TEST_BANK_FOR_IGNATAVICIUS_MEDICAL_SURGICA
L_NURSING_CONCEPTS_FOR_INTERPROFESSIONAL_C
OLLABORATIVE_CARE_10TH_EDITION_BY_DONNA_D._I
GNATAVICIUS_FULL_TESTBANK_ALL_CHAPTERS_1-
69||_LATEST_AND_COMPLETE_UPDATE_GRADED_A+
,1_|_P_ a_ g_e
TEST_BANK_FOR_IGNATAVICIUS_MEDICAL_SURGICA
L_NURSING_CONCEPTS_FOR_INTERPROFESSIONAL_C
OLLABORATIVE_CARE_10TH_EDITION_BY_DONNA_D._IG
NATAVICIUS_FULL_TESTBANK_ALL_CHAPTERS_1-
69||_LATEST_AND_COMPLETE_UPDATE_GRADED_A+
Chapter_01:_Overview_of_Professional_Nursing_Concepts_for_Medical-
Surgical_Nursing
MULTIPLE_CHOICE
1. A_new_nurse_is_working_with_a_preceptor_on_a_medical-
surgical_unit._The_preceptor_advises_the_new_nurse_that_which_is_the_priority_when_work
ing_as_a_professional_nurse?
a. Attending_to_holistic_client_needs
b. Ensuring_client_safety
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_pr
iority._Health_care_errors_have_been_widely_reported_for_25_years,_many_of_which_result_in_clie
nt_injury,_death,_and_increased_health_care_costs._There_are_several_national_and_international_o
rganizations_that_have_either_recommended_or_mandated_safety_initiatives.
Every_nurse_has_the_responsibility_to_guard_the_client9s_safety._The_other_actions_are_import
ant_for_quality_nursing,_but_they_are_not_as_vital_as_providing_safety._Not_making_medication
_errors_does_provide_safety,_but_is_too_narrow_in_scope_to_be_the_best_answer.
DIF:
Understanding_TOP:_Integrated_Process:_Nursing_Process:_Intervention_KEY:_Clie
nt_safety
MSC:_Client_Needs_Category:_Safe_and_Effective_Care_Environment:_Safety_and_Infectio
n_Control
2. A_nurse_is_orienting_a_new_client_and_family_to_the_medical-
surgical_unit._What_information_does_the_nurse_provide_to_best_help_the_client_promote
_his_or_her_own_safety?
a. Encourage_the_client_and_family_to_be_active_partners.
,2_|_P_ a_ g_e
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_safety_partner_is_the_most_critical._The_other_a
ctions_are_very_limited_in_scope_and_do_not_provide_the_broad_protection_that_being_active_and_i
nvolved_does.
DIF: Understanding_TOP:_Integrated_Process:_Teaching/Learning_KEY:_Client_safety
MSC:_Client_Needs_Category:_Safe_and_Effective_Care_Environment:_Safety_and_Infectio
n_Control
3. A_nurse_is_caring_for_a_postoperative_client_on_the_surgical_unit._The_client9s_blood_p
ressure_was_142/76_mm_Hg_30_minutes_ago,_and_now_is_88/50_mm_Hg._What_action_would_t
he_nurse_take_first?
a. Call_the_Rapid_Response_Team.
b. Document_and_continue_to_monitor.
c. Notify_the_primary_health_care_provider.
d. Repeat_the_blood_pressure_in_15_minutes.
-_ANSWER-_A
The_purpose_of_the_Rapid_Response_Team_(RRT)_is_to_intervene_when_clients_are_deteriorating
_before_they_suffer_either_respiratory_or_cardiac_arrest._Since_the_client_has_manifested_a_signifi
cant_change,_the_nurse_would_call_the_RRT._Changes_in_blood_pressure,_mental_status,_heart_rat
e,_temperature,_oxygen_saturation,_and_last_2_hours9_urine_output_are_particularly_significant_an
d_are_part_of_the_Modified_Early_Warning_System_guide._Documentation_is_vital,_but_the_nurse
_must_do_more_than_document._The_primary_health_care_provider_would_be_notified,_but_this_is
_not_more_important_than_calling_the_RRT._The_client9s_blood_pressure_would_be_reassessed_fr
equently,_but_the_priority_is_getting_the_rapid_care_to_the_client.
