TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional Collaborative Care, by Donna D.
Ignatavicius,
All chapters 1 – 69
,ChapterL01:LOverviewLofLProfessionalLNursingLConceptsLforLMedical-
SurgicalLNursingLIgnatavicius:LMedical-SurgicalLNursing,L10thLEdition
MULTIPLELCHOICE
1. ALnewLnurseLisLworkingLwithLaLpreceptorLonLaLmedical-
surgicalLunit.LTheLpreceptorLadvisesLtheLnewLnurseLthatLwhichLisLtheLpriorityLwhenLwor
kingLasLaLprofessionalLnurse?
a. AttendingLtoLholisticLclientLneeds
b. EnsuringLclientLsafety
c. NotLmakingLmedicationLerrors
d. ProvidingLclient-focusedLcare
CORRECT ANSWER:L B
AllLactionsLareLappropriateLforLtheLprofessionalLnurse.LHowever,LensuringLclientLsafetyLis
LtheLpriority.LHealthLcareLerrorsLhaveLbeenLwidelyLreportedLforL25Lyears,LmanyLofLwhic
hLresultLinLclientLinjury,Ldeath,LandLincreasedLhealthLcareLcosts.LThereLareLseveralLnatio
nalLandLinternationalLorganizationsLthatLhaveLeitherLrecommendedLorLmandatedLsafetyL
initiatives.
EveryLnurseLhasLtheLresponsibilityLtoLguardLtheLclient’sLsafety.LTheLotherLactionsLareLim
portantLforLqualityLnursing,LbutLtheyLareLnotLasLvitalLasLprovidingLsafety.LNotLmakingLm
edicationLerrorsLdoesLprovideLsafety,LbutLisLtooLnarrowLinLscopeLtoLbeLtheLbestLanswer
.
DIF: Understanding
TOP:L IntegratedLProcess:LNursingLProcess:LInterventionLKEY:LClientLsafety
MSC:L ClientLNeedsLCategory:LSafeLandLEffectiveLCareLEnvironment:LSafetyLandLInfectionLControl
2. ALnurseLisLorientingLaLnewLclientLandLfamilyLtoLtheLmedical-
surgicalLunit.LWhatLinformationLdoesLtheLnurseLprovideLtoLbestLhelpLtheLclientLprom
oteLhisLorLherLownLsafety?
a. EncourageLtheLclientLandLfamilyLtoLbeLactiveLpartners.
b. HaveLtheLclientLmonitorLhandLhygieneLinLcaregivers.
, c. OfferLtheLfamilyLtheLopportunityLtoLstayLwithLtheLclient.
d. TellLtheLclientLtoLalwaysLwearLhisLorLherLarmband.
CORRECT ANSWER:L A
EachLactionLcouldLbeLimportantLforLtheLclientLorLfamilyLtoLperform.LHowever,Lencouragi
ngLtheLclientLtoLbeLactiveLinLhisLorLherLhealthLcareLasLaLsafetyLpartnerLisLtheLmostLcriti
cal.LTheLotherLactionsLareLveryLlimitedLinLscopeLandLdoLnotLprovideLtheLbroadLprotectio
nLthatLbeingLactiveLandLinvolvedLdoes.
DIF: Understanding
TOP:LIntegratedLProcess:LTeaching/LearningLKEY:LClientLsafety
MSC:L ClientLNeedsLCategory:LSafeLandLEffectiveLCareLEnvironment:LSafetyLandLInfectionLControl
3. ALnurseLisLcaringLforLaLpostoperativeLclientLonLtheLsurgicalLunit.LTheLclient’sLbloodLpr
essureLwasL142/76LmmLHgL30LminutesLago,LandLnowLisL88/50LmmLHg.LWhatLactionL
wouldLtheLnurseLtakeLfirst?
a. CallLtheLRapidLResponseLTeam.
b. DocumentLandLcontinueLtoLmonitor.
c. NotifyLtheLprimaryLhealthLcareLprovider.
d. RepeatLtheLbloodLpressureLinL15Lminutes.
CORRECT ANSWER:L A
TheLpurposeLofLtheLRapidLResponseLTeamL(RRT)LisLtoLinterveneLwhenLclientsLareLdeteri
oratingLbeforeLtheyLsufferLeitherLrespiratoryLorLcardiacLarrest.LSinceLtheLclientLhasLmani
festedLaLsignificantLchange,LtheLnurseLwouldLcallLtheLRRT.LChangesLinLbloodLpressure,L
mentalLstatus,LheartLrate,Ltemperature,LoxygenLsaturation,LandLlastL2Lhours’LurineLoutp
utLareLparticularlyLsignificantLandLareLpartLofLtheLModifiedLEarlyLWarningLSystemLguide.
