TESTBANK
,Test Bank - Medical-Surgical Nursing: Concepts for 2
Chapter 01: Overview of Professional Nursing
u i Concepts for Medical-
Surgical NursingMULTIPLE CHOICE
ui ui .W ui
1. A nurse wishes to provide client-centered care in all
u i ui ui ui ui ui ui ui
interactions.Which
ui .W u i action by ui u i the nurse ui u i bestdemonstrates
this concept? ui
a. Assesses u i for u i u i cultural influences affecting health care
b. Ensures u i that u i u i all the clients basic needs are met
c. Tells the client u i u i and u i family about all upcoming u i tests
d. Thoroughly orients the client ui and family to the room
ANS: A
Competency in client-focused care is demonstrated when the nurse focuses ui ui ui ui ui ui ui ui ui
on communication, culture, respect compassion, client
ui ui ui ui ui ui u i education,
and empowerment.By
ui ui .W u i assessing u i the u i effect of the ui ui
clients culture ui on u i health care, this ui ui
nurse is practicing client- focused
ui ui ui care.
Providing for basic needs does ui
u i not demonstrate this competence. Simply telling
ui ui ui ui the client about
all upcoming tests is not providing empowering education. ui ui ui
Orienting the client and family to the ui ui ui ui ui room is an important safety
ui measure, butnot directly .W ui u i related u i to demonstrating client-centered
ui ui
ui care.
DIF: u i Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC:
ui ui ui ui ui
IntegratedProcess: .W CaringNOT: Client Needs u i ui
Category:
Psychosocial
ui Integrity
2. A nurse is caring for a postoperative client on the surgical
ui ui ui ui ui ui ui ui ui unit. The
clientsblood pressure was 142/76 mm Hg
ui .W ui ui ui u i 30 minutes ago, and now
is
ui u i 88/50 mm Hg. What action by the nurse is best? ui ui ui ui ui ui ui
a. Call the ui Rapid u i Response Team.
b. Document u i and u i u i continue to monitor.
c. Notify the primary ui care provider.
d. Repeat blood ui pressure measurement in 15 minutes.
,Test Bank - Medical-Surgical Nursing: Concepts for 3
ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene
ui ui
Test Bank - Medical-Surgical Nursing: Concepts for 4
when clients are deteriorating before they suffer either respiratory or cardiac
ui ui ui ui ui ui ui ui
arrest. Since ui u i the client has manifested ui ui u i a u i significant change, ui the
nurse should ui u i call the
Test Bank - Medical-Surgical Nursing: Concepts for 5
RRT. Changes in blood u i u i pressure, u i u i mental status, u i u i heart u i u i rate, u i u i and
pain areparticularly
ui .W u i u i significant.
Test Bank - Medical-Surgical Nursing: Concepts for 6
Documentation u i is u i u i u i vital, u i u i u i but u i u i u i the u i u i u i nurse u i u i
u i must u i u i u i do u i u i u i more than ui document. u i The u i primary u i
u i u i care u i u i u i provider u i u i u i should u i u i u i be
notified, u i u i u i but u i u i u i this u i u i u i is u i u i u i not u i u i u i the priority u i u i
u i over calling u i u i u i the u i u i RRT. The ui u i u i clients u i u i blood u i u i pressure u i
u i should u i u i be reassessed ui frequently, but ui
ui the u i u i priority u i u i is u i u i u i getting u i u i the u i u i rapid u i care u i to u i the
ui client.
DIF: Applying/Application u i u i REF: 3
KEY: Rapid Response Team
(RRT)|
ui
medicalemergencies .W MSC:
Integrated Process: ui
u i Communication and
u i Documentation
NOT: Client Needs Category: u i Physiological Integrity: Physiological Adaptation
3. A nurse is orienting a new client and family to the inpatient unit.
u i ui ui ui ui ui ui ui ui ui ui What
ui information does the nurse provide to help the client promote his orui ui ui ui ui ui ui ui ui ui ui
u i her ownsafety?
ui .W
a. Encourage the u i client and family to be active partners.
b. Have the u i client monitor hand hygiene in caregivers.
, c. Offer the family u i u i the u i opportunity to stay with the client.
d. Tell the u i client u i u i to always wear his or her armband.
ANS: A
Each action could be important for the client or family to perform.
ui ui ui
However, encouraging the
ui ui ui u i client to be
ui ui active u i in u i his u i or u i her health
ui
care u i as a partner is the most critical. The other
ui ui ui ui ui ui ui actions
u i are very limited
in
scope and donot
.W u i provide the broad protection that being
u i active and involved
ui ui u i does.
