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Concepts For Interprofessional Collaborative Care 10th Edition Ignatavicius Workman Rebar Heimargartner Medical Surgical Nursing Test Bank EXAM QUESTIONS AND ANSWERS 100 % PASS SOLUTION A+ GRADE$7.99
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Concepts For Interprofessional Collaborative Care 10th Edition Ignatavicius Workman Rebar Heimargartner Medical Surgical Nursing Test Bank EXAM QUESTIONS AND ANSWERS 100 % PASS SOLUTION A+ GRADE
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Course
Concepts For Interprofessional Collaborative Care
Institution
Concepts For Interprofessional Collaborative Care
Concepts For Interprofessional Collaborative Care 10th Edition
Ignatavicius Workman Rebar Heimargartner Medical Surgical
Nursing Test Bank EXAM QUESTIONS AND ANSWERS 100
% PASS SOLUTION A+ GRADE
Concepts For Interprofessional Collaborative Care 10th Edition
Ignatavicius Workman Rebar Heimargartner Medical Surgical
Nursing Test Bank EXAM 2024-2025 QUESTIONS AND ANSWERS 100
% PASS SOLUTION A+ GRADE
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse working on a cardiac unit delegated taking vital signs to an experienced
assistive personnel (AP). Four hours later, the nurse notes that the client‘s blood pressure
taken by the AP was much higher than previous readings, and the client‘s mental status has
changed. What action by the nurse would most likely have prevented this negative
outcome?
a. Determining if the AP knew how to take blood pressure
b. Double-checking the AP by taking another blood pressure
c. Providing more appropriate supervision of the AP
d. Taking the blood pressure instead of delegating the task
ANS: C
Supervision is one of the five rights of delegation and includes directing, evaluating, and
following up on delegated tasks. The nurse would either have asked the AP about the vital
signs or instructed the AP to report them right away. An experienced AP would know how
to take vital signs and the nurse would not have to assess this at this point. Double-
checking the work defeats the purpose of delegation. Vital signs are within the scope of
practice for a AP and are permissible to delegate. The only appropriate answer is that the
nurse did not provide adequate instruction to the AP.
DIF: Analyzing TOP: Integrated Process: Communication and Documentation KEY:
Teamwork and collaboration, Delegation
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
,2 A newly graduated nurse in the hospital states that because of being so new, participation
in quality improvement (QI) projects is not wise. What response by the precepting nurse is
best?
a. ―All staff nurses are required to participate in quality improvement here.‖
b. ―Even being new, you can implement activities designed to improve care.‖
c. ―It‘s easy to identify what indicators would be used to measure quality.‖
d. ―You should ask to be assigned to the research and quality committee.‖
ANS: B
The preceptor would try to reassure the nurse that implementing QI measures is not out of
line for a newly licensed nurse. Simply stating that all nurses are required to participate
does not help the nurse understand how that is possible and is dismissive. Identifying
indicators of quality is not an easy, quick process and would not be the best place to
suggest a new nurse to start. Asking to be assigned to the QI committee does not give
the nurse information about how to implement QI in daily practice.
DIF: Applying TOP: Integrated Process: Communication and Documentation
KEY: Systems thinking, Quality improvement
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
3. A nurse is talking with a co-worker who is moving to a new state and needs to find
new employment there. What advice by the nurse is best?
a. Ask the hospitals there about standard nurse–client ratios.
b. Choose the hospital that has the newest technology.
c. Find a hospital that has achieved Magnet status.
d. Work in a facility affiliated with a medical or nursing school.
ANS: C
Client Magnet status is awarded by The Joint Commission (TJC) and certifies that nurses
can demonstrate how best current evidence guides their practice. New technology
doesn‘t necessarily mean that the hospital is safe. Affiliation with a health profession
school has several advantages, but safety is most important.
,DIF: Understanding
TOP: Integrated Process: Communication and Documentation KEY: Evidence-based practice,
Magnet status
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
4. Which action by the nurse working with a client best demonstrates respect for autonomy?
a. Asks if the client has questions before signing a consent.
b. Gives the client accurate information when questioned.
c. Keeps the promises made to the client and family.
d. Treats the client fairly compared to other clients.
ANS: A
Autonomy is self-determination. The client would make decisions regarding care. When
the nurse obtains a signature on the consent form, assessing if the client still has
questions is vital, because without full information the client cannot practice autonomy.
Giving accurate information is practicing with veracity. Keeping promises is upholding
fidelity. Treating the client fairly is providing social justice.
DIF: Applying TOP: Integrated Process: Caring KEY: Ethics, Autonomy MSC:
Client Needs Category: Safe and Effective Care Environment: Management of Care
5. A nurse asks a more seasoned colleague to explain best practices when communicating
with a person from the lesbian, gay, bisexual, transgender, and questioning/queer
(LGBTQ) community. What answer by the faculty is most accurate?
a. Avoid embarrassing the client by asking questions.
b. Don‘t make assumptions about his or her health needs.
c. Most LGBTQ people do not want to share information.
d. No differences exist in communicating with this population.
, ANS: B
Many members of the LGBTQ community have faced discrimination from health care
providers and may be reluctant to seek health care. The nurse would never make
assumptions about the needs of members of this population. Rather, respectful
questions are appropriate. If approached with sensitivity, the client with any health care
need is more likely to answer honestly.
KEY: Health care disparities, LGBTQ MSC: Client Needs Category: Psychosocial Integrity
6 A nurse is calling the on-call health care provider about a client who had a hysterectomy 2
days ago and has pain that is unrelieved by the prescribed opioid pain medication. Which
statement comprises the background portion of the SBAR format for communication?
a. ―I would like you to order a different pain medication.‖
b. ―This client has allergies to morphine and codeine.‖
c. ―Dr. Smith doesn‘t like nonsteroidal anti-inflammatory meds.‖
d. ―This client had a vaginal hysterectomy 2 days ago.‖
ANS: B
7. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises
the new nurse that which is the priority when working as a professional nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Health care errors have been widely reported for 25 years, many of which result
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