yr yr yr yr
yr NURSING:CONCEPTS FOR CLINICAL JUDGEMENT
yr yr yr
AND COLLABORATIVE CARE 11TH EDITION
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y yr yr yr
yr
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Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing y r y r y r y r y r y r y r y r y r
MULTIPLE CHOICE
yr yr
1. A nurse wishes to provide client-centered care in all interactions.Which
yr yr yr yr yr yr yr yr yr yr
y r action by the nurse bestdemonstrates this concept? yr yr yr yr y r y r y r
a. Assesses for cultural y r y r y r influences affecting health y r y r y r care
b. Ensures that all the clients yr y r y r y r y r basic needs are met y r y r y r
c. Tells the client and family y r y r y r y r y r about all upcoming tests y r yr y r y r
d. Thoroughly orients the client y r yr y r y r and family to the room y r y r y r y r
ANS: A y r
Competency in client-focused care is demonstrated when the nurse focuses on yr yr yr yr yr yr yr yr yr yr
yr communication, culture, respect compassion, client education, and yr yr yr yr y r y r
y r empowerment.By assessing the effect of the clients culture on health care, this yr y r yr yr y r yr yr y r yr y r yr yr yr yr y r
y r nurse is practicing client- focused care. Providing for basic needs does not
y r yr yr yr y r y r y r y r y r y r y r
y r demonstrate this competence. Simply telling the client about all upcoming yr yr yr y r y r y r y r y r y r
y r tests is not providing empowering education. y r y r yr yr yr
Orienting the client and family to the room is an important safety measure, yr yr yr yr yr y r y r y r y r y r y r y r
y r butnot directly related to demonstrating client-centered care.
yr yr y r yr yr yr yr yr
DIF: Understanding/Comprehension
y r y r REF: 3 y r
KEY: Patient-centered care| culture MSC: Integrated
yr yr yr yr yr
Process: CaringNOT: Client Needs Category:
yr y r yr yr y r
Psychosocial Integrity y r
2. A nurse is caring for a postoperative client on the surgical unit. The clients
yr yr yr yr yr yr yr yr yr y r y r y r y r
blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50
yr yr yr yr y r y r y r y r y r y r y r y r y r
y r mm Hg. What action by the nurse is best?
yr yr yr yr yr y r yr yr
a. Call the Rapid yr y r y r Response Team. y r
b. Document and continue y r y r y r to monitor. y r
c. Notify the primary yr y r y r care provider. y r
d. Repeat blood yr y r pressure y r measurement y r in 15 minutes. y r y r
ANS: A y r
The purpose of the Rapid Response Team (RRT)
yr yr y r yr yr y r yr yr y r yr yr y r yr yr y r yr yr y r yr yr y r is to intervene whenyr yr yr
yr clients are deteriorating before they suffer either respiratory or cardiac arrest.
yr yr yr yr yr yr yr y r y r y r
yr Since the client has manifested a significant change, the nurse should call
y r y r yr yr yr yr y r yr y r y r yr yr y r
, Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional
y r y r y r y r y r y r y r 3
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