TEST BANK For Medical-Surgical Nursing
M M M M M
10th Edition Concepts for Interprofessional Collabo
M M M M M
rative Care, by Donna D. Ignatavicius,
M M M M M M
All chapters 1 – 69
M M M M
,ChapterM01:MOverviewMofMProfessionalMNursingMConceptsMforMMedical-
SurgicalMNursingMIgnatavicius:MMedical-SurgicalMNursing,M10thMEdition
MULTIPLEMCHOICE
1. AMnewMnurseMisMworkingMwithMaMpreceptorMonMaMmedical-
surgicalMunit.MTheMpreceptorMadvisesMtheMnewMnurseMthatMwhichMisMtheMpriorityMwhenMwo
rkingMasMaMprofessionalMnurse?
a. AttendingMtoMholisticMclientMneeds
b. EnsuringMclientMsafety
c. NotMmakingMmedicationMerrors
d. ProvidingMclient-focusedMcare
CORRECTMANSWER:M B
AllMactionsMareMappropriateMforMtheMprofessionalMnurse.MHowever,MensuringMclientMsafetyMi
sMtheMpriority.MHealthMcareMerrorsMhaveMbeenMwidelyMreportedMforM25Myears,MmanyMofMwhi
chMresultMinMclientMinjury,Mdeath,MandMincreasedMhealthMcareMcosts.MThereMareMseveralMnati
onalMandMinternationalMorganizationsMthatMhaveMeitherMrecommendedMorMmandatedMsafety
M initiatives.
EveryMnurseMhasMtheMresponsibilityMtoMguardMtheMclient’sMsafety.MTheMotherMactionsMareMi
mportantMforMqualityMnursing,MbutMtheyMareMnotMasMvitalMasMprovidingMsafety.MNotMmaking
MmedicationMerrorsMdoesMprovideMsafety,MbutMisMtooMnarrowMinMscopeMtoMbeMtheMbestMans
wer.
DIF: Understanding
TOP:M IntegratedMProcess:MNursingMProcess:MInterventionMKEY:MClientMsafety
MSC:M ClientMNeedsMCategory:MSafeMandMEffectiveMCareMEnvironment:MSafetyMandMInfectionMControl
2. AMnurseMisMorientingMaMnewMclientMandMfamilyMtoMtheMmedical-
surgicalMunit.MWhatMinformationMdoesMtheMnurseMprovideMtoMbestMhelpMtheMclientMprom
oteMhisMorMherMownMsafety?
a. EncourageMtheMclientMandMfamilyMtoMbeMactiveMpartners.
b. HaveMtheMclientMmonitorMhandMhygieneMinMcaregivers.
c. OfferMtheMfamilyMtheMopportunityMtoMstayMwithMtheMclient.
, d. TellMtheMclientMtoMalwaysMwearMhisMorMherMarmband.
CORRECTMANSWER:M A
EachMactionMcouldMbeMimportantMforMtheMclientMorMfamilyMtoMperform.MHowever,Mencourag
ingMtheMclientMtoMbeMactiveMinMhisMorMherMhealthMcareMasMaMsafetyMpartnerMisMtheMmostMcri
tical.MTheMotherMactionsMareMveryMlimitedMinMscopeMandMdoMnotMprovideMtheMbroadMprotect
ionMthatMbeingMactiveMandMinvolvedMdoes.
DIF: Understanding
TOP:MIntegratedMProcess:MTeaching/LearningMKEY:MClientMsafety
MSC:M ClientMNeedsMCategory:MSafeMandMEffectiveMCareMEnvironment:MSafetyMandMInfectionMControl
3. AMnurseMisMcaringMforMaMpostoperativeMclientMonMtheMsurgicalMunit.MTheMclient’sMbloodMp
ressureMwasM142/76MmmMHgM30MminutesMago,MandMnowMisM88/50MmmMHg.MWhatMaction
M wouldMtheMnurseMtakeMfirst?
a. CallMtheMRapidMResponseMTeam.
b. DocumentMandMcontinueMtoMmonitor.
c. NotifyMtheMprimaryMhealthMcareMprovider.
d. RepeatMtheMbloodMpressureMinM15Mminutes.
, CORRECTMANSWER:M A
TheMpurposeMofMtheMRapidMResponseMTeamM(RRT)MisMtoMinterveneMwhenMclientsMareMdeteri
oratingMbeforeMtheyMsufferMeitherMrespiratoryMorMcardiacMarrest.MSinceMtheMclientMhasMman
ifestedMaMsignificantMchange,MtheMnurseMwouldMcallMtheMRRT.MChangesMinMbloodMpressure,M
mentalMstatus,MheartMrate,Mtemperature,MoxygenMsaturation,MandMlastM2Mhours’MurineMoutp
utMareMparticularlyMsignificantMandMareMpartMofMtheMModifiedMEarlyMWarningMSystemMguide.
