TEST BANK for Medical-Surgical Nursing: Concepts
for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74
,
,
, Chapter xm01: xmOverview xmof xmProfessional xmNursing xmConcepts xmfor
xmMedical- xmSurgical xmNursing
MULTIPLE xm CHOICE
1. A xmnurse xmwishes xmto xmprovide xmclient-centered xmcare xmin xmall xminteractions. xmWhich
xmaction xmby xmthe xmnurse xmbest xmdemonstrates xmthis xmconcept?
a. Assesses xm for xm cultural xm influences xm affecting xm health xm care
b. Ensures xmthat xmall xm the xmclients xm basic xm needs xmare xm met
c. Tells xmthe xm client xm and xmfamily xm about xm all xm upcoming xm tests
d. Thoroughly xm orients xm the xm client xm and xmfamily xm to xm the xm room
CORRECT xmANSWER: xm A
Competency xmin xmclient-focused xmcare xmis xmdemonstrated xmwhen xmthe xmnurse xmfocuses xmon
xmcommunication, xmculture, xmrespect xmcompassion, xmclient xmeducation, xmand xmempowerment. xmBy
xmassessing xmthe xmeffect xmof xmthe xmclients xmculture xmon xmhealth xmcare, xmthis xmnurse xmis xmpracticing
xmclient-focused xmcare. xmProviding xmfor xmbasic xmneeds xmdoes xmnot xmdemonstrate xmthis xmcompetence.
xmSimply xmtelling xmthe xmclient xmabout xmall xmupcoming xmtests xmis xmnot xmproviding xmempowering
xmeducation. xmOrienting xmthe xmclient xmand xmfamily xmto xmthe xmroom xmis xman xmimportant xmsafety
xmmeasure, xmbut xmnot xmdirectly xmrelated xmto xmdemonstrating xmclient-centered xmcare.
DIF: xm Understanding/Comprehension xm REF: xm 3
KEY: xmPatient-centered xmcare| xmculture xmMSC: xmIntegrated
xmProcess: xmCaring xmNOT: xmClient xmNeeds xmCategory:
xmPsychosocial xmIntegrity
2. A xmnurse xmis xmcaring xmfor xma xmpostoperative xmclient xmon xmthe xmsurgical xmunit. xmThe xmclients
xmblood xmpressure xmwas xm142/76 xmmm xmHg xm30 xmminutes xmago, xmand xmnow xmis xm88/50 xmmm
xmHg. xmWhat xmaction xmby xmthe xmnurse xmis xmbest?
a. Call xm the xm Rapid xm Response xm Team.
b. Document xm and xmcontinue xm to xm monitor.
c. Notify xmthe xm primary xm care xm provider.
d. Repeat xm blood xm pressure xm measurement xm in xm 15 xm minutes.
CORRECT xmANSWER: xm A
The xmpurpose xmof xmthe xmRapid xmResponse xmTeam xm(RRT) xmis xmto xmintervene xmwhen xmclients
xmare xmdeteriorating xmbefore xmthey xmsuffer xmeither xmrespiratory xmor xmcardiac xmarrest. xmSince xmthe
xmclient xmhas xmmanifested xma xmsignificant xmchange, xmthe xmnurse xmshould xmcall xmthe xmRRT. xmChanges
xmin xmblood xmpressure, xmmental xmstatus, xmheart xmrate, xmand xmpain xmare xmparticularly xmsignificant.
