Edition)
,
,Chapter 01: Overview of Professional Nursing Concepts for
, Medical-Surgical Nursing Ignatavicius: Medical-Surgical
Nursing, 10th Edition
MULTIPLE
CHOICE
1. A nurse is orienting a new client and family to the medical-surgical unit. What
information does the nurse provide to best 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
safety partner is the most critical. The other actions are very limited in scope and do
not provide the broad protection that being active and involved does.
DIF: Understanding TOP: Integrated Process:
Teaching/Learning KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care
Environment: Safety and Infection Control
2. A new nurse is working with a preceptor on a medicalsurgical unit. The preceptor
advises the new nurse that which is the priority when working as a professional nurse?
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. Health care errors have been widely reported for 25 years, many of
which result in client injury, death, and increased health care costs. There are several
national and international organizations that have either recommended or mandated
safety initiatives.
Every nurse has the responsibility to guard the client’s safety. The other actions are
important for quality nursing, but they are not as vital as providing safety. Not
making medication errors does provide safety, but is too narrow in scope to be the
best answer.