TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter 4lg201: 4lg2Overview 4lg2of 4lg2Professional 4lg2Nursing 4lg2Concepts 4lg2for 4lg2Medical-Surgical
Nursing 4lg2Ignatavicius: 4lg2Medical-Surgical 4lg2Nursing, 4lg210th 4lg2Edition
4lg2
MULTIPLE 4lg2CHOICE
1. A 4lg2new 4lg2nurse 4lg2is 4lg2working 4lg2with 4lg2a 4lg2preceptor 4lg2on 4lg2a 4lg2medical-surgical 4lg2unit. 4lg2The
4lg2 preceptor 4lg2advises 4lg2the 4lg2new 4lg2nurse 4lg2that 4lg2which 4lg2is 4lg2the 4lg2priority 4lg2when
4lg2 working 4lg2as 4lg2a 4lg2professional 4lg2nurse?
a. Attending 4lg2to 4lg2holistic 4lg2client 4lg2needs
b. Ensuring 4lg2client 4lg2safety
c. Not 4lg2making 4lg2medication 4lg2errors
d. Providing 4lg2client-focused 4lg2care
CORRECT 4lg2ANSWER:
4lg2 B
All 4lg2actions 4lg2are 4lg2appropriate 4lg2for 4lg2the 4lg2professional 4lg2nurse. 4lg2However, 4lg2ensuring
4lg2 client 4lg2safety 4lg2is 4lg2the 4lg2priority. 4lg2Health 4lg2care 4lg2errors 4lg2have 4lg2been 4lg2widely
4lg2 reported 4lg2for 4lg225 4lg2years, 4lg2many 4lg2of 4lg2which 4lg2result 4lg2in 4lg2client 4lg2injury, 4lg2death,
4lg2 and 4lg2increased 4lg2health 4lg2care 4lg2costs. 4lg2There 4lg2are 4lg2several 4lg2national 4lg2and
4lg2 international 4lg2organizations 4lg2that 4lg2have 4lg2either 4lg2recommended 4lg2or 4lg2mandated
4lg2 safety 4lg2initiatives.
Every 4lg2nurse 4lg2has 4lg2the 4lg2responsibility 4lg2to 4lg2guard 4lg2the 4lg2client’s 4lg2safety. 4lg2The 4lg2other
4lg2 actions 4lg2are 4lg2important 4lg2for 4lg2quality 4lg2nursing, 4lg2but 4lg2they 4lg2are 4lg2not 4lg2as 4lg2vital 4lg2as
4lg2 providing 4lg2safety. 4lg2Not 4lg2making 4lg2medication 4lg2errors 4lg2does 4lg2provide 4lg2safety, 4lg2but
4lg2 is 4lg2too 4lg2narrow 4lg2in 4lg2scope 4lg2to 4lg2be 4lg2the 4lg2best 4lg2answer.
DIF: Understanding TOP: 4 l g 2 Integrated 4lg2Process: 4lg2Nursing 4lg2Process:
Intervention 4lg2KEY: 4lg2Client 4lg2safety
4lg2
MSC: 4 l g 2 Client 4lg2Needs 4lg2Category: 4lg2Safe 4lg2and 4lg2Effective 4lg2Care 4lg2Environment: 4lg2Safety 4lg2and
Infection 4lg2Control
4lg2
2. A 4lg2nurse 4lg2is 4lg2orienting 4lg2a 4lg2new 4lg2client 4lg2and 4lg2family 4lg2to 4lg2the 4lg2medical-surgical
, 4lg2 unit. 4lg2What 4lg2information 4lg2does 4lg2the 4lg2nurse 4lg2provide 4lg2to 4lg2best 4lg2help 4lg2the
4lg2 client 4lg2promote 4lg2his 4lg2or 4lg2her 4lg2own 4lg2safety?
a. Encourage 4lg2the 4lg2client 4lg2and 4lg2family 4lg2to 4lg2be 4lg2active 4lg2partners.
b. Have 4lg2the 4lg2client 4lg2monitor 4lg2hand 4lg2hygiene 4lg2in 4lg2caregivers.
c. Offer 4lg2the 4lg2family 4lg2the 4lg2opportunity 4lg2to 4lg2stay 4lg2with 4lg2the 4lg2client.
d. Tell 4lg2the 4lg2client 4lg2to 4lg2always 4lg2wear 4lg2his 4lg2or 4lg2her 4lg2armband.
