TEST BANK For Medical-Surgical Nursing
ii ii ii ii ii
10th Edition Concepts for Interprofessional
ii ii ii ii
ii Collaborative Care, by Donna D. Ignatavicius,
ii ii ii ii ii ii
All chapters 1 – 69
ii ii ii ii
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
ii ii ii ii ii ii ii ii ii
Ignatavicius: Medical-Surgical Nursing, 10th Edition
ii ii ii ii ii
MULTIPLE iiCHOICE
1. A iinew iinurse iiis iiworking iiwith iia iipreceptor iion iia iimedical-surgical iiunit. iiThe iipreceptor
ii advises iithe iinew iinurse iithat iiwhich iiis iithe iipriority iiwhen iiworking iias iia iiprofessional iinurse?
a. Attending iito iiholistic iiclient iineeds
b. Ensuring iiclient iisafety
c. Not iimaking iimedication iierrors
d. Providing iiclient-focused iicare
CORRECT iiANSWER: i i B
All iiactions iiare iiappropriate iifor iithe iiprofessional iinurse. iiHowever, iiensuring iiclient iisafety iiis
ii the iipriority. iiHealth iicare iierrors iihave iibeen iiwidely iireported iifor ii25 iiyears, iimany iiof iiwhich
ii result iiin iiclient iiinjury, iideath, iiand iiincreased iihealth iicare iicosts. iiThere iiare iiseveral iinational
ii and iiinternational iiorganizations iithat iihave iieither iirecommended iior iimandated iisafety
ii initiatives.
Every iinurse iihas iithe iiresponsibility iito iiguard iithe iiclient’s iisafety. iiThe iiother iiactions iiare
ii important iifor iiquality iinursing, iibut iithey iiare iinot iias iivital iias iiproviding iisafety. iiNot iimaking
ii medication iierrors iidoes iiprovide iisafety, iibut iiis iitoo iinarrow iiin iiscope iito iibe iithe iibest
ii answer.
DIF: Understanding TOP: i i Integrated iiProcess: iiNursing iiProcess:
Intervention iiKEY: iiClient iisafety
ii
MSC: ii Client iiNeeds iiCategory: iiSafe iiand iiEffective iiCare iiEnvironment: iiSafety iiand iiInfection iiControl
2. A iinurse iiis iiorienting iia iinew iiclient iiand iifamily iito iithe iimedical-surgical iiunit. iiWhat
ii information iidoes iithe iinurse iiprovide iito iibest iihelp iithe iiclient iipromote iihis iior iiher iiown
ii safety?
a. Encourage iithe iiclient iiand iifamily iito iibe iiactive iipartners.
b. Have iithe iiclient iimonitor iihand iihygiene iiin iicaregivers.
c. Offer iithe iifamily iithe iiopportunity iito iistay iiwith iithe iiclient.
d. Tell iithe iiclient iito iialways iiwear iihis iior iiher iiarmband.
,CORRECT iiANSWER: i i A
Each iiaction iicould iibe iiimportant iifor iithe iiclient iior iifamily iito iiperform. iiHowever,
ii encouraging iithe iiclient iito iibe iiactive iiin iihis iior iiher iihealth iicare iias iia iisafety iipartner iiis iithe
ii most iicritical. iiThe iiother iiactions iiare iivery iilimited iiin iiscope iiand iido iinot iiprovide iithe iibroad
ii protection iithat iibeing iiactive iiand iiinvolved iidoes.
DIF: Understanding TOP: iiIntegrated iiProcess: iiTeaching/Learning
ii KEY: iiClient iisafety
MSC: ii Client iiNeeds iiCategory: iiSafe iiand iiEffective iiCare iiEnvironment: iiSafety iiand iiInfection iiControl
3. A iinurse iiis iicaring iifor iia iipostoperative iiclient iion iithe iisurgical iiunit. iiThe iiclient’s iiblood
ii pressure iiwas ii142/76 iimm iiHg ii30 iiminutes iiago, iiand iinow iiis ii88/50 iimm iiHg. iiWhat iiaction
ii would iithe iinurse iitake iifirst?
a. Call iithe iiRapid iiResponse iiTeam.
b. Document iiand iicontinue iito iimonitor.
c. Notify iithe iiprimary iihealth iicare iiprovider.
d. Repeat iithe iiblood iipressure iiin ii15 iiminutes.
