◦ Timby's Introductory Medical-Surgical Nursing
13th Edition Moreno Test Bank
Chapter | 1 Concepts |and |Trends |in |Healthcare
◦ A |new |nurse |is |working |with |a |preceptor |on |an |inpatient |medical-surgical |unit.
|The |preceptor |advises |the |student |that |which |is |the |priority |when |working |as |a
|professional |nurse?
◦ Attending | to | holistic | client | needs
◦ Ensuring | client | safety
◦ Not | making | medication | errors
◦ Providing |client-
|focused |care
|ANS: |B
◦ All |actions |are |appropriate |for |the |professional |nurse. |However,
| ensuring | client | safety | is | the | priority. | Up | to | 98,000 | deaths | result | each | year | from
| errors |in |hospital |care, |according |to |the |2000 |Institute |of |Medicine |report. |Many |more
|clients |have |suffered |injuries |and |less |serious |outcomes. |Every |nurse |has |the
|responsibility |to |guard |the |clients |safety.
◦ DIF: |Understanding/Comprehension |REF: |2
|KEY: |Patient |safety |MSC: |Integrated |Process: |Nursing
|Process: |Intervention
◦ NOT: |Client |Needs |Category: |Safe |and |Effective |Care
|Environment: |Safety |and |Infection |Control
◦ A |nurse |is |orienting |a |new |client |and |family |to |the |inpatient |unit. |What
|information |does |the |nurse |provide |to |help |the |client |promote |his |or |her |own
|safety?
◦ Encourage | the | client | and | family | to | be | active | partners.
◦ Have | the | client | monitor | hand | hygiene | in | caregivers.
◦ Offer | the | family | the | opportunity | to | stay | with | the | client.
◦ Tell |the |client |to |always |wear |his |or
|her |armband. |ANS: |A
◦ Each |action |could |be |important |for |the |client |or |family |to |perform.
|However, |encouraging |the |client |to |be |active |in |his |or |her |health |care |as |a |partner |is |the
|most |critical. |The |other |actions |are
◦
◦ very |limited |in |scope |and |do |not |provide |the |broad |protection |that
|being |active |and |involved |does.
◦ DIF: |Understanding/Comprehension |REF: |3
|KEY: |Patient |safety |MSC: |Integrated |Process: |Teaching/
|Learning
,◦ NOT: | Client | Needs | Category: | Safe | and | Effective | Care
,Environment: | Safety | and | Infection | Control
◦ A |nurse |is |caring |for |a |postoperative |client |on |the |surgical |unit. |The |clients |blood
|pressure |was |142/76 |mm |Hg |30 |minutes |ago, |and |now |is |88/50 |mm |Hg. |What
|action |by |the |nurse |is |best?
◦ Call | the | Rapid | Response | Team.
◦ Document | and | continue | to | monitor.
◦ Notify | the | primary | care | provider.
◦ Repeat |blood |pressure |measurement
|in |15 |minutes. |ANS: |A
◦ The |purpose |of |the |Rapid |Response |Team |(RRT) |is |to |intervene |when
|clients |are |deteriorating |before |they |suffer |either |respiratory |or |cardiac |arrest. |Since |the
|client |has |manifested |a |significant |change, |the |nurse |should |call |the |RRT. |Changes |in
|blood |pressure, |mental |status, |heart |rate, |and |pain |are |particularly |significant.
|Documentation |is |vital, |but |the |nurse |must |do |more |than |document. |The |primary |care
|provider |should |be |notified, |but |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
◦
◦ A |nurse |wishes |to |provide |client-centered |care |in |all |interactions. |Which
|action |by |the |nurse |best |demonstrates |this |concept?
◦ Assesses | for | cultural | influences | affecting | health | care
◦ Ensures |that |all |the |clients |basic |needs |are | met
◦ Tells |the |client |and |family |about |all |upcoming | tests
◦ Thoroughly |orients |the |client |and
|family |to |the |room |ANS: |A
◦ Competency |in |client-focused |care |is |demonstrated |when |the |nurse
|focuses |on |communication, |culture, |respect, |compassion, |client |education, |and
|empowerment. |By |assessing |the |effect |of |the
◦
◦ clients |culture |on |health |care, |this |nurse |is |practicing |client-focused |care.
|Providing |for |basic | needs |does |not |demonstrate |this |competence. |Simply |telling |the
|client |about |all |upcoming |tests |is |not |providing |empowering |education. |Orienting |the
|client |and |family |to |the |room |is |an |important |safety |measure, |but |not |directly | related |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
◦ A |client |is |going |to |be |admitted |for |a |scheduled |surgical |procedure. |Which
|action |does |the |nurse |explain |is |the |most |important |thing |the |client |can |do | to
|protect |against |errors?
