Test Bank for Medical-Surgical Nursing: Patient-Centered Collaborative Care 8th Edition, Donna D. Ignatavicius

,Chaptery1:yIntroductionytoyMedical-SurgicalyNursingyPractice
Ignatavicius:yMedical-SurgicalyNursing,y8thyEdition

MULTIPLEyCHOICE

1. Aynewynurseyisyworkingywithyaypreceptoryonyanyinpatientymedical-
surgicalyunit.yTheypreceptoryadvisesytheystudentythatywhichyisytheypriorityywhenywork
ingyasyayprofessionalynurse?
a. Attendingytoyholisticyclientyneed
s
b. Ensuringyclientysafety
c. Notymakingymedicationyerrors
d. Providingyclient-focusedycare
ANS:y y B
Allyactionsyareyappropriateyforytheyprofessionalynurse.yHowever,yensuringyclientysafetyyisyt
heypriority.yUpytoy98,000ydeathsyresultyeachyyearyfromyerrorsyinyhospitalycare,yaccordingyt
oythey2000yInstituteyofyMedicineyreport.yManyymoreyclientsyhaveysufferedyinjuriesyandyles
syseriousyoutcomes.yEveryynurseyhasytheyresponsibilityytoyguardytheyclient’sysafety.

DIF: Understanding/Comprehension REF: 2
KEY:y PatientysafetyyMSC:y IntegratedyProcess:yNursingyProcess:yIntervention
NOT:y ClientyNeedsyCategory:ySafeyandyEffectiveyCareyEnvironment:ySafetyyandyInfectionyCo
ntrol

2. Aynurseyisyorientingyaynewyclientyandyfamilyytoytheyinpatientyunit.yWhatyinformationydoesy
theynurseyprovideytoyhelpytheyclientypromoteyhisyoryheryownysafety?
a. Encourageytheyclientyandyfamilyytoybeyactiveypartners.
b. Haveytheyclientymonitoryhandyhygieneyinycaregivers.
c. Offerytheyfamilyytheyopportunityytoystayywithytheyclien
t.
d. Tellytheyclientytoyalwaysywearyhisyoryheryarmband.
ANS:y y A
Eachyactionycouldybeyimportantyforytheyclientyoryfamilyytoyperform.yHowever,yencouragin
gytheyclientytoybeyactiveyinyhisyoryheryhealthycareyasyaypartneryisytheymostycritical.yTheyoth
eryactionsyareyveryylimitedyinyscopeyandydoynotyprovideytheybroadyprotectionythatybeingyac
tiveyandyinvolvedydoes.

DIF: Understanding/Comprehension REF: 3
KEY:y PatientysafetyyMSC:y IntegratedyProcess:yTeaching/Learning
NOT:y ClientyNeedsyCategory:ySafeyandyEffectiveyCareyEnvironment:ySafetyyandyInfectionyCo
ntrol

3. Aynurseyisycaringyforyaypostoperativeyclientyonytheysurgicalyunit.yTheyclient’sybloodypress
ureywasy142/76ymmyHgy30yminutesyago,yandynowyisy88/50ymmyHg.yWhatyactionybyythey
nurseyisybest?
a. CallytheyRapidyResponseyTeam.
b. Documentyandycontinueytoymonitor.
c. Notifyytheyprimaryycareyprovider.
d. Repeatybloodypressureymeasurementyiny15yminutes
.

, ANS:y y A
TheypurposeyofytheyRapidyResponseyTeamy(RRT)yisytoyinterveneywhenyclientsyareydeterior
atingybeforeytheyysufferyeitheryrespiratoryyorycardiacyarrest.ySinceytheyclientyhasymanifeste
dyaysignificantychange,ytheynurseyshouldycallytheyRRT.yChangesyinybloodypressure,ymentaly
status,yheartyrate,yandypainyareyparticularlyysignificant.yDocumentationyisyvital,ybutytheynurs
eymustydoymoreythanydocument.yTheyprimaryycareyprovideryshouldybeynotified,ybutythisyisy
notytheypriorityyoverycallingytheyRRT.yTheyclient’sybloodypressureyshouldybeyreassessedyfr
equently,ybutytheypriorityyisygettingytheyrapidycareytoytheyclient.

DIF: Applying/Application REF:
3y KEY:y RapidyResponseyTeamy(RRT)|ymedicalye
mergencies
MSC:y IntegratedyProcess:yCommunicationyandyDocumentation
NOT:y ClientyNeedsyCategory:yPhysiologicalyIntegrity:yPhysiologicalyAdaptation

4. Aynurseywishesytoyprovideyclient-
centeredycareyinyallyinteractions.yWhichyactionybyytheynurseybestydemonstratesythisyconcep
t?
a. Assessesyforyculturalyinfluencesyaffectingyhealthycar
e
b. Ensuresythatyallytheyclients’ybasicyneedsyareymet
c. Tellsytheyclientyandyfamilyyaboutyallyupcomingytests
d. Thoroughlyyorientsytheyclientyandyfamilyytoytheyroo
m
ANS:y y A
Competencyyinyclient-
focusedycareyisydemonstratedywhenytheynurseyfocusesyonycommunication,yculture,yrespect,
ycompassion,yclientyeducation,yandyempowerment.yByyassessingytheyeffectyofytheyclient’sy
cultureyonyhealthycare,ythisynurseyisypracticing
client-
focusedycare.yProvidingyforybasicyneedsydoesynotydemonstrateythisycompetence.ySimplyyte
llingytheyclientyaboutyallyupcomingytestsyisynotyprovidingyempoweringyeducation.yOrientin
gytheyclientyandyfamilyytoytheyroomyisyanyimportantysafetyymeasure,ybutynotydirectlyyrelate
dytoydemonstratingyclient-centeredycare.

