FULL TEST BANK FOR MEDICAL SURGICAL NURSING CONCEPTS FOR CLINICAL JUDGEMENT AND COLLABORATIVE CARE 11TH EDITION [2025!!!]

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TEST BANK FOR MEDICAL SURGICAL
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vv NURSING:CONCEPTS FOR CLINICAL vv vv




vv JUDGEMENT AND COLLABORATIVE CARE 11TH
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EDITION IGNATAVICIUS
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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care
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Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
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vv MULTIPLE CHOICE vv




1. A nurse wishes to provide client-centered care in all interactions.
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vv Which action by the nurse bestdemonstrates this concept?
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a. Assesses for cultural influences affecting health care
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b. Ensures that all the clients basic needs are met
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c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room vv vv vv vv vv vv vv vv




ANS: A vv




Competency in client-focused care is demonstrated when the nurse focuses on
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vv communication, culture, respect compassion, client education, and empowerment. vv vv vv vv vv vv vv




vv By assessing the effect of the clients culture on health care, this nurse is practicing
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vv client- focused care. Providing for basic needs does not demonstrate this
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vv competence. Simply telling the client about all upcoming tests is not providing
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vv empowering education. vv




Orienting the client and family to the room is an important safety measure, but not
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vv directly related to demonstrating client-centered care.
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DIF: Understanding/Comprehension REF: 3
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KEY: Patient-centered care| culture MSC: Integrated
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vv Process: CaringNOT: Client Needs Category:
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Psychosocial Integrity vv




2. A nurse is caring for a postoperative client on the surgical unit. The clients
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vv blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg.
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vv What action by the nurse is best?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. vv vv vv vv




c. Notify the primary care provider.
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d. Repeat blood pressure measurement in 15 minutes.
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ANS: A vv




The purpose of the Rapid Response Team (RRT) is to intervene when
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v v clients are deteriorating before they suffer either respiratory or cardiac arrest.
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vv Since the client has manifested a significant change, the nurse should call the RRT.
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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care
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Changes in blood pressure, mental status, heart rate, and pain are
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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care
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Documentation is vital, but the nurse must do vv vv vv vv vv vv vv v v more v v than document. The
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vv primary care provider should be notified, but this is not the priority over calling
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vv the RRT. The clients blood pressure should be reassessed frequently, but the
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v v priority is getting the rapid care to the client.
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DIF: Applying/Application REF: 3
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KEY: Rapid Response Team (RRT)| medical
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vv emergencies MSC: Integrated Process: vv vv vv




Communication and Documentation vv vv




NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
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3. A nurse is orienting a new client and family to the inpatient unit. What
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vv information does the nurse provide to help the client promote his or her own
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vv safety?
a. Encourage the client and family to be active partners.vv vv vv vv vv vv vv vv




b. Have the client monitor hand hygiene in caregivers.
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c. Offer the family the opportunity to stay with the client.
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d. Tell the client to always wear his or her armband.
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ANS: A vv




Each action could be important for the client or family to perform.
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v v However, encouraging the client to be active in his or her health care as a partner
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vv is the most critical. The other actions are very limited in scope and do not provide
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vv the broad protection that being active and involved does.
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DIF:
Understanding/Comprehension
vv REF: 3KEY: Patient safety
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