◦ Bring |a |list |of |all |medications |and |what |they |are | for.
◦ Keep | the | doctors | phone | number | by | the | telephone.
◦ Make | sure | all | providers | wash | hands | before | entering |the | room.
◦ Write |down |the |name |of |each |caregiver |who
|comes |in |the |room. |ANS: |A
◦ Medication |errors |are |the |most |common |type |of |health |care |mistake. |The
|Joint |Commissions |Speak |Up |campaign |encourages |clients |to |help |ensure |their |safety.
|One |recommendation |is |for |clients |to |know |all |their |medications |and |why |they |take
|them. |This |will |help |prevent |medication |errors.
◦ DIF: |Applying/Application | REF: | 4
◦ KEY: |Speak |Up |campaign| |patient |safety |MSC: |Integrated
|Process: |Teaching/Learning |NOT: |Client |Needs |Category: |Safe |and |Effective
|Care |Environment: |Safety |and |Infection |Control
◦ Which |action |by |the |nurse |working |with |a |client |best |demonstrates |respect |for
| autonomy?
◦ Asks |if |the |client |has |questions |before |signing |a | consent
◦ Gives | the | client | accurate | information | when | questioned
◦ Keeps |the |promises |made |to |the |client |and | family
◦ Treats |the |client |fairly
|compared |to |other |clients
|ANS: |A
◦ Autonomy |is |self-determination. |The |client |should |make |decisions
|regarding |care. |When |the |nurse |obtains |a |signature |on |the |consent |form, |assessing |if | the
|client |still |has |questions |is |vital, |because |without |full |information |the |client |cannot
|practice |autonomy. |Giving |accurate |information |is |practicing |with |veracity. |Keeping
|promises |is |upholding |fidelity. |Treating |the
◦
◦ client | fairly | is | providing | social | justice.
◦
◦ DIF: |Applying/Application | REF: | 4
◦ KEY: |Autonomy| | ethical | principles | MSC: | Integrated | Process: | Caring
◦ NOT: | Client | Needs | Category: | Safe | and | Effective | Care | Environment: | Management
of |Care
13th Edition Moreno Test Bank
Chapter | 1 Concepts |and |Trends |in |Healthcare
◦ A |new |nurse |is |working |with |a |preceptor |on |an |inpatient |medical-surgical |unit.
|The |preceptor |advises |the |student |that |which |is |the |priority |when |working |as |a
|professional |nurse?
◦ Attending | to | holistic | client | needs
◦ Ensuring | client | safety
◦ Not | making | medication | errors
◦ Providing |client-
|focused |care
|ANS: |B
◦ All |actions |are |appropriate |for |the |professional |nurse. |However,
| ensuring | client | safety | is | the | priority. | Up | to | 98,000 | deaths | result | each | year | from
| errors |in |hospital |care, |according |to |the |2000 |Institute |of |Medicine |report. |Many |more
|clients |have |suffered |injuries |and |less |serious |outcomes. |Every |nurse |has |the
|responsibility |to |guard |the |clients |safety.
◦ DIF: |Understanding/Comprehension |REF: |2
|KEY: |Patient |safety |MSC: |Integrated |Process: |Nursing
|Process: |Intervention
◦ NOT: |Client |Needs |Category: |Safe |and |Effective |Care
|Environment: |Safety |and |Infection |Control
◦ A |nurse |is |orienting |a |new |client |and |family |to |the |inpatient |unit. |What
|information |does |the |nurse |provide |to |help |the |client |promote |his |or |her |own
|safety?
◦ Encourage | the | client | and | family | to | be | active | partners.
◦ Have | the | client | monitor | hand | hygiene | in | caregivers.
◦ Offer | the | family | the | opportunity | to | stay | with | the | client.
◦ Tell |the |client |to |always |wear |his |or
|her |armband. |ANS: |A
◦ Each |action |could |be |important |for |the |client |or |family |to |perform.
|However, |encouraging |the |client |to |be |active |in |his |or |her |health |care |as |a |partner |is |the
|most |critical. |The |other |actions |are
◦
◦ very |limited |in |scope |and |do |not |provide |the |broad |protection |that
|being |active |and |involved |does.