, CORRECT iiANSWER: i i A
The iipurpose iiof iithe iiRapid iiResponse iiTeam ii(RRT) iiis iito iiintervene iiwhen iiclients iiare
ii deteriorating iibefore iithey iisuffer iieither iirespiratory iior iicardiac iiarrest. iiSince iithe iiclient iihas
ii manifested iia iisignificant iichange, iithe iinurse iiwould iicall iithe iiRRT. iiChanges iiin iiblood
ii pressure, iimental iistatus, iiheart iirate, iitemperature, iioxygen iisaturation, iiand iilast ii2 iihours’
ii urine iioutput iiare iiparticularly iisignificant iiand iiare iipart iiof iithe iiModified iiEarly iiWarning
ii System iiguide. iiDocumentation iiis iivital, iibut iithe iinurse iimust iido iimore iithan iidocument. iiThe
ii primary iihealth iicare iiprovider iiwould iibe iinotified, iibut iithis iiis iinot iimore iiimportant iithan
ii calling iithe iiRRT. iiThe iiclient’s iiblood iipressure iiwould iibe iireassessed iifrequently, iibut iithe
ii priority iiis iigetting iithe iirapid iicare iito iithe iiclient.
DIF: Applying TOP: i i Integrated iiProcess: iiCommunication iiand
Documentation iiKEY: iiRapid iiResponse iiTeam ii(RRT), iiClinical iijudgment
ii
MSC: ii Client iiNeeds iiCategory: iiPhysiological iiIntegrity: iiPhysiological iiAdaptation
4. A iinurse iiwishes iito iiprovide iiclient-centered iicare iiin iiall iiinteractions. iiWhich iiaction iiby iithe
ii nurse
best iidemonstrates iithis iiconcept?
a. Assesses iifor iicultural iiinfluences iiaffecting iihealth iicare.
b. Ensures iithat iiall iithe iiclient’s iibasic iineeds iiare iimet.
c. Tells iithe iiclient iiand iifamily iiabout iiall iiupcoming iitests.
d. Thoroughly iiorients iithe iiclient iiand iifamily iito iithe iiroom.
CORRECT iiANSWER: i i A
Showing iirespect iifor iithe iiclient iiand iifamily’s iipreferences iiand iineeds iiis iiessential iito iiensure
ii a iiholistic iior ii“whole-person” iiapproach iito iicare. iiBy iiassessing iithe iieffect iiof iithe iiclient’s
ii culture iion iihealth iicare, iithis iinurse iiis iipracticing iiclient-focused iicare. iiProviding iifor iibasic
ii needs iidoes iinot iidemonstrate iithis iicompetence. iiSimply iitelling iithe iiclient iiabout iiall
ii upcoming iitests iiis iinot iiproviding iiempowering iieducation. iiOrienting iithe iiclient iiand iifamily iito
ii the iiroom iiis iian iiimportant iisafety iimeasure, iibut iinot iidirectly iirelated iito iidemonstrating
ii client-centered iicare.