LDocumentationLisLvital,LbutLtheLnurseLmustLdoLmoreLthanLdocument.LTheLprimaryLheal
thLcareLproviderLwouldLbeLnotified,LbutLthisLisLnotLmoreLimportantLthanLcallingLtheLRR
T.LTheLclient’sLbloodLpressureLwouldLbeLreassessedLfrequently,LbutLtheLpriorityLisLgettin
gLtheLrapidLcareLtoLtheLclient.
DIF: Applying
TOP:L IntegratedLProcess:LCommunicationLandLDocumentationLKEY:LRapi
dLResponseLTeamL(RRT),LClinicalLjudgment
MSC:L ClientLNeedsLCategory:LPhysiologicalLIntegrity:LPhysiologicalLAdaptation
4. ALnurseLwishesLtoLprovideLclient-
centeredLcareLinLallLinteractions.LWhichLactionLbyLtheLnurse
, bestLdemonstratesLthisLconcept?
a. AssessesLforLculturalLinfluencesLaffectingLhealthLcare.
b. EnsuresLthatLallLtheLclient’sLbasicLneedsLareLmet.
c. TellsLtheLclientLandLfamilyLaboutLallLupcomingLtests.
d. ThoroughlyLorientsLtheLclientLandLfamilyLtoLtheLroom.
CORRECT ANSWER:L A
ShowingLrespectLforLtheLclientLandLfamily’sLpreferencesLandLneedsLisLessentialLtoLensur
eLaLholisticLorL“whole-
person”LapproachLtoLcare.LByLassessingLtheLeffectLofLtheLclient’sLcultureLonLhealthLcare,
LthisLnurseLisLpracticingLclient-
focusedLcare.LProvidingLforLbasicLneedsLdoesLnotLdemonstrateLthisLcompetence.LSimplyL
tellingLtheLclientLaboutLallLupcomingLtestsLisLnotLprovidingLempoweringLeducation.LOrie
ntingLtheLclientLandLfamilyLtoLtheLroomLisLanLimportantLsafetyLmeasure,LbutLnotLdirectl
yLrelatedLtoLdemonstratingLclient-centeredLcare.
DIF: Understanding
TOP:LIntegratedLProcess:LCultureLandLSpiritualityLKEY:L Client-centeredLcare,LCulture
MSC:L ClientLNeedsLCategory:LPsychosocialLIntegrity
5. ALclientLisLgoingLtoLbeLadmittedLforLaLscheduledLsurgicalLprocedure.LWhichLactionLd
oesLtheLnurseLexplainLisLtheLmostLimportantLthingLtheLclientLcanLdoLtoLprotectLaga
instLerrors?
a. BringLaLlistLofLallLmedicationsLandLwhatLtheyLareLfor.
b. KeepLtheLprovider’sLphoneLnumberLbyLtheLtelephone.
c. MakeLsureLthatLallLprovidersLwashLhandsLbeforeLenteringLtheLroom.
d. WriteLdownLtheLnameLofLeachLcaregiverLwhoLcomesLinLtheLroom.
CORRECT ANSWER:L A
MedicationLreconciliationLisLaLformalLprocessLinLwhichLtheLclient’sLactualLcurrentLmedic
ationsLareLcomparedLtoLtheLprescribedLmedicationsLatLtheLtimeLofLadmission,Ltransfer,L
orLdischarge.LThisLNationalLclientLSafetyLGoalLisLimportantLtoLreduceLmedicationLerrors.
LTheLclientLwouldLnotLhaveLtoLbeLresponsibleLforLprovidersLwashingLtheirLhands,LandLe
venLifLtheLclientLdoesLso,LthisLisLtooLnarrowLtoLbeLtheLmostLimportantLactionLtoLpreve
ntLerrors.LKeepingLtheLprovider’sLphoneLnumberLnearbyLandLdocumentingLeveryoneLwh
oLentersLtheLroomLalsoLdoLnotLguaranteeLsafety.
DIF: Applying
TOP:L IntegratedLProcess:LTeaching/LearningLKEY:LClientL
10th Edition Concepts for Interprofessional Collaborative Care, by Donna D.
