TEST BANK For Medical-Surgical Nursing
dt dt dt dt dt
10th Edition Concepts for Interprofessional
dt dt dt dt
dt Collaborative Care, by Donna D. Ignatavicius,
dt dt dt dt dt dt
All chapters 1 – 69
dt dt dt dt
,Chapter dt01: dtOverview dtof dtProfessional dtNursing dtConcepts dtfor dtMedical-Surgical dtNursing
Ignatavicius: dtMedical-Surgical dtNursing, dt10th dtEdition
dt
MULTIPLE dtCHOICE
1. A dtnew dtnurse dtis dtworking dtwith dta dtpreceptor dton dta dtmedical-surgical dtunit. dtThe dtpreceptor
dt advises dtthe dtnew dtnurse dtthat dtwhich dtis dtthe dtpriority dtwhen dtworking dtas dta dtprofessional
dt nurse?
a. Attending dtto dtholistic dtclient dtneeds
b. Ensuring dtclient dtsafety
c. Not dtmaking dtmedication dterrors
d. Providing dtclient-focused dtcare
CORRECT dtANSWER: d t B
All dtactions dtare dtappropriate dtfor dtthe dtprofessional dtnurse. dtHowever, dtensuring dtclient dtsafety
is dtthe dtpriority. dtHealth dtcare dterrors dthave dtbeen dtwidely dtreported dtfor dt25 dtyears, dtmany dtof
dt
dt which dtresult dtin dtclient dtinjury, dtdeath, dtand dtincreased dthealth dtcare dtcosts. dtThere dtare
dt several dtnational dtand dtinternational dtorganizations dtthat dthave dteither dtrecommended dtor
dt mandated dtsafety dtinitiatives.
Every dtnurse dthas dtthe dtresponsibility dtto dtguard dtthe dtclient’s dtsafety. dtThe dtother dtactions
dt are dtimportant dtfor dtquality dtnursing, dtbut dtthey dtare dtnot dtas dtvital dtas dtproviding dtsafety.
dt Not dtmaking dtmedication dterrors dtdoes dtprovide dtsafety, dtbut dtis dttoo dtnarrow dtin dtscope dtto
dt be dtthe dtbest dtanswer.
DIF: Understanding TOP: d t Integrated dtProcess: dtNursing dtProcess:
Intervention dtKEY: dtClient dtsafety
dt
MSC: d t Client dtNeeds dtCategory: dtSafe dtand dtEffective dtCare dtEnvironment: dtSafety dtand dtInfection
Control
dt
2. A dtnurse dtis dtorienting dta dtnew dtclient dtand dtfamily dtto dtthe dtmedical-surgical dtunit. dtWhat
dt information dtdoes dtthe dtnurse dtprovide dtto dtbest dthelp dtthe dtclient dtpromote dthis dtor dther
dt own dtsafety?
a. Encourage dtthe dtclient dtand dtfamily dtto dtbe dtactive dtpartners.
b. Have dtthe dtclient dtmonitor dthand dthygiene dtin dtcaregivers.
, c. Offer dtthe dtfamily dtthe dtopportunity dtto dtstay dtwith dtthe dtclient.
d. Tell dtthe dtclient dtto dtalways dtwear dthis dtor dther dtarmband.
CORRECT dtANSWER: d t A
Each dtaction dtcould dtbe dtimportant dtfor dtthe dtclient dtor dtfamily dtto dtperform. dtHowever,
dt encouraging dtthe dtclient dtto dtbe dtactive dtin dthis dtor dther dthealth dtcare dtas dta dtsafety dtpartner
dt is dtthe dtmost dtcritical. dtThe dtother dtactions dtare dtvery dtlimited dtin dtscope dtand dtdo dtnot
dt provide dtthe dtbroad dtprotection dtthat dtbeing dtactive dtand dtinvolved dtdoes.
DIF: Understanding TOP: dtIntegrated dtProcess:
Teaching/Learning dtKEY: dtClient dtsafety
dt
MSC: d t Client dtNeeds dtCategory: dtSafe dtand dtEffective dtCare dtEnvironment: dtSafety dtand dtInfection
dt Control
3. A dtnurse dtis dtcaring dtfor dta dtpostoperative dtclient dton dtthe dtsurgical dtunit. dtThe dtclient’s
dt blood dtpressure dtwas dt142/76 dtmm dtHg dt30 dtminutes dtago, dtand dtnow dtis dt88/50 dtmm dtHg.
dt What dtaction dtwould dtthe dtnurse dttake dtfirst?
a. Call dtthe dtRapid dtResponse dtTeam.
b. Document dtand dtcontinue dtto dtmonitor.
c. Notify dtthe dtprimary dthealth dtcare dtprovider.
d. Repeat dtthe dtblood dtpressure dtin dt15 dtminutes.
