TEST BANK For Medical-Surgical Nursing
g g g g g
10th Edition Concepts for Interprofessional
g g g g
Collaborative Care, by Donna D. Ignatavicius,
g g g g g g g
All chapters 1 – 69
g g g g
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
g g g g g g g g g
Ignatavicius: Medical-Surgical Nursing, 10th Edition
g g g g g
MULTIPLE CHOICE g
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the
g g g g g g g g g g g g g g g
gnew nurse that which is the priority when working as a professional nurse?
g g g g g g g g g g g g
a. Attending to holistic client needs g g g g
b. Ensuring client safety g g
c. Not making medication errors g g g
d. Providing client-focused care g g
CORRECT ANSWER: B g g
All actions are appropriate for the professional nurse. However, ensuring client safety is the
g g g g g g g g g g g g g
gpriority. Health care errors have been widely reported for 25 years, many of which result in client
g g g g g g g g g g g g g g g g
ginjury, death, and increased health care costs. There are several national and international
g g g g g g g g g g g g
gorganizations that have either recommended or mandated safety initiatives. g g g g g g g g
Every nurse has the responsibility to guard the client’s safety. The other actions are important
g g g g g g g g g g g g g g
gfor quality nursing, but they are not as vital as providing safety. Not making medication errors
g g g g g g g g g g g g g g g
gdoes provide safety, but is too narrow in scope to be the best answer.
g g g g g g g g g g g g g
DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention
g g g g g
gKEY: Client safety g g
MSC: Client Needs Category: Safe and Effective CareEnvironment: Safety and Infection Control
g g g g g g g g g g g g
2. A nurse is orienting a new client and family to the medical-surgical unit. What information
g g g g g g g g g g g g g g
gdoes the nurse provide to best help the client promote his or her own safety?
g g g g g g g g g g g g g g
a. Encourage the client and family to be active partners. g g g g g g g g
b. Have the client monitor hand hygiene in caregivers. g g g g g g g
c. Offer the family the opportunity to stay with the client. g g g g g g g g g
d. Tell the client to always wear his or her armband.
g g g g g g g g g
CORRECT ANSWER: A g g
Each action could be important for the client or family to perform. However, encouraging the
g g g g g g g g g g g g g g
gclient to be active in his or her health care as a safety partner is the most critical. The other
g g g g g g g g g g g g g g g g g g g
, gactions are very limited in scope and do not provide the broad protection that being active and
g g g g g g g g g g g g g g g g
ginvolved does. g
DIF: Understanding TOP: Integrated Process: Teaching/Learning
g g g
gKEY: Client safety
g g
MSC: Client Needs Category: Safe and Effective CareEnvironment: Safety and Infection Control
g g g g g g g g g g g g
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure was
g g g g g g g g g g g g g g g g
g142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse take
g g g g g g g g g g g g g g g g g
gfirst?
a. Call the Rapid Response Team.
g g g g
b. Document and continue to monitor. g g g g
c. Notify the primary health care provider.
g g g g g
d. Repeat the blood pressure in 15 minutes.
g g g g g g
, CORRECT ANSWER: A g g
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
g g g g g g g g g g g g g g
before they suffer either respiratory or cardiac arrest. Since the client has manifested a
g g g g g g g g g g g g g g
significant change, the nurse would call the RRT. Changes in blood pressure, mental status, heart
g g g g g g g g g g g g g g g
rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly significant
g g g g g g g g g g g g g
and are part of the Modified Early Warning System guide. Documentation is vital, but the nurse
g g g g g g g g g g g g g g g g
must do more than document. The primary health care provider would be notified, but this is not
g g g g g g g g g g g g g g g g g
more important than calling the RRT. The client’s blood pressure would be reassessed
g g g g g g g g g g g g g
frequently, but the priority is getting the rapid care to the client.
g g g g g g g g g g g g
DIF: Applying TOP: Integrated Process: Communication andDocumentation
g g g g g
KEY: Rapid Response Team (RRT), Clinical judgment
g g g g g g g
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
g g g g g g g
4. A nurse wishes to provide client-centered care in all interactions. Which action bythe nurse
g g g g g g g g g g g g g g
best demonstrates this concept?
g g g
a. Assesses for cultural influences affecting health care. g g g g g g
b. Ensures that all the client’s basic needs are met. g g g g g g g g
c. Tells the client and family about all upcoming tests.
g g g g g g g g
d. Thoroughly orients the client and family to the room. g g g g g g g g
CORRECT ANSWER: A g g
Showing respect for the client and family’s preferences and needs is essential to ensure a holistic
g g g g g g g g g g g g g g g
or “whole-person” approach to care. By assessing the effect of the client’s culture on health care,
g g g g g g g g g g g g g g g g
this nurse is practicing client-focused care. Providing for basic needs does not demonstrate this
g g g g g g g g g g g g g g
competence. Simply telling the client about all upcoming tests is not providing empowering
g g g g g g g g g g g g g
education. Orienting the client and family to the room is an important safety measure, but not
g g g g g g g g g g g g g g g g
directly related to demonstrating client-centered care.
g g g g g g
DIF: Understanding TOP: Integrated Process: Culture and Spirituality KEY:
g g g g g g
g Client-centered care, Culture g g MSC: Client Needs Category: Psychosocial Integrity g g g g g
5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
g g g g g g g g g g g g g g g
nurse explain is the most important thing the client can do to protect against errors?
g g g g g g g g g g g g g g g
a. Bring a list of all medications and what they are for. g g g g g g g g g g
b. Keep the provider’s phone number by the telephone. g g g g g g g
c. Make sure that all providers wash hands before entering the room.
