Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9thE
x x x x x x x x x x
dition by IGNATAVICIUS
x x
TEST BANK FOR MEDICAL SURGICAL :CONCEPTS FOR INTERP
x x x x x x x
ROFFESSIONAL COLLABORATIVE CARE 9TH EDITIONIGNATA
x x x x x
VICIUS ALL CHAPTERS.x x
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9thE
x x x x x x x x x x
dition by IGNATAVICIUS
x x
Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing
x x x x x x x x x x
MULTIPLE CHOICE x
1. A nurse wishes to provide client-
x x x x x
centered care in all interactions. Which action by thenurse best demonstrates this concept?
x x x x x x x x x x x x x
a. Assesses for cultural influences affecting health care x x x x x x
b. Ensures that all the clients basic needs are met x x x x x x x x
c. Tells the client and family about all upcoming tests
x x x x x x x x
d. Thoroughly orients the client and family to the room x x x x x x x x
ANS: A x
Competency in client- x x
focused care is demonstrated when the nursefocuses on communication, culture, respect compassio
x x x x x x x x x x x
n, client education, and empowerment. By assessing the effect of the clients culture on health care, t
x x x x x x x x x x x x x x x x
his nurse is practicing client-
x x x x
focused care. Providing for basic needs does not demonstrate this competence. Simply telling the cl
x x x x x x x x x x x x x x
ient about all upcoming tests isnot providing empowering education.
x x x x x x x x x
Orienting the client andfamily to theroom is animportantsafetymeasure,b
x x x x x x x x
utnotdirectlyrelatedtodemonstratingclient-centered care. x
DIF: Understanding/Comprehension REF: 3
x x x
KEY: Patient- x
centered care| culture MSC: Integrated Process: Caring NOT: Client NeedsCategory: Psychosocial
x x x x x x x x x x x x
Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressurewa
x x x x x x x x x x x x x x x x
s 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse isbest?
x x x x x x x x x x x x x x x x x x
a. Call the Rapid Response Team.
x x x x
b. Document and continue to monitor. x x x x
c. Notify the primary care provider. x x x x
d. Repeat blood pressure measurement in 15 minutes.
x x x x x x
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9thE
x x x x x x x x x x
dition by IGNATAVICIUS x x
ANS: A x
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deterioratingbefor
x x x x x x x x x x x x x x x
e they suffereitherrespiratoryorcardiacarrest.
x x
Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes in blood pr x x x x x x x x
essure, mental status, heart rate, and pain are particularly significant. Documentation is vital, but th
x x x x x x x x x x x x x x
e nursemust do more than document. The primary care provider should be notified, but thisis not the
x x x x x x x x x x x x x x x x x
priority over calling the RRT. The clients blood pressure should
x x x x x x x x x x
be reassessed frequently, but the priority is getting the rapid care to theclient.
x x x x x x x x x x x x
DIF: Applying/Application REF: 3
x x x
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:Com
x x x x x x x x x x
munication and Documentation x x
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
x x x x x x x
3. A nurse is orienting a new client and family to the inpatient unit. What information doesthe
x x x x x x x x x x x x x x x x
nurse provide to help the client promote his or her own safety?
x x x x x x x x x x x x
a. Encourage the client and family to be active partners. x x x x x x x x
b. Have the client monitor hand hygiene in caregivers.
x x x x x x x
c. Offer the family the opportunity to stay with the client.
x x x x x x x x x
d. Tell the client to always wear his or her armband.
x x x x x x x x x
ANS: A x
Each action could be important for the client or family to perform. However, encouraging the client t
x x x x x x x x x x x x x x x x
o be active in his or her health care as a partner is the most critical. The other actions are very limited i
x x x x x x x x x x x x x x x x x x x x x x
n scope and do not provide the broad protection that being active and involveddoes.
x x x x x x x x x x x x x
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
x x x x x x
, Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9thE
x x x x x x x x x x
dition by IGNATAVICIUS x x
MSC: Integrated Process: Teaching/Learning
x x x
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and InfectionC
x x x x x x x x x x x x
ontrol
4. A new nurse is working with a preceptor on an inpatientmedical-
x x x x x x x x x x
surgical unit. The preceptor advises the student that which is the priority when working as a pro
x x x x x x x x x x x x x x x x
fessionalnurse?
a. Attending to holistic client needs x x x x
b. Ensuring client safety x x
c. Not making medication errors
x x x
d. Providing client-focused care x x
ANS: B x
All actions are appropriate for the professional nurse. However, ensuring client safety is the priority.
x x x x x x x x x x x x x x x
Up to 98,000 deaths result each year from errors in hospital care, according to the 2000 Institute of M
x x x x x x x x x x x x x x x x x x
edicine report. Many more clients have suffered injuries and less serious outcomes.Every nurse has th
x x x x x x x x x x x x x x x
e responsibility to guard the clients safety.
x x x x x x
DIF: Understanding/Comprehension REF: 2 KEY: Patient safetyM
x x x x x x x
SC: Integrated Process: Nursing Process: Intervention
x x x x x
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and InfectionC
x x x x x x x x x x x x
ontrol
5. A client is going to be admitted for a scheduled surgical procedure. Which action doesthe
x x x x x x x x x x x x x x x
nurse explain is the most important thing the client can do to protect againsterrors?
x x x x x x x x x x x x x x
a. Bring a list of all medications and what they are for.
x x x x x x x x x x
b. Keep the doctors phone number by the telephone.
x x x x x x x
c. Make sure all providers wash hands before entering the room.
x x x x x x x x x
d. Write down the name of each caregiver who comes in the room.
