TEST BANK For Medical-Surgical Nursing 10th Edition Concepts for Interprofessional Collaborative Care, by Donna D. Ignatavicius, All chapters 1 – 69

TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69




Chapter701:7Overview7of7Professional7Nursing7Concepts7for7Medical-
Surgical7Nursing7Ignatavicius:7Medical-Surgical7Nursing,710th7Edition



MULTIPLE7CHOICE


1. A7new7nurse7is7working7with7a7preceptor7on7a7medical-
surgical7unit.7The7preceptor7advises7the7new7nurse7that7which7is7the7priority7when7working7
as7a7professional7nurse?
a. Attending7to7holistic7client7needs
b. Ensuring7client7safety

c. Not7making7medication7errors
d. Providing7client-focused7care

CORRECT7ANSWER:7 B
All7actions7are7appropriate7for7the7professional7nurse.7However,7ensuring7client7safety7is7the7
priority.7Health7care7errors7have7been7widely7reported7for7257years,7many7of7which7result7in7
client7injury,7death,7and7increased7health7care7costs.7There7are7several7national7and7internati
onal7organizations7that7have7either7recommended7or7mandated7safety7initiatives.
Every7nurse7has7the7responsibility7to7guard7the7client’s7safety.7The7other7actions7are7importa
nt7for7quality7nursing,7but7they7are7not7as7vital7as7providing7safety.7Not7making7medication7e
rrors7does7provide7safety,7but7is7too7narrow7in7scope7to7be7the7best7answer.

DIF: Understanding

, TOP:7 Integrated7Process:7Nursing7Process:7Intervention7KEY:7Client7safety
MSC:7 Client7Needs7Category:7Safe7and7Effective7Care7Environment:7Safety7and7Infection7Control


2. A7nurse7is7orienting7a7new7client7and7family7to7the7medical-
surgical7unit.7What7information7does7the7nurse7provide7to7best7help7the7client7promote7h
is7or7her7own7safety?
a. Encourage7the7client7and7family7to7be7active7partners.
b. Have7the7client7monitor7hand7hygiene7in7caregivers.
c. Offer7the7family7the7opportunity7to7stay7with7the7client.
d. Tell7the7client7to7always7wear7his7or7her7armband.

CORRECT7ANSWER:7 A
Each7action7could7be7important7for7the7client7or7family7to7perform.7However,7encouraging7th
e7client7to7be7active7in7his7or7her7health7care7as7a7safety7partner7is7the7most7critical.7The7othe
r7actions7are7very7limited7in7scope7and7do7not7provide7the7broad7protection7that7being7active
7and7involved7does.

DIF: Understanding
TOP:7Integrated7Process:7Teaching/Learning7KEY:7Client7safety
MSC:7 Client7Needs7Category:7Safe7and7Effective7Care7Environment:7Safety7and7Infection7Control


3. A7nurse7is7caring7for7a7postoperative7client7on7the7surgical7unit.7The7client’s7blood7pressur
e7was7142/767mm7Hg7307minutes7ago,7and7now7is788/507mm7Hg.7What7action7would7the7n
urse7take7first?
a. Call7the7Rapid7Response7Team.
b. Document7and7continue7to7monitor.
c. Notify7the7primary7health7care7provider.
d. Repeat7the7blood7pressure7in7157minutes.

, CORRECT7ANSWER:7 A
The7purpose7of7the7Rapid7Response7Team7(RRT)7is7to7intervene7when7clients7are7deterioratin
g7before7they7suffer7either7respiratory7or7cardiac7arrest.7Since7the7client7has7manifested7a7sig
nificant7change,7the7nurse7would7call7the7RRT.7Changes7in7blood7pressure,7mental7status,7hea
rt7rate,7temperature,7oxygen7saturation,7and7last727hours’7urine7output7are7particularly7signif
icant7and7are7part7of7the7Modified7Early7Warning7System7guide.7Documentation7is7vital,7but7t
he7nurse7must7do7more7than7document.7The7primary7health7care7provider7would7be7notified
,7but7this7is7not7more7important7than7calling7the7RRT.7The7client’s7blood7pressure7would7be7r
eassessed7frequently,7but7the7priority7is7getting7the7rapid7care7to7the7client.

DIF: Applying
TOP:7 Integrated7Process:7Communication7and7Documentation7KEY:7Rapid7R
esponse7Team7(RRT),7Clinical7judgment
MSC:7 Client7Needs7Category:7Physiological7Integrity:7Physiological7Adaptation


4. A7nurse7wishes7to7provide7client-centered7care7in7all7interactions.7Which7action7by7the7nurse
best7demonstrates7this7concept?
a. Assesses7for7cultural7influences7affecting7health7care.
b. Ensures7that7all7the7client’s7basic7needs7are7met.
c. Tells7the7client7and7family7about7all7upcoming7tests.
d. Thoroughly7orients7the7client7and7family7to7the7room.

CORRECT7ANSWER:7 A
Showing7respect7for7the7client7and7family’s7preferences7and7needs7is7essential7to7ensure7a7h
olistic7or7“whole-
person”7approach7to7care.7By7assessing7the7effect7of7the7client’s7culture7on7health7care,7this7
nurse7is7practicing7client-
focused7care.7Providing7for7basic7needs7does7not7demonstrate7this7competence.7Simply7tellin
g7the7client7about7all7upcoming7tests7is7not7providing7empowering7education.7Orienting7the7c
lient7and7family7to7the7room7is7an7important7safety7measure,7but7not7directly7related7to7dem
onstrating7client-centered7care.

DIF: Understanding
TOP:7Integrated7Process:7Culture7and7Spirituality7KEY:7 Client-centered7care,7Culture
MSC:7 Client7Needs7Category:7Psychosocial7Integrity


5. A7client7is7going7to7be7admitted7for7a7scheduled7surgical7procedure.7Which7action7does7t
he7nurse7explain7is7the7most7important7thing7the7client7can7do7to7protect7against7errors
?

, a. Bring7a7list7of7all7medications7and7what7they7are7for.
b. Keep7the7provider’s7phone7number7by7the7telephone.
c. Make7sure7that7all7providers7wash7hands7before7entering7the7room.
d. Write7down7the7name7of7each7caregiver7who7comes7in7the7room.

CORRECT7ANSWER:7 A
Medication7reconciliation7is7a7formal7process7in7which7the7client’s7actual7current7medication
s7are7compared7to7the7prescribed7medications7at7the7time7of7admission,7transfer,7or7dischar
ge.7This7National7client7Safety7Goal7is7important7to7reduce7medication7errors.7The7client7wo
uld7not7have7to7be7responsible7for7providers7washing7their7hands,7and7even7if7the7client7doe
s7so,7this7is7too7narrow7to7be7the7most7important7action7to7prevent7errors.7Keeping7the7prov
ider’s7phone7number7nearby7and7documenting7everyone7who7enters7the7room7also7do7not7g
uarantee7safety.

DIF: Applying
TOP:7 Integrated7Process:7Teaching/Learning7KEY:7Client7saf
ety,7Informatics
MSC:7 Client7Needs7Category:7Safe7and7Effective7Care7Environment:7Safety7and7Infection7Control