Ignatavicius,
All chapters 1 – 69
,ChapterL01:LOverviewLofLProfessionalLNursingLConceptsLforLMedical-
SurgicalLNursingLIgnatavicius:LMedical-SurgicalLNursing,L10thLEdition
MULTIPLELCHOICE
1. ALnewLnurseLisLworkingLwithLaLpreceptorLonLaLmedical-
surgicalLunit.LTheLpreceptorLadvisesLtheLnewLnurseLthatLwhichLisLtheLpriorityLwhenLwor
kingLasLaLprofessionalLnurse?
a. AttendingLtoLholisticLclientLneeds
b. EnsuringLclientLsafety
c. NotLmakingLmedicationLerrors
d. ProvidingLclient-focusedLcare
CORRECT ANSWER:L B
AllLactionsLareLappropriateLforLtheLprofessionalLnurse.LHowever,LensuringLclientLsafetyLis
LtheLpriority.LHealthLcareLerrorsLhaveLbeenLwidelyLreportedLforL25Lyears,LmanyLofLwhic
hLresultLinLclientLinjury,Ldeath,LandLincreasedLhealthLcareLcosts.LThereLareLseveralLnatio
nalLandLinternationalLorganizationsLthatLhaveLeitherLrecommendedLorLmandatedLsafetyL
initiatives.
EveryLnurseLhasLtheLresponsibilityLtoLguardLtheLclient’sLsafety.LTheLotherLactionsLareLim
portantLforLqualityLnursing,LbutLtheyLareLnotLasLvitalLasLprovidingLsafety.LNotLmakingLm
edicationLerrorsLdoesLprovideLsafety,LbutLisLtooLnarrowLinLscopeLtoLbeLtheLbestLanswer
.
DIF: Understanding
TOP:L IntegratedLProcess:LNursingLProcess:LInterventionLKEY:LClientLsafety
MSC:L ClientLNeedsLCategory:LSafeLandLEffectiveLCareLEnvironment:LSafetyLandLInfectionLControl
2. ALnurseLisLorientingLaLnewLclientLandLfamilyLtoLtheLmedical-
surgicalLunit.LWhatLinformationLdoesLtheLnurseLprovideLtoLbestLhelpLtheLclientLprom
oteLhisLorLherLownLsafety?
a. EncourageLtheLclientLandLfamilyLtoLbeLactiveLpartners.
b. HaveLtheLclientLmonitorLhandLhygieneLinLcaregivers.
, c. OfferLtheLfamilyLtheLopportunityLtoLstayLwithLtheLclient.
d. TellLtheLclientLtoLalwaysLwearLhisLorLherLarmband.
CORRECT ANSWER:L A
EachLactionLcouldLbeLimportantLforLtheLclientLorLfamilyLtoLperform.LHowever,Lencouragi
ngLtheLclientLtoLbeLactiveLinLhisLorLherLhealthLcareLasLaLsafetyLpartnerLisLtheLmostLcriti
cal.LTheLotherLactionsLareLveryLlimitedLinLscopeLandLdoLnotLprovideLtheLbroadLprotectio
nLthatLbeingLactiveLandLinvolvedLdoes.
DIF: Understanding
TOP:LIntegratedLProcess:LTeaching/LearningLKEY:LClientLsafety
MSC:L ClientLNeedsLCategory:LSafeLandLEffectiveLCareLEnvironment:LSafetyLandLInfectionLControl
3. ALnurseLisLcaringLforLaLpostoperativeLclientLonLtheLsurgicalLunit.LTheLclient’sLbloodLpr
essureLwasL142/76LmmLHgL30LminutesLago,LandLnowLisL88/50LmmLHg.LWhatLactionL
wouldLtheLnurseLtakeLfirst?
a. CallLtheLRapidLResponseLTeam.
b. DocumentLandLcontinueLtoLmonitor.
c. NotifyLtheLprimaryLhealthLcareLprovider.
d. RepeatLtheLbloodLpressureLinL15Lminutes.
CORRECT ANSWER:L A
TheLpurposeLofLtheLRapidLResponseLTeamL(RRT)LisLtoLinterveneLwhenLclientsLareLdeteri
oratingLbeforeLtheyLsufferLeitherLrespiratoryLorLcardiacLarrest.LSinceLtheLclientLhasLmani
festedLaLsignificantLchange,LtheLnurseLwouldLcallLtheLRRT.LChangesLinLbloodLpressure,L
mentalLstatus,LheartLrate,Ltemperature,LoxygenLsaturation,LandLlastL2Lhours’LurineLoutp
utLareLparticularlyLsignificantLandLareLpartLofLtheLModifiedLEarlyLWarningLSystemLguide.
