2
,3
, 4
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
xr xrxr xr xr xr xr xr xr xr xr
, 5
MULTIPLE CHOICE xr
1. A nurse wishes to provide client-
xr xr xr xr xr
centered care in all interactions. Which action by the nurse best demonst
xr xr xr xr xr xr xr xr xr xr xr
rates this concept? xr xr
a. Assesses for cultural influences affecting health care
xr xr xr xr xr xr
b. Ensures that all the clients basic needs are met xr xr xr xr xr xr xr xr
c. Tells the client and family about all upcoming tests
xr xr xr xr xr xr xr xr
d. Thoroughly orients the client and family to the room xr xr xr xr xr xr xr xr
CORRECT ANS: A xr xr
Rationale: Competency in client- xr xr xr
focused care is demonstrated when the nurse focuses on communication, culture, respe
xr xr xr xr xr xr xr xr xr xr xr
ct compassion, client education, and empowerment. By assessing the effect of the client
xr xr xr xr xr xr xr xr xr xr xr xr
s culture on health care, this nurse is practicing client-
xr xr xr xr xr xr xr xr xr
xr focused care. Providing for basic needs does not demonstrate this competence. Simply t
xr xr xr xr xr xr xr xr xr xr xr xr
elling the client about all upcoming tests is not providing empowering education.
xr xr xr xr xr xr xr xr xr xr xr
Orienting the client and family to the room is an important safety measure, but not dire
xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr
ctly related to demonstrating client-centered care.
xr xr xr xr xr
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood
xr xr xr xr xr xr xr xr xr xr xr xr xr xr x
r pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What acti
xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr
on by the nurse is best?
xr xr xr xr xr
a. Call the Rapid Response Team.
xr xr xr xr
b. Document and continue to monitor. xr xr xr xr
c. Notify the primary care provider. xr xr xr xr
d. Repeat blood pressure measurement in 15 minutes.
xr xr xr xr xr xr
CORRECT ANS: A xr xr
Rationale: The purpose of the Rapid Response Team (RRT) is to intervene whe
xr x r x r x r x r x r x r x r x r x r x r x r
n clients are deteriorating before they suffer either respiratory or cardiac arrest. Since
x r x r xr xr xr xr xr xr xr xr xr xr xr
the client has manifested a significant change, the nurse should call the RRT. Changes i
xr xr xr xr xr xr xr xr xr xr xr xr xr xr
n blood pressure, mental status, heart rate, and pain are particularly significant.
xr xr x r x r x r x r x r x r x r x r x r
,3
, 4
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
xr xrxr xr xr xr xr xr xr xr xr
, 5
MULTIPLE CHOICE xr
1. A nurse wishes to provide client-
xr xr xr xr xr
centered care in all interactions. Which action by the nurse best demonst
xr xr xr xr xr xr xr xr xr xr xr
rates this concept? xr xr
a. Assesses for cultural influences affecting health care
xr xr xr xr xr xr
b. Ensures that all the clients basic needs are met xr xr xr xr xr xr xr xr
c. Tells the client and family about all upcoming tests
xr xr xr xr xr xr xr xr
d. Thoroughly orients the client and family to the room xr xr xr xr xr xr xr xr
CORRECT ANS: A xr xr
Rationale: Competency in client- xr xr xr
focused care is demonstrated when the nurse focuses on communication, culture, respe
xr xr xr xr xr xr xr xr xr xr xr
ct compassion, client education, and empowerment. By assessing the effect of the client
xr xr xr xr xr xr xr xr xr xr xr xr
s culture on health care, this nurse is practicing client-
xr xr xr xr xr xr xr xr xr
xr focused care. Providing for basic needs does not demonstrate this competence. Simply t
xr xr xr xr xr xr xr xr xr xr xr xr
elling the client about all upcoming tests is not providing empowering education.
xr xr xr xr xr xr xr xr xr xr xr
Orienting the client and family to the room is an important safety measure, but not dire
xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr
ctly related to demonstrating client-centered care.
xr xr xr xr xr
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood
xr xr xr xr xr xr xr xr xr xr xr xr xr xr x
r pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What acti
xr xr xr xr xr xr xr xr xr xr xr xr xr xr xr
on by the nurse is best?
xr xr xr xr xr
a. Call the Rapid Response Team.
xr xr xr xr
b. Document and continue to monitor. xr xr xr xr
c. Notify the primary care provider. xr xr xr xr
d. Repeat blood pressure measurement in 15 minutes.
xr xr xr xr xr xr
CORRECT ANS: A xr xr
Rationale: The purpose of the Rapid Response Team (RRT) is to intervene whe
xr x r x r x r x r x r x r x r x r x r x r x r
n clients are deteriorating before they suffer either respiratory or cardiac arrest. Since
x r x r xr xr xr xr xr xr xr xr xr xr xr
the client has manifested a significant change, the nurse should call the RRT. Changes i
xr xr xr xr xr xr xr xr xr xr xr xr xr xr
n blood pressure, mental status, heart rate, and pain are particularly significant.
xr xr x r x r x r x r x r x r x r x r x r
