lvv O M
v v oA R
vvv c P S
v v D |
v 6672187
TEST BANK FOR MEDICAL SURGICAL
v v v v v
v NURSING:CONCEPTS FOR CLINICAL JUDGEMENT
v v v
v AND COLLABORATIVE CARE 11TH EDITION
v v v
v
v
v IGNATAVICIUS v
TEST BANK v
, lvv O M
v v oA R
vvv c P S
v v
2
D |
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
v v v v v v v
v 6672187
v v v
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
v v v v v v v v v
MULTIPLE CHOICE
v v
1. A nurse wishes to provide client-centered care in all interactions. Which
v v v v v v v v v v
action by the nurse bestdemonstrates this concept?
v v v v v v v
a. Assesses for cultural influences affecting health care
v v v v v v
b. Ensures that all the clients basic needs are met
v v v v v v v v
c. Tells the client and family about all upcoming tests
v v v v v v v v
d. Thoroughly orients the client and family to the room v v v v v v v v
ANS: A v
Competency in client-focused care is demonstrated when the nurse focuses on
v v v v v v v v v v
communication, culture, respect compassion, client education, and empowerment. By
v v v v v v v v v
assessing the effect of the clients culture on health care, this nurse is practicing client-
v v v v v v v v v v v v v v v
focused care. Providing for basic needs does not demonstrate this competence. Simply
v v v v v v v v v v v v
telling the client about all upcoming tests is not providing empowering education.
v v v v v v v v v v v v
Orienting the client and family to the room is an important safety measure, but not
v v v v v v v v v v v v v v
directly related to demonstrating client-centered care.
v v v v v v
DIF: Understanding/Comprehension REF: 3
v v v
KEY: Patient-centered care| culture MSC: Integrated
v v v v v
Process: CaringNOT: Client Needs Category:
v v v v v
Psychosocial Integrity v
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood
v v v v v v v v v v v v v v
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
v v v v v v v v v v v v v v v v
by the nurse is best?
v v v v v
a. Call the Rapid Response Team.
v v v v
b. Document and continue to monitor. v v v v
c. Notify the primary care provider. v v v v
d. Repeat blood pressure measurement in 15 minutes.
v v v v v v
ANS: A v
The purpose of the Rapid Response Team (RRT) is to intervene when clients
v v v v v v v v v v v v
v are deteriorating before they suffer either respiratory or cardiac arrest. Since the client
v v v v v v v v v v v v
has manifested a significant change, the nurse should call the RRT. Changes in blood
v v v v v v v v v v v v v v
pressure, mental status, heart rate, and pain are particularly significant.
v v v v v v v v v v
, lvv O M
v v oA R
vvv c P S
v v
3
D |
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
v v v v v v v
v 6672187
v v v
Documentation is vital, but the nurse must do more than document. The primary
v v v v v v v v v v v v
care provider should be notified, but this is not the priority over calling the RRT. The
v v v v v v v v v v v v v v v v
clients blood pressure should be reassessed frequently, but the priority is getting
v v v v v v v v v v v v
v the rapid care to the client.
v v v v v
DIF: Applying/Application REF: 3
v v v
KEY: Rapid Response Team (RRT)| medical
v v v v v
emergencies MSC: Integrated Process:
v v v v
Communication and Documentation v v
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
v v v v v v v
3. A nurse is orienting a new client and family to the inpatient unit. What information
v v v v v v v v v v v v v v
does the nurse provide to help the client promote his or her own safety?
v v v v v v v v v v v v v v
a. Encourage the client and family to be active partners.
v v v v v v v v
b. Have the client monitor hand hygiene in caregivers.
v v v v v v v
c. Offer the family the opportunity to stay with the client.
v v v v v v v v v
d. Tell the client to always wear his or her armband.
v v v v v v v v v
ANS: A v
Each action could be important for the client or family to perform. However,
v v v v v v v v v v v v
encouraging the client to be active in his or her health care as a partner is the most
v v v v v v v v v v v v v v v v v v
critical. The other actions are very limited in scope and do not provide the broad
v v v v v v v v v v v v v v v
protection that being active and involved does.