Documentation xmis xmvital, xmbut xmthe xmnurse xmmust xmdo xmmore xmthan xmdocument. xmThe
xmprimary xmcare xmprovider xmshould xmbe xmnotified, xmbut xmthis xmis xmnot xmthe xmpriority xmover
xmcalling xmthe xmRRT. xmThe xmclients xmblood xmpressure xmshould xmbe xmreassessed xmfrequently,
xmbut xmthe xmpriority xmis xmgetting xmthe xmrapid xmcare xmto xmthe xmclient.
for Clinical Judgment and Collaborative Care
11th Edition by Donna D. Ignatavicius,
All chapters 1 - 74
,
,
, Chapter xm01: xmOverview xmof xmProfessional xmNursing xmConcepts xmfor
xmMedical- xmSurgical xmNursing
MULTIPLE xm CHOICE
1. A xmnurse xmwishes xmto xmprovide xmclient-centered xmcare xmin xmall xminteractions. xmWhich
xmaction xmby xmthe xmnurse xmbest xmdemonstrates xmthis xmconcept?
a. Assesses xm for xm cultural xm influences xm affecting xm health xm care
b. Ensures xmthat xmall xm the xmclients xm basic xm needs xmare xm met
c. Tells xmthe xm client xm and xmfamily xm about xm all xm upcoming xm tests
d. Thoroughly xm orients xm the xm client xm and xmfamily xm to xm the xm room
CORRECT xmANSWER: xm A
Competency xmin xmclient-focused xmcare xmis xmdemonstrated xmwhen xmthe xmnurse xmfocuses xmon
xmcommunication, xmculture, xmrespect xmcompassion, xmclient xmeducation, xmand xmempowerment. xmBy
xmassessing xmthe xmeffect xmof xmthe xmclients xmculture xmon xmhealth xmcare, xmthis xmnurse xmis xmpracticing
xmclient-focused xmcare. xmProviding xmfor xmbasic xmneeds xmdoes xmnot xmdemonstrate xmthis xmcompetence.
xmSimply xmtelling xmthe xmclient xmabout xmall xmupcoming xmtests xmis xmnot xmproviding xmempowering
xmeducation. xmOrienting xmthe xmclient xmand xmfamily xmto xmthe xmroom xmis xman xmimportant xmsafety
xmmeasure, xmbut xmnot xmdirectly xmrelated xmto xmdemonstrating xmclient-centered xmcare.
DIF: xm Understanding/Comprehension xm REF: xm 3
KEY: xmPatient-centered xmcare| xmculture xmMSC: xmIntegrated
xmProcess: xmCaring xmNOT: xmClient xmNeeds xmCategory:
xmPsychosocial xmIntegrity
2. A xmnurse xmis xmcaring xmfor xma xmpostoperative xmclient xmon xmthe xmsurgical xmunit. xmThe xmclients
xmblood xmpressure xmwas xm142/76 xmmm xmHg xm30 xmminutes xmago, xmand xmnow xmis xm88/50 xmmm
xmHg. xmWhat xmaction xmby xmthe xmnurse xmis xmbest?
a. Call xm the xm Rapid xm Response xm Team.
b. Document xm and xmcontinue xm to xm monitor.
c. Notify xmthe xm primary xm care xm provider.
d. Repeat xm blood xm pressure xm measurement xm in xm 15 xm minutes.
CORRECT xmANSWER: xm A
The xmpurpose xmof xmthe xmRapid xmResponse xmTeam xm(RRT) xmis xmto xmintervene xmwhen xmclients
xmare xmdeteriorating xmbefore xmthey xmsuffer xmeither xmrespiratory xmor xmcardiac xmarrest. xmSince xmthe
xmclient xmhas xmmanifested xma xmsignificant xmchange, xmthe xmnurse xmshould xmcall xmthe xmRRT. xmChanges
xmin xmblood xmpressure, xmmental xmstatus, xmheart xmrate, xmand xmpain xmare xmparticularly xmsignificant.
Documentation xmis xmvital, xmbut xmthe xmnurse xmmust xmdo xmmore xmthan xmdocument. xmThe
xmprimary xmcare xmprovider xmshould xmbe xmnotified, xmbut xmthis xmis xmnot xmthe xmpriority xmover
xmcalling xmthe xmRRT. xmThe xmclients xmblood xmpressure xmshould xmbe xmreassessed xmfrequently,
xmbut xmthe xmpriority xmis xmgetting xmthe xmrapid xmcare xmto xmthe xmclient.
