TestvBankvMedicalvSurgicalvNursing,ConceptsvforvInterprofessionalvCollaborativevCarev9th
vEditionvbyvIGNATAVICIUSvv
TESTvBANKvFORvMEDICALvSURGICALv:CONCEPTSvFORvINTERP
ROFFESSIONALvCOLLABORATIVEvCAREv9THvEDITIONvIGNATAVI
CIUSvALLvCHAPTERS.v
v
v
v
v
v
v
,TestvBankvMedicalvSurgicalvNursing,ConceptsvforvInterprofessionalvCollaborativevCarev9th
vEditionvbyvIGNATAVICIUSvv
v
v
Chapterv01:vOverviewvofvProfessionalvNursingvConceptsvforvMedical-
vSurgicalvNursingv
v
MULTIPLEvCHOICEv
v
1.vAvnursevwishesvtovprovidevclient-
centeredvcarevinvallvinteractions.vWhichvactionvbyvthevnursevbestvdemonstratesvthisvconcep
t?v
a. Assessesvforvculturalvinfluencesvaffectingvhealthvcarev
b. Ensuresvthatvallvthevclientsvbasicvneedsvarevmetv
c. Tellsvthevclientvandvfamilyvaboutvallvupcomingvtestsv
d. Thoroughlyvorientsvthevclientvandvfamilyvtovthevroomv
v
ANS:vAv
Competencyvinvclient-
focusedvcarevisvdemonstratedvwhenvthevnursefocusesvonvcommunication,vculture,vrespectvc
ompassion,vclientveducation,vandvempowerment.vByvassessingvtheveffectvofvthevclientsvcult
urevonvhealthvcare,vthisvnursevisvpracticingvclient-
focusedvcare.vProvidingvforvbasicvneedsvdoesvnotvdemonstratevthisvcompetence.vSimplyvtel
lingvthevclientvaboutvallvupcomingvtestsvisvnotvprovidingvempoweringveducation.v
Orientingvthevclientvandfamilyvtovtheroomvisvanimportantsafetymeasure,vbutnotdirectlyrelate
dtodemonstratingclient-centeredvcare.v
v
DIF:vUnderstanding/ComprehensionvREF:v3v
KEY:vPatient-
centeredvcare|vculturevMSC:vIntegratedvProcess:vCaringvNOT:vClientvNeedsvCategory:vPsy
chosocialvIntegrityv
v
,TestvBankvMedicalvSurgicalvNursing,ConceptsvforvInterprofessionalvCollaborativevCarev9th
vEditionvbyvIGNATAVICIUSvv
2.v
Avnursevisvcaringvforvavpostoperativevclientvonvthevsurgicalvunit.vThevclientsvbloodvpress
urevwasv142/76vmmvHgv30vminutesvago,vandvnowvisv88/50vmmvHg.vWhatvactionvbyvthe
vnursevisbest?va.v CallvthevRapidvResponsevTeam.v
b. Documentvandvcontinuevtovmonitor.v
c. Notifyvthevprimaryvcarevprovider.v
d. Repeatvbloodvpressurevmeasurementvinv15vminutes.v
v
ANS:vAv
ThevpurposevofvthevRapidvResponsevTeamv(RRT)visvtovintervenevwhenvclientsvarevdeterio
ratingvbeforevtheyvsuffereitherrespiratoryorcardiacarrest.v
Sincetheclienthasmanifestedasignificantchange,vthenurseshouldvcallvthevRRT.vChangesvinvbl
oodvpressure,vmentalvstatus,vheartvrate,vandvpainvarevparticularlyvsignificant.vDocumentatio
nvisvvital,vbutvthevnursemustvdovmorevthanvdocument.vThevprimaryvcarevprovidervshouldv
bevnotified,vbutvthisvisvnotvthevpriorityvovervcallingvthevRRT.vThevclientsvbloodvpressurev
shouldvbevreassessedvfrequently,vbutvthevpriorityvisvgettingvthevrapidvcarevtovtheclient.v
v
DIF:vApplying/ApplicationvREF:v3v
KEY:vRapidvResponsevTeamv(RRT)|vmedicalvemergenciesvMSC:vIntegratedvProcess:v
CommunicationvandvDocumentationv
NOT:vClientvNeedsvCategory:vPhysiologicalvIntegrity:vPhysiologicalvAdaptationv
v
3.v
Avnursevisvorientingvavnewvclientvandvfamilyvtovthevinpatientvunit.vWhatvinformationvdo
esvthevnursevprovidevtovhelpvthevclientvpromotevhisvorvhervownvsafety?va.v
Encouragevthevclientvandvfamilyvtovbevactivevpartners.v
b. Havevthevclientvmonitorvhandvhygienevinvcaregivers.v
