2
,3
, 4
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
@ @@ @ @ @ @ @ @ @ @
, 5
MULTIPLE CHOICE @
1. A nurse wishes to provide client-
@ @ @ @ @
centered care in all interactions. Which action by the nurse best demons
@ @ @ @ @ @ @ @ @ @ @
trates 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 @ @ @ @ @ @ @ @
CORRECT ANS: A @ @
Rationale: Competency in client- @ @ @
focused care is demonstrated when the nurse focuses on communication, culture, respe
@ @ @ @ @ @ @ @ @ @ @
ct compassion, client education, and empowerment. By assessing the effect of the client
@ @ @ @ @ @ @ @ @ @ @ @
s 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 and family to the room is an important safety measure, but not dir
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
ectly related to demonstrating client-centered care.
@ @ @ @ @
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 acti
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
on by the nurse is best?
@ @ @ @ @
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.
@ @ @ @ @ @
CORRECT ANS: A @ @
Rationale: The purpose of the Rapid Response Team (RRT) is to intervene when cl
@ @ @ @ @ @ @ @ @ @ @ @ @
ients are deteriorating before they suffer either respiratory or cardiac arrest. Since the
@ @ @ @ @ @ @ @ @ @ @ @ @
client has manifested a significant change, the nurse should call the RRT. Changes in b
@ @ @ @ @ @ @ @ @ @ @ @ @ @
lood pressure, mental status, heart rate, and pain are particularly significant.
@ @ @ @ @ @ @ @ @ @
,3
, 4
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
@ @@ @ @ @ @ @ @ @ @
, 5
MULTIPLE CHOICE @
1. A nurse wishes to provide client-
@ @ @ @ @
centered care in all interactions. Which action by the nurse best demons
@ @ @ @ @ @ @ @ @ @ @
trates 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 @ @ @ @ @ @ @ @
CORRECT ANS: A @ @
Rationale: Competency in client- @ @ @
focused care is demonstrated when the nurse focuses on communication, culture, respe
@ @ @ @ @ @ @ @ @ @ @
ct compassion, client education, and empowerment. By assessing the effect of the client
@ @ @ @ @ @ @ @ @ @ @ @
s 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 and family to the room is an important safety measure, but not dir
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
ectly related to demonstrating client-centered care.
@ @ @ @ @
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 acti
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
on by the nurse is best?
@ @ @ @ @
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.
@ @ @ @ @ @
CORRECT ANS: A @ @
Rationale: The purpose of the Rapid Response Team (RRT) is to intervene when cl
@ @ @ @ @ @ @ @ @ @ @ @ @
ients are deteriorating before they suffer either respiratory or cardiac arrest. Since the
@ @ @ @ @ @ @ @ @ @ @ @ @
client has manifested a significant change, the nurse should call the RRT. Changes in b
@ @ @ @ @ @ @ @ @ @ @ @ @ @
lood pressure, mental status, heart rate, and pain are particularly significant.
@ @ @ @ @ @ @ @ @ @