v v v v v v v
DIF:
Understanding/Comprehension
REF: 3KEY: Patient safety
v v v v
, lvv O M
v v oA R
vvv c P S
v v
4
D |
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
v v v v v v v
v 6672187
v v v
MSC: Integrated Process: Teaching/Learning
v v v
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
v v v v v v v v v v v
Control
v
4. A client is going to be admitted for a scheduled surgical procedure. Which action
v v v v v v v v v v v v v
does the nurse explain is the most important thing the client can do to protect against
v v v v v v v v v v v v v v v v
v errors?
a. Bring a list of all medications and what they are for.
v v v v v v v v v v
b. Keep the doctors phone number by the telephone.
v v v v v v v
c. Make sure all providers wash hands before entering the room.
v v v v v v v v v
d. Write down the name of each caregiver who comes in the room.
v v v v v v v v v v v
ANS: A v
Medication errors are the most common type of health care mistake. The Joint
v v v v v v v v v v v v
Commissions Speak Up campaign encourages clients to help ensure their safety. One
v v v v v v v v v v v v
recommendation is for clients to know all their medications and why they take them.
v v v v v v v v v v v v v v
This will help prevent medication errors.
v v v v v
DIF: Applying/Application REF: 4
v v v
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
v v v v v v v v v
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
v v v v v v v v v v v v
Control
v
5. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The
v v v v v v v v v v v v v
preceptor advises the student that which is the priority when working as a
v v v v v v v v v v v v v
professional nurse?
v v
a. Attending to holistic client needs v v v v
b. Ensuring client safety v v
c. Not making medication errors
v v v
d. Providing client-focused care v v
ANS: B v
All actions are appropriate for the professional nurse. However, ensuring client
v v v v v v v v v v
v safety is the priority. Up to98,000 deaths result each year from errors in hospital care,
v v v v v v v v v v v v v v
according to the 2000 Institute of Medicine report. Many more clients have suffered
v v v v v v v v v v v v v
injuries and less serious outcomes. Every nurse has the responsibility to guard the
v v v v v v v v v v v v v
v v oA R
vvv c P S
v v D |
v 6672187
TEST BANK FOR MEDICAL SURGICAL
v v v v v
v NURSING:CONCEPTS FOR CLINICAL JUDGEMENT
v v v
v AND COLLABORATIVE CARE 11TH EDITION
v v v
v
v
v IGNATAVICIUS v
TEST BANK v
, lvv O M
v v oA R
vvv c P S
v v
2
D |
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
v v v v v v v
v 6672187
v v v
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
v v v v v v v v v
MULTIPLE CHOICE
v v
1. A nurse wishes to provide client-centered care in all interactions. Which
v v v v v v v v v v
action by the nurse bestdemonstrates this concept?
v v v v v v v
a. Assesses for cultural influences affecting health care
v v v v v v
b. Ensures that all the clients basic needs are met
v v v v v v v v
c. Tells the client and family about all upcoming tests
v v v v v v v v
d. Thoroughly orients the client and family to the room v v v v v v v v
ANS: A v
Competency in client-focused care is demonstrated when the nurse focuses on
v v v v v v v v v v
communication, culture, respect compassion, client education, and empowerment. By
v v v v v v v v v
assessing the effect of the clients culture on health care, this nurse is practicing client-
v v v v v v v v v v v v v v v
focused care. Providing for basic needs does not demonstrate this competence. Simply
v v v v v v v v v v v v
telling the client about all upcoming tests is not providing empowering education.
v v v v v v v v v v v v
Orienting the client and family to the room is an important safety measure, but not
v v v v v v v v v v v v v v
directly related to demonstrating client-centered care.
v v v v v v
DIF: Understanding/Comprehension REF: 3
v v v
KEY: Patient-centered care| culture MSC: Integrated
v v v v v
Process: CaringNOT: Client Needs Category:
v v v v v
Psychosocial Integrity v
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood
v v v v v v v v v v v v v v
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
v v v v v v v v v v v v v v v v
by the nurse is best?
v v v v v
a. Call the Rapid Response Team.
