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,Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing
MULTIPLE CHOICE
1. A nurse wishes to provide client-centered care in all interactions.
Which action by the nurse best demonstrates this concept?
, a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
CORRECT ANSWER: A
Rationale:Competency in client-focused care is demonstrated when the
nurse focuses on communication, culture, respect compassion, client
education, and empowerment. By assessing the effect of the clients
culture on health care, this nurse is practicing client-focused care.
Providing for basic needs does not demonstrate this competence. Simply
telling the client about all upcoming tests is not providing empowering
education. Orienting the client and family to the room is an important safety
measure, but not directly related to demonstrating client-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC:
Integrated Process: Caring NOT: Client Needs
Category: Psychosocial Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The
clients blood pressure was 142/76 mm Hg 30 minutes ago, and now is
88/50 mm Hg. What action by the nurse is best?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
CORRECT ANSWER: A
Rationale:The purpose of the Rapid Response Team (RRT) is to intervene
when clients are deteriorating before they suffer either respiratory or