Test Bank -Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9th edition (All chapters complete 1 - 74, Question and Answers with Rationales)

Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
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Edition by IGNATAVICIUS
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TEST BANK FOR MEDICAL SURGICAL :CONCEPTS FOR
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e INTERPROFFESSIONAL COLLABORATIVE CARE 9TH EDITION
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e IGNATAVICIUS ALL CHAPTERS.e e

,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
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Edition by IGNATAVICIUS
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Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing
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MULTIPLE CHOICE e




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




b. Ensures that all the clients basic needs are met
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c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room e e e e e e e e




ANS: A e




Competency in client-focused care is demonstrated when the nursefocuses on communication,
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culture, respect compassion, client education, and empowerment. By assessing the effect of the
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clients culture on health care, this nurse is practicing client-focused care. Providing for basic
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needs does not demonstrate this competence. Simply telling the client about all upcoming tests is
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not providing empowering education.
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Orienting the client andfamily to theroom is animportantsafetymeasure,
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butnotdirectlyrelatedtodemonstratingclient-centered care.
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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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Category: Psychosocial Integrity
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2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure
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was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse isbest?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. e e e e




c. Notify the primary care provider.
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d. Repeat blood pressure measurement in 15 minutes.
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,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
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Edition by IGNATAVICIUS
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ANS: A e




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




pressure, mental status, heart rate, and pain are particularly significant. Documentation is vital,
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but the nursemust do more than document. The primary care provider should be notified, but this
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is not the priority over calling the RRT. The clients blood pressure should
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be reassessed frequently, but the priority is getting the rapid care to theclient.
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DIF: Applying/Application REF: 3
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KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:
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Communication and Documentation
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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 does
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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. e e e e e e e e




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 e




Each action could be important for the client or family to perform. However, encouraging the
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client to be active in his or her health care as a partner is the most critical. The other actions are
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very limited in scope and do not provide the broad protection that being active and involveddoes.
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DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
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, Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
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Edition by IGNATAVICIUS
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MSC: Integrated Process: Teaching/Learning
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NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
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Control
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4. A new nurse is working with a preceptor on an inpatientmedical-surgical unit. The
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preceptor advises the student that which is the priority when working as a professionalnurse?
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a. Attending to holistic client needs e e e e




b. Ensuring client safety e e




c. Not making medication errors
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d. Providing client-focused care e e




ANS: B e




All actions are appropriate for the professional nurse. However, ensuring client safety is the
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priority. Up to 98,000 deaths result each year from errors in hospital care, according to the 2000
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e Institute of Medicine report. Many more clients have suffered injuries and less serious outcomes.
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Every nurse has the responsibility to guard the clients safety.
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DIF: Understanding/Comprehension REF: 2 KEY: Patient safety
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MSC: Integrated Process: Nursing Process: Intervention
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NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
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Control
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5. A client is going to be admitted for a scheduled surgical procedure. Which action does
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the nurse explain is the most important thing the client can do to protect againsterrors?
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a. Bring a list of all medications and what they are for.
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b. Keep the doctors phone number by the telephone.
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c. Make sure all providers wash hands before entering the room.
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d. Write down the name of each caregiver who comes in the room.
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ANS: A e