rf rf r
l O M
f rf rf
oA R c
rf rf r P S
f rf rf
D | 672187
TEST BANK FOR MEDICAL SURGICAL NURSING:
rf rf rf rf rfrf
CONCEPTS FOR CLINICAL JUDGEMENT AND COL
rf rf rf rf r f
LABORATIVE CARE 11TH EDITION IGNATAVICIUS
rf rf
r f
rfrf r f
TEST BANK rf
, rf rf r
l O M
f rf rf
oA R c
rf rf r P S
f rf rf
TestrfBankrf-rfMedical-SurgicalrfNursing:rfConceptsrfforrfInterprofessionalrfCollaborativerfCarerf11e
D | 672187
2
Chapterrf01:rfOverviewrfofrfProfessionalrfNursingrfConceptsrfforrfMedical-
SurgicalrfNursingrfMULTIPLErfCHOICE
1. Arfnurserfwishesrftorfproviderfclient-
centeredrfcarerfinrfallrfinteractions.rfWhichrfactionrfbyrftherfnurserfbestdemonstr
atesrfthisrfconcept?
a. Assessesrf forrfculturalrfinfluencesrf affectingrfhealthrf care
b. Ensuresrfthatrfallrftherfclientsrf basicrf needsrfarerfmet
c. Tellsrftherfclientrf andrffamilyrf aboutrfallrfupcomingrftests
d. Thoroughlyrforientsrftherfclientr f andrffamilyrf torftherfroom
ANS:r f A
Competencyrfinrfclient-
focusedrfcarerfisrfdemonstratedrfwhenrftherfnurserffocusesrfonrfcommunication,rfculture,rfrespe
ctrfcompassion,rfclientrfeducation,rfandrfempowerment.rfByrfassessingrftherfeffectrfofrftherfclient
srfculturerfonrfhealthrfcare,rfthisrfnurserfisrfpracticingrfclient-
rf focusedrfcare.rfProvidingrfforrfbasicrfneedsrfdoesrfnotrfdemonstraterfthisrfcompetence.rfSimplyrf
tellingrftherfclientrfaboutrfallrfupcomingrftestsrfisrfnotrfprovidingrfempoweringrfeducation.
Orientingrftherfclientrfandrffamilyrftorftherfroomrfisrfanrfimportantrfsafetyrfmeasure,rfbutrfnotrfdir
ectlyrfrelatedrftorfdemonstratingrfclient-centeredrfcare.
DIF:rf Understanding/Comprehensionr f REF:rf 3
KEY:rfPatient-
centeredrfcare|rfculturerfMSC:rfIntegratedrfProcess:rfCarin
gNOT:rfClientrfNeedsrfCategory:
PsychosocialrfIntegrity
2. Arfnurserfisrfcaringrfforrfarfpostoperativerfclientrfonrftherfsurgicalrfunit.rfTherfclientsrfbloodrfp
ressurerfwasr f 142/76rfmmrfHgrf30rfminutesrfago,rfandrfnowrfisrf88/50rfmmrfHg.rfWhatrfactionrf
byrftherfnurserfisrfbest?
a. CallrftherfRapidr f ResponserfTeam.
b. Documentrf andrfcontinuerftorf monitor.
c. Notifyrftherfprimaryrfcarerfprovider.
d. Repeatrfbloodrf pressurer f measurementrf inrf 15rfminutes.
ANS:r f A
Ther f purposer f ofr f ther f Rapidr f Responser f Teamr f (RRT)r f isr f tor f intervener f whenr f clientsr f
, rf rf r
l O M
f rf rf
oA R c
rf rf r P S
f rf rf
TestrfBankrf-rfMedical-SurgicalrfNursing:rfConceptsrfforrfInterprofessionalrfCollaborativerfCarerf11e
D | 672187
3
arerfdeterioratingrfbeforerftheyrfsufferrfeitherrfrespiratoryrforrfcardiacrfarrest.rfSincerftherfclientrf
hasrfmanifestedrfarfsignificantrfchange,rftherfnurserfshouldrfcallrftherfRRT.rfChangesrfinrfbloodrfp
ressure,r f mentalr f status,r f heartr f rate,r f andr f painr f arer f particularlyr f significant.
