,Test Bank For Medical Surgical :Concepts For Interproffessional Collaborative Care 9th
Edition by IGNATAVICIUS
Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical
Nursing
MULTIPLE CHOICE
1. A nurse wishes to provide client-centered care in all interactions. Which
action by the nurse best demonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
ANSWER: A
Competency in client-focused care is demonstrated when the nursefocuses on
communication, culture, respect compassion, client education, and empowerment.
By assessing the effect of the clients culture on health care, this nurse is practicing
client-focused care. Providing for basic needs does not demonstrate this
competence. Simply telling the client about all upcoming tests is not providing
empowering education.
Orienting the client andfamily to theroom is animportantsafetymeasure,
butnotdirectlyrelatedtodemonstratingclient-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client
Needs Category: Psychosocial Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The clients
blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg.
What action by the nurse isbest?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
ANSWER: A
2
,Test Bank For Medical Surgical :Concepts For Interproffessional Collaborative Care 9th
Edition by IGNATAVICIUS
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
deteriorating before they suffereitherrespiratoryorcardiacarrest.
Since the client has manifested a significant change, the nurse should call the RRT.
Changes in blood pressure, mental status, heart rate, and pain are particularly
significant. Documentation is vital, but the nurse must do more than document.
The primary care provider should be notified, but this is not the priority over
calling the RRT. The clients blood pressure should
be reassessed frequently, but the priority is getting the rapid care to the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated
Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse is orienting a new client and family to the inpatient unit. What
information does the nurse provide to help the client promote his or her own
safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
ANSWER: A
Each action could be important for the client or family to perform. However,
encouraging the client to be active in his or her health care as a partner is the most
critical. The other actions are very limited in scope and do not provide the broad
protection that being active and involved does.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
4. A new nurse is working with a preceptor on an inpatient medical-surgical
unit. The preceptor advises the student that which is the priority when working as a
professional nurse?
a. Attending to holistic client needs
b. Ensuring client safety
3
, Test Bank For Medical Surgical :Concepts For Interproffessional Collaborative Care 9th
Edition by IGNATAVICIUS
c. Not making medication errors
d. Providing client-focused care
ANSWER: B
All actions are appropriate for the professional nurse. However, ensuring client
safety is the priority. Up to 98,000 deaths result each year from errors in hospital
care, according to the 2000 Institute of Medicine report. Many more clients have
suffered injuries and less serious outcomes. Every nurse has the responsibility to
guard the clients safety.
DIF: Understanding/Comprehension REF: 2 KEY: Patient safety MSC: Integrated
Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
5. A client is going to be admitted for a scheduled surgical procedure. Which
action does the nurse explain is the most important thing the client can do to
protect against errors?
a. Bring a list of all medications and what they are for.
b. Keep the doctors phone number by the telephone.
c. Make sure all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
ANSWER: A
Medication errors are the most common type of health care mistake. The Joint
Commissions Speak Up campaign encourages clients to help ensure their safety.
One recommendation is for clients to know all their medications and why they take
them. This will help prevent medication errors.
DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process:
Teaching/Learning NOT: Client Needs Category: Safe and Effective Care
Environment: Safety and Infection Control
6. Which action by the nurse working with a client best demonstrates respect
for autonomy?
a. Asks if the client has questions before signing a consent
b. Gives the client accurate information when questioned
4
Edition by IGNATAVICIUS
Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical
Nursing
MULTIPLE CHOICE
1. A nurse wishes to provide client-centered care in all interactions. Which
action by the nurse best demonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
ANSWER: A
Competency in client-focused care is demonstrated when the nursefocuses on
communication, culture, respect compassion, client education, and empowerment.
By assessing the effect of the clients culture on health care, this nurse is practicing
client-focused care. Providing for basic needs does not demonstrate this
competence. Simply telling the client about all upcoming tests is not providing
empowering education.
Orienting the client andfamily to theroom is animportantsafetymeasure,
butnotdirectlyrelatedtodemonstratingclient-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client
Needs Category: Psychosocial Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The clients
blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg.
What action by the nurse isbest?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
ANSWER: A
2
,Test Bank For Medical Surgical :Concepts For Interproffessional Collaborative Care 9th
Edition by IGNATAVICIUS
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
deteriorating before they suffereitherrespiratoryorcardiacarrest.
Since the client has manifested a significant change, the nurse should call the RRT.
Changes in blood pressure, mental status, heart rate, and pain are particularly
significant. Documentation is vital, but the nurse must do more than document.
The primary care provider should be notified, but this is not the priority over
calling the RRT. The clients blood pressure should
be reassessed frequently, but the priority is getting the rapid care to the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated
Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse is orienting a new client and family to the inpatient unit. What
information does the nurse provide to help the client promote his or her own
safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
ANSWER: A
Each action could be important for the client or family to perform. However,
encouraging the client to be active in his or her health care as a partner is the most
critical. The other actions are very limited in scope and do not provide the broad
protection that being active and involved does.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
4. A new nurse is working with a preceptor on an inpatient medical-surgical
unit. The preceptor advises the student that which is the priority when working as a
professional nurse?
a. Attending to holistic client needs
b. Ensuring client safety
3
, Test Bank For Medical Surgical :Concepts For Interproffessional Collaborative Care 9th
Edition by IGNATAVICIUS
c. Not making medication errors
d. Providing client-focused care
ANSWER: B
All actions are appropriate for the professional nurse. However, ensuring client
safety is the priority. Up to 98,000 deaths result each year from errors in hospital
care, according to the 2000 Institute of Medicine report. Many more clients have
suffered injuries and less serious outcomes. Every nurse has the responsibility to
guard the clients safety.
DIF: Understanding/Comprehension REF: 2 KEY: Patient safety MSC: Integrated
Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
5. A client is going to be admitted for a scheduled surgical procedure. Which
action does the nurse explain is the most important thing the client can do to
protect against errors?
a. Bring a list of all medications and what they are for.
b. Keep the doctors phone number by the telephone.
c. Make sure all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
ANSWER: A
Medication errors are the most common type of health care mistake. The Joint
Commissions Speak Up campaign encourages clients to help ensure their safety.
One recommendation is for clients to know all their medications and why they take
them. This will help prevent medication errors.
DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process:
Teaching/Learning NOT: Client Needs Category: Safe and Effective Care
Environment: Safety and Infection Control
6. Which action by the nurse working with a client best demonstrates respect
for autonomy?
a. Asks if the client has questions before signing a consent
b. Gives the client accurate information when questioned
4