DIF: Understanding/Comprehension REF: 3
KEY:y Patient-centeredycare|yculture
MSC:y IntegratedyProcess:yCarin
gyNOT:y ClientyNeedsyCategory:yPsychosocialyIntegrity

5. Ayclientyisygoingytoybeyadmittedyforyayscheduledysurgicalyprocedure.yWhichyactionydoesy
theynurseyexplainyisytheymostyimportantythingytheyclientycanydoytoyprotectyagainstyerrors
?
a. Bringyaylistyofyallymedicationsyandywhatytheyyareyfor.
b. Keepytheydoctor’syphoneynumberybyytheytelephone.
c. Makeysureyallyprovidersywashyhandsybeforeyenteringytheyroom.
d. Writeydownytheynameyofyeachycaregiverywhoycomesyinytheyroo
m.
ANS:y y A
Medicationyerrorsyareytheymostycommonytypeyofyhealthycareymistake.yTheyJointyCommissi
on’sySpeakyUpycampaignyencouragesyclientsytoyhelpyensureytheirysafety.yOneyrecommend
ationyisyforyclientsytoyknowyallytheirymedicationsyandywhyytheyytakeythem.yThisywillyhelpy
preventymedicationyerrors.

, DIF: Applying/Application REF: 4
KEY:y SpeakyUpycampaign|ypatientysafety MSC:y IntegratedyProcess:yTeaching/Learning
NOT:y ClientyNeedsyCategory:ySafeyandyEffectiveyCareyEnvironment:ySafetyyandyInfectionyCo
ntrol

6. Whichyactionybyytheynurseyworkingywithyayclientybestydemonstratesyrespectyforyautonomy?
a. Asksyifytheyclientyhasyquestionsybeforeysigningyayconse
nt
b. Givesytheyclientyaccurateyinformationywhenyquestioned
c. Keepsytheypromisesymadeytoytheyclientyandyfamily
d. Treatsytheyclientyfairlyycomparedytoyotheryclients
ANS:y y A
Autonomyyisyself-
determination.yTheyclientyshouldymakeydecisionsyregardingycare.yWhenytheynurseyobtainsya
ysignatureyonytheyconsentyform,yassessingyifytheyclientystillyhasyquestionsyisyvital,ybecausey
withoutyfullyinformationytheyclientycannotypracticeyautonomy.yGivingyaccurateyinformation
yisypracticingywithyveracity.yKeepingypromisesyisyupholdingyfidelity.yTreatingytheyclientyfai
rlyyisyprovidingysocialyjustice.

DIF: Applying/Application REF: 4
KEY:y Autonomy|yethicalyprinciples MSC:y IntegratedyProcess:yCaring
NOT:y ClientyNeedsyCategory:ySafeyandyEffectiveyCareyEnvironment:yManagementyofyCare

7. Aystudentynurseyasksytheyfacultyytoyexplainybestypracticesywhenycommunicatingywit
hyaypersonyfromytheylesbian,ygay,ybisexual,ytransgender,yandyqueer/questioningy(LG
BTQ)ycommunity.yWhatyanswerybyytheyfacultyyisymostyaccurate?
a. Avoidyembarrassingytheyclientybyyaskingyquestions.
b. Don’tymakeyassumptionsyaboutytheiryhealthyneeds.
c. MostyLGBTQypeopleydoynotywantytoyshareyinformation.
d. Noydifferencesyexistyinycommunicatingywithythisypopulation
.
ANS:y y B
ManyymembersyofytheyLGBTQycommunityyhaveyfacedydiscriminationyfromyhealthycareypr
ovidersyandymayybeyreluctantytoyseekyhealthycare.yTheynurseyshouldyneverymakeyassumptio
nsyaboutytheyneedsyofymembersyofythisypopulation.yRather,yrespectfulyquestionsyareyapprop
riate.yIfyapproachedywithysensitivity,ytheyclientywithyanyyhealthycareyneedyisymoreylikelyyto
yansweryhonestly.


DIF: Understanding/Comprehension REF: 4
KEY:y LGBTQ|ydiversityyMSC:y IntegratedyProcess:yTeaching/Learning
NOT:y ClientyNeedsyCategory:yPsychosocialyIntegrity

8. Aynurseyisycallingytheyon-
callyphysicianyaboutyayclientywhoyhadyayhysterectomyy2ydaysyagoyandyhasypainythatyisyunr
elievedybyytheyprescribedynarcoticypainymedication.yWhichystatementyisypartyofytheySBAR
yformatyforycommunication?
a. A:y“Iywouldylikeyyouytoyorderyaydifferentypainymedication.”
b. B:y“Thisyclientyhasyallergiesytoymorphineyandycodeine.”
c. R:y“Dr.ySmithydoesn’tylikeynonsteroidalyanti-
inflammatoryymeds.”
d. S:y“Thisyclientyhadyayvaginalyhysterectomyy2ydaysyago.”