TEST BANK for Medical-Surgical Nursing: Concepts
for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74
,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
lv lv lv lv lv lv lv lv
lv Surgical Nursing lv
MULTIPLElv CHOICE
1. Alvnurselvwisheslvtolvprovidelvclient-
centeredlvcarelvinlvalllvinteractions.lvWhichlvactionlvbylvthelvnurselvbestlvdemonstrateslvthislvconcept?
a. Assesseslv forlv culturallv influenceslv affectinglv healthlv care
b. Ensureslvthatlvalllv thelvclientslv basiclv needslvarelv met
c. Tellslvthelvclientlv andlvfamilylvaboutlv alllvupcominglv tests
d. Thoroughlylv orientslv thelvclientlv andlvfamilylv tolv thelvroom
CORRECTlvANSWER:lv A
Competencylvinlvclient-
focusedlvcarelvislvdemonstratedlvwhenlvthelvnurselvfocuseslvonlvcommunication,lvculture,lvrespectlvcompassion,lvclie
ntlveducation,lvandlvempowerment.lvBylvassessinglvthelveffectlvoflvthelvclientslvculturelvonlvhealthlvcare,lvthislvnurselv
islvpracticinglvclient-
focusedlvcare.lvProvidinglvforlvbasiclvneedslvdoeslvnotlvdemonstratelvthislvcompetence.lvSimplylvtellinglvthelvclientl
vaboutlvalllvupcominglvtestslvislvnotlvprovidinglvempoweringlveducation.lvOrientinglvthelvclientlvandlvfamilylvtolvthelv
roomlvislvanlvimportantlvsafetylvmeasure,lvbutlvnotlvdirectlylvrelatedlvtolvdemonstratinglvclient-centeredlvcare.
DIF:lv Understanding/Comprehensionl v REF:lv 3
KEY:lvPatient-
centeredlvcare|lvculturelvMSC:lvIntegratedlvProcess:lvCaringlvNOT:lvCli
entlvNeedslvCategory:lvPsychosociallvIntegrity
2. Alvnurselvislvcaringlvforlvalvpostoperativelvclientlvonlvthelvsurgicallvunit.lvThelvclientslvbloodlvpressurelvwaslv142/7
6lvmmlvHglv30lvminuteslvago,lvandlvnowlvislv88/50lvmmlvHg.lvWhatlvactionlvbylvthelvnurselvislvbest?
a. Calllv thelvRapidlv Responselv Team.
b. Documentlvandlvcontinuelv tolv monitor.
c. Notifylvthelvprimarylv carelvprovider.
d. Repeatlvbloodlv pressurelv measurementlv inlv15lv minutes.
CORRECTlvANSWER:lv A
ThelvpurposelvoflvthelvRapidlvResponselvTeamlv(RRT)lvislvtolvintervenelvwhenlvclientslvarelvdeterioratinglvbefore
lv theylvsufferlveitherlvrespiratorylvorlvcardiaclvarrest.lvSincelvthelvclientlvhaslvmanifestedlvalvsignificantlvchange,lvthelvn
urselvshouldlvcalllvthelvRRT.lvChangeslvinlvbloodlvpressure,lvmentallvstatus,lvheartlvrate,lvandlvpainlvarelvparticularl
ylvsignificant.
Documentationlvislvvital,lvbutlvthelvnurselvmustlvdolvmorelvthanlvdocument.lvThelvprimarylvcarelvproviderlvshou
ldlvbelvnotified,lvbutlvthislvislvnotlvthelvprioritylvoverlvcallinglvthelvRRT.lvThelvclientslvbloodlvpressurelvshouldlvb
elvreassessedlvfrequently,lvbutlvthelvprioritylvislvgettinglvthelvrapidlvcarelvtolvthelvclient.
DIF:l v Applying/Applicationl v REF:l v 3
for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74
,
,
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
lv lv lv lv lv lv lv lv
lv Surgical Nursing lv
MULTIPLElv CHOICE
1. Alvnurselvwisheslvtolvprovidelvclient-
centeredlvcarelvinlvalllvinteractions.lvWhichlvactionlvbylvthelvnurselvbestlvdemonstrateslvthislvconcept?
a. Assesseslv forlv culturallv influenceslv affectinglv healthlv care
b. Ensureslvthatlvalllv thelvclientslv basiclv needslvarelv met
c. Tellslvthelvclientlv andlvfamilylvaboutlv alllvupcominglv tests
d. Thoroughlylv orientslv thelvclientlv andlvfamilylv tolv thelvroom
CORRECTlvANSWER:lv A
Competencylvinlvclient-
focusedlvcarelvislvdemonstratedlvwhenlvthelvnurselvfocuseslvonlvcommunication,lvculture,lvrespectlvcompassion,lvclie
ntlveducation,lvandlvempowerment.lvBylvassessinglvthelveffectlvoflvthelvclientslvculturelvonlvhealthlvcare,lvthislvnurselv
islvpracticinglvclient-
focusedlvcare.lvProvidinglvforlvbasiclvneedslvdoeslvnotlvdemonstratelvthislvcompetence.lvSimplylvtellinglvthelvclientl
vaboutlvalllvupcominglvtestslvislvnotlvprovidinglvempoweringlveducation.lvOrientinglvthelvclientlvandlvfamilylvtolvthelv
roomlvislvanlvimportantlvsafetylvmeasure,lvbutlvnotlvdirectlylvrelatedlvtolvdemonstratinglvclient-centeredlvcare.
DIF:lv Understanding/Comprehensionl v REF:lv 3
KEY:lvPatient-
centeredlvcare|lvculturelvMSC:lvIntegratedlvProcess:lvCaringlvNOT:lvCli
entlvNeedslvCategory:lvPsychosociallvIntegrity
2. Alvnurselvislvcaringlvforlvalvpostoperativelvclientlvonlvthelvsurgicallvunit.lvThelvclientslvbloodlvpressurelvwaslv142/7
6lvmmlvHglv30lvminuteslvago,lvandlvnowlvislv88/50lvmmlvHg.lvWhatlvactionlvbylvthelvnurselvislvbest?
a. Calllv thelvRapidlv Responselv Team.
b. Documentlvandlvcontinuelv tolv monitor.
c. Notifylvthelvprimarylv carelvprovider.
d. Repeatlvbloodlv pressurelv measurementlv inlv15lv minutes.
CORRECTlvANSWER:lv A
ThelvpurposelvoflvthelvRapidlvResponselvTeamlv(RRT)lvislvtolvintervenelvwhenlvclientslvarelvdeterioratinglvbefore
lv theylvsufferlveitherlvrespiratorylvorlvcardiaclvarrest.lvSincelvthelvclientlvhaslvmanifestedlvalvsignificantlvchange,lvthelvn
urselvshouldlvcalllvthelvRRT.lvChangeslvinlvbloodlvpressure,lvmentallvstatus,lvheartlvrate,lvandlvpainlvarelvparticularl
ylvsignificant.
Documentationlvislvvital,lvbutlvthelvnurselvmustlvdolvmorelvthanlvdocument.lvThelvprimarylvcarelvproviderlvshou
ldlvbelvnotified,lvbutlvthislvislvnotlvthelvprioritylvoverlvcallinglvthelvRRT.lvThelvclientslvbloodlvpressurelvshouldlvb
elvreassessedlvfrequently,lvbutlvthelvprioritylvislvgettinglvthelvrapidlvcarelvtolvthelvclient.
DIF:l v Applying/Applicationl v REF:l v 3
