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NURSING:CONCEPTS FOR CLINICAL JUDGEMENT
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AND COLLABORATIVE CARE 11TH EDITION
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IGNATAVICIUS
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,TESTBANK
,Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional
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Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing s 9 s 9 s 9 s 9 s 9 s 9 s 9 s 9 s 9
MULTIPLE CHOICE
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1. A nurse wishes to provide client-centered care in all interactions.Which
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s 9 action by the nurse bestdemonstrates this concept? s9 s9 s9 s9 s 9 s 9 s 9
a. Assesses for cultural s 9 s 9 s 9 influences affecting health s 9 s 9 s 9 care
b. Ensures that all the clients s9 s 9 s 9 s 9 s 9 basic needs are met s 9 s 9 s 9
c. Tells the client and family s 9 s 9 s 9 s 9 s 9 about all upcoming tests s 9 s9 s9 s 9
d. Thoroughly orients the client s 9 s9 s 9 s 9 and family to the room s 9 s 9 s 9 s 9
ANS: A s 9
Competency in client-focused care is demonstrated when the nurse focuses on s9 s9 s9 s9 s9 s9 s9 s9 s9 s9
s9 communication, culture, respect compassion, client education, and s9 s9 s9 s9 s 9 s 9
s 9 empowerment.By assessing the effect of the clients culture on health care, this s9 s 9 s9 s9 s 9 s9 s9 s 9 s9 s 9 s9 s9 s9 s9 s 9
s 9 nurse is practicing client- focused care. Providing for basic needs does not
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s 9 demonstrate this competence. Simply telling the client about all upcoming s9 s9 s9 s 9 s 9 s 9 s 9 s 9 s 9
s 9 tests is not providing empowering education. s 9 s 9 s9 s9 s9
Orienting the client and family to the room is an important safety measure, s9 s9 s9 s9 s9 s 9 s 9 s 9 s 9 s 9 s 9 s 9
s 9 butnot directly related to demonstrating client-centered care.
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DIF: Understanding/Comprehension
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KEY: Patient-centered care| culture MSC: Integrated
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Process: CaringNOT: Client Needs Category:
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Psychosocial Integrity s 9
2. A nurse is caring for a postoperative client on the surgical unit. The clients
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blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50
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s 9 mm Hg. What action by the nurse is best? s9 s9 s9 s9 s9 s 9 s9 s9
a. Call the Rapid s9 s 9 s 9 Response Team. s 9
b. Document and continue s 9 s 9 s 9 to monitor. s 9
c. Notify the primary s9 s 9 s 9 care provider. s 9
d. Repeat blood s9 s 9 pressure s 9 measurement s 9 in 15 minutes. s 9 s 9
ANS: A s 9
The purpose of the Rapid Response Team (RRT)
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s9 clients are deteriorating before they suffer either respiratory or cardiac arrest.
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s9 Since the client has manifested a significant change, the nurse should call
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, Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional
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s the
Collaborative
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