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TEST BANK FOR MEDICAL SURGICAL :CONCEPTS FOR INTERPROFFESSIONAL COLLABORATIVE CARE 9TH EDITION IGNATAVICIUS
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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. En...

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  • February 1, 2025
  • 1392
  • 2024/2025
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TEST BANK FOR
MEDICAL SURGICAL :CONCEPTS
FOR INTERPROFFESSIONAL
COLLABORATIVE CARE 9TH
EDITION IGNATAVICIUS




Downloaded by: PASSGRADES |
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, lOMoAR cPSD| 60 78199




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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.

DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring
NOT: Client Needs Category: Psychosocial Integrity

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.

DIF: Understanding/Comprehension REF: 3
KEY: Patient safety
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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 2


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
Medication errors are the most common type of health care mistake. The Joint Commissions Speak Up
campaign encourages clients to help ensure their safety. One recommendation is for clients to know all their
medications and why they take them. This will help prevent medication errors.

DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control

6. 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 should make decisions regarding care. When the nurseobtainsa
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/Application REF: 4
KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care

7. A student nurse asks the faculty to explain best practices when communicating with a person from the
lesbian, gay, bisexual, transgender, andqueer/questioning (LGBTQ) community. Whatanswerbythe faculty
is most accurate?
a. Avoid embarrassing the client by asking questions.
b. Dont make assumptions about their health needs.
c. Most LGBTQ people do not want to share information.


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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 3


d. No differences exist in communicating with this population.

ANS: B
Manymembersofthe LGBTQcommunity have faceddiscrimination from health care providersandmaybe
reluctant to seek health care. The nurse should never make assumptions about the needs of members of this
population. Rather, respectful questionsareappropriate. If approached with sensitivity, the clientwith any
health care need is more likely to answer honestly.

DIF: Understanding/Comprehension REF: 4
KEY: LGBTQ| diversity
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Psychosocial Integrity

8. A znurse zis zcalling zthe zon-call zphysician zabout za zclient zwho zhad za zhysterectomy z2 zdays zago
zand zhas zpain zthat zis zunrelieved zby zthe zprescribed znarcotic zpain zmedication. zWhich zstatement zis
zpart zof zthe zSBAR zformat zfor zcommunication?
a. A: zI zwould zlike zyou zto zorder za zdifferent zpain zmedication.
b. B: zThis zclient zhas zallergies zto zmorphine zand zcodeine.
c. R: zDr. zSmith zdoesnt zlike znonsteroidal zanti-inflammatory zmeds.
d. S: zThis zclient zhad za zvaginal zhysterectomy z2 zdays zago.

ANS: zB
SBAR zis za zrecommended zform zof zcommunication, zand zthe zacronym zstands zfor zSituation,
zBackground, zAssessment, zand zRecommendation. zAppropriatebackgroundinformationincludesallergies
zto zmedicationsthe zon-callphysicianmightorder. zSituationdescribeswhat zis zhappening zrightnow
zthatmustbecommunicated; zthe zclients zsurgery z2 zdays zago zwould zbe zconsidered zbackground.
zAssessment zwould zinclude zan zanalysis zof zthe zclients zproblem; zasking zfor za zdifferent zpain
zmedication zis za zrecommendation. zRecommendation zis za zstatement zof zwhat zis zneeded zor zwhat
zoutcome zis zdesired; zthis zinformation zabout zthe zsurgeons zpreference zmight zbe zbetter zplaced zin
zbackground.

DIF: zApplying/ApplicationREF: z5
zKEY: zSBAR| zcommunication
MSC: zIntegrated zProcess: zCommunication zand zDocumentation
NOT: zClient zNeeds zCategory: zSafe zand zEffective zCare zEnvironment: zManagement zof zCare

9. A znurse zworking zon za zcardiac zunit zdelegated ztaking zvital zsigns zto zan zexperienced zunlicensed
zassistive zpersonnel z(UAP). zFour zhours zlater, zthe znurse znotes zthe zclients zblood zpressure zis
zmuch zhigherthan zprevious zreadings, zand zthe zclients zmental zstatus zhas zchanged. zWhat zaction
zby zthe znurse zwould zmost zlikely zhave zprevented zthis znegative zoutcome?
a. Determining zif zthe zUAP zknew zhow zto ztake zblood zpressure
b. Double-checking zthe zUAP zby ztaking zanother zblood zpressure
c. Providing zmore zappropriate zsupervision zof zthe zUAP
d. Taking zthe zblood zpressure zinstead zof zdelegating zthe ztask

ANS: zC
Supervision zis zone zof zthe zfive zrights zof zdelegation zand zincludes zdirecting, zevaluating, zand zfollowing
zup zon zdelegated ztasks. zThe znurse zshould zeither zhave zasked zthe zUAP zabout zthe zvital zsigns zor
zinstructed zthe zUAP zto zreport zthem zright zaway. zAn zexperienced zUAP zshould zknow zhow zto ztake
zvital zsigns zand zthe znurse zshould znot zhave zto zassess zthis zat zthis zpoint. zDouble-checking zthe zwork
zdefeats zthe zpurpose zof zdelegation. zVital zsigns zare zwithin zthe zscope zof zpractice zfor za zUAP zand zare
zpermissible zto zdelegate. zThe zonly zappropriate zanswer zis zthat zthe znurse zdid znot zprovide zadequate
zinstruction zto zthe zUAP.

DIF: zApplying/Application zREF: z6
KEY: zSupervision| zdelegation| zunlicensed zassistive
zpersonnel zMSC: zIntegrated z Process: z Communication z and
z Documentation
NOT: zClient zNeeds zCategory: zSafe zand zEffective zCare zEnvironment: zManagement zof zCare

10. A znurse zis ztalking zwith za zclient zwho zis zmoving zto za znew zstate zand zneeds zto zfind za
znew zdoctor zand zhospital zthere. zWhat zadvice zby zthe znurse zis zbest?
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