g g g g g g g g g g
d. Write down the name of each caregiver who comes in the room. g g g g g g g g g g g
g g g g g
10th Edition Concepts for Interprofessional
g g g g
Collaborative Care, by Donna D. Ignatavicius,
g g g g g g g
All chapters 1 – 69
g g g g
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
g g g g g g g g g
Ignatavicius: Medical-Surgical Nursing, 10th Edition
g g g g g
MULTIPLE CHOICE g
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the
g g g g g g g g g g g g g g g
gnew nurse that which is the priority when working as a professional nurse?
g g g g g g g g g g g g
a. Attending to holistic client needs g g g g
b. Ensuring client safety g g
c. Not making medication errors g g g
d. Providing client-focused care g g
CORRECT ANSWER: B g g
All actions are appropriate for the professional nurse. However, ensuring client safety is the
g g g g g g g g g g g g g
gpriority. Health care errors have been widely reported for 25 years, many of which result in client
g g g g g g g g g g g g g g g g
ginjury, death, and increased health care costs. There are several national and international
g g g g g g g g g g g g
gorganizations that have either recommended or mandated safety initiatives. g g g g g g g g
Every nurse has the responsibility to guard the client’s safety. The other actions are important
g g g g g g g g g g g g g g
gfor quality nursing, but they are not as vital as providing safety. Not making medication errors
g g g g g g g g g g g g g g g
gdoes provide safety, but is too narrow in scope to be the best answer.
g g g g g g g g g g g g g
DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention
g g g g g
gKEY: Client safety g g
MSC: Client Needs Category: Safe and Effective CareEnvironment: Safety and Infection Control
g g g g g g g g g g g g
2. A nurse is orienting a new client and family to the medical-surgical unit. What information
g g g g g g g g g g g g g g
gdoes the nurse provide to best help the client promote his or her own safety?
g g g g g g g g g g g g g g
a. Encourage the client and family to be active partners. g g g g g g g g
b. Have the client monitor hand hygiene in caregivers. g g g g g g g
c. Offer the family the opportunity to stay with the client. g g g g g g g g g
d. Tell the client to always wear his or her armband.
g g g g g g g g g
CORRECT ANSWER: A g g
Each action could be important for the client or family to perform. However, encouraging the
g g g g g g g g g g g g g g
gclient to be active in his or her health care as a safety partner is the most critical. The other
g g g g g g g g g g g g g g g g g g g
, gactions are very limited in scope and do not provide the broad protection that being active and
g g g g g g g g g g g g g g g g
ginvolved does. g
DIF: Understanding TOP: Integrated Process: Teaching/Learning
g g g
gKEY: Client safety
g g
MSC: Client Needs Category: Safe and Effective CareEnvironment: Safety and Infection Control
g g g g g g g g g g g g
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure was
g g g g g g g g g g g g g g g g
g142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse take
g g g g g g g g g g g g g g g g g
gfirst?
a. Call the Rapid Response Team.
g g g g
b. Document and continue to monitor. g g g g
c. Notify the primary health care provider.
g g g g g
d. Repeat the blood pressure in 15 minutes.
g g g g g g
, CORRECT ANSWER: A g g
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
g g g g g g g g g g g g g g
before they suffer either respiratory or cardiac arrest. Since the client has manifested a
g g g g g g g g g g g g g g
significant change, the nurse would call the RRT. Changes in blood pressure, mental status, heart
g g g g g g g g g g g g g g g
rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly significant
g g g g g g g g g g g g g
and are part of the Modified Early Warning System guide. Documentation is vital, but the nurse
g g g g g g g g g g g g g g g g
must do more than document. The primary health care provider would be notified, but this is not
g g g g g g g g g g g g g g g g g
more important than calling the RRT. The client’s blood pressure would be reassessed
g g g g g g g g g g g g g
frequently, but the priority is getting the rapid care to the client.
g g g g g g g g g g g g
DIF: Applying TOP: Integrated Process: Communication andDocumentation
g g g g g
KEY: Rapid Response Team (RRT), Clinical judgment
g g g g g g g
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
g g g g g g g
4. A nurse wishes to provide client-centered care in all interactions. Which action bythe nurse
g g g g g g g g g g g g g g
best demonstrates this concept?
g g g
a. Assesses for cultural influences affecting health care. g g g g g g
b. Ensures that all the client’s basic needs are met. g g g g g g g g
c. Tells the client and family about all upcoming tests.
g g g g g g g g
d. Thoroughly orients the client and family to the room. g g g g g g g g
CORRECT ANSWER: A g g
Showing respect for the client and family’s preferences and needs is essential to ensure a holistic
g g g g g g g g g g g g g g g
or “whole-person” approach to care. By assessing the effect of the client’s culture on health care,
g g g g g g g g g g g g g g g g
this nurse is practicing client-focused care. Providing for basic needs does not demonstrate this
g g g g g g g g g g g g g g
competence. Simply telling the client about all upcoming tests is not providing empowering
g g g g g g g g g g g g g
education. Orienting the client and family to the room is an important safety measure, but not
g g g g g g g g g g g g g g g g
directly related to demonstrating client-centered care.
g g g g g g
DIF: Understanding TOP: Integrated Process: Culture and Spirituality KEY:
g g g g g g
g Client-centered care, Culture g g MSC: Client Needs Category: Psychosocial Integrity g g g g g
5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
g g g g g g g g g g g g g g g
nurse explain is the most important thing the client can do to protect against errors?
g g g g g g g g g g g g g g g
a. Bring a list of all medications and what they are for. g g g g g g g g g g
b. Keep the provider’s phone number by the telephone. g g g g g g g
c. Make sure that all providers wash hands before entering the room.
g g g g g g g g g g
d. Write down the name of each caregiver who comes in the room. g g g g g g g g g g g