c. Offervthevfamilyvthevopportunityvtovstayvwithvthevclient.v
d. Tellvthevclientvtovalwaysvwearvhisvorvhervarmband.v
v
, TestvBankvMedicalvSurgicalvNursing,ConceptsvforvInterprofessionalvCollaborativevCarev9th
vEditionvbyvIGNATAVICIUSvv
ANS:vAv
Eachvactionvcouldvbevimportantvforvthevclientvorvfamilyvtovperform.vHowever,vencouragin
gvthevclientvtovbevactivevinvhisvorvhervhealthvcarevasvavpartnervisvthevmostvcritical.vThev
othervactionsvarevveryvlimitedvinvscopevandvdovnotvprovidevthevbroadvprotectionvthatvbein
gvactivevandvinvolveddoes.v
v
DIF:vUnderstanding/ComprehensionvREF:v3vKEY:vPatientvsafetyv
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v
MSC:vIntegratedvProcess:vTeaching/Learningv
NOT:vClientvNeedsvCategory:vSafevandvEffectivevCarevEnvironment:vSafetyvandvInfection
vControlv
v
4.vAvnewvnursevisvworkingvwithvavpreceptorvonvanvinpatientmedical-
surgicalvunit.vThevpreceptorvadvisesvthevstudentvthatvwhichvisvthevpriorityvwhenvworki
ngvasvavprofessionalnurse?va.vAttendingvtovholisticvclientvneedsv
b. Ensuringvclientvsafetyv
c. Notvmakingvmedicationverrorsv
d. Providingvclient-focusedvcarev
v
ANS:vBv
Allvactionsvarevappropriatevforvthevprofessionalvnurse.vHowever,vensuringvclientvsafetyvisvt
hevpriority.vUpvtov98,000vdeathsvresultveachvyearvfromverrorsvinvhospitalvcare,vaccordingv
tovthev2000vInstitutevofvMedicinevreport.vManyvmorevclientsvhavevsufferedvinjuriesvandvle
ssvseriousvoutcomes.v
Everyvnursevhasvthevresponsibilityvtovguardvthevclientsvsafety.v
v
DIF:vUnderstanding/ComprehensionvREF:v2vKEY:vPatientvsafetyv
MSC:vIntegratedvProcess:vNursingvProcess:vInterventionv
vEditionvbyvIGNATAVICIUSvv
TESTvBANKvFORvMEDICALvSURGICALv:CONCEPTSvFORvINTERP
ROFFESSIONALvCOLLABORATIVEvCAREv9THvEDITIONvIGNATAVI
CIUSvALLvCHAPTERS.v
v
v
v
v
v
v
,TestvBankvMedicalvSurgicalvNursing,ConceptsvforvInterprofessionalvCollaborativevCarev9th
vEditionvbyvIGNATAVICIUSvv
v
v
Chapterv01:vOverviewvofvProfessionalvNursingvConceptsvforvMedical-
vSurgicalvNursingv
v
MULTIPLEvCHOICEv
v
1.vAvnursevwishesvtovprovidevclient-
centeredvcarevinvallvinteractions.vWhichvactionvbyvthevnursevbestvdemonstratesvthisvconcep
t?v
a. Assessesvforvculturalvinfluencesvaffectingvhealthvcarev
b. Ensuresvthatvallvthevclientsvbasicvneedsvarevmetv
c. Tellsvthevclientvandvfamilyvaboutvallvupcomingvtestsv
d. Thoroughlyvorientsvthevclientvandvfamilyvtovthevroomv
v
ANS:vAv
Competencyvinvclient-
focusedvcarevisvdemonstratedvwhenvthevnursefocusesvonvcommunication,vculture,vrespectvc
ompassion,vclientveducation,vandvempowerment.vByvassessingvtheveffectvofvthevclientsvcult
urevonvhealthvcare,vthisvnursevisvpracticingvclient-
focusedvcare.vProvidingvforvbasicvneedsvdoesvnotvdemonstratevthisvcompetence.vSimplyvtel
lingvthevclientvaboutvallvupcomingvtestsvisvnotvprovidingvempoweringveducation.v
Orientingvthevclientvandfamilyvtovtheroomvisvanimportantsafetymeasure,vbutnotdirectlyrelate
dtodemonstratingclient-centeredvcare.v
v
DIF:vUnderstanding/ComprehensionvREF:v3v
KEY:vPatient-
centeredvcare|vculturevMSC:vIntegratedvProcess:vCaringvNOT:vClientvNeedsvCategory:vPsy
chosocialvIntegrityv
v
