TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional Collaborative Care, by Donna D.
Ignatavicius,
All chapters 1 – 69
,Chapter o01: oOverview oof oProfessional oNursing oConcepts ofor oMedical-Surgical
oNursing oIgnatavicius: oMedical-Surgical oNursing, o10th oEdition
MULTIPLE oCHOICE
1. A onew onurse ois oworking owith oa opreceptor oon oa omedical-surgical ounit. oThe
opreceptor oadvises othe onew onurse othat owhich ois othe opriority owhen oworking
oas oa oprofessional onurse?
a. Attending oto oholistic oclient oneeds
b. Ensuring oclient osafety
c. Not omaking omedication oerrors
d. Providing oclient-focused ocare
CORRECT oANSWER:
o B
All oactions oare oappropriate ofor othe oprofessional onurse. oHowever, oensuring
oclient osafety ois othe opriority. oHealth ocare oerrors ohave obeen owidely oreported
ofor o25 oyears, omany oof owhich oresult oin oclient oinjury, odeath, oand oincreased
ohealth ocare ocosts. oThere oare oseveral onational oand ointernational
oorganizations othat ohave oeither orecommended oor omandated osafety
oinitiatives.
Every onurse ohas othe oresponsibility oto oguard othe oclient’s osafety. oThe oother
oactions oare oimportant ofor oquality onursing, obut othey oare onot oas ovital oas
oproviding osafety. oNot omaking omedication oerrors odoes oprovide osafety, obut ois
otoo onarrow oin oscope oto obe othe obest oanswer.
DIF: Understanding TOP: o Integrated oProcess: oNursing
oProcess: oIntervention oKEY: oClient osafety
, MSC: o Client oNeeds oCategory: oSafe oand oEffective oCare oEnvironment: oSafety
oand oInfection oControl
2. A onurse ois oorienting oa onew oclient oand ofamily oto othe omedical-surgical
ounit. oWhat oinformation odoes othe onurse oprovide oto obest ohelp othe oclient
opromote ohis oor oher oown osafety?
a. Encourage othe oclient oand ofamily oto obe oactive opartners.
b. Have othe oclient omonitor ohand ohygiene oin ocaregivers.
c. Offer othe ofamily othe oopportunity oto ostay owith othe oclient.
d. Tell othe oclient oto oalways owear ohis oor oher oarmband.
CORRECT oANSWER:
o A
Each oaction ocould obe oimportant ofor othe oclient oor ofamily oto operform.
oHowever, oencouraging othe oclient oto obe oactive oin ohis oor oher ohealth ocare oas
oa osafety opartner ois othe omost ocritical. oThe oother oactions oare overy olimited oin
oscope oand odo onot oprovide othe obroad oprotection othat obeing oactive oand
oinvolved odoes.
DIF: Understanding TOP: oIntegrated oProcess:
oTeaching/Learning oKEY: oClient osafety
MSC: o Client oNeeds oCategory: oSafe oand oEffective oCare oEnvironment: oSafety
oand oInfection oControl
3. A onurse ois ocaring ofor oa opostoperative oclient oon othe osurgical ounit. oThe
oclient’s oblood opressure owas o142/76 omm oHg o30 ominutes oago, oand onow ois
o88/50 omm oHg. oWhat oaction owould othe onurse otake ofirst?
a. Call othe oRapid oResponse oTeam.
b. Document oand ocontinue oto omonitor.
c. Notify othe oprimary ohealth ocare oprovider.
d. Repeat othe oblood opressure oin o15 ominutes.