M DocumentationMisMvital,MbutMtheMnurseMmustMdoMmoreMthanMdocument.MTheMprimaryMhea
lthMcareMproviderMwouldMbeMnotified,MbutMthisMisMnotMmoreMimportantMthanMcallingMtheMRR
T.MTheMclient’sMbloodMpressureMwouldMbeMreassessedMfrequently,MbutMtheMpriorityMisMgettin
gMtheMrapidMcareMtoMtheMclient.
DIF: Applying
TOP:M IntegratedMProcess:MCommunicationMandMDocumentationMKEY:MRapi
dMResponseMTeamM(RRT),MClinicalMjudgment
MSC:M ClientMNeedsMCategory:MPhysiologicalMIntegrity:MPhysiologicalMAdaptation
4. AMnurseMwishesMtoMprovideMclient-
centeredMcareMinMallMinteractions.MWhichMactionMbyMtheMnurse
bestMdemonstratesMthisMconcept?
a. AssessesMforMculturalMinfluencesMaffectingMhealthMcare.
b. EnsuresMthatMallMtheMclient’sMbasicMneedsMareMmet.
c. TellsMtheMclientMandMfamilyMaboutMallMupcomingMtests.
d. ThoroughlyMorientsMtheMclientMandMfamilyMtoMtheMroom.
CORRECTMANSWER:M A
ShowingMrespectMforMtheMclientMandMfamily’sMpreferencesMandMneedsMisMessentialMtoMensur
eMaMholisticMorM“whole-
person”MapproachMtoMcare.MByMassessingMtheMeffectMofMtheMclient’sMcultureMonMhealthMcare
,MthisMnurseMisMpracticingMclient-
focusedMcare.MProvidingMforMbasicMneedsMdoesMnotMdemonstrateMthisMcompetence.MSimply
M tellingMtheMclientMaboutMallMupcomingMtestsMisMnotMprovidingMempoweringMeducation.MOri
entingMtheMclientMandMfamilyMtoMtheMroomMisManMimportantMsafetyMmeasure,MbutMnotMdirec
tlyMrelatedMtoMdemonstratingMclient-centeredMcare.
DIF: Understanding
TOP:MIntegratedMProcess:MCultureMandMSpiritualityMKEY:M Client-centeredMcare,MCulture
MSC:M ClientMNeedsMCategory:MPsychosocialMIntegrity
5. AMclientMisMgoingMtoMbeMadmittedMforMaMscheduledMsurgicalMprocedure.MWhichMactionM
M M M M M
10th Edition Concepts for Interprofessional Collabo
M M M M M
rative Care, by Donna D. Ignatavicius,
M M M M M M
All chapters 1 – 69
M M M M
,ChapterM01:MOverviewMofMProfessionalMNursingMConceptsMforMMedical-
SurgicalMNursingMIgnatavicius:MMedical-SurgicalMNursing,M10thMEdition
MULTIPLEMCHOICE
1. AMnewMnurseMisMworkingMwithMaMpreceptorMonMaMmedical-
surgicalMunit.MTheMpreceptorMadvisesMtheMnewMnurseMthatMwhichMisMtheMpriorityMwhenMwo
rkingMasMaMprofessionalMnurse?
a. AttendingMtoMholisticMclientMneeds
b. EnsuringMclientMsafety
c. NotMmakingMmedicationMerrors
d. ProvidingMclient-focusedMcare
CORRECTMANSWER:M B
AllMactionsMareMappropriateMforMtheMprofessionalMnurse.MHowever,MensuringMclientMsafetyMi
sMtheMpriority.MHealthMcareMerrorsMhaveMbeenMwidelyMreportedMforM25Myears,MmanyMofMwhi
chMresultMinMclientMinjury,Mdeath,MandMincreasedMhealthMcareMcosts.MThereMareMseveralMnati
onalMandMinternationalMorganizationsMthatMhaveMeitherMrecommendedMorMmandatedMsafety
M initiatives.
EveryMnurseMhasMtheMresponsibilityMtoMguardMtheMclient’sMsafety.MTheMotherMactionsMareMi
mportantMforMqualityMnursing,MbutMtheyMareMnotMasMvitalMasMprovidingMsafety.MNotMmaking
MmedicationMerrorsMdoesMprovideMsafety,MbutMisMtooMnarrowMinMscopeMtoMbeMtheMbestMans
wer.
DIF: Understanding
TOP:M IntegratedMProcess:MNursingMProcess:MInterventionMKEY:MClientMsafety
MSC:M ClientMNeedsMCategory:MSafeMandMEffectiveMCareMEnvironment:MSafetyMandMInfectionMControl
2. AMnurseMisMorientingMaMnewMclientMandMfamilyMtoMtheMmedical-
surgicalMunit.MWhatMinformationMdoesMtheMnurseMprovideMtoMbestMhelpMtheMclientMprom
oteMhisMorMherMownMsafety?
a. EncourageMtheMclientMandMfamilyMtoMbeMactiveMpartners.
b. HaveMtheMclientMmonitorMhandMhygieneMinMcaregivers.
c. OfferMtheMfamilyMtheMopportunityMtoMstayMwithMtheMclient.