,TestvBankvMedicalvSurgicalvNursing,ConceptsvforvInterprofessionalvCollaborativevCarev9th
vEditionvbyvIGNATAVICIUSvv
2.v
Avnursevisvcaringvforvavpostoperativevclientvonvthevsurgicalvunit.vThevclientsvbloodvpress
urevwasv142/76vmmvHgv30vminutesvago,vandvnowvisv88/50vmmvHg.vWhatvactionvbyvthe
vnursevisbest?va.v CallvthevRapidvResponsevTeam.v
b. Documentvandvcontinuevtovmonitor.v
c. Notifyvthevprimaryvcarevprovider.v
d. Repeatvbloodvpressurevmeasurementvinv15vminutes.v
v
ANS:vAv
ThevpurposevofvthevRapidvResponsevTeamv(RRT)visvtovintervenevwhenvclientsvarevdeterio
ratingvbeforevtheyvsuffereitherrespiratoryorcardiacarrest.v
Sincetheclienthasmanifestedasignificantchange,vthenurseshouldvcallvthevRRT.vChangesvinvbl
oodvpressure,vmentalvstatus,vheartvrate,vandvpainvarevparticularlyvsignificant.vDocumentatio
nvisvvital,vbutvthevnursemustvdovmorevthanvdocument.vThevprimaryvcarevprovidervshouldv
bevnotified,vbutvthisvisvnotvthevpriorityvovervcallingvthevRRT.vThevclientsvbloodvpressurev
shouldvbevreassessedvfrequently,vbutvthevpriorityvisvgettingvthevrapidvcarevtovtheclient.v
v
DIF:vApplying/ApplicationvREF:v3v
KEY:vRapidvResponsevTeamv(RRT)|vmedicalvemergenciesvMSC:vIntegratedvProcess:v
CommunicationvandvDocumentationv
NOT:vClientvNeedsvCategory:vPhysiologicalvIntegrity:vPhysiologicalvAdaptationv
v
3.v
Avnursevisvorientingvavnewvclientvandvfamilyvtovthevinpatientvunit.vWhatvinformationvdo
esvthevnursevprovidevtovhelpvthevclientvpromotevhisvorvhervownvsafety?va.v
Encouragevthevclientvandvfamilyvtovbevactivevpartners.v
b. Havevthevclientvmonitorvhandvhygienevinvcaregivers.v
c. Offervthevfamilyvthevopportunityvtovstayvwithvthevclient.v
d. Tellvthevclientvtovalwaysvwearvhisvorvhervarmband.v
v
, TestvBankvMedicalvSurgicalvNursing,ConceptsvforvInterprofessionalvCollaborativevCarev9th
vEditionvbyvIGNATAVICIUSvv
ANS:vAv
Eachvactionvcouldvbevimportantvforvthevclientvorvfamilyvtovperform.vHowever,vencouragin
gvthevclientvtovbevactivevinvhisvorvhervhealthvcarevasvavpartnervisvthevmostvcritical.vThev
othervactionsvarevveryvlimitedvinvscopevandvdovnotvprovidevthevbroadvprotectionvthatvbein
gvactivevandvinvolveddoes.v
v
DIF:vUnderstanding/ComprehensionvREF:v3vKEY:vPatientvsafetyv
vv
v
v
MSC:vIntegratedvProcess:vTeaching/Learningv
NOT:vClientvNeedsvCategory:vSafevandvEffectivevCarevEnvironment:vSafetyvandvInfection
vControlv
v
4.vAvnewvnursevisvworkingvwithvavpreceptorvonvanvinpatientmedical-
surgicalvunit.vThevpreceptorvadvisesvthevstudentvthatvwhichvisvthevpriorityvwhenvworki
ngvasvavprofessionalnurse?va.vAttendingvtovholisticvclientvneedsv
b. Ensuringvclientvsafetyv
c. Notvmakingvmedicationverrorsv
d. Providingvclient-focusedvcarev
v
ANS:vBv
Allvactionsvarevappropriatevforvthevprofessionalvnurse.vHowever,vensuringvclientvsafetyvisvt
hevpriority.vUpvtov98,000vdeathsvresultveachvyearvfromverrorsvinvhospitalvcare,vaccordingv
tovthev2000vInstitutevofvMedicinevreport.vManyvmorevclientsvhavevsufferedvinjuriesvandvle
ssvseriousvoutcomes.v
Everyvnursevhasvthevresponsibilityvtovguardvthevclientsvsafety.v
v
DIF:vUnderstanding/ComprehensionvREF:v2vKEY:vPatientvsafetyv
MSC:vIntegratedvProcess:vNursingvProcess:vInterventionv
