood r7g2pressure r7g2in r7g215 r7g2minutes.
, CORRECT r7g2ANSWER: r 7 g 2 A
The r7g2purpose r7g2of r7g2the r7g2Rapid r7g2Response r7g2Team r7g2(RRT) r7g2is r7g2to r7g2intervene r7g2when
r7g2 clients r7g2are r7g2deteriorating r7g2before r7g2they r7g2suffer r7g2either r7g2respiratory r7g2or r7g2cardiac
r7g2 arrest. r7g2Since r7g2the r7g2client r7g2has r7g2manifested r7g2a r7g2significant r7g2change, r7g2the r7g2nurse
r7g2 would r7g2call r7g2the r7g2RRT. r7g2Changes r7g2in r7g2blood r7g2pressure, r7g2mental r7g2status, r7g2heart
r7g2 rate, r7g2temperature, r7g2oxygen r7g2saturation, r7g2and r7g2last r7g22 r7g2hours’ r7g2urine r7g2output
r7g2 are r7g2particularly r7g2significant r7g2and r7g2are r7g2part r7g2of r7g2the r7g2Modified r7g2Early r7g2Warning
r7g2 System r7g2guide. r7g2Documentation r7g2is r7g2vital, r7g2but r7g2the r7g2nurse r7g2must r7g2do r7g2more
r7g2 than r7g2document. r7g2The r7g2primary r7g2health r7g2care r7g2provider r7g2would r7g2be r7g2notified,
r7g2 but r7g2this r7g2is r7g2not r7g2more r7g2important r7g2than r7g2calling r7g2the r7g2RRT. r7g2The r7g2client’s
r7g2 blood r7g2pressure r7g2would r7g2be r7g2reassessed r7g2frequently, r7g2but r7g2the r7g2priority r7g2is
r7g2 getting r7g2the r7g2rapid r7g2care r7g2to r7g2the r7g2client.
DIF: Applying TOP: r 7 g 2 Integrated r7g2Process: r7g2Communication r7g2and
Documentation r7g2KEY: r7g2Rapid r7g2Response r7g2Team r7g2(RRT), r7g2Clinical
r7g2
r7g2 judgment
MSC: r 7 g 2 Client r7g2Needs r7g2Category: r7g2Physiological r7g2Integrity: r7g2Physiological r7g2Adaptation
4. A r7g2nurse r7g2wishes r7g2to r7g2provide r7g2client-centered r7g2care r7g2in r7g2all r7g2interactions. r7g2Which
r7g2 action r7g2by r7g2the r7g2nurse
best r7g2demonstrates r7g2this r7g2concept?
a. Assesses r7g2for r7g2cultural r7g2influences r7g2affecting r7g2health r7g2care.
b. Ensures r7g2that r7g2all r7g2the r7g2client’s r7g2basic r7g2needs r7g2are r7g2met.
c. Tells r7g2the r7g2client r7g2and r7g2family r7g2about r7g2all r7g2upcoming r7g2tests.
d. Thoroughly r7g2orients r7g2the r7g2client r7g2and r7g2family r7g2to r7g2the r7g2room.
CORRECT r7g2ANSWER: r 7 g 2 A
Showing r7g2respect r7g2for r7g2the r7g2client r7g2and r7g2family’s r7g2preferences r7g2and r7g2needs r7g2is
r7g2 essential r7g2to r7g2ensure r7g2a r7g2holistic r7g2or r7g2“whole-person” r7g2approach r7g2to r7g2care. r7g2By
r7g2 assessing r7g2the r7g2effect r7g2of r7g2the r7g2client’s r7g2culture r7g2on r7g2health r7g2care, r7g2this r7g2nurse
r7g2 is r7g2practicing r7g2client-focused r7g2care. r7g2Providing r7g2for r7g2basic r7g2needs r7g2does r7g2not
r7g2 demonstrate r7g2this r7g2competence. r7g2Simply r7g2telling r7g2the r7g2client r7g2about r7g2all
r7g2 upcoming r7g2tests r7g2is r7g2not r7g2providing r7g2empowering r7g2education. r7g2Orienting r7g2the
r7g2 client r7g2and r7g2family r7g2to r7g2the r7g2room r7g2is r7g2an r7g2important r7g2safety r7g2measure, r7g2but
r7g2 not r7g2directly r7g2related r7g2to r7g2demonstrating r7g2client-centered r7g2care.
DIF: Understanding TOP: r7g2Integrated r7g2Process: r7g2Culture r7g2and
r7g2 Spirituality r7g2KEY: r7g2 Client-centered r7g2care, r7g2Culture MSC: r 7 g 2 Client r7g2Needs