, d. TellMtheMclientMtoMalwaysMwearMhisMorMherMarmband.
CORRECTMANSWER:M A
EachMactionMcouldMbeMimportantMforMtheMclientMorMfamilyMtoMperform.MHowever,Mencourag
ingMtheMclientMtoMbeMactiveMinMhisMorMherMhealthMcareMasMaMsafetyMpartnerMisMtheMmostMcri
tical.MTheMotherMactionsMareMveryMlimitedMinMscopeMandMdoMnotMprovideMtheMbroadMprotect
ionMthatMbeingMactiveMandMinvolvedMdoes.
DIF: Understanding
TOP:MIntegratedMProcess:MTeaching/LearningMKEY:MClientMsafety
MSC:M ClientMNeedsMCategory:MSafeMandMEffectiveMCareMEnvironment:MSafetyMandMInfectionMControl
3. AMnurseMisMcaringMforMaMpostoperativeMclientMonMtheMsurgicalMunit.MTheMclient’sMbloodMp
ressureMwasM142/76MmmMHgM30MminutesMago,MandMnowMisM88/50MmmMHg.MWhatMaction
M wouldMtheMnurseMtakeMfirst?
a. CallMtheMRapidMResponseMTeam.
b. DocumentMandMcontinueMtoMmonitor.
c. NotifyMtheMprimaryMhealthMcareMprovider.
d. RepeatMtheMbloodMpressureMinM15Mminutes.
, CORRECTMANSWER:M A
TheMpurposeMofMtheMRapidMResponseMTeamM(RRT)MisMtoMinterveneMwhenMclientsMareMdeteri
oratingMbeforeMtheyMsufferMeitherMrespiratoryMorMcardiacMarrest.MSinceMtheMclientMhasMman
ifestedMaMsignificantMchange,MtheMnurseMwouldMcallMtheMRRT.MChangesMinMbloodMpressure,M
mentalMstatus,MheartMrate,Mtemperature,MoxygenMsaturation,MandMlastM2Mhours’MurineMoutp
utMareMparticularlyMsignificantMandMareMpartMofMtheMModifiedMEarlyMWarningMSystemMguide.
M DocumentationMisMvital,MbutMtheMnurseMmustMdoMmoreMthanMdocument.MTheMprimaryMhea
lthMcareMproviderMwouldMbeMnotified,MbutMthisMisMnotMmoreMimportantMthanMcallingMtheMRR
T.MTheMclient’sMbloodMpressureMwouldMbeMreassessedMfrequently,MbutMtheMpriorityMisMgettin
gMtheMrapidMcareMtoMtheMclient.
DIF: Applying
TOP:M IntegratedMProcess:MCommunicationMandMDocumentationMKEY:MRapi
dMResponseMTeamM(RRT),MClinicalMjudgment
MSC:M ClientMNeedsMCategory:MPhysiologicalMIntegrity:MPhysiologicalMAdaptation
4. AMnurseMwishesMtoMprovideMclient-
centeredMcareMinMallMinteractions.MWhichMactionMbyMtheMnurse
bestMdemonstratesMthisMconcept?
a. AssessesMforMculturalMinfluencesMaffectingMhealthMcare.
b. EnsuresMthatMallMtheMclient’sMbasicMneedsMareMmet.
c. TellsMtheMclientMandMfamilyMaboutMallMupcomingMtests.
d. ThoroughlyMorientsMtheMclientMandMfamilyMtoMtheMroom.
CORRECTMANSWER:M A
ShowingMrespectMforMtheMclientMandMfamily’sMpreferencesMandMneedsMisMessentialMtoMensur
eMaMholisticMorM“whole-
person”MapproachMtoMcare.MByMassessingMtheMeffectMofMtheMclient’sMcultureMonMhealthMcare
,MthisMnurseMisMpracticingMclient-
focusedMcare.MProvidingMforMbasicMneedsMdoesMnotMdemonstrateMthisMcompetence.MSimply
M tellingMtheMclientMaboutMallMupcomingMtestsMisMnotMprovidingMempoweringMeducation.MOri
entingMtheMclientMandMfamilyMtoMtheMroomMisManMimportantMsafetyMmeasure,MbutMnotMdirec
tlyMrelatedMtoMdemonstratingMclient-centeredMcare.
DIF: Understanding
TOP:MIntegratedMProcess:MCultureMandMSpiritualityMKEY:M Client-centeredMcare,MCulture
MSC:M ClientMNeedsMCategory:MPsychosocialMIntegrity
5. AMclientMisMgoingMtoMbeMadmittedMforMaMscheduledMsurgicalMprocedure.MWhichMactionM