CORRECT 4lg2ANSWER:
4lg2 A
Each 4lg2action 4lg2could 4lg2be 4lg2important 4lg2for 4lg2the 4lg2client 4lg2or 4lg2family 4lg2to 4lg2perform.
4lg2 However, 4lg2encouraging 4lg2the 4lg2client 4lg2to 4lg2be 4lg2active 4lg2in 4lg2his 4lg2or 4lg2her 4lg2health 4lg2care
4lg2 as 4lg2a 4lg2safety 4lg2partner 4lg2is 4lg2the 4lg2most 4lg2critical. 4lg2The 4lg2other 4lg2actions 4lg2are 4lg2very
limited 4lg2in 4lg2scope 4lg2and 4lg2do 4lg2not 4lg2provide 4lg2the 4lg2broad 4lg2protection 4lg2that 4lg2being
4lg2
4lg2 active 4lg2and 4lg2involved 4lg2does.
DIF: Understanding TOP: 4lg2Integrated 4lg2Process:
Teaching/Learning 4lg2KEY: 4lg2Client 4lg2safety
4lg2
MSC: 4 l g 2 Client 4lg2Needs 4lg2Category: 4lg2Safe 4lg2and 4lg2Effective 4lg2Care 4lg2Environment: 4lg2Safety 4lg2and
4lg2 Infection 4lg2Control
3. A 4lg2nurse 4lg2is 4lg2caring 4lg2for 4lg2a 4lg2postoperative 4lg2client 4lg2on 4lg2the 4lg2surgical 4lg2unit. 4lg2The
4lg2 client’s 4lg2blood 4lg2pressure 4lg2was 4lg2142/76 4lg2mm 4lg2Hg 4lg230 4lg2minutes 4lg2ago, 4lg2and 4lg2now
4lg2 is 4lg288/50 4lg2mm 4lg2Hg. 4lg2What 4lg2action 4lg2would 4lg2the 4lg2nurse 4lg2take 4lg2first?
a. Call 4lg2the 4lg2Rapid 4lg2Response 4lg2Team.
b. Document 4lg2and 4lg2continue 4lg2to 4lg2monitor.
c. Notify 4lg2the 4lg2primary 4lg2health 4lg2care 4lg2provider.
d. Repeat 4lg2the 4lg2blood 4lg2pressure 4lg2in 4lg215 4lg2minutes.
, CORRECT 4lg2ANSWER: 4 l g 2 A
The 4lg2purpose 4lg2of 4lg2the 4lg2Rapid 4lg2Response 4lg2Team 4lg2(RRT) 4lg2is 4lg2to 4lg2intervene 4lg2when
4lg2 clients 4lg2are 4lg2deteriorating 4lg2before 4lg2they 4lg2suffer 4lg2either 4lg2respiratory 4lg2or 4lg2cardiac
4lg2 arrest. 4lg2Since 4lg2the 4lg2client 4lg2has 4lg2manifested 4lg2a 4lg2significant 4lg2change, 4lg2the 4lg2nurse
4lg2 would 4lg2call 4lg2the 4lg2RRT. 4lg2Changes 4lg2in 4lg2blood 4lg2pressure, 4lg2mental 4lg2status, 4lg2heart
4lg2 rate, 4lg2temperature, 4lg2oxygen 4lg2saturation, 4lg2and 4lg2last 4lg22 4lg2hours’ 4lg2urine 4lg2output 4lg2are
4lg2 particularly 4lg2significant 4lg2and 4lg2are 4lg2part 4lg2of 4lg2the 4lg2Modified 4lg2Early 4lg2Warning
4lg2 System 4lg2guide. 4lg2Documentation 4lg2is 4lg2vital, 4lg2but 4lg2the 4lg2nurse 4lg2must 4lg2do 4lg2more
4lg2 than 4lg2document. 4lg2The 4lg2primary 4lg2health 4lg2care 4lg2provider 4lg2would 4lg2be 4lg2notified, 4lg2but
4lg2 this 4lg2is 4lg2not 4lg2more 4lg2important 4lg2than 4lg2calling 4lg2the 4lg2RRT. 4lg2The 4lg2client’s 4lg2blood
4lg2 pressure 4lg2would 4lg2be 4lg2reassessed 4lg2frequently, 4lg2but 4lg2the 4lg2priority 4lg2is 4lg2getting 4lg2the
4lg2 rapid 4lg2care 4lg2to 4lg2the 4lg2client.