, CORRECT dtANSWER: d t A
The dtpurpose dtof dtthe dtRapid dtResponse dtTeam dt(RRT) dtis dtto dtintervene dtwhen dtclients dtare
dt deteriorating dtbefore dtthey dtsuffer dteither dtrespiratory dtor dtcardiac dtarrest. dtSince dtthe dtclient
dt has dtmanifested dta dtsignificant dtchange, dtthe dtnurse dtwould dtcall dtthe dtRRT. dtChanges dtin
dt blood dtpressure, dtmental dtstatus, dtheart dtrate, dttemperature, dtoxygen dtsaturation, dtand dtlast
dt 2 dthours’ dturine dtoutput dtare dtparticularly dtsignificant dtand dtare dtpart dtof dtthe dtModified
dt Early dtWarning dtSystem dtguide. dtDocumentation dtis dtvital, dtbut dtthe dtnurse dtmust dtdo dtmore
dt than dtdocument. dtThe dtprimary dthealth dtcare dtprovider dtwould dtbe dtnotified, dtbut dtthis dtis
dt not dtmore dtimportant dtthan dtcalling dtthe dtRRT. dtThe dtclient’s dtblood dtpressure dtwould dtbe
dt reassessed dtfrequently, dtbut dtthe dtpriority dtis dtgetting dtthe dtrapid dtcare dtto dtthe dtclient.
DIF: Applying TOP: d t Integrated dtProcess: dtCommunication dtand
Documentation dtKEY: dtRapid dtResponse dtTeam dt(RRT), dtClinical dtjudgment
dt
MSC: d t Client dtNeeds dtCategory: dtPhysiological dtIntegrity: dtPhysiological dtAdaptation
4. A dtnurse dtwishes dtto dtprovide dtclient-centered dtcare dtin dtall dtinteractions. dtWhich dtaction dtby dtthe
dt nurse
best dtdemonstrates dtthis dtconcept?
a. Assesses dtfor dtcultural dtinfluences dtaffecting dthealth dtcare.
b. Ensures dtthat dtall dtthe dtclient’s dtbasic dtneeds dtare dtmet.
c. Tells dtthe dtclient dtand dtfamily dtabout dtall dtupcoming dttests.
d. Thoroughly dtorients dtthe dtclient dtand dtfamily dtto dtthe dtroom.
CORRECT dtANSWER: d t A
Showing dtrespect dtfor dtthe dtclient dtand dtfamily’s dtpreferences dtand dtneeds dtis dtessential dtto
dt ensure dta dtholistic dtor dt“whole-person” dtapproach dtto dtcare. dtBy dtassessing dtthe dteffect dtof
dt the dtclient’s dtculture dton dthealth dtcare, dtthis dtnurse dtis dtpracticing dtclient-focused dtcare.
dt Providing dtfor dtbasic dtneeds dtdoes dtnot dtdemonstrate dtthis dtcompetence. dtSimply dttelling dtthe
dt client dtabout dtall dtupcoming dttests dtis dtnot dtproviding dtempowering dteducation. dtOrienting
dt the dtclient dtand dtfamily dtto dtthe dtroom dtis dtan dtimportant dtsafety dtmeasure, dtbut dtnot dtdirectly
dt related dtto dtdemonstrating dtclient-centered dtcare.