x x x x x x x x x x x
ANS: A x
x x x x x x x x x x
dition by IGNATAVICIUS
x x
TEST BANK FOR MEDICAL SURGICAL :CONCEPTS FOR INTERP
x x x x x x x
ROFFESSIONAL COLLABORATIVE CARE 9TH EDITIONIGNATA
x x x x x
VICIUS ALL CHAPTERS.x x
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9thE
x x x x x x x x x x
dition by IGNATAVICIUS
x x
Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing
x x x x x x x x x x
MULTIPLE CHOICE x
1. A nurse wishes to provide client-
x x x x x
centered care in all interactions. Which action by thenurse best demonstrates this concept?
x x x x x x x x x x x x x
a. Assesses for cultural influences affecting health care x x x x x x
b. Ensures that all the clients basic needs are met x x x x x x x x
c. Tells the client and family about all upcoming tests
x x x x x x x x
d. Thoroughly orients the client and family to the room x x x x x x x x
ANS: A x
Competency in client- x x
focused care is demonstrated when the nursefocuses on communication, culture, respect compassio
x x x x x x x x x x x
n, client education, and empowerment. By assessing the effect of the clients culture on health care, t
x x x x x x x x x x x x x x x x
his nurse is practicing client-
x x x x
focused care. Providing for basic needs does not demonstrate this competence. Simply telling the cl
x x x x x x x x x x x x x x
ient about all upcoming tests isnot providing empowering education.
x x x x x x x x x
Orienting the client andfamily to theroom is animportantsafetymeasure,b
x x x x x x x x
utnotdirectlyrelatedtodemonstratingclient-centered care. x
DIF: Understanding/Comprehension REF: 3
x x x
KEY: Patient- x
centered care| culture MSC: Integrated Process: Caring NOT: Client NeedsCategory: Psychosocial
x x x x x x x x x x x x
Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressurewa
x x x x x x x x x x x x x x x x
s 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse isbest?
x x x x x x x x x x x x x x x x x x
a. Call the Rapid Response Team.
x x x x
b. Document and continue to monitor. x x x x
c. Notify the primary care provider. x x x x
d. Repeat blood pressure measurement in 15 minutes.
x x x x x x
,Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9thE
x x x x x x x x x x
dition by IGNATAVICIUS x x
ANS: A x
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deterioratingbefor
x x x x x x x x x x x x x x x
e they suffereitherrespiratoryorcardiacarrest.
x x
Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes in blood pr x x x x x x x x
essure, mental status, heart rate, and pain are particularly significant. Documentation is vital, but th
x x x x x x x x x x x x x x
e nursemust do more than document. The primary care provider should be notified, but thisis not the
x x x x x x x x x x x x x x x x x
priority over calling the RRT. The clients blood pressure should
x x x x x x x x x x
be reassessed frequently, but the priority is getting the rapid care to theclient.
x x x x x x x x x x x x
DIF: Applying/Application REF: 3
x x x
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:Com
x x x x x x x x x x
munication and Documentation x x
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
x x x x x x x
3. A nurse is orienting a new client and family to the inpatient unit. What information doesthe
x x x x x x x x x x x x x x x x
nurse provide to help the client promote his or her own safety?
x x x x x x x x x x x x
a. Encourage the client and family to be active partners. x x x x x x x x
b. Have the client monitor hand hygiene in caregivers.
x x x x x x x
c. Offer the family the opportunity to stay with the client.
x x x x x x x x x
d. Tell the client to always wear his or her armband.
x x x x x x x x x
ANS: A x
Each action could be important for the client or family to perform. However, encouraging the client t
x x x x x x x x x x x x x x x x
o be active in his or her health care as a partner is the most critical. The other actions are very limited i
x x x x x x x x x x x x x x x x x x x x x x
n scope and do not provide the broad protection that being active and involveddoes.
x x x x x x x x x x x x x
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
x x x x x x
, Test Bank Medical Surgical Nursing,Concepts for Interprofessional Collaborative Care 9thE
x x x x x x x x x x
dition by IGNATAVICIUS x x
MSC: Integrated Process: Teaching/Learning
x x x
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and InfectionC
x x x x x x x x x x x x
ontrol
4. A new nurse is working with a preceptor on an inpatientmedical-
x x x x x x x x x x
surgical unit. The preceptor advises the student that which is the priority when working as a pro
x x x x x x x x x x x x x x x x
fessionalnurse?
a. Attending to holistic client needs x x x x
b. Ensuring client safety x x
c. Not making medication errors
x x x
d. Providing client-focused care x x
ANS: B x
All actions are appropriate for the professional nurse. However, ensuring client safety is the priority.
x x x x x x x x x x x x x x x
Up to 98,000 deaths result each year from errors in hospital care, according to the 2000 Institute of M
x x x x x x x x x x x x x x x x x x
edicine report. Many more clients have suffered injuries and less serious outcomes.Every nurse has th
x x x x x x x x x x x x x x x
e responsibility to guard the clients safety.
x x x x x x
DIF: Understanding/Comprehension REF: 2 KEY: Patient safetyM
x x x x x x x
SC: Integrated Process: Nursing Process: Intervention
x x x x x
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and InfectionC
x x x x x x x x x x x x
ontrol
5. A client is going to be admitted for a scheduled surgical procedure. Which action doesthe
x x x x x x x x x x x x x x x
nurse explain is the most important thing the client can do to protect againsterrors?
x x x x x x x x x x x x x x
a. Bring a list of all medications and what they are for.
x x x x x x x x x x
b. Keep the doctors phone number by the telephone.
x x x x x x x
c. Make sure all providers wash hands before entering the room.
x x x x x x x x x
d. Write down the name of each caregiver who comes in the room.
x x x x x x x x x x x
ANS: A x