DIF: Applying TOP: 4 l g 2 Integrated 4lg2Process: 4lg2Communication 4lg2and
Documentation 4lg2KEY: 4lg2Rapid 4lg2Response 4lg2Team 4lg2(RRT), 4lg2Clinical
4lg2
4lg2 judgment
MSC: 4 l g 2 Client 4lg2Needs 4lg2Category: 4lg2Physiological 4lg2Integrity: 4lg2Physiological 4lg2Adaptation
4. A 4lg2nurse 4lg2wishes 4lg2to 4lg2provide 4lg2client-centered 4lg2care 4lg2in 4lg2all 4lg2interactions. 4lg2Which
4lg2 action 4lg2by 4lg2the 4lg2nurse
best 4lg2demonstrates 4lg2this 4lg2concept?
a. Assesses 4lg2for 4lg2cultural 4lg2influences 4lg2affecting 4lg2health 4lg2care.
b. Ensures 4lg2that 4lg2all 4lg2the 4lg2client’s 4lg2basic 4lg2needs 4lg2are 4lg2met.
c. Tells 4lg2the 4lg2client 4lg2and 4lg2family 4lg2about 4lg2all 4lg2upcoming 4lg2tests.
d. Thoroughly 4lg2orients 4lg2the 4lg2client 4lg2and 4lg2family 4lg2to 4lg2the 4lg2room.
CORRECT 4lg2ANSWER: 4 l g 2 A
Showing 4lg2respect 4lg2for 4lg2the 4lg2client 4lg2and 4lg2family’s 4lg2preferences 4lg2and 4lg2needs 4lg2is
4lg2 essential 4lg2to 4lg2ensure 4lg2a 4lg2holistic 4lg2or 4lg2“whole-person” 4lg2approach 4lg2to 4lg2care. 4lg2By
4lg2 assessing 4lg2the 4lg2effect 4lg2of 4lg2the 4lg2client’s 4lg2culture 4lg2on 4lg2health 4lg2care, 4lg2this 4lg2nurse 4lg2is
4lg2 practicing 4lg2client-focused 4lg2care. 4lg2Providing 4lg2for 4lg2basic 4lg2needs 4lg2does 4lg2not
4lg2 demonstrate 4lg2this 4lg2competence. 4lg2Simply 4lg2telling 4lg2the 4lg2client 4lg2about 4lg2all 4lg2upcoming
4lg2 tests 4lg2is 4lg2not 4lg2providing 4lg2empowering 4lg2education. 4lg2Orienting 4lg2the 4lg2client 4lg2and
4lg2 family 4lg2to 4lg2the 4lg2room 4lg2is 4lg2an 4lg2important 4lg2safety 4lg2measure, 4lg2but 4lg2not 4lg2directly
4lg2 related 4lg2to 4lg2demonstrating 4lg2client-centered 4lg2care.