DIF: Understanding TOP: iiIntegrated iiProcess: iiCulture iiand iiSpirituality
ii KEY: ii Client-centered iicare, iiCulture MSC: ii Client iiNeeds iiCategory: iiPsychosocial
Integrity
ii
5. A iiclient iiis iigoing iito iibe iiadmitted iifor iia iischeduled iisurgical iiprocedure. iiWhich iiaction
ii does iithe iinurse iiexplain iiis iithe iimost iiimportant iithing iithe iiclient iican iido iito iiprotect
ii against iierrors?
ii ii ii ii ii
10th Edition Concepts for Interprofessional
ii ii ii ii
ii Collaborative Care, by Donna D. Ignatavicius,
ii ii ii ii ii ii
All chapters 1 – 69
ii ii ii ii
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
ii ii ii ii ii ii ii ii ii
Ignatavicius: Medical-Surgical Nursing, 10th Edition
ii ii ii ii ii
MULTIPLE iiCHOICE
1. A iinew iinurse iiis iiworking iiwith iia iipreceptor iion iia iimedical-surgical iiunit. iiThe iipreceptor
ii advises iithe iinew iinurse iithat iiwhich iiis iithe iipriority iiwhen iiworking iias iia iiprofessional iinurse?
a. Attending iito iiholistic iiclient iineeds
b. Ensuring iiclient iisafety
c. Not iimaking iimedication iierrors
d. Providing iiclient-focused iicare
CORRECT iiANSWER: i i B
All iiactions iiare iiappropriate iifor iithe iiprofessional iinurse. iiHowever, iiensuring iiclient iisafety iiis
ii the iipriority. iiHealth iicare iierrors iihave iibeen iiwidely iireported iifor ii25 iiyears, iimany iiof iiwhich
ii result iiin iiclient iiinjury, iideath, iiand iiincreased iihealth iicare iicosts. iiThere iiare iiseveral iinational
ii and iiinternational iiorganizations iithat iihave iieither iirecommended iior iimandated iisafety
ii initiatives.
Every iinurse iihas iithe iiresponsibility iito iiguard iithe iiclient’s iisafety. iiThe iiother iiactions iiare
ii important iifor iiquality iinursing, iibut iithey iiare iinot iias iivital iias iiproviding iisafety. iiNot iimaking
ii medication iierrors iidoes iiprovide iisafety, iibut iiis iitoo iinarrow iiin iiscope iito iibe iithe iibest
ii answer.
DIF: Understanding TOP: i i Integrated iiProcess: iiNursing iiProcess:
Intervention iiKEY: iiClient iisafety
ii
MSC: ii Client iiNeeds iiCategory: iiSafe iiand iiEffective iiCare iiEnvironment: iiSafety iiand iiInfection iiControl
2. A iinurse iiis iiorienting iia iinew iiclient iiand iifamily iito iithe iimedical-surgical iiunit. iiWhat
ii information iidoes iithe iinurse iiprovide iito iibest iihelp iithe iiclient iipromote iihis iior iiher iiown
ii safety?
a. Encourage iithe iiclient iiand iifamily iito iibe iiactive iipartners.
b. Have iithe iiclient iimonitor iihand iihygiene iiin iicaregivers.
c. Offer iithe iifamily iithe iiopportunity iito iistay iiwith iithe iiclient.
d. Tell iithe iiclient iito iialways iiwear iihis iior iiher iiarmband.
,CORRECT iiANSWER: i i A
Each iiaction iicould iibe iiimportant iifor iithe iiclient iior iifamily iito iiperform. iiHowever,
ii encouraging iithe iiclient iito iibe iiactive iiin iihis iior iiher iihealth iicare iias iia iisafety iipartner iiis iithe
ii most iicritical. iiThe iiother iiactions iiare iivery iilimited iiin iiscope iiand iido iinot iiprovide iithe iibroad
ii protection iithat iibeing iiactive iiand iiinvolved iidoes.
DIF: Understanding TOP: iiIntegrated iiProcess: iiTeaching/Learning
ii KEY: iiClient iisafety
MSC: ii Client iiNeeds iiCategory: iiSafe iiand iiEffective iiCare iiEnvironment: iiSafety iiand iiInfection iiControl
3. A iinurse iiis iicaring iifor iia iipostoperative iiclient iion iithe iisurgical iiunit. iiThe iiclient’s iiblood
ii pressure iiwas ii142/76 iimm iiHg ii30 iiminutes iiago, iiand iinow iiis ii88/50 iimm iiHg. iiWhat iiaction
ii would iithe iinurse iitake iifirst?
a. Call iithe iiRapid iiResponse iiTeam.
b. Document iiand iicontinue iito iimonitor.
c. Notify iithe iiprimary iihealth iicare iiprovider.
d. Repeat iithe iiblood iipressure iiin ii15 iiminutes.
