Medical Surgical Nursing 11th Edition Concepts for
Interprofessional Collaborative Care, by Donna
D. Ignatavicius, All chapters 1 – 74
C
Terms in this set (35)
Medical Surgical Nursing Medical Surgical Nursing
11th Edition by Donna D. Ignatavicius 11th Edition by Donna D. Ignatavicius
1. A nurse wishes to provide client-centered CORRECT
ANSWER: A
care in all interactions. Which action by the Competency in client-focused care is demonstrated when the
nurse best demonstrates this concept? nurse focuses on communication, culture, respect
a.Assesses for cultural influences affecting compassion, client education, and empowerment. By
health care assessing the effect of the clients culture on health care, this
b. Ensures that all the clients basic needs are nurse is practicing client-focused care. Providing for basic
met needs does not demonstrate this competence. Simply telling
c.Tells the client and family about all the client about all upcoming tests is not providing
upcoming tests empowering education. Orienting the client and family to the
d.Thoroughly orients the client and family to room is an important safety measure, but not
directly related the room to demonstrating client-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process:
Caring NOT: Client Needs Category: Psychosocial Integrity
, 1. A nurse is caring for a postoperative client CORRECT
ANSWER: A
on the surgical unit. The clients blood The purpose of the Rapid Response Team (RRT) is to
intervene pressure was 142/76 mm Hg 30 minutes ago, when clients are deteriorating before
they suffer either
and now is 88/50 mm Hg. What action by respiratory or cardiac arrest. Since the client has manifested a
the nurse is best? significant change, the nurse should call the RRT. Changes in
a.Call the Rapid Response Team. blood pressure, mental status, heart rate, and pain are
b. Document and continue to monitor. particularly significant.
c. Notify the primary care provider. Documentation is vital, but the nurse must do more than
d. Repeat blood pressure measurement in 15 document. The primary care provider should be
notified, but minutes. 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
1. A nurse is orienting a new client and family CORRECT
ANSWER: A
to the inpatient unit. What information doesEach action could be important for the client or family
to the nurse provide to help the client promote perform. However, encouraging the client to be
active in his his or her own safety? or her health care as a partner is the most critical. The other
a.Encourage the client and family to be actions are very limited in scope and do not provide the
active partners. broad protection that being active and involved
does.
b. Have the client monitor hand hygiene in DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
caregivers. MSC: Integrated Process: Teaching/Learning
c. Offer the family the opportunity to stay NOT: Client Needs Category: Safe and Effective Care
with the client. Environment: Safety and Infection Control
d.Tell the client to always wear his or
her armband.
To get this (TEST BANK for Medical-Surgical To get this (TEST BANK for Medical-Surgical Nursing:
Nursing: Concepts for Clinical Judgment andConcepts for Clinical Judgment and Collaborative Care
Collaborative Care 11th Edition by Donna D. Ignatavicius,) lick on this link
11th Edition by Donna D. Ignatavicius,) lick on https://kuriam.gumroad.com/l/bnsupt
this link
https://kuriam.gumroad.com/l/bnsupt
1. A new nurse is working with a preceptor CORRECT
ANSWER: B
on an inpatient medical-surgical unit. The All actions are appropriate for the professional nurse.
preceptor advises the student that which is However, ensuring client safety is the priority. Up to
98,000 the priority when working as a professional deaths result each year from errors in hospital care,
according nurse? to the 2000 Institute of Medicine report. Many more clients
a.Attending to holistic client needs have suffered injuries and less serious outcomes. Every nurse
b. Ensuring client safety has the responsibility to guard the clients safety.
c. Not making medication errors DIF: Understanding/Comprehension REF: 2 KEY: Patient safety
d. Providing client-focused care MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care
Environment: Safety and Infection Control
Interprofessional Collaborative Care, by Donna
D. Ignatavicius, All chapters 1 – 74
C
Terms in this set (35)
Medical Surgical Nursing Medical Surgical Nursing
11th Edition by Donna D. Ignatavicius 11th Edition by Donna D. Ignatavicius
1. A nurse wishes to provide client-centered CORRECT
ANSWER: A
care in all interactions. Which action by the Competency in client-focused care is demonstrated when the
nurse best demonstrates this concept? nurse focuses on communication, culture, respect
a.Assesses for cultural influences affecting compassion, client education, and empowerment. By
health care assessing the effect of the clients culture on health care, this
b. Ensures that all the clients basic needs are nurse is practicing client-focused care. Providing for basic
met needs does not demonstrate this competence. Simply telling
c.Tells the client and family about all the client about all upcoming tests is not providing
upcoming tests empowering education. Orienting the client and family to the
d.Thoroughly orients the client and family to room is an important safety measure, but not
directly related the room to demonstrating client-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process:
Caring NOT: Client Needs Category: Psychosocial Integrity
, 1. A nurse is caring for a postoperative client CORRECT
ANSWER: A
on the surgical unit. The clients blood The purpose of the Rapid Response Team (RRT) is to
intervene pressure was 142/76 mm Hg 30 minutes ago, when clients are deteriorating before
they suffer either
and now is 88/50 mm Hg. What action by respiratory or cardiac arrest. Since the client has manifested a
the nurse is best? significant change, the nurse should call the RRT. Changes in
a.Call the Rapid Response Team. blood pressure, mental status, heart rate, and pain are
b. Document and continue to monitor. particularly significant.
c. Notify the primary care provider. Documentation is vital, but the nurse must do more than
d. Repeat blood pressure measurement in 15 document. The primary care provider should be
notified, but minutes. 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
1. A nurse is orienting a new client and family CORRECT
ANSWER: A
to the inpatient unit. What information doesEach action could be important for the client or family
to the nurse provide to help the client promote perform. However, encouraging the client to be
active in his his or her own safety? or her health care as a partner is the most critical. The other
a.Encourage the client and family to be actions are very limited in scope and do not provide the
active partners. broad protection that being active and involved
does.
b. Have the client monitor hand hygiene in DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
caregivers. MSC: Integrated Process: Teaching/Learning
c. Offer the family the opportunity to stay NOT: Client Needs Category: Safe and Effective Care
with the client. Environment: Safety and Infection Control
d.Tell the client to always wear his or
her armband.
To get this (TEST BANK for Medical-Surgical To get this (TEST BANK for Medical-Surgical Nursing:
Nursing: Concepts for Clinical Judgment andConcepts for Clinical Judgment and Collaborative Care
Collaborative Care 11th Edition by Donna D. Ignatavicius,) lick on this link
11th Edition by Donna D. Ignatavicius,) lick on https://kuriam.gumroad.com/l/bnsupt
this link
https://kuriam.gumroad.com/l/bnsupt
1. A new nurse is working with a preceptor CORRECT
ANSWER: B
on an inpatient medical-surgical unit. The All actions are appropriate for the professional nurse.
preceptor advises the student that which is However, ensuring client safety is the priority. Up to
98,000 the priority when working as a professional deaths result each year from errors in hospital care,
according nurse? to the 2000 Institute of Medicine report. Many more clients
a.Attending to holistic client needs have suffered injuries and less serious outcomes. Every nurse
b. Ensuring client safety has the responsibility to guard the clients safety.
c. Not making medication errors DIF: Understanding/Comprehension REF: 2 KEY: Patient safety
d. Providing client-focused care MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care
Environment: Safety and Infection Control
