TEST BANK Medical-Surgical Nursing, 11th Edition by Donna D. Ignatavicius.

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TEST BANK
Medical-Surgical Nursing, 11th Edition by Donna D.
Ignatavicius.

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Test`Bank`-`Medical-Surgical`Nursing:`Concepts`for`Interprofessional`Collaborative`Care`11e 2

Chapter`01:`Overview`of`Professional`Nursing`Concepts`for`Medical-

Surgical`Nursing`MULTIPLE`CHOICE


1. A`nurse`wishes`to`provide`client-
centered`care`in`all`interactions.`Which`action`by`the`nurse`bestdemonst
rates`this`concept?
a. Assesses` for`cultural`influences` affecting`health` care
b. Ensures`that`all`the`clients` basic` needs`are`met
c. Tells`the`client` and`family` about`all`upcoming` tests
d. 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,`resp
ect`compassion,`client`education,`and`empowerment.`By`assessing`the`effect`of`the`clie
nts`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`dir
ectly`related`to`demonstrating`client-centered`care.


DIF:` Understanding/Comprehension` REF:` 3
KEY:`Patient-
centered`care|`culture`MSC:`Integrated`Process:`Carin
gNOT:`Client`Needs`Category:
Psychosocial`Integrity


2. 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`actio
n`by`the`nurse`is`best?
a. Call`the`Rapid` Response`Team.
b. Document` and`continue`to` monitor.
c. Notify`the`primary`care`provider.
d. Repeat`blood` pressure` measurement` in` 15`minutes.


ANS:` A
The` purpose` of` the` Rapid` Response` Team` (RRT)` is` to` intervene` when` clients` are`

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Test`Bank`-`Medical-Surgical`Nursing:`Concepts`for`Interprofessional`Collaborative`Care`11e 3
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`pres

sure,` mental` status,` heart` rate,` and` pain` are` particularly` significant.

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Test`Bank`-`Medical-Surgical`Nursing:`Concepts`for`Interprofessional`Collaborative`Care`11e 4


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.`T
he`clients` blood`pressure`should` be`reassessed` frequently,`but`the` priority` is`getti
ng` the`rapid`care`to`the`client.


DIF:`Applying/Application` REF:`3
KEY:`Rapid`Response`Team`(RRT)|`medical`emergenci
es`MSC:`Integrated`Process:
Communication` and` Documentation
NOT:`Client`Needs` Category:` Physiological` Integrity:` Physiological` Adaptation


3. A`nurse`is`orienting`a`new`client`and`family`to`the`inpatient`unit.`What`informati
on`does`the`nurse`provide` to`help`the`client`promote`his`or`her`own`safety?
a. Encourage`the`client`and`family` to`be` active`partners.
b. Have`the`client` monitor`hand` hygiene` in`caregivers.
c. Offer`the`family`the`opportunity` to`stay`with` the` client.
d. 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,`enco
uraging`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` t
hat` being`active` and` involved` does.


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