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TEST BANK FOR: Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care (Evolve) 11th Edition by Donna D. Ignatavicius Latest Update.$21.49
TEST BANK FOR: Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care (Evolve) 11th Edition by Donna D. Ignatavicius Latest Update.
TEST BANK FOR: Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care (Evolve) 11th Edition by Donna D. Ignatavicius Latest Update.TEST BANK FOR: Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care (Evolve) 11th Edition by Donna D. Ignatavicius L...
TestBank-Medical-SurgicalNursing:ConceptsforInterprofessionalCollaborativeCare11e
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Chapter01: Overview of Professional NursingConcepts forMedical-Surgical Nursing MULTIPLE
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n CHOICE
1. A nurse wishes to provide client-centered care in all interactions. Which
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n action by the nurse bestdemonstrates this concept?
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a. Assesses for cultural influences affecting health care n n n n n n
b. Ensures that all the clients basic needs are met n n n n n n n n
c. Tells the client and family about all upcoming tests
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d. Thoroughly orients the client and family to the room n n n n n n n n
ANS: A n
Competency in client-focused care is demonstrated when the nurse focuses on n n n n n n n n n n
n communication, culture, respect compassion, client education, and empowerment. By n n n n n n n n
n assessing the effect of the clients culture on health care, this nurse is practicing client- focused
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n care. Providing for basic needs does not demonstrate this competence. Simply telling the
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n client about all upcoming tests is not providing empowering education.
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Orienting the client and family to the room is an important safety measure, but not directly
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n related to demonstrating client-centered care. n n n n
DIF: Understanding/Comprehension REF: 3
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KEY: Patient-centered care| culture MSC: Integrated
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n Process: CaringNOT: Client Needs Category: n n n n
PsychosocialIntegrity n
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure
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n was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is
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n best?
a. Call theRapid Response Team. n n n n
b. Document and continue to monitor. n n n n
c. Notify the primary care provider. n n n n
d. Repeat blood pressure measurement in 15 minutes. n n n n n n
ANS: A n
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
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n deteriorating before they suffer either respiratory or cardiac arrest. Since the client has n n n n n n n n n n n n
n manifested a significant change, the nurse should call the RRT. Changes in blood pressure, n n n n n n n n n n n n n
n mental status, heart rate, and pain are particularly significant.
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, n n n n n n n
n n n
TestBank-Medical-SurgicalNursing:ConceptsforInterprofessionalCollaborativeCare11e
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Documentation is vital, but the nurse must do more than document. The primary care n n n n n n n n n n n n n
n provider should be notified, but this is not the priority over calling the RRT. The clients
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n blood pressure should be reassessed frequently, but the priority is getting the rapid
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n care to the client.
n n n
DIF: Applying/Application REF: 3
n n n
KEY:RapidResponseTeam(RRT)|medical emergencies
n n n n n n
n MSC: Integrated Process: n n
Communication and Documentation n n
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
n n n n n n n
3. A nurse is orienting a new client and family to the inpatient unit. What information does
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n the nurse provide to help the client promote his or her own safety?
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a. Encourage the client and family to be active partners. n n n n n n n n
b. Have the client monitor hand hygiene in caregivers. n n n n n n n
c. Offer the family the opportunity to stay with the client.
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d. Tell the client to always wear his or her armband.
n n n n n n n n n
ANS: A n
Each action could be important for the client or family to perform. However,
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n encouraging the client to be active in his or her health care as a partner is the most critical. The n n n n n n n n n n n n n n n n n n n
n other actions are very limited in scope and do not provide the broad protection that being
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n active and involved does. n n n
DIF:
Understanding/Comprehension
REF: 3KEY: Patient safety
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, n n n n n n n
n n n
TestBank-Medical-SurgicalNursing:ConceptsforInterprofessionalCollaborativeCare11e
n n n n n n n n n n 4
MSC: Integrated Process: Teaching/Learning n n n
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
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n Control
4. A client is going to be admitted for a scheduled surgical procedure. Which action does the
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n nurse explain is the most important thing the client can do to protect against errors?
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a. Bring a list of all medications and what they are for. n n n n n n n n n n
b. Keep the doctors phone number by the telephone. n n n n n n n
c. Make sure all providers wash hands before entering the room.
n n n n n n n n n
d. Write down the name of each caregiver who comes in the room.n n n n n n n n n n n
ANS: A n
Medication errors are the most common type of health care mistake. The Joint n n n n n n n n n n n n
n Commissions Speak Up campaign encourages clients to help ensure their safety. One n n n n n n n n n n n
n recommendation is for clients to know all their medications and why they take them. n n n n n n n n n n n n n
Thiswillhelpprevent medicationerrors.
n n n n n
DIF: Applying/Application REF: 4
n n n
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning NOT:
n n n n n n n n n n
n Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
n n n n n n n n n n n
5. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The
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n preceptor advises the student that which is the priority when working as a professionaln n n n n n n n n n n n n
n nurse?
a. Attending to holistic client needs n n n n
b. Ensuring client safety n n
c. Not making medication errors n n n
d. Providing client-focused care n n
ANS: B n
All actions are appropriate for the professional nurse. However, ensuring client safety is
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n the priority. Up to98,000 deaths result each year from errors in hospital care, according to
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n the 2000 Institute of Medicine report. Many more clients have suffered injuries and less
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n serious outcomes. Every nurse has the responsibility to guard the clients safety.
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