TEST BANK For Medical-Surgical Nursing
t t t t t
10th Edition Concepts for Interprofessional
t t t t
Collaborative Care, by Donna D. Ignatavicius,
t t t t t t t
All chapters 1 – 69
t t t t
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
t t t t t t t t t
Ignatavicius: Medical-Surgical Nursing, 10th Edition
t t t t t
MULTIPLE tCHOICE
1. A tnew tnurse tis tworking twith ta tpreceptor ton ta tmedical-surgical tunit. tThe tpreceptor tadvises
the tnew tnurse tthat twhich tis tthe tpriority twhen tworking tas ta tprofessional tnurse?
t
a. Attending tto tholistic tclient tneeds
b. Ensuring tclient tsafety
c. Not tmaking tmedication terrors
d. Providing tclient-focused tcare
CORRECT tANSWER: t B
All tactions tare tappropriate tfor tthe tprofessional tnurse. tHowever, tensuring tclient tsafety tis
the tpriority. tHealth tcare terrors thave tbeen twidely treported tfor t25 tyears, tmany tof twhich
t
result tin tclient tinjury, tdeath, tand tincreased thealth tcare tcosts. tThere tare tseveral tnational
t
and tinternational torganizations tthat thave teither trecommended tor tmandated tsafety
t
initiatives.
t
Every tnurse thas tthe tresponsibility tto tguard tthe tclient’s tsafety. tThe tother tactions tare
important tfor tquality tnursing, tbut tthey tare tnot tas tvital tas tproviding tsafety. tNot tmaking
t
medication terrors tdoes tprovide tsafety, tbut tis ttoo tnarrow tin tscope tto tbe tthe tbest tanswer.
t
DIF: Understanding TOP: t Integrated tProcess: tNursing tProcess:
Intervention tKEY: tClient tsafety
t
MSC: t Client tNeeds tCategory: tSafe tand tEffective tCare tEnvironment: tSafety tand tInfection tControl
2. A tnurse tis torienting ta tnew tclient tand tfamily tto tthe tmedical-surgical tunit. tWhat
information tdoes tthe tnurse tprovide tto tbest thelp tthe tclient tpromote this tor ther town
t
safety?
t
a. Encourage tthe tclient tand tfamily tto tbe tactive tpartners.
b. Have tthe tclient tmonitor thand thygiene tin tcaregivers.
c. Offer tthe tfamily tthe topportunity tto tstay twith tthe tclient.
d. Tell tthe tclient tto talways twear this tor ther tarmband.
CORRECT tANSWER: t A
, Each taction tcould tbe timportant tfor tthe tclient tor tfamily tto tperform. tHowever, tencouraging
the tclient tto tbe tactive tin this tor ther thealth tcare tas ta tsafety tpartner tis tthe tmost tcritical.
t
The tother tactions tare tvery tlimited tin tscope tand tdo tnot tprovide tthe tbroad tprotection tthat
t
being tactive tand tinvolved tdoes.
t
DIF: Understanding TOP: tIntegrated tProcess: tTeaching/Learning
KEY: tClient tsafety
t
MSC: t Client tNeeds tCategory: tSafe tand tEffective tCare tEnvironment: tSafety tand tInfection tControl
3. A tnurse tis tcaring tfor ta tpostoperative tclient ton tthe tsurgical tunit. tThe tclient’s tblood
pressure twas t142/76 tmm tHg t30 tminutes tago, tand tnow tis t88/50 tmm tHg. tWhat taction
t
would tthe tnurse ttake tfirst?
t
a. Call tthe tRapid tResponse tTeam.
b. Document tand tcontinue tto tmonitor.
c. Notify tthe tprimary thealth tcare tprovider.
d. Repeat tthe tblood tpressure tin t15 tminutes.
, CORRECT tANSWER: t A
The tpurpose tof tthe tRapid tResponse tTeam t(RRT) tis tto tintervene twhen tclients tare
deteriorating tbefore tthey tsuffer teither trespiratory tor tcardiac tarrest. tSince tthe tclient thas
t
manifested ta tsignificant tchange, tthe tnurse twould tcall tthe tRRT. tChanges tin tblood tpressure,
t
mental tstatus, theart trate, ttemperature, toxygen tsaturation, tand tlast t2 thours’ turine toutput
t
are tparticularly tsignificant tand tare tpart tof tthe tModified tEarly tWarning tSystem tguide.
t
Documentation tis tvital, tbut tthe tnurse tmust tdo tmore tthan tdocument. tThe tprimary thealth
t
care tprovider twould tbe tnotified, tbut tthis tis tnot tmore timportant tthan tcalling tthe tRRT. tThe
t
client’s tblood tpressure twould tbe treassessed tfrequently, tbut tthe tpriority tis tgetting tthe
t
rapid tcare tto tthe tclient.