CORRECT oANSWER: o A
The opurpose oof othe oRapid oResponse oTeam o(RRT) ois oto ointervene owhen
, oclients oare odeteriorating obefore othey osuffer oeither orespiratory oor ocardiac
oarrest. oSince othe oclient ohas omanifested oa osignificant ochange, othe onurse
owould ocall othe oRRT. oChanges oin oblood opressure, omental ostatus, oheart orate,
otemperature, ooxygen osaturation, oand olast o2 ohours’ ourine ooutput oare
oparticularly osignificant oand oare opart oof othe oModified oEarly oWarning oSystem
oguide. oDocumentation ois ovital, obut othe onurse omust odo omore othan
odocument. oThe oprimary ohealth ocare oprovider owould obe onotified, obut othis ois
onot omore oimportant othan ocalling othe oRRT. oThe oclient’s oblood opressure
owould obe oreassessed ofrequently, obut othe opriority ois ogetting othe orapid ocare
oto othe oclient.
DIF: Applying TOP: o Integrated oProcess: oCommunication oand
oDocumentation oKEY: oRapid oResponse oTeam o(RRT), oClinical
ojudgment
MSC: o Client oNeeds oCategory: oPhysiological oIntegrity: oPhysiological oAdaptation
4. A onurse owishes oto oprovide oclient-centered ocare oin oall ointeractions. oWhich
oaction oby othe onurse
best odemonstrates othis oconcept?
a. Assesses ofor ocultural oinfluences oaffecting ohealth ocare.
b. Ensures othat oall othe oclient’s obasic oneeds oare omet.
c. Tells othe oclient oand ofamily oabout oall oupcoming otests.
d. Thoroughly oorients othe oclient oand ofamily oto othe oroom.
CORRECT oANSWER: o A
Showing orespect ofor othe oclient oand ofamily’s opreferences oand oneeds ois
oessential oto oensure oa oholistic oor o“whole-person” oapproach oto ocare. oBy
oassessing othe oeffect oof othe oclient’s oculture oon ohealth ocare, othis onurse ois
opracticing oclient-focused ocare. oProviding ofor obasic oneeds odoes onot
odemonstrate othis ocompetence. oSimply otelling othe oclient oabout oall oupcoming
otests ois onot oproviding oempowering oeducation. oOrienting othe oclient oand
ofamily oto othe oroom ois oan oimportant osafety omeasure, obut onot odirectly
10th Edition Concepts for Interprofessional Collaborative Care, by Donna D.
Ignatavicius,
All chapters 1 – 69
,Chapter o01: oOverview oof oProfessional oNursing oConcepts ofor oMedical-Surgical
oNursing oIgnatavicius: oMedical-Surgical oNursing, o10th oEdition
MULTIPLE oCHOICE
1. A onew onurse ois oworking owith oa opreceptor oon oa omedical-surgical ounit. oThe
opreceptor oadvises othe onew onurse othat owhich ois othe opriority owhen oworking
oas oa oprofessional onurse?
a. Attending oto oholistic oclient oneeds
b. Ensuring oclient osafety
c. Not omaking omedication oerrors
d. Providing oclient-focused ocare
CORRECT oANSWER:
o B
All oactions oare oappropriate ofor othe oprofessional onurse. oHowever, oensuring
oclient osafety ois othe opriority. oHealth ocare oerrors ohave obeen owidely oreported
ofor o25 oyears, omany oof owhich oresult oin oclient oinjury, odeath, oand oincreased
ohealth ocare ocosts. oThere oare oseveral onational oand ointernational
oorganizations othat ohave oeither orecommended oor omandated osafety
oinitiatives.
Every onurse ohas othe oresponsibility oto oguard othe oclient’s osafety. oThe oother
oactions oare oimportant ofor oquality onursing, obut othey oare onot oas ovital oas
oproviding osafety. oNot omaking omedication oerrors odoes oprovide osafety, obut ois
otoo onarrow oin oscope oto obe othe obest oanswer.
DIF: Understanding TOP: o Integrated oProcess: oNursing
oProcess: oIntervention oKEY: oClient osafety
, MSC: o Client oNeeds oCategory: oSafe oand oEffective oCare oEnvironment: oSafety
oand oInfection oControl
2. A onurse ois oorienting oa onew oclient oand ofamily oto othe omedical-surgical
ounit. oWhat oinformation odoes othe onurse oprovide oto obest ohelp othe oclient
opromote ohis oor oher oown osafety?
a. Encourage othe oclient oand ofamily oto obe oactive opartners.
b. Have othe oclient omonitor ohand ohygiene oin ocaregivers.
c. Offer othe ofamily othe oopportunity oto ostay owith othe oclient.
d. Tell othe oclient oto oalways owear ohis oor oher oarmband.