DIF: Understanding TOP: 4lg2Integrated 4lg2Process: 4lg2Culture 4lg2and
4lg2 Spirituality 4lg2KEY: 4lg2 Client-centered 4lg2care, 4lg2Culture MSC: 4 l g 2 Client 4lg2Needs
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter 4lg201: 4lg2Overview 4lg2of 4lg2Professional 4lg2Nursing 4lg2Concepts 4lg2for 4lg2Medical-Surgical
Nursing 4lg2Ignatavicius: 4lg2Medical-Surgical 4lg2Nursing, 4lg210th 4lg2Edition
4lg2
MULTIPLE 4lg2CHOICE
1. A 4lg2new 4lg2nurse 4lg2is 4lg2working 4lg2with 4lg2a 4lg2preceptor 4lg2on 4lg2a 4lg2medical-surgical 4lg2unit. 4lg2The
4lg2 preceptor 4lg2advises 4lg2the 4lg2new 4lg2nurse 4lg2that 4lg2which 4lg2is 4lg2the 4lg2priority 4lg2when
4lg2 working 4lg2as 4lg2a 4lg2professional 4lg2nurse?
a. Attending 4lg2to 4lg2holistic 4lg2client 4lg2needs
b. Ensuring 4lg2client 4lg2safety
c. Not 4lg2making 4lg2medication 4lg2errors
d. Providing 4lg2client-focused 4lg2care
CORRECT 4lg2ANSWER:
4lg2 B
All 4lg2actions 4lg2are 4lg2appropriate 4lg2for 4lg2the 4lg2professional 4lg2nurse. 4lg2However, 4lg2ensuring
4lg2 client 4lg2safety 4lg2is 4lg2the 4lg2priority. 4lg2Health 4lg2care 4lg2errors 4lg2have 4lg2been 4lg2widely
4lg2 reported 4lg2for 4lg225 4lg2years, 4lg2many 4lg2of 4lg2which 4lg2result 4lg2in 4lg2client 4lg2injury, 4lg2death,
4lg2 and 4lg2increased 4lg2health 4lg2care 4lg2costs. 4lg2There 4lg2are 4lg2several 4lg2national 4lg2and
4lg2 international 4lg2organizations 4lg2that 4lg2have 4lg2either 4lg2recommended 4lg2or 4lg2mandated
4lg2 safety 4lg2initiatives.
Every 4lg2nurse 4lg2has 4lg2the 4lg2responsibility 4lg2to 4lg2guard 4lg2the 4lg2client’s 4lg2safety. 4lg2The 4lg2other
4lg2 actions 4lg2are 4lg2important 4lg2for 4lg2quality 4lg2nursing, 4lg2but 4lg2they 4lg2are 4lg2not 4lg2as 4lg2vital 4lg2as
4lg2 providing 4lg2safety. 4lg2Not 4lg2making 4lg2medication 4lg2errors 4lg2does 4lg2provide 4lg2safety, 4lg2but
4lg2 is 4lg2too 4lg2narrow 4lg2in 4lg2scope 4lg2to 4lg2be 4lg2the 4lg2best 4lg2answer.
DIF: Understanding TOP: 4 l g 2 Integrated 4lg2Process: 4lg2Nursing 4lg2Process:
Intervention 4lg2KEY: 4lg2Client 4lg2safety
4lg2
MSC: 4 l g 2 Client 4lg2Needs 4lg2Category: 4lg2Safe 4lg2and 4lg2Effective 4lg2Care 4lg2Environment: 4lg2Safety 4lg2and
Infection 4lg2Control
4lg2
2. A 4lg2nurse 4lg2is 4lg2orienting 4lg2a 4lg2new 4lg2client 4lg2and 4lg2family 4lg2to 4lg2the 4lg2medical-surgical
, 4lg2 unit. 4lg2What 4lg2information 4lg2does 4lg2the 4lg2nurse 4lg2provide 4lg2to 4lg2best 4lg2help 4lg2the
4lg2 client 4lg2promote 4lg2his 4lg2or 4lg2her 4lg2own 4lg2safety?
a. Encourage 4lg2the 4lg2client 4lg2and 4lg2family 4lg2to 4lg2be 4lg2active 4lg2partners.
b. Have 4lg2the 4lg2client 4lg2monitor 4lg2hand 4lg2hygiene 4lg2in 4lg2caregivers.
c. Offer 4lg2the 4lg2family 4lg2the 4lg2opportunity 4lg2to 4lg2stay 4lg2with 4lg2the 4lg2client.
d. Tell 4lg2the 4lg2client 4lg2to 4lg2always 4lg2wear 4lg2his 4lg2or 4lg2her 4lg2armband.
