10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,ChapterE01:EOverviewEofEProfessionalENursingEConceptsEforEMedical-
SurgicalENursingEIgnatavicius:EMedical-SurgicalENursing,E10thEEdition
MULTIPLEECHOICE
1. AEnewEnurseEisEworkingEwithEaEpreceptorEonEaEmedical-
surgicalEunit.ETheEpreceptorEadvisesEtheEnewEnurseEthatEwhichEisEtheEpriorityEwhenEworkingEa
sEaEprofessionalEnurse?
a. AttendingEtoEholisticEclientEneeds
b. EnsuringEclientEsafety
c. NotEmakingEmedicationEerrors
d. ProvidingEclient-focusedEcare
CORRECTEANSWER:E B
AllEactionsEareEappropriateEforEtheEprofessionalEnurse.EHowever,EensuringEclientEsafetyEisEtheE
priority.EHealthEcareEerrorsEhaveEbeenEwidelyEreportedEforE25Eyears,EmanyEofEwhichEresultEinE
clientEinjury,Edeath,EandEincreasedEhealthEcareEcosts.EThereEareEseveralEnationalEandEinternati
onalEorganizationsEthatEhaveEeitherErecommendedEorEmandatedEsafetyEinitiatives.
EveryEnurseEhasEtheEresponsibilityEtoEguardEtheEclient’sEsafety.ETheEotherEactionsEareEimporta
ntEforEqualityEnursing,EbutEtheyEareEnotEasEvitalEasEprovidingEsafety.ENotEmakingEmedicationEer
rorsEdoesEprovideEsafety,EbutEisEtooEnarrowEinEscopeEtoEbeEtheEbestEanswer.
DIF: Understanding
TOP:E IntegratedEProcess:ENursingEProcess:EInterventionEKEY:EClientEsafety
MSC:E ClientENeedsECategory:ESafeEandEEffectiveECareEEnvironment:ESafetyEandEInfectionEControl
2. AEnurseEisEorientingEaEnewEclientEandEfamilyEtoEtheEmedical-
surgicalEunit.EWhatEinformationEdoesEtheEnurseEprovideEtoEbestEhelpEtheEclientEpromoteEhi
sEorEherEownEsafety?
a. EncourageEtheEclientEandEfamilyEtoEbeEactiveEpartners.
b. HaveEtheEclientEmonitorEhandEhygieneEinEcaregivers.
c. OfferEtheEfamilyEtheEopportunityEtoEstayEwithEtheEclient.
d. TellEtheEclientEtoEalwaysEwearEhisEorEherEarmband.
CORRECTEANSWER:E A
, EachEactionEcouldEbeEimportantEforEtheEclientEorEfamilyEtoEperform.EHowever,EencouragingEth
eEclientEtoEbeEactiveEinEhisEorEherEhealthEcareEasEaEsafetyEpartnerEisEtheEmostEcritical.ETheEothe
rEactionsEareEveryElimitedEinEscopeEandEdoEnotEprovideEtheEbroadEprotectionEthatEbeingEactiveE
andEinvolvedEdoes.
DIF: Understanding
TOP:EIntegratedEProcess:ETeaching/LearningEKEY:EClientEsafety
MSC:E ClientENeedsECategory:ESafeEandEEffectiveECareEEnvironment:ESafetyEandEInfectionEControl
3. AEnurseEisEcaringEforEaEpostoperativeEclientEonEtheEsurgicalEunit.ETheEclient’sEbloodEpressure
EwasE142/76EmmEHgE30EminutesEago,EandEnowEisE88/50EmmEHg.EWhatEactionEwouldEtheEnur
seEtakeEfirst?
a. CallEtheERapidEResponseETeam.
b. DocumentEandEcontinueEtoEmonitor.
c. NotifyEtheEprimaryEhealthEcareEprovider.
d. RepeatEtheEbloodEpressureEinE15Eminutes.
, CORRECTEANSWER:E A
TheEpurposeEofEtheERapidEResponseETeamE(RRT)EisEtoEinterveneEwhenEclientsEareEdeterioratin
gEbeforeEtheyEsufferEeitherErespiratoryEorEcardiacEarrest.ESinceEtheEclientEhasEmanifestedEaEsig
nificantEchange,EtheEnurseEwouldEcallEtheERRT.EChangesEinEbloodEpressure,EmentalEstatus,Ehea
rtErate,Etemperature,EoxygenEsaturation,EandElastE2Ehours’EurineEoutputEareEparticularlyEsignifi
cantEandEareEpartEofEtheEModifiedEEarlyEWarningESystemEguide.EDocumentationEisEvital,EbutEt
heEnurseEmustEdoEmoreEthanEdocument.ETheEprimaryEhealthEcareEproviderEwouldEbeEnotified,
EbutEthisEisEnotEmoreEimportantEthanEcallingEtheERRT.ETheEclient’sEbloodEpressureEwouldEbeEre
assessedEfrequently,EbutEtheEpriorityEisEgettingEtheErapidEcareEtoEtheEclient.
DIF: Applying
TOP:E IntegratedEProcess:ECommunicationEandEDocumentationEKEY:ERapidER
esponseETeamE(RRT),EClinicalEjudgment
MSC:E ClientENeedsECategory:EPhysiologicalEIntegrity:EPhysiologicalEAdaptation
4. AEnurseEwishesEtoEprovideEclient-centeredEcareEinEallEinteractions.EWhichEactionEbyEtheEnurse
bestEdemonstratesEthisEconcept?
a. AssessesEforEculturalEinfluencesEaffectingEhealthEcare.
b. EnsuresEthatEallEtheEclient’sEbasicEneedsEareEmet.
c. TellsEtheEclientEandEfamilyEaboutEallEupcomingEtests.
d. ThoroughlyEorientsEtheEclientEandEfamilyEtoEtheEroom.
CORRECTEANSWER:E A
ShowingErespectEforEtheEclientEandEfamily’sEpreferencesEandEneedsEisEessentialEtoEensureEaEho
listicEorE“whole-
person”EapproachEtoEcare.EByEassessingEtheEeffectEofEtheEclient’sEcultureEonEhealthEcare,EthisEn
urseEisEpracticingEclient-
focusedEcare.EProvidingEforEbasicEneedsEdoesEnotEdemonstrateEthisEcompetence.ESimplyEtellin
gEtheEclientEaboutEallEupcomingEtestsEisEnotEprovidingEempoweringEeducation.EOrientingEtheEcl
ientEandEfamilyEtoEtheEroomEisEanEimportantEsafetyEmeasure,EbutEnotEdirectlyErelatedEtoEdemo
nstratingEclient-centeredEcare.
DIF: Understanding
TOP:EIntegratedEProcess:ECultureEandESpiritualityEKEY:E Client-centeredEcare,ECulture
MSC:E ClientENeedsECategory:EPsychosocialEIntegrity
5. AEclientEisEgoingEtoEbeEadmittedEforEaEscheduledEsurgicalEprocedure.EWhichEactionEdoesEt
heEnurseEexplainEisEtheEmostEimportantEthingEtheEclientEcanEdoEtoEprotectEagainstEerrors?
a. BringEaElistEofEallEmedicationsEandEwhatEtheyEareEfor.