,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
&1 &1 & 1 &1 & 1 &1 &1 &1
&1 Surgical Nursing MULTIPLE CHOICE &1 & 1 & 1
1. A nurse wishes to provide client-
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centered care in all interactions. Which action by the nurse best
& 1 &1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
demon strates this concept? &1 & 1 & 1
a. Assesses for cultural influences affecting health care
& 1 & 1 & 1 & 1 & 1 & 1
b. Ensures that all the clients basic needs are met
& 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
c. Tells the client and family about all upcoming tests
&1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
d. Thoroughly orients the client & 1 & 1 &1 & 1 and family to the room
& 1 & 1 & 1 & 1
ANS: A & 1
Competency in client- & 1 & 1
focused care is demonstrated when the nurse focuses on communication, cultur
& 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
e, res pect compassion, client education, and empowerment. By assessing the e
& 1 &1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
ffect of the clients culture on health care, this nurse is practicing client-
& 1 & 1 &1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
focused care. Providing for basic needs does not demonstrate this competence.
& 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 &1 &
1 Simp ly telling the client about all upcoming tests is not providing empowerin
&1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
g education. Orienting the client and family to the room is an important safet
& 1 &1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
y measure, but not directly related to demonstrating client-centered care.
& 1 & 1 & 1 &1 & 1 & 1 & 1 & 1 & 1
DIF: Understanding/Comprehension REF:
& 1 & 1 & 1
3 KEY: Patient-
&1 & 1
centered care| culture MSC: Integrated Process: Cari
& 1 & 1 & 1 & 1 & 1 & 1
ngNOT: Client Needs Category: & 1 & 1 & 1
Psychosocial Integrity &1
2. A nurse is caring for a postoperative client on the surgical unit. The clie
& 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
nts bloo d pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm
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Hg. What action by the nurse is best?
&1 &1 & 1 & 1 & 1 & 1 & 1
a. Call the Rapid & 1 &1 & 1 Response Team. & 1
b. Document and continue to monitor. & 1 & 1 & 1 & 1
c. Notify the primary care provider.
& 1 & 1 & 1 & 1
d. Repeat blood pressure measurement in 15 minutes.
& 1 & 1 & 1 & 1 & 1 & 1
ANS: A & 1
The & 1 purpose & 1 of & 1 the & 1 Rapid & 1 Response & 1 Team & 1 (RRT) & 1 is & 1 to & 1 intervene & 1
when & 1 client s & 1 &1&1 are deteriorating before they suffer either respiratory or cardi
& 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
&1 &1 & 1 &1 & 1 &1 &1 &1
&1 Surgical Nursing MULTIPLE CHOICE &1 & 1 & 1
1. A nurse wishes to provide client-
&1 & 1 & 1 & 1 & 1
centered care in all interactions. Which action by the nurse best
& 1 &1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
demon strates this concept? &1 & 1 & 1
a. Assesses for cultural influences affecting health care
& 1 & 1 & 1 & 1 & 1 & 1
b. Ensures that all the clients basic needs are met
& 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
c. Tells the client and family about all upcoming tests
&1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
d. Thoroughly orients the client & 1 & 1 &1 & 1 and family to the room
& 1 & 1 & 1 & 1
ANS: A & 1
Competency in client- & 1 & 1
focused care is demonstrated when the nurse focuses on communication, cultur
& 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
e, res pect compassion, client education, and empowerment. By assessing the e
& 1 &1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
ffect of the clients culture on health care, this nurse is practicing client-
& 1 & 1 &1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
focused care. Providing for basic needs does not demonstrate this competence.
& 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 &1 &
1 Simp ly telling the client about all upcoming tests is not providing empowerin
&1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
g education. Orienting the client and family to the room is an important safet
& 1 &1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
y measure, but not directly related to demonstrating client-centered care.
& 1 & 1 & 1 &1 & 1 & 1 & 1 & 1 & 1
DIF: Understanding/Comprehension REF:
& 1 & 1 & 1
3 KEY: Patient-
&1 & 1
centered care| culture MSC: Integrated Process: Cari
& 1 & 1 & 1 & 1 & 1 & 1
ngNOT: Client Needs Category: & 1 & 1 & 1
Psychosocial Integrity &1
2. A nurse is caring for a postoperative client on the surgical unit. The clie
& 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1
nts bloo d pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm
& 1 &1 &1 &1 & 1 &1 &1 &1 &1 &1 &1 &1 &1 &1 &1 &1
Hg. What action by the nurse is best?
&1 &1 & 1 & 1 & 1 & 1 & 1
a. Call the Rapid & 1 &1 & 1 Response Team. & 1
b. Document and continue to monitor. & 1 & 1 & 1 & 1
c. Notify the primary care provider.
& 1 & 1 & 1 & 1
d. Repeat blood pressure measurement in 15 minutes.
& 1 & 1 & 1 & 1 & 1 & 1
ANS: A & 1
The & 1 purpose & 1 of & 1 the & 1 Rapid & 1 Response & 1 Team & 1 (RRT) & 1 is & 1 to & 1 intervene & 1
when & 1 client s & 1 &1&1 are deteriorating before they suffer either respiratory or cardi
& 1 & 1 & 1 & 1 & 1 & 1 & 1 & 1