CORRECT 4lg2ANSWER:
4lg2 A
Each 4lg2action 4lg2could 4lg2be 4lg2important 4lg2for 4lg2the 4lg2client 4lg2or 4lg2family 4lg2to 4lg2perform.
4lg2 However, 4lg2encouraging 4lg2the 4lg2client 4lg2to 4lg2be 4lg2active 4lg2in 4lg2his 4lg2or 4lg2her 4lg2health 4lg2care
4lg2 as 4lg2a 4lg2safety 4lg2partner 4lg2is 4lg2the 4lg2most 4lg2critical. 4lg2The 4lg2other 4lg2actions 4lg2are 4lg2very
limited 4lg2in 4lg2scope 4lg2and 4lg2do 4lg2not 4lg2provide 4lg2the 4lg2broad 4lg2protection 4lg2that 4lg2being
4lg2
4lg2 active 4lg2and 4lg2involved 4lg2does.
DIF: Understanding TOP: 4lg2Integrated 4lg2Process:
Teaching/Learning 4lg2KEY: 4lg2Client 4lg2safety
4lg2
MSC: 4 l g 2 Client 4lg2Needs 4lg2Category: 4lg2Safe 4lg2and 4lg2Effective 4lg2Care 4lg2Environment: 4lg2Safety 4lg2and
4lg2 Infection 4lg2Control
3. A 4lg2nurse 4lg2is 4lg2caring 4lg2for 4lg2a 4lg2postoperative 4lg2client 4lg2on 4lg2the 4lg2surgical 4lg2unit. 4lg2The
4lg2 client’s 4lg2blood 4lg2pressure 4lg2was 4lg2142/76 4lg2mm 4lg2Hg 4lg230 4lg2minutes 4lg2ago, 4lg2and 4lg2now
4lg2 is 4lg288/50 4lg2mm 4lg2Hg. 4lg2What 4lg2action 4lg2would 4lg2the 4lg2nurse 4lg2take 4lg2first?
a. Call 4lg2the 4lg2Rapid 4lg2Response 4lg2Team.
b. Document 4lg2and 4lg2continue 4lg2to 4lg2monitor.
c. Notify 4lg2the 4lg2primary 4lg2health 4lg2care 4lg2provider.
d. Repeat 4lg2the 4lg2blood 4lg2pressure 4lg2in 4lg215 4lg2minutes.
, CORRECT 4lg2ANSWER: 4 l g 2 A
The 4lg2purpose 4lg2of 4lg2the 4lg2Rapid 4lg2Response 4lg2Team 4lg2(RRT) 4lg2is 4lg2to 4lg2intervene 4lg2when
4lg2 clients 4lg2are 4lg2deteriorating 4lg2before 4lg2they 4lg2suffer 4lg2either 4lg2respiratory 4lg2or 4lg2cardiac
4lg2 arrest. 4lg2Since 4lg2the 4lg2client 4lg2has 4lg2manifested 4lg2a 4lg2significant 4lg2change, 4lg2the 4lg2nurse
4lg2 would 4lg2call 4lg2the 4lg2RRT. 4lg2Changes 4lg2in 4lg2blood 4lg2pressure, 4lg2mental 4lg2status, 4lg2heart
4lg2 rate, 4lg2temperature, 4lg2oxygen 4lg2saturation, 4lg2and 4lg2last 4lg22 4lg2hours’ 4lg2urine 4lg2output 4lg2are
4lg2 particularly 4lg2significant 4lg2and 4lg2are 4lg2part 4lg2of 4lg2the 4lg2Modified 4lg2Early 4lg2Warning
4lg2 System 4lg2guide. 4lg2Documentation 4lg2is 4lg2vital, 4lg2but 4lg2the 4lg2nurse 4lg2must 4lg2do 4lg2more
4lg2 than 4lg2document. 4lg2The 4lg2primary 4lg2health 4lg2care 4lg2provider 4lg2would 4lg2be 4lg2notified, 4lg2but
4lg2 this 4lg2is 4lg2not 4lg2more 4lg2important 4lg2than 4lg2calling 4lg2the 4lg2RRT. 4lg2The 4lg2client’s 4lg2blood
4lg2 pressure 4lg2would 4lg2be 4lg2reassessed 4lg2frequently, 4lg2but 4lg2the 4lg2priority 4lg2is 4lg2getting 4lg2the
4lg2 rapid 4lg2care 4lg2to 4lg2the 4lg2client.