DIF: Applying
TOP:_Integrated_Process:_Communication_and_Documentation_KEY:_Rapid_Respo
nse_Team_(RRT),_Clinical_judgment
MSC:_Client_Needs_Category:_Physiological_Integrity:_Physiological_Adaptation
, 3_|_P_ a_ g_e
4. 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_client9s_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
Showing_respect_for_the_client_and_family9s_preferences_and_needs_is_essential_to_ensure_a_holi
stic_or_<whole-
person=_approach_to_care._By_assessing_the_effect_of_the_client9s_culture_on_health_care,_this_n
urse_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_clien
t_and_family_to_the_room_is_an_important_safety_measure,_but_not_directly_related_to_demonstrat
ing_client-centered_care.
DIF: Understanding_TOP:_Integrated_Process:_Culture_and_Spirituality_KEY:_Client-
centered_care,_Culture MSC:_Client_Needs_Category:_Psychosocial_Integrity
5. A_client_is_going_to_be_admitted_for_a_scheduled_surgical_procedure._Which_action_d
oes_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_provider9s_phone_number_by_the_telephone.
c. Make_sure_that_all_providers_wash_hands_before_entering_the_room.
d. Write_down_the_name_of_each_caregiver_who_comes_in_the_room.
-_ANSWER-_A
Medication_reconciliation_is_a_formal_process_in_which_the_client9s_actual_current_medications_
are_compared_to_the_prescribed_medications_at_the_time_of_admission,_transfer,_or_discharge._T
his_National_client_Safety_Goal_is_important_to_reduce_medication_errors._The_client_would_not
_have_to_be_responsible_for_providers_washing_their_hands,_and_even_if_the_client_does_so,_this_
is_too_narrow_to_be_the_most_important_action_to_prevent_errors._Keeping_the_provider9s_phone
_number_nearby_and_documenting_everyone_who_enters_the_room_also_do_not_guarantee_safety.
DIF: Applying
TOP:_Integrated_Process:_Teaching/Learning_KEY:_Client_safety,_Informatics
MSC:_Client_Needs_Category:_Safe_and_Effective_Care_Environment:_Safety_and_Infectio
n_Control
L_NURSING_CONCEPTS_FOR_INTERPROFESSIONAL_C
OLLABORATIVE_CARE_10TH_EDITION_BY_DONNA_D._I
GNATAVICIUS_FULL_TESTBANK_ALL_CHAPTERS_1-
69||_LATEST_AND_COMPLETE_UPDATE_GRADED_A+
,1_|_P_ a_ g_e
TEST_BANK_FOR_IGNATAVICIUS_MEDICAL_SURGICA
L_NURSING_CONCEPTS_FOR_INTERPROFESSIONAL_C
OLLABORATIVE_CARE_10TH_EDITION_BY_DONNA_D._IG
NATAVICIUS_FULL_TESTBANK_ALL_CHAPTERS_1-
69||_LATEST_AND_COMPLETE_UPDATE_GRADED_A+
Chapter_01:_Overview_of_Professional_Nursing_Concepts_for_Medical-
Surgical_Nursing
MULTIPLE_CHOICE
1. A_new_nurse_is_working_with_a_preceptor_on_a_medical-
surgical_unit._The_preceptor_advises_the_new_nurse_that_which_is_the_priority_when_work
ing_as_a_professional_nurse?
a. Attending_to_holistic_client_needs
b. Ensuring_client_safety
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_pr
iority._Health_care_errors_have_been_widely_reported_for_25_years,_many_of_which_result_in_clie
nt_injury,_death,_and_increased_health_care_costs._There_are_several_national_and_international_o
rganizations_that_have_either_recommended_or_mandated_safety_initiatives.
Every_nurse_has_the_responsibility_to_guard_the_client9s_safety._The_other_actions_are_import
ant_for_quality_nursing,_but_they_are_not_as_vital_as_providing_safety._Not_making_medication
_errors_does_provide_safety,_but_is_too_narrow_in_scope_to_be_the_best_answer.