, rf rf r
l O M
f rf rf
oA R c
rf rf r P S
f rf rf
TestrfBankrf-rfMedical-SurgicalrfNursing:rfConceptsrfforrfInterprofessionalrfCollaborativerfCarerf11e
D | 672187
4
Documentationrfisrfvital,rfbutrftherfnurserfmustrfdor f morer f thanrfdocument.rfTherfprimaryrf
carerfproviderrfshouldrfberfnotified,rfbutrfthisrfisrfnotrftherfpriorityrfoverrfcallingrftherfRRT.rfTh
erfclientsr f bloodrfpressurerfshouldr f berfreassessedr f frequently,rfbutrfther f priorityr f isrfgetti
ngr f therfrapidrfcarerftorftherfclient.
DIF:rfApplying/Applicationr f REF:rf3
KEY:rfRapidrfResponserfTeamrf(RRT)|rfmedicalrfemergenci
esrfMSC:rfIntegratedrfProcess:
Communicationr f andr f Documentation
NOT:rfClientrf Needsrf Category:r f Physiologicalrf Integrity:r f Physiologicalrf Adaptation
3. Arfnurserfisrforientingrfarfnewrfclientrfandrffamilyrftorftherfinpatientrfunit.rfWhatrfinformatio
nrfdoesrftherfnurserfprovider f torfhelprftherfclientrfpromoterfhisrforrfherrfownrfsafety?
a. Encouragerftherfclientrfandrffamilyrf torfberfactiverfpartners.
b. Haverftherfclientrf monitorrfhandr f hygienerf inrfcaregivers.
c. Offerrftherffamilyrf therfopportunityrf torfstayrfwithrf therf client.
d. Tellrftherf clientrftorfalwaysr f wearrfhisrf orrfherrfarmband.
ANS:r f A
Eachr f actionr f couldr f ber f importantr f forr f ther f clientr f orr f familyr f tor f perform.r f However,rfe
ncouragingrftherfclientrftorfberfactiverfinrfhisrforrfherrfhealthrfcarerfasrfarfpartnerrfisrftherfmostrfcriti
cal.rfTherfotherrfactionsrfarerfveryrflimitedrfinrfscoperfandrfdorfnotrfproviderftherfbroadrfprotection
rf thatr f beingrfactiver f andr f involvedr f does.
DIF:
Understanding/Comprehensionrf
REF:rf3KEY:rfPatientrfsafety
l O M
f rf rf
oA R c
rf rf r P S
f rf rf
D | 672187
TEST BANK FOR MEDICAL SURGICAL NURSING:
rf rf rf rf rfrf
CONCEPTS FOR CLINICAL JUDGEMENT AND COL
rf rf rf rf r f
LABORATIVE CARE 11TH EDITION IGNATAVICIUS
rf rf
r f
rfrf r f
TEST BANK rf
, rf rf r
l O M
f rf rf
oA R c
rf rf r P S
f rf rf
TestrfBankrf-rfMedical-SurgicalrfNursing:rfConceptsrfforrfInterprofessionalrfCollaborativerfCarerf11e
D | 672187
2
Chapterrf01:rfOverviewrfofrfProfessionalrfNursingrfConceptsrfforrfMedical-
SurgicalrfNursingrfMULTIPLErfCHOICE
1. Arfnurserfwishesrftorfproviderfclient-
centeredrfcarerfinrfallrfinteractions.rfWhichrfactionrfbyrftherfnurserfbestdemonstr
atesrfthisrfconcept?
a. Assessesrf forrfculturalrfinfluencesrf affectingrfhealthrf care
b. Ensuresrfthatrfallrftherfclientsrf basicrf needsrfarerfmet
c. Tellsrftherfclientrf andrffamilyrf aboutrfallrfupcomingrftests
d. Thoroughlyrforientsrftherfclientr f andrffamilyrf torftherfroom
ANS:r f A
Competencyrfinrfclient-
focusedrfcarerfisrfdemonstratedrfwhenrftherfnurserffocusesrfonrfcommunication,rfculture,rfrespe
ctrfcompassion,rfclientrfeducation,rfandrfempowerment.rfByrfassessingrftherfeffectrfofrftherfclient
srfculturerfonrfhealthrfcare,rfthisrfnurserfisrfpracticingrfclient-
rf focusedrfcare.rfProvidingrfforrfbasicrfneedsrfdoesrfnotrfdemonstraterfthisrfcompetence.rfSimplyrf
tellingrftherfclientrfaboutrfallrfupcomingrftestsrfisrfnotrfprovidingrfempoweringrfeducation.
