Chapter 1 Concepts and Trends in Healthcare I!l I!l I!l I!l I!l
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A new nurse is working with a preceptor on an inpatient medical-surgicalI!l I!l I!l I!l I!l I!l I!l I!l I!l I!l I!l
unit. The preceptor advises the s tudent that which is the priority when working
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as aprofessional nurse? I!l I!l I!l I!l
◦ Attending to holistic client needs I!l I!l I!l I!l
◦ Ensuring client safety I!l I!l
◦ Not making medication errors
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◦ Providing
client- focused
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care
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ANSWER: B I!l
◦ All actions are appropriate for the professional nurse. However, I!l I!l I!l I!l I!l I!l I!l I!l
I!l ensuring client s afety is the priority. Up to 98,000 deaths result each year from errors in
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I!l hospital care, according to the 2000 Institute of Medicine report. Many more
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I!l clients have suffered injuries and less serious outcomes. Every nurse has the
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I!l responsibility to guard the clients safety. I!l I!l I!l I!l I!l
◦ DIF: Understanding/Comprehension REF: I ! l I ! l
I ! l 2KEY: Patient safety MSC: Integrated Process:
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I!l Care Environment: Safety and Infection Control
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◦ A nurse is orienting a new client and family to the inpatient unit. What
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information does the nurse provide to help the client promote his or her
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own s afety?
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◦ Encourage the client and family to be active partners. I!l I!l I!l I!l I!l I!l I!l I!l
◦ Have the client monitor hand hygiene in caregivers.
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◦ Offer the family the opportunity to s tay with the client.
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◦ Tell the client to always wear his
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orher armband.
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ANSWER: A I!l
◦ Each action could be important for the client or family to I!l I!l I!l I!l I!l I!l I!l I!l I!l I!l
perform. However, encouraging the client to be active in his or her health care as a
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partner is the most critical. The other actions are
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◦ very limited in s cope and do not provide the broad protection I!l I!l I!l I!l I!l I!l I!l I!l I!l I!l
that being active and involved does.
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◦ DIF: Understanding/Comprehension REF: I ! l I ! l
I ! l 3KEY: Patient safety MSC: Integrated Process:
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