Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
Edition by IGNATAVICIUS
TEST BANK FOR MEDICAL SURGICAL :CONCEPTS FOR
INTERPROFFESSIONAL COLLABORATIVE CARE 9TH EDITION
IGNATAVICIUS ALL CHAPTERS.
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
Edition by IGNATAVICIUS
Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing
MULTIPLE CHOICE
1. A nurse wishes to provide client-centered care in all interactions. Which action by the
nurse best demonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
ANS: A
Competency in client-focused care is demonstrated when the nursefocuses on communication,
culture, respect compassion, client education, and empowerment. By assessing the effect of the
clients culture on health care, this nurse is practicing client-focused care. Providing for basic
needs does not demonstrate this competence. Simply telling the client about all upcoming tests is
not providing empowering education.
Orienting the client andfamily to theroom is animportantsafetymeasure,
butnotdirectlyrelatedtodemonstratingclient-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client Needs
Category: Psychosocial Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse isbest?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
Edition by IGNATAVICIUS
ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
before they suffereitherrespiratoryorcardiacarrest.
Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes in blood
pressure, mental status, heart rate, and pain are particularly significant. Documentation is vital,
but the nursemust do more than document. The primary care provider should be notified, but this
is not the priority over calling the RRT. The clients blood pressure should
be reassessed frequently, but the priority is getting the rapid care to theclient.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:
Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse is orienting a new client and family to the inpatient unit. What information does
the nurse provide to help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
ANS: A
Each action could be important for the client or family to perform. However, encouraging the
client to be active in his or her health care as a partner is the most critical. The other actions are
very limited in scope and do not provide the broad protection that being active and involveddoes.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
, Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
Edition by IGNATAVICIUS
MSC: Integrated fProcess: fTeaching/Learning
NOT: fClient fNeeds fCategory: fSafe fand fEffective fCare fEnvironment: fSafety fand fInfection
fControl
4. A fnew fnurse fis fworking fwith fa fpreceptor fon fan finpatientmedical-surgical funit.
fThe fpreceptor fadvises fthe fstudent fthat fwhich fis fthe fpriority fwhen fworking fas fa
fprofessionalnurse?
a. Attending fto fholistic fclient fneeds
b. Ensuring fclient fsafety
c. Not fmaking fmedication ferrors
d. Providing fclient-focused fcare
ANS: fB
All factions fare fappropriate ffor fthe fprofessional fnurse. fHowever, fensuring fclient fsafety fis fthe
fpriority. fUp fto f98,000 fdeaths fresult feach fyear ffrom ferrors fin fhospital fcare, faccording fto fthe
f2000 fInstitute fof fMedicine freport. fMany fmore fclients fhave fsuffered finjuries fand fless fserious
foutcomes. fEvery fnurse fhas fthe fresponsibility fto fguard fthe fclients fsafety.
DIF: fUnderstanding/Comprehension fREF: f2 fKEY: fPatient
fsafety fMSC: fIntegrated fProcess: fNursing fProcess:
fIntervention
NOT: fClient fNeeds fCategory: fSafe fand fEffective fCare fEnvironment: fSafety fand fInfection
fControl
5. A fclient fis fgoing fto fbe fadmitted ffor fa fscheduled fsurgical fprocedure. fWhich faction
fdoes fthe fnurse fexplain fis fthe fmost fimportant fthing fthe fclient fcan fdo fto fprotect
fagainsterrors?
a. Bring fa flist fof fall fmedications fand fwhat fthey fare ffor.
b. Keep fthe fdoctors fphone fnumber fby fthe ftelephone.
c. Make fsure fall fproviders fwash fhands fbefore fentering fthe froom.
d. Write fdown fthe fname fof feach fcaregiver fwho fcomes fin fthe froom.
ANS: fA
Edition by IGNATAVICIUS
TEST BANK FOR MEDICAL SURGICAL :CONCEPTS FOR
INTERPROFFESSIONAL COLLABORATIVE CARE 9TH EDITION
IGNATAVICIUS ALL CHAPTERS.
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
Edition by IGNATAVICIUS
Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing
MULTIPLE CHOICE
1. A nurse wishes to provide client-centered care in all interactions. Which action by the
nurse best demonstrates this concept?
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
ANS: A
Competency in client-focused care is demonstrated when the nursefocuses on communication,
culture, respect compassion, client education, and empowerment. By assessing the effect of the
clients culture on health care, this nurse is practicing client-focused care. Providing for basic
needs does not demonstrate this competence. Simply telling the client about all upcoming tests is
not providing empowering education.
Orienting the client andfamily to theroom is animportantsafetymeasure,
butnotdirectlyrelatedtodemonstratingclient-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client Needs
Category: Psychosocial Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse isbest?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
Edition by IGNATAVICIUS
ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
before they suffereitherrespiratoryorcardiacarrest.
Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes in blood
pressure, mental status, heart rate, and pain are particularly significant. Documentation is vital,
but the nursemust do more than document. The primary care provider should be notified, but this
is not the priority over calling the RRT. The clients blood pressure should
be reassessed frequently, but the priority is getting the rapid care to theclient.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:
Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse is orienting a new client and family to the inpatient unit. What information does
the nurse provide to help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
ANS: A
Each action could be important for the client or family to perform. However, encouraging the
client to be active in his or her health care as a partner is the most critical. The other actions are
very limited in scope and do not provide the broad protection that being active and involveddoes.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
, Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9th
Edition by IGNATAVICIUS
MSC: Integrated fProcess: fTeaching/Learning
NOT: fClient fNeeds fCategory: fSafe fand fEffective fCare fEnvironment: fSafety fand fInfection
fControl
4. A fnew fnurse fis fworking fwith fa fpreceptor fon fan finpatientmedical-surgical funit.
fThe fpreceptor fadvises fthe fstudent fthat fwhich fis fthe fpriority fwhen fworking fas fa
fprofessionalnurse?
a. Attending fto fholistic fclient fneeds
b. Ensuring fclient fsafety
c. Not fmaking fmedication ferrors
d. Providing fclient-focused fcare
ANS: fB
All factions fare fappropriate ffor fthe fprofessional fnurse. fHowever, fensuring fclient fsafety fis fthe
fpriority. fUp fto f98,000 fdeaths fresult feach fyear ffrom ferrors fin fhospital fcare, faccording fto fthe
f2000 fInstitute fof fMedicine freport. fMany fmore fclients fhave fsuffered finjuries fand fless fserious
foutcomes. fEvery fnurse fhas fthe fresponsibility fto fguard fthe fclients fsafety.
DIF: fUnderstanding/Comprehension fREF: f2 fKEY: fPatient
fsafety fMSC: fIntegrated fProcess: fNursing fProcess:
fIntervention
NOT: fClient fNeeds fCategory: fSafe fand fEffective fCare fEnvironment: fSafety fand fInfection
fControl
5. A fclient fis fgoing fto fbe fadmitted ffor fa fscheduled fsurgical fprocedure. fWhich faction
fdoes fthe fnurse fexplain fis fthe fmost fimportant fthing fthe fclient fcan fdo fto fprotect
fagainsterrors?
a. Bring fa flist fof fall fmedications fand fwhat fthey fare ffor.
b. Keep fthe fdoctors fphone fnumber fby fthe ftelephone.
c. Make fsure fall fproviders fwash fhands fbefore fentering fthe froom.
d. Write fdown fthe fname fof feach fcaregiver fwho fcomes fin fthe froom.
ANS: fA
