Test Bank For Medical Surgical Nursing:Concepts For
Clinical Judgement and Collaborative Care
11th Edition 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.
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.
,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.
, Msc: Integrated Process: Teaching/Learning
Not: Client Needs Category: Safe And Effective Care Environment: Safety And
Infection Control
4. A New Nurse Is Working With A Preceptor On An Inpatientmedical-Surgical
Unit. The Preceptor Advises The Student That Which Is The Priority When Working
As A Professionalnurse?
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. Up To 98,000 Deaths Result Each Year From Errors In Hospital Care,
According To The 2000 Institute Of Medicine Report. Many More Clients Have Suffered
Injuries And Less Serious Outcomes. Every Nurse Has The Responsibility To Guard The
Clients Safety.
Dif: Understanding/Comprehension Ref: 2 Key: Patient
Safety Msc: Integrated Process: Nursing Process:
Intervention
Not: Client Needs Category: Safe And Effective Care Environment: Safety And
Infection Control
5. A Client Is Going To Be Admitted For A Scheduled Surgical Procedure. Which
Action Does The Nurse Explain Is The Most Important Thing The Client Can Do To
Protect Againsterrors?
a. Bring A List Of All Medications And What They Are For.
b. Keep The Doctors Phone Number By The Telephone.
c. Make Sure All Providers Wash Hands Before Entering The Room.
d. Write Down The Name Of Each Caregiver Who Comes In The Room.
Ans: A
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