FULL Test Bank for Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9th edition by Donna D. Ignatavicius ISBN: 9780323444194,|newest edition 2025 A+

,Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical
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Nursing
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MULTIPLE CHOICE gi




1. A nurse wishes to provide client-centered care in all interactions. Which action bythe
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gi nurse best demonstrates this concept?
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a. Assesses for cultural influences affecting health care gi gi gi gi gi gi




b. Ensures that all the clients basic needs are met gi gi gi gi gi gi gi gi




c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room gi gi gi gi gi gi gi gi




ANS: A gi




Competency in client-focused care is demonstrated when the nursefocuses on gi gi gi gi gi gi gi gi gi




gi communication, culture, respect compassion, client education, and empowerment. By gi gi gi gi gi gi gi gi




gi assessing the effect of the clients culture on health care, this nurse is practicing client-focused
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gi care. Providing for basic needs does not demonstrate this competence. Simply telling the
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client about all upcoming tests is not providing empowering education.
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Orienting the client andfamilyto theroom is gi gi gi gi gi gi




animportantsafetymeasure,
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gi butnotdirectlyrelatedtodemonstratingclient-centered care. gi




DIF: Understanding/Comprehension REF: 3
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KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client Needs
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gi Category: Psychosocial Integrity gi gi




2. A nurse is caring for a postoperative client on the surgical unit. The clients blood
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gi pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the
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gi nurse isbest? gi




a. Call the Rapid Response Team.
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b. Document and continue to monitor. gi gi gi gi

,c. Notify the primary care provider.
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d. Repeat blood pressure measurement in 15 minutes.
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, ANS: A gi




The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
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gi before they suffereitherrespiratoryorcardiacarrest.
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Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes in gi gi gi gi gi gi




gi blood pressure, mental status, heart rate, and pain are particularly significant.
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gi Documentation is vital, but the nursemust do more than document. The primary care provider gi gi gi gi gi gi gi gi gi gi gi gi gi




gi should be notified, but this is not the priority over calling the RRT. The clients blood pressure
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gi should
be reassessed frequently, but the priority is getting the rapid care to theclient.
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DIF: Applying/Application REF: 3
gi gi gi




KEY: Rapid Response Team (RRT)| medicalemergencies MSC: Integrated Process:
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gi Communication and Documentation gi gi




NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
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3. A nurse is orienting a new client and family to the inpatient unit. What information
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does the nurse provide to help the client promote his or her own safety?
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a. Encourage the client and family to be active partners. gi gi gi gi gi gi gi gi




b. Have the client monitor hand hygiene in caregivers.
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c. Offer the family the opportunity to stay with the client.
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d. Tell the client to always wear his or her armband.
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ANS: A gi




Each action could be important for the client or family to perform. However, encouraging the
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gi client to be active in his or her health care as a partner is the most critical. The other actions
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gi are very limited in scope and do not provide the broad protection that being active and
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gi involveddoes.


DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
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