◦ DIF: |Understanding/Comprehension |REF: |3
|KEY: |Patient |safety |MSC: |Integrated |Process: |Teaching/
|Learning
,◦ NOT: | Client | Needs | Category: | Safe | and | Effective | Care
,Environment: | Safety | and | Infection | Control
◦ A |nurse |is |caring |for |a |postoperative |client |on |the |surgical |unit. |The |clients |blood
|pressure |was |142/76 |mm |Hg |30 |minutes |ago, |and |now |is |88/50 |mm |Hg. |What
|action |by |the |nurse |is |best?
◦ Call | the | Rapid | Response | Team.
◦ Document | and | continue | to | monitor.
◦ Notify | the | primary | care | provider.
◦ Repeat |blood |pressure |measurement
|in |15 |minutes. |ANS: |A
◦ The |purpose |of |the |Rapid |Response |Team |(RRT) |is |to |intervene |when
|clients |are |deteriorating |before |they |suffer |either |respiratory |or |cardiac |arrest. |Since |the
|client |has |manifested |a |significant |change, |the |nurse |should |call |the |RRT. |Changes |in
|blood |pressure, |mental |status, |heart |rate, |and |pain |are |particularly |significant.
|Documentation |is |vital, |but |the |nurse |must |do |more |than |document. |The |primary |care
|provider |should |be |notified, |but |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
◦
◦ A |nurse |wishes |to |provide |client-centered |care |in |all |interactions. |Which
|action |by |the |nurse |best |demonstrates |this |concept?
◦ Assesses | for | cultural | influences | affecting | health | care
◦ Ensures |that |all |the |clients |basic |needs |are | met
◦ Tells |the |client |and |family |about |all |upcoming | tests
◦ Thoroughly |orients |the |client |and
|family |to |the |room |ANS: |A
◦ Competency |in |client-focused |care |is |demonstrated |when |the |nurse
|focuses |on |communication, |culture, |respect, |compassion, |client |education, |and
|empowerment. |By |assessing |the |effect |of |the
◦
◦ clients |culture |on |health |care, |this |nurse |is |practicing |client-focused |care.
|Providing |for |basic | needs |does |not |demonstrate |this |competence. |Simply |telling |the
|client |about |all |upcoming |tests |is |not |providing |empowering |education. |Orienting |the
|client |and |family |to |the |room |is |an |important |safety |measure, |but |not |directly | related |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
◦ A |client |is |going |to |be |admitted |for |a |scheduled |surgical |procedure. |Which
|action |does |the |nurse |explain |is |the |most |important |thing |the |client |can |do | to
|protect |against |errors?
◦ Bring |a |list |of |all |medications |and |what |they |are | for.
◦ Keep | the | doctors | phone | number | by | the | telephone.
◦ Make | sure | all | providers | wash | hands | before | entering |the | room.
◦ Write |down |the |name |of |each |caregiver |who
|comes |in |the |room. |ANS: |A
◦ Medication |errors |are |the |most |common |type |of |health |care |mistake. |The
|Joint |Commissions |Speak |Up |campaign |encourages |clients |to |help |ensure |their |safety.
|One |recommendation |is |for |clients |to |know |all |their |medications |and |why |they |take
|them. |This |will |help |prevent |medication |errors.
◦ DIF: |Applying/Application | REF: | 4
◦ KEY: |Speak |Up |campaign| |patient |safety |MSC: |Integrated
|Process: |Teaching/Learning |NOT: |Client |Needs |Category: |Safe |and |Effective
|Care |Environment: |Safety |and |Infection |Control
◦ Which |action |by |the |nurse |working |with |a |client |best |demonstrates |respect |for
| autonomy?
◦ Asks |if |the |client |has |questions |before |signing |a | consent
◦ Gives | the | client | accurate | information | when | questioned
◦ Keeps |the |promises |made |to |the |client |and | family
◦ Treats |the |client |fairly
|compared |to |other |clients
|ANS: |A
◦ Autonomy |is |self-determination. |The |client |should |make |decisions
|regarding |care. |When |the |nurse |obtains |a |signature |on |the |consent |form, |assessing |if | the
|client |still |has |questions |is |vital, |because |without |full |information |the |client |cannot
|practice |autonomy. |Giving |accurate |information |is |practicing |with |veracity. |Keeping
|promises |is |upholding |fidelity. |Treating |the
◦
◦ client | fairly | is | providing | social | justice.
◦
◦ DIF: |Applying/Application | REF: | 4
◦ KEY: |Autonomy| | ethical | principles | MSC: | Integrated | Process: | Caring
◦ NOT: | Client | Needs | Category: | Safe | and | Effective | Care | Environment: | Management
of |Care