LDocumentationLisLvital,LbutLtheLnurseLmustLdoLmoreLthanLdocument.LTheLprimaryLheal
thLcareLproviderLwouldLbeLnotified,LbutLthisLisLnotLmoreLimportantLthanLcallingLtheLRR
T.LTheLclient’sLbloodLpressureLwouldLbeLreassessedLfrequently,LbutLtheLpriorityLisLgettin
gLtheLrapidLcareLtoLtheLclient.
DIF: Applying
TOP:L IntegratedLProcess:LCommunicationLandLDocumentationLKEY:LRapi
dLResponseLTeamL(RRT),LClinicalLjudgment
MSC:L ClientLNeedsLCategory:LPhysiologicalLIntegrity:LPhysiologicalLAdaptation
4. ALnurseLwishesLtoLprovideLclient-
centeredLcareLinLallLinteractions.LWhichLactionLbyLtheLnurse
, bestLdemonstratesLthisLconcept?
a. AssessesLforLculturalLinfluencesLaffectingLhealthLcare.
b. EnsuresLthatLallLtheLclient’sLbasicLneedsLareLmet.
c. TellsLtheLclientLandLfamilyLaboutLallLupcomingLtests.
d. ThoroughlyLorientsLtheLclientLandLfamilyLtoLtheLroom.
CORRECT ANSWER:L A
ShowingLrespectLforLtheLclientLandLfamily’sLpreferencesLandLneedsLisLessentialLtoLensur
eLaLholisticLorL“whole-
person”LapproachLtoLcare.LByLassessingLtheLeffectLofLtheLclient’sLcultureLonLhealthLcare,
LthisLnurseLisLpracticingLclient-
focusedLcare.LProvidingLforLbasicLneedsLdoesLnotLdemonstrateLthisLcompetence.LSimplyL
tellingLtheLclientLaboutLallLupcomingLtestsLisLnotLprovidingLempoweringLeducation.LOrie
ntingLtheLclientLandLfamilyLtoLtheLroomLisLanLimportantLsafetyLmeasure,LbutLnotLdirectl
yLrelatedLtoLdemonstratingLclient-centeredLcare.
DIF: Understanding
TOP:LIntegratedLProcess:LCultureLandLSpiritualityLKEY:L Client-centeredLcare,LCulture
MSC:L ClientLNeedsLCategory:LPsychosocialLIntegrity
5. ALclientLisLgoingLtoLbeLadmittedLforLaLscheduledLsurgicalLprocedure.LWhichLactionLd
oesLtheLnurseLexplainLisLtheLmostLimportantLthingLtheLclientLcanLdoLtoLprotectLaga
instLerrors?
a. BringLaLlistLofLallLmedicationsLandLwhatLtheyLareLfor.
b. KeepLtheLprovider’sLphoneLnumberLbyLtheLtelephone.
c. MakeLsureLthatLallLprovidersLwashLhandsLbeforeLenteringLtheLroom.
d. WriteLdownLtheLnameLofLeachLcaregiverLwhoLcomesLinLtheLroom.
CORRECT ANSWER:L A
MedicationLreconciliationLisLaLformalLprocessLinLwhichLtheLclient’sLactualLcurrentLmedic
ationsLareLcomparedLtoLtheLprescribedLmedicationsLatLtheLtimeLofLadmission,Ltransfer,L
orLdischarge.LThisLNationalLclientLSafetyLGoalLisLimportantLtoLreduceLmedicationLerrors.
LTheLclientLwouldLnotLhaveLtoLbeLresponsibleLforLprovidersLwashingLtheirLhands,LandLe
venLifLtheLclientLdoesLso,LthisLisLtooLnarrowLtoLbeLtheLmostLimportantLactionLtoLpreve
ntLerrors.LKeepingLtheLprovider’sLphoneLnumberLnearbyLandLdocumentingLeveryoneLwh
oLentersLtheLroomLalsoLdoLnotLguaranteeLsafety.
DIF: Applying
TOP:L IntegratedLProcess:LTeaching/LearningLKEY:LClientL