DIF:
Understanding/Comprehension W
.
u i REF: 3KEY:Patient safety
u i ui
,Test Bank - Medical-Surgical Nursing: Concepts for 2
Chapter 01: Overview of Professional Nursing
u i Concepts for Medical-
Surgical NursingMULTIPLE CHOICE
ui ui .W ui
1. A nurse wishes to provide client-centered care in all
u i ui ui ui ui ui ui ui
interactions.Which
ui .W u i action by ui u i the nurse ui u i bestdemonstrates
this concept? ui
a. Assesses u i for u i u i cultural influences affecting health care
b. Ensures u i that u i u i all the clients basic needs are met
c. Tells the client u i u i and u i family about all upcoming u i tests
d. Thoroughly orients the client ui and family to the room
ANS: A
Competency in client-focused care is demonstrated when the nurse focuses ui ui ui ui ui ui ui ui ui
on communication, culture, respect compassion, client
ui ui ui ui ui ui u i education,
and empowerment.By
ui ui .W u i assessing u i the u i effect of the ui ui
clients culture ui on u i health care, this ui ui
nurse is practicing client- focused
ui ui ui care.
Providing for basic needs does ui
u i not demonstrate this competence. Simply telling
ui ui ui ui the client about
all upcoming tests is not providing empowering education. ui ui ui
Orienting the client and family to the ui ui ui ui ui room is an important safety
ui measure, butnot directly .W ui u i related u i to demonstrating client-centered
ui ui
ui care.
DIF: u i Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC:
ui ui ui ui ui
IntegratedProcess: .W CaringNOT: Client Needs u i ui
Category:
Psychosocial
ui Integrity
2. A nurse is caring for a postoperative client on the surgical
ui ui ui ui ui ui ui ui ui unit. The
clientsblood pressure was 142/76 mm Hg
ui .W ui ui ui u i 30 minutes ago, and now
is
ui u i 88/50 mm Hg. What action by the nurse is best? ui ui ui ui ui ui ui
a. Call the ui Rapid u i Response Team.
b. Document u i and u i u i continue to monitor.
c. Notify the primary ui care provider.
d. Repeat blood ui pressure measurement in 15 minutes.
,Test Bank - Medical-Surgical Nursing: Concepts for 3
ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene
ui ui
Test Bank - Medical-Surgical Nursing: Concepts for 4
when clients are deteriorating before they suffer either respiratory or cardiac
ui ui ui ui ui ui ui ui
arrest. Since ui u i the client has manifested ui ui u i a u i significant change, ui the
nurse should ui u i call the
Test Bank - Medical-Surgical Nursing: Concepts for 5
RRT. Changes in blood u i u i pressure, u i u i mental status, u i u i heart u i u i rate, u i u i and
pain areparticularly
ui .W u i u i significant.
Test Bank - Medical-Surgical Nursing: Concepts for 6
Documentation u i is u i u i u i vital, u i u i u i but u i u i u i the u i u i u i nurse u i u i
u i must u i u i u i do u i u i u i more than ui document. u i The u i primary u i
u i u i care u i u i u i provider u i u i u i should u i u i u i be
notified, u i u i u i but u i u i u i this u i u i u i is u i u i u i not u i u i u i the priority u i u i
u i over calling u i u i u i the u i u i RRT. The ui u i u i clients u i u i blood u i u i pressure u i
u i should u i u i be reassessed ui frequently, but ui
ui the u i u i priority u i u i is u i u i u i getting u i u i the u i u i rapid u i care u i to u i the
ui client.
DIF: Applying/Application u i u i REF: 3
KEY: Rapid Response Team
(RRT)|
ui
medicalemergencies .W MSC:
Integrated Process: ui
u i Communication and
u i Documentation
NOT: Client Needs Category: u i Physiological Integrity: Physiological Adaptation
3. A nurse is orienting a new client and family to the inpatient unit.
u i ui ui ui ui ui ui ui ui ui ui What
ui information does the nurse provide to help the client promote his orui ui ui ui ui ui ui ui ui ui ui
u i her ownsafety?
ui .W
a. Encourage the u i client and family to be active partners.
b. Have the u i client monitor hand hygiene in caregivers.
, c. Offer the family u i u i the u i opportunity to stay with the client.
d. Tell the u i client u i u i to always wear his or her armband.
ANS: A
Each action could be important for the client or family to perform.
ui ui ui
However, encouraging the
ui ui ui u i client to be
ui ui active u i in u i his u i or u i her health
ui
care u i as a partner is the most critical. The other
ui ui ui ui ui ui ui actions
u i are very limited
in
scope and donot
.W u i provide the broad protection that being
u i active and involved
ui ui u i does.
DIF:
Understanding/Comprehension W
.
u i REF: 3KEY:Patient safety
u i ui