DIF: Applying TOP: 4 l g 2 Integrated 4lg2Process: 4lg2Communication 4lg2and
Documentation 4lg2KEY: 4lg2Rapid 4lg2Response 4lg2Team 4lg2(RRT), 4lg2Clinical
4lg2
4lg2 judgment
MSC: 4 l g 2 Client 4lg2Needs 4lg2Category: 4lg2Physiological 4lg2Integrity: 4lg2Physiological 4lg2Adaptation
4. A 4lg2nurse 4lg2wishes 4lg2to 4lg2provide 4lg2client-centered 4lg2care 4lg2in 4lg2all 4lg2interactions. 4lg2Which
4lg2 action 4lg2by 4lg2the 4lg2nurse
best 4lg2demonstrates 4lg2this 4lg2concept?
a. Assesses 4lg2for 4lg2cultural 4lg2influences 4lg2affecting 4lg2health 4lg2care.
b. Ensures 4lg2that 4lg2all 4lg2the 4lg2client’s 4lg2basic 4lg2needs 4lg2are 4lg2met.
c. Tells 4lg2the 4lg2client 4lg2and 4lg2family 4lg2about 4lg2all 4lg2upcoming 4lg2tests.
d. Thoroughly 4lg2orients 4lg2the 4lg2client 4lg2and 4lg2family 4lg2to 4lg2the 4lg2room.
CORRECT 4lg2ANSWER: 4 l g 2 A
Showing 4lg2respect 4lg2for 4lg2the 4lg2client 4lg2and 4lg2family’s 4lg2preferences 4lg2and 4lg2needs 4lg2is
4lg2 essential 4lg2to 4lg2ensure 4lg2a 4lg2holistic 4lg2or 4lg2“whole-person” 4lg2approach 4lg2to 4lg2care. 4lg2By
4lg2 assessing 4lg2the 4lg2effect 4lg2of 4lg2the 4lg2client’s 4lg2culture 4lg2on 4lg2health 4lg2care, 4lg2this 4lg2nurse 4lg2is
4lg2 practicing 4lg2client-focused 4lg2care. 4lg2Providing 4lg2for 4lg2basic 4lg2needs 4lg2does 4lg2not
4lg2 demonstrate 4lg2this 4lg2competence. 4lg2Simply 4lg2telling 4lg2the 4lg2client 4lg2about 4lg2all 4lg2upcoming
4lg2 tests 4lg2is 4lg2not 4lg2providing 4lg2empowering 4lg2education. 4lg2Orienting 4lg2the 4lg2client 4lg2and
4lg2 family 4lg2to 4lg2the 4lg2room 4lg2is 4lg2an 4lg2important 4lg2safety 4lg2measure, 4lg2but 4lg2not 4lg2directly
4lg2 related 4lg2to 4lg2demonstrating 4lg2client-centered 4lg2care.
DIF: Understanding TOP: 4lg2Integrated 4lg2Process: 4lg2Culture 4lg2and
4lg2 Spirituality 4lg2KEY: 4lg2 Client-centered 4lg2care, 4lg2Culture MSC: 4 l g 2 Client 4lg2Needs