Orientingrftherfclientrfandrffamilyrftorftherfroomrfisrfanrfimportantrfsafetyrfmeasure,rfbutrfnotrfdir
ectlyrfrelatedrftorfdemonstratingrfclient-centeredrfcare.
DIF:rf Understanding/Comprehensionr f REF:rf 3
KEY:rfPatient-
centeredrfcare|rfculturerfMSC:rfIntegratedrfProcess:rfCarin
gNOT:rfClientrfNeedsrfCategory:
PsychosocialrfIntegrity
2. Arfnurserfisrfcaringrfforrfarfpostoperativerfclientrfonrftherfsurgicalrfunit.rfTherfclientsrfbloodrfp
ressurerfwasr f 142/76rfmmrfHgrf30rfminutesrfago,rfandrfnowrfisrf88/50rfmmrfHg.rfWhatrfactionrf
byrftherfnurserfisrfbest?
a. CallrftherfRapidr f ResponserfTeam.
b. Documentrf andrfcontinuerftorf monitor.
c. Notifyrftherfprimaryrfcarerfprovider.
d. Repeatrfbloodrf pressurer f measurementrf inrf 15rfminutes.
ANS:r f A
Ther f purposer f ofr f ther f Rapidr f Responser f Teamr f (RRT)r f isr f tor f intervener f whenr f clientsr f
, rf rf r
l O M
f rf rf
oA R c
rf rf r P S
f rf rf
TestrfBankrf-rfMedical-SurgicalrfNursing:rfConceptsrfforrfInterprofessionalrfCollaborativerfCarerf11e
D | 672187
3
arerfdeterioratingrfbeforerftheyrfsufferrfeitherrfrespiratoryrforrfcardiacrfarrest.rfSincerftherfclientrf
hasrfmanifestedrfarfsignificantrfchange,rftherfnurserfshouldrfcallrftherfRRT.rfChangesrfinrfbloodrfp
ressure,r f mentalr f status,r f heartr f rate,r f andr f painr f arer f particularlyr f significant.
, rf rf r
l O M
f rf rf
oA R c
rf rf r P S
f rf rf
TestrfBankrf-rfMedical-SurgicalrfNursing:rfConceptsrfforrfInterprofessionalrfCollaborativerfCarerf11e
D | 672187
4
Documentationrfisrfvital,rfbutrftherfnurserfmustrfdor f morer f thanrfdocument.rfTherfprimaryrf
carerfproviderrfshouldrfberfnotified,rfbutrfthisrfisrfnotrftherfpriorityrfoverrfcallingrftherfRRT.rfTh
erfclientsr f bloodrfpressurerfshouldr f berfreassessedr f frequently,rfbutrfther f priorityr f isrfgetti
ngr f therfrapidrfcarerftorftherfclient.
DIF:rfApplying/Applicationr f REF:rf3
KEY:rfRapidrfResponserfTeamrf(RRT)|rfmedicalrfemergenci
esrfMSC:rfIntegratedrfProcess:
Communicationr f andr f Documentation
NOT:rfClientrf Needsrf Category:r f Physiologicalrf Integrity:r f Physiologicalrf Adaptation
3. Arfnurserfisrforientingrfarfnewrfclientrfandrffamilyrftorftherfinpatientrfunit.rfWhatrfinformatio
nrfdoesrftherfnurserfprovider f torfhelprftherfclientrfpromoterfhisrforrfherrfownrfsafety?
a. Encouragerftherfclientrfandrffamilyrf torfberfactiverfpartners.
b. Haverftherfclientrf monitorrfhandr f hygienerf inrfcaregivers.
c. Offerrftherffamilyrf therfopportunityrf torfstayrfwithrf therf client.
d. Tellrftherf clientrftorfalwaysr f wearrfhisrf orrfherrfarmband.
ANS:r f A
Eachr f actionr f couldr f ber f importantr f forr f ther f clientr f orr f familyr f tor f perform.r f However,rfe
ncouragingrftherfclientrftorfberfactiverfinrfhisrforrfherrfhealthrfcarerfasrfarfpartnerrfisrftherfmostrfcriti
cal.rfTherfotherrfactionsrfarerfveryrflimitedrfinrfscoperfandrfdorfnotrfproviderftherfbroadrfprotection
rf thatr f beingrfactiver f andr f involvedr f does.
DIF:
Understanding/Comprehensionrf
REF:rf3KEY:rfPatientrfsafety