DIF:
Understanding_TOP:_Integrated_Process:_Nursing_Process:_Intervention_KEY:_Clie
nt_safety
MSC:_Client_Needs_Category:_Safe_and_Effective_Care_Environment:_Safety_and_Infectio
n_Control
2. A_nurse_is_orienting_a_new_client_and_family_to_the_medical-
surgical_unit._What_information_does_the_nurse_provide_to_best_help_the_client_promote
_his_or_her_own_safety?
a. Encourage_the_client_and_family_to_be_active_partners.
,2_|_P_ a_ g_e
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_safety_partner_is_the_most_critical._The_other_a
ctions_are_very_limited_in_scope_and_do_not_provide_the_broad_protection_that_being_active_and_i
nvolved_does.
DIF: Understanding_TOP:_Integrated_Process:_Teaching/Learning_KEY:_Client_safety
MSC:_Client_Needs_Category:_Safe_and_Effective_Care_Environment:_Safety_and_Infectio
n_Control
3. A_nurse_is_caring_for_a_postoperative_client_on_the_surgical_unit._The_client9s_blood_p
ressure_was_142/76_mm_Hg_30_minutes_ago,_and_now_is_88/50_mm_Hg._What_action_would_t
he_nurse_take_first?
a. Call_the_Rapid_Response_Team.
b. Document_and_continue_to_monitor.
c. Notify_the_primary_health_care_provider.
d. Repeat_the_blood_pressure_in_15_minutes.
-_ANSWER-_A
The_purpose_of_the_Rapid_Response_Team_(RRT)_is_to_intervene_when_clients_are_deteriorating
_before_they_suffer_either_respiratory_or_cardiac_arrest._Since_the_client_has_manifested_a_signifi
cant_change,_the_nurse_would_call_the_RRT._Changes_in_blood_pressure,_mental_status,_heart_rat
e,_temperature,_oxygen_saturation,_and_last_2_hours9_urine_output_are_particularly_significant_an
d_are_part_of_the_Modified_Early_Warning_System_guide._Documentation_is_vital,_but_the_nurse
_must_do_more_than_document._The_primary_health_care_provider_would_be_notified,_but_this_is
_not_more_important_than_calling_the_RRT._The_client9s_blood_pressure_would_be_reassessed_fr
equently,_but_the_priority_is_getting_the_rapid_care_to_the_client.
DIF: Applying
TOP:_Integrated_Process:_Communication_and_Documentation_KEY:_Rapid_Respo
nse_Team_(RRT),_Clinical_judgment
MSC:_Client_Needs_Category:_Physiological_Integrity:_Physiological_Adaptation
, 3_|_P_ a_ g_e
4. 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_client9s_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
Showing_respect_for_the_client_and_family9s_preferences_and_needs_is_essential_to_ensure_a_holi
stic_or_<whole-
person=_approach_to_care._By_assessing_the_effect_of_the_client9s_culture_on_health_care,_this_n
urse_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_clien
t_and_family_to_the_room_is_an_important_safety_measure,_but_not_directly_related_to_demonstrat
ing_client-centered_care.
DIF: Understanding_TOP:_Integrated_Process:_Culture_and_Spirituality_KEY:_Client-
centered_care,_Culture MSC:_Client_Needs_Category:_Psychosocial_Integrity
5. A_client_is_going_to_be_admitted_for_a_scheduled_surgical_procedure._Which_action_d
oes_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_provider9s_phone_number_by_the_telephone.
c. Make_sure_that_all_providers_wash_hands_before_entering_the_room.
d. Write_down_the_name_of_each_caregiver_who_comes_in_the_room.
-_ANSWER-_A
Medication_reconciliation_is_a_formal_process_in_which_the_client9s_actual_current_medications_
are_compared_to_the_prescribed_medications_at_the_time_of_admission,_transfer,_or_discharge._T
his_National_client_Safety_Goal_is_important_to_reduce_medication_errors._The_client_would_not
_have_to_be_responsible_for_providers_washing_their_hands,_and_even_if_the_client_does_so,_this_
is_too_narrow_to_be_the_most_important_action_to_prevent_errors._Keeping_the_provider9s_phone
_number_nearby_and_documenting_everyone_who_enters_the_room_also_do_not_guarantee_safety.
DIF: Applying
TOP:_Integrated_Process:_Teaching/Learning_KEY:_Client_safety,_Informatics
MSC:_Client_Needs_Category:_Safe_and_Effective_Care_Environment:_Safety_and_Infectio
n_Control