v v v v
b. Document and continue to monitor. v v v v
c. Notify the primary care provider. v v v v
d. Repeat blood pressure measurement in 15 minutes.
v v v v v v
ANS: A v
The purpose of the Rapid Response Team (RRT) is to intervene when clients
v v v v v v v v v v v v
v are deteriorating before they suffer either respiratory or cardiac arrest. Since the client
v v v v v v v v v v v v
has manifested a significant change, the nurse should call the RRT. Changes in blood
v v v v v v v v v v v v v v
pressure, mental status, heart rate, and pain are particularly significant.
v v v v v v v v v v
, lvv O M
v v oA R
vvv c P S
v v
3
D |
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
v v v v v v v
v 6672187
v v v
Documentation is vital, but the nurse must do more than document. The primary
v v v v v v v v v v v v
care provider should be notified, but this is not the priority over calling the RRT. The
v v v v v v v v v v v v v v v v
clients blood pressure should be reassessed frequently, but the priority is getting
v v v v v v v v v v v v
v the rapid care to the client.
v v v v v
DIF: Applying/Application REF: 3
v v v
KEY: Rapid Response Team (RRT)| medical
v v v v v
emergencies MSC: Integrated Process:
v v v v
Communication and Documentation v v
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
v v v v v v v
3. A nurse is orienting a new client and family to the inpatient unit. What information
v v v v v v v v v v v v v v
does the nurse provide to help the client promote his or her own safety?
v v v v v v v v v v v v v v
a. Encourage the client and family to be active partners.
v v v v v v v v
b. Have the client monitor hand hygiene in caregivers.
v v v v v v v
c. Offer the family the opportunity to stay with the client.
v v v v v v v v v
d. Tell the client to always wear his or her armband.
v v v v v v v v v
ANS: A v
Each action could be important for the client or family to perform. However,
v v v v v v v v v v v v
encouraging the client to be active in his or her health care as a partner is the most
v v v v v v v v v v v v v v v v v v
critical. The other actions are very limited in scope and do not provide the broad
v v v v v v v v v v v v v v v
protection that being active and involved does.
v v v v v v v
DIF:
Understanding/Comprehension
REF: 3KEY: Patient safety
v v v v
, lvv O M
v v oA R
vvv c P S
v v
4
D |
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 11e
v v v v v v v
v 6672187
v v v
MSC: Integrated Process: Teaching/Learning
v v v
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
v v v v v v v v v v v
Control
v
4. A client is going to be admitted for a scheduled surgical procedure. Which action
v v v v v v v v v v v v v
does the nurse explain is the most important thing the client can do to protect against
v v v v v v v v v v v v v v v v
v errors?
a. Bring a list of all medications and what they are for.
v v v v v v v v v v
b. Keep the doctors phone number by the telephone.
v v v v v v v
c. Make sure all providers wash hands before entering the room.
v v v v v v v v v
d. Write down the name of each caregiver who comes in the room.
v v v v v v v v v v v
ANS: A v
Medication errors are the most common type of health care mistake. The Joint
v v v v v v v v v v v v
Commissions Speak Up campaign encourages clients to help ensure their safety. One
v v v v v v v v v v v v
recommendation is for clients to know all their medications and why they take them.
v v v v v v v v v v v v v v
This will help prevent medication errors.
v v v v v
DIF: Applying/Application REF: 4
v v v
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
v v v v v v v v v
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
v v v v v v v v v v v v
Control
v
5. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The
v v v v v v v v v v v v v
preceptor advises the student that which is the priority when working as a
v v v v v v v v v v v v v
professional nurse?
v v
a. Attending to holistic client needs v v v v
b. Ensuring client safety v v
c. Not making medication errors
v v v
d. Providing client-focused care v v
ANS: B v
All actions are appropriate for the professional nurse. However, ensuring client
v v v v v v v v v v
v safety is the priority. Up to98,000 deaths result each year from errors in hospital care,
v v v v v v v v v v v v v v
according to the 2000 Institute of Medicine report. Many more clients have suffered
v v v v v v v v v v v v v
injuries and less serious outcomes. Every nurse has the responsibility to guard the
v v v v v v v v v v v v v