t
DIF: Applying TOP: t Integrated tProcess: tCommunication tand
Documentation tKEY: tRapid tResponse tTeam t(RRT), tClinical tjudgment
t
MSC: t Client tNeeds tCategory: tPhysiological tIntegrity: tPhysiological tAdaptation
4. A tnurse twishes tto tprovide tclient-centered tcare tin tall tinteractions. tWhich taction tby tthe tnurse
best tdemonstrates tthis tconcept?
a. Assesses tfor tcultural tinfluences taffecting thealth tcare.
b. Ensures tthat tall tthe tclient’s tbasic tneeds tare tmet.
c. Tells tthe tclient tand tfamily tabout tall tupcoming ttests.
d. Thoroughly torients tthe tclient tand tfamily tto tthe troom.
CORRECT tANSWER: t A
Showing trespect tfor tthe tclient tand tfamily’s tpreferences tand tneeds tis tessential tto tensure ta
holistic tor t“whole-person” tapproach tto tcare. tBy tassessing tthe teffect tof tthe tclient’s tculture
t
on thealth tcare, tthis tnurse tis tpracticing tclient-focused tcare. tProviding tfor tbasic tneeds tdoes
t
not tdemonstrate tthis tcompetence. tSimply ttelling tthe tclient tabout tall tupcoming ttests tis
t
not tproviding tempowering teducation. tOrienting tthe tclient tand tfamily tto tthe troom tis tan
t
important tsafety tmeasure, tbut tnot tdirectly trelated tto tdemonstrating tclient-centered tcare.
t
DIF: Understanding TOP: tIntegrated tProcess: tCulture tand tSpirituality
KEY: t Client-centered tcare, tCulture
t MSC: t Client tNeeds tCategory: tPsychosocial tIntegrity
5. A tclient tis tgoing tto tbe tadmitted tfor ta tscheduled tsurgical tprocedure. tWhich taction tdoes
the tnurse texplain tis tthe tmost timportant tthing tthe tclient tcan tdo tto tprotect tagainst
t
errors?
t
a. Bring ta tlist tof tall tmedications tand twhat tthey tare tfor.
b. Keep tthe tprovider’s tphone tnumber tby tthe ttelephone.
t t t t t
10th Edition Concepts for Interprofessional
t t t t
Collaborative Care, by Donna D. Ignatavicius,
t t t t t t t
All chapters 1 – 69
t t t t
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
t t t t t t t t t
Ignatavicius: Medical-Surgical Nursing, 10th Edition
t t t t t
MULTIPLE tCHOICE
1. A tnew tnurse tis tworking twith ta tpreceptor ton ta tmedical-surgical tunit. tThe tpreceptor tadvises
the tnew tnurse tthat twhich tis tthe tpriority twhen tworking tas ta tprofessional tnurse?
t
a. Attending tto tholistic tclient tneeds
b. Ensuring tclient tsafety
c. Not tmaking tmedication terrors
d. Providing tclient-focused tcare
CORRECT tANSWER: t B
All tactions tare tappropriate tfor tthe tprofessional tnurse. tHowever, tensuring tclient tsafety tis
the tpriority. tHealth tcare terrors thave tbeen twidely treported tfor t25 tyears, tmany tof twhich
t
result tin tclient tinjury, tdeath, tand tincreased thealth tcare tcosts. tThere tare tseveral tnational
t
and tinternational torganizations tthat thave teither trecommended tor tmandated tsafety
t
initiatives.
t
Every tnurse thas tthe tresponsibility tto tguard tthe tclient’s tsafety. tThe tother tactions tare
important tfor tquality tnursing, tbut tthey tare tnot tas tvital tas tproviding tsafety. tNot tmaking
t
medication terrors tdoes tprovide tsafety, tbut tis ttoo tnarrow tin tscope tto tbe tthe tbest tanswer.
t
DIF: Understanding TOP: t Integrated tProcess: tNursing tProcess:
Intervention tKEY: tClient tsafety
t
MSC: t Client tNeeds tCategory: tSafe tand tEffective tCare tEnvironment: tSafety tand tInfection tControl
2. A tnurse tis torienting ta tnew tclient tand tfamily tto tthe tmedical-surgical tunit. tWhat
information tdoes tthe tnurse tprovide tto tbest thelp tthe tclient tpromote this tor ther town
t
safety?
t
a. Encourage tthe tclient tand tfamily tto tbe tactive tpartners.
b. Have tthe tclient tmonitor thand thygiene tin tcaregivers.
c. Offer tthe tfamily tthe topportunity tto tstay twith tthe tclient.
d. Tell tthe tclient tto talways twear this tor ther tarmband.