DIF: Understanding TOP: dtIntegrated dtProcess: dtCulture dtand
dt Spirituality dtKEY: dt Client-centered dtcare, dtCulture MSC: d t Client dtNeeds dtCategory:
Psychosocial dtIntegrity
dt
5. A dtclient dtis dtgoing dtto dtbe dtadmitted dtfor dta dtscheduled dtsurgical dtprocedure. dtWhich
dt action dtdoes dtthe dtnurse dtexplain dtis dtthe dtmost dtimportant dtthing dtthe dtclient dtcan dtdo
dt to dtprotect dtagainst dterrors?
dt dt dt dt dt
10th Edition Concepts for Interprofessional
dt dt dt dt
dt Collaborative Care, by Donna D. Ignatavicius,
dt dt dt dt dt dt
All chapters 1 – 69
dt dt dt dt
,Chapter dt01: dtOverview dtof dtProfessional dtNursing dtConcepts dtfor dtMedical-Surgical dtNursing
Ignatavicius: dtMedical-Surgical dtNursing, dt10th dtEdition
dt
MULTIPLE dtCHOICE
1. A dtnew dtnurse dtis dtworking dtwith dta dtpreceptor dton dta dtmedical-surgical dtunit. dtThe dtpreceptor
dt advises dtthe dtnew dtnurse dtthat dtwhich dtis dtthe dtpriority dtwhen dtworking dtas dta dtprofessional
dt nurse?
a. Attending dtto dtholistic dtclient dtneeds
b. Ensuring dtclient dtsafety
c. Not dtmaking dtmedication dterrors
d. Providing dtclient-focused dtcare
CORRECT dtANSWER: d t B
All dtactions dtare dtappropriate dtfor dtthe dtprofessional dtnurse. dtHowever, dtensuring dtclient dtsafety
is dtthe dtpriority. dtHealth dtcare dterrors dthave dtbeen dtwidely dtreported dtfor dt25 dtyears, dtmany dtof
dt
dt which dtresult dtin dtclient dtinjury, dtdeath, dtand dtincreased dthealth dtcare dtcosts. dtThere dtare
dt several dtnational dtand dtinternational dtorganizations dtthat dthave dteither dtrecommended dtor
dt mandated dtsafety dtinitiatives.
Every dtnurse dthas dtthe dtresponsibility dtto dtguard dtthe dtclient’s dtsafety. dtThe dtother dtactions
dt are dtimportant dtfor dtquality dtnursing, dtbut dtthey dtare dtnot dtas dtvital dtas dtproviding dtsafety.
dt Not dtmaking dtmedication dterrors dtdoes dtprovide dtsafety, dtbut dtis dttoo dtnarrow dtin dtscope dtto
dt be dtthe dtbest dtanswer.
DIF: Understanding TOP: d t Integrated dtProcess: dtNursing dtProcess:
Intervention dtKEY: dtClient dtsafety
dt
MSC: d t Client dtNeeds dtCategory: dtSafe dtand dtEffective dtCare dtEnvironment: dtSafety dtand dtInfection
Control
dt
2. A dtnurse dtis dtorienting dta dtnew dtclient dtand dtfamily dtto dtthe dtmedical-surgical dtunit. dtWhat
dt information dtdoes dtthe dtnurse dtprovide dtto dtbest dthelp dtthe dtclient dtpromote dthis dtor dther
dt own dtsafety?
a. Encourage dtthe dtclient dtand dtfamily dtto dtbe dtactive dtpartners.
b. Have dtthe dtclient dtmonitor dthand dthygiene dtin dtcaregivers.
, c. Offer dtthe dtfamily dtthe dtopportunity dtto dtstay dtwith dtthe dtclient.
d. Tell dtthe dtclient dtto dtalways dtwear dthis dtor dther dtarmband.
CORRECT dtANSWER: d t A
Each dtaction dtcould dtbe dtimportant dtfor dtthe dtclient dtor dtfamily dtto dtperform. dtHowever,
dt encouraging dtthe dtclient dtto dtbe dtactive dtin dthis dtor dther dthealth dtcare dtas dta dtsafety dtpartner
dt is dtthe dtmost dtcritical. dtThe dtother dtactions dtare dtvery dtlimited dtin dtscope dtand dtdo dtnot
dt provide dtthe dtbroad dtprotection dtthat dtbeing dtactive dtand dtinvolved dtdoes.
DIF: Understanding TOP: dtIntegrated dtProcess:
Teaching/Learning dtKEY: dtClient dtsafety
dt
MSC: d t Client dtNeeds dtCategory: dtSafe dtand dtEffective dtCare dtEnvironment: dtSafety dtand dtInfection
dt Control
3. A dtnurse dtis dtcaring dtfor dta dtpostoperative dtclient dton dtthe dtsurgical dtunit. dtThe dtclient’s
dt blood dtpressure dtwas dt142/76 dtmm dtHg dt30 dtminutes dtago, dtand dtnow dtis dt88/50 dtmm dtHg.
dt What dtaction dtwould dtthe dtnurse dttake dtfirst?
a. Call dtthe dtRapid dtResponse dtTeam.
b. Document dtand dtcontinue dtto dtmonitor.
c. Notify dtthe dtprimary dthealth dtcare dtprovider.
d. Repeat dtthe dtblood dtpressure dtin dt15 dtminutes.
