SurgicalWNursing:WConceptsWforWClinicalWJudgmentWand
WCollaborativeWCareW
11thWEditionWbyWDonnaWD.WIgnatavicius,W
WWWWWWWWWWWWWWWWWWWWWWWWWWAllWchaptersW1W-W74
,
,
, ChapterW01:WOverviewWofWProfessionalWNursingWConceptsWforWMedi
cal-WSurgicalWNursing
MULTIPLEW CHOICE
1. AWnurseWwishesWtoWprovideWclient-
centeredWcareWinWallWinteractions.WWhichWactionWbyWtheWnurseWbestWdemonstrates W
this Wconcept?
a. AssessesW forW culturalW influencesW affectingW healthW care
b. EnsuresWthatWallWtheWclientsW basicW needsWareW met
c. TellsWtheW clientW andWfamilyWaboutW allW upcomingW tests
d. ThoroughlyW orientsWtheWclientW andW familyW toW theWroom
CORRECTWANSWER:W A
CompetencyWinWclient-
focusedWcareWisWdemonstratedWwhenWtheWnurseWfocusesWonWcommunication,Wculture,WrespectWco
mpassion, Wclient Weducation, WandWempowerment. WByWassessing Wthe Weffect Wof Wthe Wclients Wcu
lture WonWhealthWcare,WthisWnurse WisWpracticing Wclient-
focused Wcare.W Providing Wfor Wbasic Wneeds Wdoes Wnot Wdemonstrate WthisWcompetence. W SimplyW
tellingWthe Wclient Wabout WallWupcomingWtests WisWnot WprovidingWempowering Weducation. WOrie
ntingWthe Wclient WandWfamilyWtoWtheWroomWisWanWimportantWsafetyWmeasure,WbutWnotWdirectl
yWrelatedWtoWdemonstratingWclient-centeredWcare.
DIF:W Understanding/ComprehensionW REF:W 3
KEY:WPatient-
centeredWcare|WcultureWMSC:WIntegratedWProcess:WCaringW
NOT:WClientWNeedsWCategory:WPsychosocialWIntegrity
2. AWnurseWisWcaringWforWaWpostoperativeWclientWonWtheWsurgicalWunit.WTheWclientsWblood
WpressureWwasW142/76WmmWHgW30 W minutes W ago, WandW nowWis W88/50 W mmW Hg. W What
WactionWbyWthe W nurse W is Wbest?
a. CallW theWRapidW ResponseWTeam.
b. DocumentW andWcontinueW toW monitor.
c. NotifyWtheW primaryWcareW provider.
d. RepeatW bloodW pressureW measurementW inW 15W minutes.
CORRECTWANSWER:W A
The W purpose W of Wthe W RapidW Response W TeamW (RRT) Wis WtoWintervene W whenW clients WareW d
eteriorating Wbefore WtheyWsufferWeitherWrespiratoryWorWcardiacWarrest.WSinceWtheWclientWhasWm
anifestedWaWsignificantWchange,WtheWnurseWshouldWcallWthe WRRT. WChanges WinWbloodW pressur
e,W mentalWstatus, W heartWrate,WandWpainWareW particularly Wsignificant.