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AL NURSING CONCEPTS FOR INTERPROFESSIONAL
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COLLABORATIVE CARE 10TH EDITION BY DONNA
m m m m m m m
D. IGNATAVICIUS FULL TESTBANK ALL CHAPTERS
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TEST BANK FOR IGNATAVICIUS MEDICAL SURGIC
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AL NURSING CONCEPTS FOR INTERPROFESSIONAL
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mCOLLABORATIVE CARE 10TH EDITION BY DONNA D m m m m m m
. IGNATAVICIUS FULL TESTBANK ALL CHAPTERS 1
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Chapterm01:mOverviewmofmProfessionalmNursingmConceptsmformMedical-
SurgicalmNursing
MULTIPLEmCHOICE
1. Amnewmnursemismworkingmwithmampreceptormonmammedical-
surgicalmunit.mThempreceptormadvisesmthemnewmnursemthatmwhichmismthemprioritymwhenm
workingmasmamprofessionalmnurse?
a. Attendingmtomholisticmclientmneeds
b. Ensuringmclientmsafety
c. Notmmakingmmedicationmerrors
d. Providingmclient-focusedmcare
-mANSWER-mB
Allmactionsmaremappropriatemformthemprofessionalmnurse.mHowever,mensuringmclientmsafetymismth
empriority.mHealthmcaremerrorsmhavembeenmwidelymreportedmform25myears,mmanymofmwhichmresul
tminmclientminjury,mdeath,mandmincreasedmhealthmcaremcosts.mTheremaremseveralmnationalmandmint
ernationalmorganizationsmthatmhavemeithermrecommendedmormmandatedmsafetyminitiatives.
Everymnursemhasmthemresponsibilitymtomguardmthemclient9smsafety.mThemothermactionsmaremim
portantmformqualitymnursing,mbutmtheymaremnotmasmvitalmasmprovidingmsafety.mNotmmakingmm
edicationmerrorsmdoesmprovidemsafety,mbutmismtoomnarrowminmscopemtombemthembestmanswer.
DIF:
UnderstandingmTOP:mIntegratedmProcess:mNursingmProcess:mInterventionmKEY:mCl
ientmsafety
MSC:mClientmNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfec
tionmControl
2. Amnursemismorientingmamnewmclientmandmfamilymtomthemmedical-
surgicalmunit.mWhatminformationmdoesmthemnursemprovidemtombestmhelpmthemclientmpro
motemhismormhermownmsafety?
a. Encouragemthemclientmandmfamilymtombemactivempartners.
,2m|mPm am gm
e
b. Havemthemclientmmonitormhandmhygieneminmcaregivers.
c. Offermthemfamilymthemopportunitymtomstaymwithmthemclient.
d. Tellmthemclientmtomalwaysmwearmhismormhermarmband.
-mANSWER-mA
Eachmactionmcouldmbemimportantmformthemclientmormfamilymtomperform.mHowever,mencouraging
mthemclient mto mbemactivemin mhismormhermhealthmcaremas mamsafetympartnermismthemmostmcritical.mT
hemothermactionsmaremverymlimitedminmscopemandmdomnotmprovidemthembroadmprotectionmthatmbei
ngmactivemandminvolvedmdoes.
DIF: UnderstandingmTOP:mIntegratedmProcess:mTeaching/LearningmKEY:mClientmsafety
MSC:mClientmNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfec
tionmControl
3. Amnursemismcaringmformampostoperativemclientmonmthemsurgicalmunit.mThemclient9smblo
odmpressuremwasm142/76mmmmHgm30mminutesmago,mandmnowmism88/50mmmmHg.mWhatmactio
nmwouldmthemnursemtakemfirst?
a. CallmthemRapidmResponsemTeam.
b. Documentmandmcontinuemtommonitor.
c. Notifymthemprimarymhealthmcaremprovider.
d. Repeatmthembloodmpressureminm15mminutes.