, CORRECT iiANSWER: i i A
The iipurpose iiof iithe iiRapid iiResponse iiTeam ii(RRT) iiis iito iiintervene iiwhen iiclients iiare
ii deteriorating iibefore iithey iisuffer iieither iirespiratory iior iicardiac iiarrest. iiSince iithe iiclient iihas
ii manifested iia iisignificant iichange, iithe iinurse iiwould iicall iithe iiRRT. iiChanges iiin iiblood
ii pressure, iimental iistatus, iiheart iirate, iitemperature, iioxygen iisaturation, iiand iilast ii2 iihours’
ii urine iioutput iiare iiparticularly iisignificant iiand iiare iipart iiof iithe iiModified iiEarly iiWarning
ii System iiguide. iiDocumentation iiis iivital, iibut iithe iinurse iimust iido iimore iithan iidocument. iiThe
ii primary iihealth iicare iiprovider iiwould iibe iinotified, iibut iithis iiis iinot iimore iiimportant iithan
ii calling iithe iiRRT. iiThe iiclient’s iiblood iipressure iiwould iibe iireassessed iifrequently, iibut iithe
ii priority iiis iigetting iithe iirapid iicare iito iithe iiclient.
DIF: Applying TOP: i i Integrated iiProcess: iiCommunication iiand
Documentation iiKEY: iiRapid iiResponse iiTeam ii(RRT), iiClinical iijudgment
ii
MSC: ii Client iiNeeds iiCategory: iiPhysiological iiIntegrity: iiPhysiological iiAdaptation
4. A iinurse iiwishes iito iiprovide iiclient-centered iicare iiin iiall iiinteractions. iiWhich iiaction iiby iithe
ii nurse
best iidemonstrates iithis iiconcept?
a. Assesses iifor iicultural iiinfluences iiaffecting iihealth iicare.
b. Ensures iithat iiall iithe iiclient’s iibasic iineeds iiare iimet.
c. Tells iithe iiclient iiand iifamily iiabout iiall iiupcoming iitests.
d. Thoroughly iiorients iithe iiclient iiand iifamily iito iithe iiroom.
CORRECT iiANSWER: i i A
Showing iirespect iifor iithe iiclient iiand iifamily’s iipreferences iiand iineeds iiis iiessential iito iiensure
ii a iiholistic iior ii“whole-person” iiapproach iito iicare. iiBy iiassessing iithe iieffect iiof iithe iiclient’s
ii culture iion iihealth iicare, iithis iinurse iiis iipracticing iiclient-focused iicare. iiProviding iifor iibasic
ii needs iidoes iinot iidemonstrate iithis iicompetence. iiSimply iitelling iithe iiclient iiabout iiall
ii upcoming iitests iiis iinot iiproviding iiempowering iieducation. iiOrienting iithe iiclient iiand iifamily iito
ii the iiroom iiis iian iiimportant iisafety iimeasure, iibut iinot iidirectly iirelated iito iidemonstrating
ii client-centered iicare.
DIF: Understanding TOP: iiIntegrated iiProcess: iiCulture iiand iiSpirituality
ii KEY: ii Client-centered iicare, iiCulture MSC: ii Client iiNeeds iiCategory: iiPsychosocial
Integrity
ii
5. A iiclient iiis iigoing iito iibe iiadmitted iifor iia iischeduled iisurgical iiprocedure. iiWhich iiaction
ii does iithe iinurse iiexplain iiis iithe iimost iiimportant iithing iithe iiclient iican iido iito iiprotect
ii against iierrors?
