9
9
,9
, Chapter901:9Overview9of9Professional9Nursing9Concepts9for9Medical-9Surgical9Nursing9
9
9
MULTIPLE9CHOICE9
9
9
, 1.9A9nurse9wishes9to9provide9client-
9centered9care9in9all9interactions.9Which9action9by9thenurse9best9demonstrates9this9concep
t?9
a. Assesses9for9cultural9influences9affecting9health9care9
b. Ensures9that9all9the9clients9basic9needs9are9met9
c. Tells9the9client9and9family9about9all9upcoming9tests9
d. Thoroughly9orients9the9client9and9family9to9the9room9
9
9
ANS:9A9
Competency9in9client-
9 focused9care9is9demonstrated9when9the9nursefocuses9on9communication,9culture,9respect9compas99si
on,9client9education,9and9empowerment.9By9assessing9the9effect9of9the9clients9culture9on9health99car
e,9this9nurse9is9practicing9client-
9 focused9care.9Providing9for9basic9needs9does9not9demonstrate9this9competence.9Simply9telling9the9
client9about9all9upcoming9tests9isnot9providing9empowering9education.9Orienting9the9client9andfam
ily9to9theroom9is9animportantsafetymeasure,99butnotdirectlyrelatedtodemonstratingclient-
centered9care.9
9
DIF:9Understanding/Comprehension9REF:9399KEY:9Patient-
9centered9care|9culture9MSC:9Integrated9Process:9Caring9NOT:9Client9NeedsCategory:9Psychosoci99al9
Integrity99
2.9A9nurse9is9caring9for9a9postoperative9client9on9the9surgical9unit.9The9clients9blood9pressure99wa
s9142/769mm9Hg9309minutes9ago,9and9now9is988/509mm9Hg.9What9action9by9the9nurse9isbest?9a.9
Call9the9Rapid9Response9Team.9
b. Document9and9continue9to9monitor.9
c. Notify9the9primary9care9provider.9
d. Repeat9blood9pressure9measurement9in9159minutes.9
9
ANS:9A9
The9purpose9of9the9Rapid9Response9Team9(RRT)9is9to9intervene9when9clients9are9deterioratingbe99fo
re9they9suffereitherrespiratoryorcardiacarrest.9
Sincetheclienthasmanifestedasignificantchange,9thenurseshould9call9the9RRT.9Changes9in9blood99pr
essure,9mental9status,9heart9rate,9and9pain9are9particularly9significant.9Documentation9is9vital,9b99ut9t