-mANSWER-mA
ThempurposemofmthemRapidmResponsemTeamm(RRT)mismtomintervenemwhenmclientsmaremdeterior
atingmbeforemtheymsuffermeithermrespiratorymormcardiacmarrest.mSincemthemclientmhasmmanifested
mamsignificantmchange,mthemnursemwouldmcallmthemRRT.mChangesminmbloodmpressure,mmental mst
atus,mheartmrate,mtemperature,moxygenmsaturation,mandmlastm2mhours9murinemoutputmaremparticul
arlymsignificantmandmarempartmofmthemModifiedmEarlymWarningmSystemmguide.mDocumentationm
ismvital,mbutmthemnursemmustmdommoremthanmdocument.mThemprimarymhealthmcaremprovidermwo
uldmbemnotified,mbutmthismismnotmmoremimportantmthanmcallingmthemRRT.mThemclient9smbloodmp
ressuremwouldmbemreassessedmfrequently,mbutmthemprioritymismgettingmthemrapidmcaremtomthemcli
ent.
DIF: Applying
TOP:mIntegratedmProcess:mCommunicationmandmDocumentationmKEY:mRapidmRes
ponsemTeamm(RRT),mClinicalmjudgment
MSC:mClientmNeedsmCategory:mPhysiologicalmIntegrity:mPhysiologicalmAdaptation
, 3m|mPm am gm
e
4. Amnursemwishesmtomprovidemclient-
centeredmcareminmallminteractions.mWhichmactionmbymthemnurse
bestmdemonstratesmthismconcept?
a. Assessesmformculturalminfluencesmaffectingmhealthmcare.
b. Ensuresmthatmallmthemclient9smbasicmneedsmaremmet.
c. Tellsmthemclientmandmfamilymaboutmallmupcomingmtests.
d. Thoroughlymorientsmthemclientmandmfamilymtomthemroom.
-mANSWER-mA
Showingmrespectmformthemclientmandmfamily9smpreferencesmandmneedsmismessentialmtomensuremam
holisticmorm<whole-
person=mapproachmtomcare.mBymassessingmthemeffectmofmthemclient9smculturemonmhealthmcare,mt
hismnursemismpracticingmclient-
focusedmcare.mProvidingmformbasicmneedsmdoesmnotmdemonstratemthismcompetence.mSimplymtelli
ngmthemclientmaboutmallmupcomingmtestsmismnotmprovidingmempoweringmeducation.mOrientingmt
hemclientmandmfamilymtomthemroommismanmimportantmsafetymmeasure,mbutmnotmdirectlymrelatedmt
omdemonstratingmclient-centeredmcare.
DIF: UnderstandingmTOP:mIntegratedmProcess:mCulturemandmSpiritualitymKEY:mClient-
centeredmcare,mCulture MSC:mClientmNeedsmCategory:mPsychosocialmIntegrity
5. Amclientmismgoingmtombemadmittedmformamscheduledmsurgicalmprocedure.mWhichmactio
nmdoesmthemnursemexplainmismthemmostmimportantmthingmthemclientmcanmdomtomprotectmagain
stmerrors?
a. Bringmamlistmofmallmmedicationsmandmwhatmtheymaremfor.
b. Keepmthemprovider9smphonemnumbermbymthemtelephone.
c. Makemsuremthatmallmprovidersmwashmhandsmbeforementeringmthemroom.
d. Writemdownmthemnamemofmeachmcaregivermwhomcomesminmthemroom.
-mANSWER-mA
Medicationmreconciliationmismamformalmprocessminmwhichmthemclient9smactualmcurrentmmedicatio
nsmaremcomparedmtomthemprescribedmmedicationsmatmthemtimemofmadmission,mtransfer,mormdisch
arge.mThismNationalmclientmSafetymGoalmismimportantmtomreducemmedicationmerrors.mThemclient
mwouldmnotmhavemtombemresponsiblemformprovidersmwashingmtheir mhands,mandmevenmifmthemclie
ntmdoesmso,mthismismtoomnarrowmtombemthemmostmimportantmactionmtompreventmerrors.mKeepingm
themprovider9smphonemnumbermnearbymandmdocumentingmeveryonemwhomentersmthemroommalso
mdo mnotmguaranteemsafety.
DIF: Applying
TOP:mIntegratedmProcess:mTeaching/LearningmKEY:mClientmsafety,mInformatic
s
MSC:mClientmNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfec
tionmControl