CORRECT tANSWER: t A
, Each taction tcould tbe timportant tfor tthe tclient tor tfamily tto tperform. tHowever, tencouraging
the tclient tto tbe tactive tin this tor ther thealth tcare tas ta tsafety tpartner tis tthe tmost tcritical.
t
The tother tactions tare tvery tlimited tin tscope tand tdo tnot tprovide tthe tbroad tprotection tthat
t
being tactive tand tinvolved tdoes.
t
DIF: Understanding TOP: tIntegrated tProcess: tTeaching/Learning
KEY: tClient tsafety
t
MSC: t Client tNeeds tCategory: tSafe tand tEffective tCare tEnvironment: tSafety tand tInfection tControl
3. A tnurse tis tcaring tfor ta tpostoperative tclient ton tthe tsurgical tunit. tThe tclient’s tblood
pressure twas t142/76 tmm tHg t30 tminutes tago, tand tnow tis t88/50 tmm tHg. tWhat taction
t
would tthe tnurse ttake tfirst?
t
a. Call tthe tRapid tResponse tTeam.
b. Document tand tcontinue tto tmonitor.
c. Notify tthe tprimary thealth tcare tprovider.
d. Repeat tthe tblood tpressure tin t15 tminutes.
, CORRECT tANSWER: t A
The tpurpose tof tthe tRapid tResponse tTeam t(RRT) tis tto tintervene twhen tclients tare
deteriorating tbefore tthey tsuffer teither trespiratory tor tcardiac tarrest. tSince tthe tclient thas
t
manifested ta tsignificant tchange, tthe tnurse twould tcall tthe tRRT. tChanges tin tblood tpressure,
t
mental tstatus, theart trate, ttemperature, toxygen tsaturation, tand tlast t2 thours’ turine toutput
t
are tparticularly tsignificant tand tare tpart tof tthe tModified tEarly tWarning tSystem tguide.
t
Documentation tis tvital, tbut tthe tnurse tmust tdo tmore tthan tdocument. tThe tprimary thealth
t
care tprovider twould tbe tnotified, tbut tthis tis tnot tmore timportant tthan tcalling tthe tRRT. tThe
t
client’s tblood tpressure twould tbe treassessed tfrequently, tbut tthe tpriority tis tgetting tthe
t
rapid tcare tto tthe tclient.
t
DIF: Applying TOP: t Integrated tProcess: tCommunication tand
Documentation tKEY: tRapid tResponse tTeam t(RRT), tClinical tjudgment
t
MSC: t Client tNeeds tCategory: tPhysiological tIntegrity: tPhysiological tAdaptation
4. A tnurse twishes tto tprovide tclient-centered tcare tin tall tinteractions. tWhich taction tby tthe tnurse
best tdemonstrates tthis tconcept?
a. Assesses tfor tcultural tinfluences taffecting thealth tcare.
b. Ensures tthat tall tthe tclient’s tbasic tneeds tare tmet.
c. Tells tthe tclient tand tfamily tabout tall tupcoming ttests.
d. Thoroughly torients tthe tclient tand tfamily tto tthe troom.
CORRECT tANSWER: t A
Showing trespect tfor tthe tclient tand tfamily’s tpreferences tand tneeds tis tessential tto tensure ta
holistic tor t“whole-person” tapproach tto tcare. tBy tassessing tthe teffect tof tthe tclient’s tculture
t
on thealth tcare, tthis tnurse tis tpracticing tclient-focused tcare. tProviding tfor tbasic tneeds tdoes
t
not tdemonstrate tthis tcompetence. tSimply ttelling tthe tclient tabout tall tupcoming ttests tis
t
not tproviding tempowering teducation. tOrienting tthe tclient tand tfamily tto tthe troom tis tan
t
important tsafety tmeasure, tbut tnot tdirectly trelated tto tdemonstrating tclient-centered tcare.
t
DIF: Understanding TOP: tIntegrated tProcess: tCulture tand tSpirituality
KEY: t Client-centered tcare, tCulture
t MSC: t Client tNeeds tCategory: tPsychosocial tIntegrity
5. A tclient tis tgoing tto tbe tadmitted tfor ta tscheduled tsurgical tprocedure. tWhich taction tdoes
the tnurse texplain tis tthe tmost timportant tthing tthe tclient tcan tdo tto tprotect tagainst
t
errors?
t
a. Bring ta tlist tof tall tmedications tand twhat tthey tare tfor.
b. Keep tthe tprovider’s tphone tnumber tby tthe ttelephone.