CORRECT oANSWER:
o A
Each oaction ocould obe oimportant ofor othe oclient oor ofamily oto operform.
oHowever, oencouraging othe oclient oto obe oactive oin ohis oor oher ohealth ocare oas
oa osafety opartner ois othe omost ocritical. oThe oother oactions oare overy olimited oin
oscope oand odo onot oprovide othe obroad oprotection othat obeing oactive oand
oinvolved odoes.
DIF: Understanding TOP: oIntegrated oProcess:
oTeaching/Learning oKEY: oClient osafety
MSC: o Client oNeeds oCategory: oSafe oand oEffective oCare oEnvironment: oSafety
oand oInfection oControl
3. A onurse ois ocaring ofor oa opostoperative oclient oon othe osurgical ounit. oThe
oclient’s oblood opressure owas o142/76 omm oHg o30 ominutes oago, oand onow ois
o88/50 omm oHg. oWhat oaction owould othe onurse otake ofirst?
a. Call othe oRapid oResponse oTeam.
b. Document oand ocontinue oto omonitor.
c. Notify othe oprimary ohealth ocare oprovider.
d. Repeat othe oblood opressure oin o15 ominutes.
CORRECT oANSWER: o A
The opurpose oof othe oRapid oResponse oTeam o(RRT) ois oto ointervene owhen
, oclients oare odeteriorating obefore othey osuffer oeither orespiratory oor ocardiac
oarrest. oSince othe oclient ohas omanifested oa osignificant ochange, othe onurse
owould ocall othe oRRT. oChanges oin oblood opressure, omental ostatus, oheart orate,
otemperature, ooxygen osaturation, oand olast o2 ohours’ ourine ooutput oare
oparticularly osignificant oand oare opart oof othe oModified oEarly oWarning oSystem
oguide. oDocumentation ois ovital, obut othe onurse omust odo omore othan
odocument. oThe oprimary ohealth ocare oprovider owould obe onotified, obut othis ois
onot omore oimportant othan ocalling othe oRRT. oThe oclient’s oblood opressure
owould obe oreassessed ofrequently, obut othe opriority ois ogetting othe orapid ocare
oto othe oclient.
DIF: Applying TOP: o Integrated oProcess: oCommunication oand
oDocumentation oKEY: oRapid oResponse oTeam o(RRT), oClinical
ojudgment
MSC: o Client oNeeds oCategory: oPhysiological oIntegrity: oPhysiological oAdaptation
4. A onurse owishes oto oprovide oclient-centered ocare oin oall ointeractions. oWhich
oaction oby othe onurse
best odemonstrates othis oconcept?
a. Assesses ofor ocultural oinfluences oaffecting ohealth ocare.
b. Ensures othat oall othe oclient’s obasic oneeds oare omet.
c. Tells othe oclient oand ofamily oabout oall oupcoming otests.
d. Thoroughly oorients othe oclient oand ofamily oto othe oroom.
CORRECT oANSWER: o A
Showing orespect ofor othe oclient oand ofamily’s opreferences oand oneeds ois
oessential oto oensure oa oholistic oor o“whole-person” oapproach oto ocare. oBy
oassessing othe oeffect oof othe oclient’s oculture oon ohealth ocare, othis onurse ois
opracticing oclient-focused ocare. oProviding ofor obasic oneeds odoes onot
odemonstrate othis ocompetence. oSimply otelling othe oclient oabout oall oupcoming
otests ois onot oproviding oempowering oeducation. oOrienting othe oclient oand
ofamily oto othe oroom ois oan oimportant osafety omeasure, obut onot odirectly