, CORRECT dtANSWER: d t A
The dtpurpose dtof dtthe dtRapid dtResponse dtTeam dt(RRT) dtis dtto dtintervene dtwhen dtclients dtare
dt deteriorating dtbefore dtthey dtsuffer dteither dtrespiratory dtor dtcardiac dtarrest. dtSince dtthe dtclient
dt has dtmanifested dta dtsignificant dtchange, dtthe dtnurse dtwould dtcall dtthe dtRRT. dtChanges dtin
dt blood dtpressure, dtmental dtstatus, dtheart dtrate, dttemperature, dtoxygen dtsaturation, dtand dtlast
dt 2 dthours’ dturine dtoutput dtare dtparticularly dtsignificant dtand dtare dtpart dtof dtthe dtModified
dt Early dtWarning dtSystem dtguide. dtDocumentation dtis dtvital, dtbut dtthe dtnurse dtmust dtdo dtmore
dt than dtdocument. dtThe dtprimary dthealth dtcare dtprovider dtwould dtbe dtnotified, dtbut dtthis dtis
dt not dtmore dtimportant dtthan dtcalling dtthe dtRRT. dtThe dtclient’s dtblood dtpressure dtwould dtbe
dt reassessed dtfrequently, dtbut dtthe dtpriority dtis dtgetting dtthe dtrapid dtcare dtto dtthe dtclient.
DIF: Applying TOP: d t Integrated dtProcess: dtCommunication dtand
Documentation dtKEY: dtRapid dtResponse dtTeam dt(RRT), dtClinical dtjudgment
dt
MSC: d t Client dtNeeds dtCategory: dtPhysiological dtIntegrity: dtPhysiological dtAdaptation
4. A dtnurse dtwishes dtto dtprovide dtclient-centered dtcare dtin dtall dtinteractions. dtWhich dtaction dtby dtthe
dt nurse
best dtdemonstrates dtthis dtconcept?
a. Assesses dtfor dtcultural dtinfluences dtaffecting dthealth dtcare.
b. Ensures dtthat dtall dtthe dtclient’s dtbasic dtneeds dtare dtmet.
c. Tells dtthe dtclient dtand dtfamily dtabout dtall dtupcoming dttests.
d. Thoroughly dtorients dtthe dtclient dtand dtfamily dtto dtthe dtroom.
CORRECT dtANSWER: d t A
Showing dtrespect dtfor dtthe dtclient dtand dtfamily’s dtpreferences dtand dtneeds dtis dtessential dtto
dt ensure dta dtholistic dtor dt“whole-person” dtapproach dtto dtcare. dtBy dtassessing dtthe dteffect dtof
dt the dtclient’s dtculture dton dthealth dtcare, dtthis dtnurse dtis dtpracticing dtclient-focused dtcare.
dt Providing dtfor dtbasic dtneeds dtdoes dtnot dtdemonstrate dtthis dtcompetence. dtSimply dttelling dtthe
dt client dtabout dtall dtupcoming dttests dtis dtnot dtproviding dtempowering dteducation. dtOrienting
dt the dtclient dtand dtfamily dtto dtthe dtroom dtis dtan dtimportant dtsafety dtmeasure, dtbut dtnot dtdirectly
dt related dtto dtdemonstrating dtclient-centered dtcare.
DIF: Understanding TOP: dtIntegrated dtProcess: dtCulture dtand
dt Spirituality dtKEY: dt Client-centered dtcare, dtCulture MSC: d t Client dtNeeds dtCategory:
Psychosocial dtIntegrity
dt
5. A dtclient dtis dtgoing dtto dtbe dtadmitted dtfor dta dtscheduled dtsurgical dtprocedure. dtWhich
dt action dtdoes dtthe dtnurse dtexplain dtis dtthe dtmost dtimportant dtthing dtthe dtclient dtcan dtdo
dt to dtprotect dtagainst dterrors?
